offlabel

offlabel

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All Content by offlabel

  1. Blood products simultaneously

    Which is more likely in aggressive transfusion therapy in the setting of catastrophic bleeding? Cardiovascular collapse with all of the attendant sequelae or *serious* transfusion reaction from cross...
  2. Pagan in a Catholic Hospital...

    Well, I have yet to meet anyone that doesn't take pride in what they believe. Can't see how Christians aren't allowed to have that very human characteristic. But if what you're criticizing are...
  3. Well, be careful here, Sport. For every CRNA "horror story" you find, I can see and raise you one anesthesiologist "horror story". As to SDN, I'd take the word of runny nosed 20 somethings training as...
  4. Pagan in a Catholic Hospital...

    How would a Catholic feel in a "pagan" hospital? Not trying to be flip...happens every
  5. Autonomic dysreflexia in PACU

    A foley catheterization can set it off. Doesn't take much in some folks and they don't need a history of it to present. Profuse diaphoresis might be the only obvious sign before you get a blood...
  6. As long as your sending him yours, he ought to send his to you....never know who the trolls
  7. Laminectomy complications

    1. Yes 2.
  8. Are you actually suggesting that the assertion that medical school is harder than anesthesia school is unreasonable? To the extent that the person making it must be a troll? How absurd a statement...
  9. Be really careful here...if you're willing to go to the trouble and expense of NP training (little to no crossover to anesthesia), why not establish yourself (at a fraction of the expense) as a rock...
  10. What is This Clip?!

    It's for pediatric nurses...you suspend babies from it for hands free diaper
  11. Kapiolani Medical Center

    Have you considered calling the
  12. You're asking a very complex question that, ultimately, is concerned with the job satisfaction of the CRNA. Job satisfaction comes from a lot of different directions and is different for different...
  13. What do you hate about nursing and why?

    When I was in nursing, I really enjoyed it, actually...I left it to do anesthesia as a CRNA, but I can absolutely say what I don't miss about it and what still gives me fits even now that I am no...
  14. What in the world is this rhythm?!

    This ekg pattern would most likely be caused by...in a patient most likely with the chronic diagnosis of...and the immediate treatment would be...
  15. Working with transgender in primary care

    Where, in this website, do guidelines for the complexity of the OP's patient exist? This is more of a "start-up" overview that provides general guidelines for a generic population, not one complicated...
  16. Perfusionist

    Perfusion is a pretty nice gig. Good jobs are word of mouth though. Never met an unhappy
  17. Septic vs Cardiogenic Shock?

    The "best" indicator? Besides the history and physical? There is no "best" single indicator. It's a medical diagnosis that comes from an assessment and lab work. If you need a PA catheter or an echo...
  18. What in the world is this rhythm?!

    ...yeah, sinus brady, some kind of systemic inflammatory disease too, I think, might be bowel, can't be sure...troubled
  19. What in the world is this rhythm?!

    Sinus
  20. Afib

  21. Afib

    This is a typical nursing "gotcha" kind of question. Your two answers are both not what you'd immediately consider in this patient. The point of the question isn't necessarily that you, as an RN, know...
  22. Unstable Angina Pre-CABG management

    That symptoms of chronic disease and ACS resemble each other is not a reason to treat them the same
  23. Warm and dead...

    "That's the kind of situation where it makes sense. Profoundly hypothermic people may feel pulseless but they really aren't. Their rate/strength has just decreased to the point of being un-assessable...
  24. Post Hysterectomy Hemorrhage

    Post op bleeding is post op bleeding. Nothing special about post hysterectomy. Pallor, hypotension, tachycardia, fall in hct...the usual. If you wait to see if the belly gets distended with blood,...
  25. Nurse or Physician's Assitant

    Unless you want to do anesthesia, by and large, PA school is the way to go. Between the explosion of NP programs and the sketchy quality of many, there is more of a future in the former. I work with...