offlabel

offlabel

Member

  • Content

    1,709

  • Visitors

    18,944

  • Followers

    1

  • Likes

    780

All Content by offlabel

  1. Can someone who knows PA cath's dumb this down for me?

    offlabel replied to chefjaxx's topic in MICU, SICU

    Except that there is an error in my explanation.... I wrote during mechanical ventilation, on inspiration, RA pressure (CVP) falls...that isn't true. Venous return falls because RA pressure (CVP)...

  2. Can someone who knows PA cath's dumb this down for me?

    offlabel replied to chefjaxx's topic in MICU, SICU

    Spontaneous Ventilation: 1. Inspiration. Intrathoracic pressure falls. Pressure becomes sub-atmospheric, so atmosphere (room air) rushes into the lungs. Since the right atrium is an integrated...

  3. Feeling guilt over put unexpected death

    offlabel replied to regerterb's topic in Emergency

    Tough to be one of the last people (if not the very last) to talk to someone in their entire life. Done that a few times. Whatever the echo showed when someone said it was OK, that wouldn't be what it...

  4. Clinical question?

    offlabel replied to amzyRN's topic in Emergency

    Oh, yes there

  5. Clinical question?

    offlabel replied to amzyRN's topic in Emergency

    It's the ER...emergencies there are not really emergencies as defined by conventional wisdom...these things are routine. They are, by definition, not out of the ordinary, because it is after all, the...

  6. Disappointed by colleague

    offlabel replied to Sarah2018's topic in General Nursing

    *****?? Someone didn't act according to plan? Alert the media! Is the director of nursing aware? Is President Donald on the way? Dude/dudette, **** happens...you will have forgotten this by the time...

  7. Consolidation vs Infiltrate vs Opacity on CXR

    offlabel replied to mcmurrayjr's topic in MICU, SICU

    Is the patient oxygenating and ventilating? Is there a requirement for supplemental oxygen? Is the patient's mental status deteriorating? What does the patient look like? is there a correlating

  8. Struggling to be a Christian Nurse

    offlabel replied to newgirlintown94's topic in Spirituality, Religion

    Being a faithful Christian doesn't mean you're disqualified from intellectually processing stuff. I happen to believe that it makes for more coherent processing, but that's for another thread....

  9. Bloody hell!: venous sheath hemorrhage

    offlabel replied to Nervous_nurse's topic in General Nursing

    "I go to change my pressure setup and the patient is bleeding profusely from the sheath. I immediately apply pressure, but the patient loses nearly 700ccs of blood before we can pull the line and get...

  10. Why do SCDs need to be on the patient prior to anesthesia induction?

    offlabel replied to Chocolate39's topic in Operating Room

    I don't believe that there is any credible evidence that it makes a difference one way or the other with regard to DVTs if they're started after the induction. Like someone mentioned, checking for...

  11. Why do SCDs need to be on the patient prior to anesthesia induction?

    offlabel replied to Chocolate39's topic in Operating Room

    Not too much arterial pressure without venous return...that said, SCD's don't contribute to any significant

  12. OB CRITICAL CARE

    offlabel replied to Sabrinamoran's topic in Ob/Gyn

    Staffing does not determine critical care. Neither does high stakes. A circulator in a heart room isn't doing critical care anymore than an L and D nurse is and that is 1:1 and "dangerous" for the...

  13. Why would a nurse push IV potassium?

    offlabel replied to Nsco2018's topic in General Nursing

    Well, if the potassium becomes too low after the life threatening hyperkalemia is treated, that

  14. Why would a nurse push IV potassium?

    offlabel replied to Nsco2018's topic in General Nursing

    Is 1 to 2 meq/min considered "push"? I do that on a pump only because standing there with a syringe is too much of a hassle. And my patients don't die and I'm not in

  15. Driving drowsy

    offlabel replied to Irishnights's topic in Emergency

    If drowsy driving is a regular part of someone's life, I'd rule out OSA first. But it is a thing. Knew an L and D nurse that was killed that way one

  16. Right Coronary VF

    offlabel replied to kriiken's topic in Cardiac

    I'm not an CCL expert either, but frogging around with the right side, most often causes some type of bradycardia and or asystole. Not saying ventricular tachyarrythmias can't happen, it's just the...

  17. Right Coronary VF

    offlabel replied to kriiken's topic in Cardiac

    The sa and av nodes are more likely to cause the ventricular arrhythmias that we're talking

  18. Nitro tubing for Nitroglycerin and propofol

    offlabel replied to molsh's topic in CCU, Coronary, Cardiac

    Never had to in the first place...pharmacy just said you

  19. What would you do if nursing staff refuses do carry out your request?

    offlabel replied to Saflanut's topic in Nurse Practitioners, NP

    I would think that this was part of the physical exam (given the CC) and to leave it to a nurse would not be appropriate. I wouldn't trust them to be as diligent and thorough as I would be. Busy as it...

  20. Student - ICU central line access frequency

    offlabel replied to nsk2135's topic in Critical Care

    If some patients need so many draws, why not just put an a line in? That's a legitimate use for

  21. What chloraprep does everyone use?

    offlabel replied to mhy12784's topic in Operating Room

    I do wonder what genius thought blue chlorhexidine was a good

  22. CNA, CMA, or Phlebotomy before nursing school?

    offlabel replied to Brooklynpage's topic in Medical Assistant, CNA/MA

    Just get really good grades in pre-reqs and everything else will take care of itself. Flip burgers if you

  23. Experienced CRNA...ask me anything

    offlabel replied to 06crna's topic in Certified Registered Nurse Anesthetist, CRNA

    If it wasn't a phone, it would be a magazine, soduko, or crossword puzzle. I hear these complaints every so often and the reality is far less egregious than the complaint. As far as circulators...

  24. diuresing from chest tube

    offlabel replied to MountaineerFan57's topic in CCU, Coronary, Cardiac

    He's taking poetic license with the word "diuresing". It begs the question of what his kidneys are doing. Sounds like a lymph

  25. Dopamine in cardiogenic shock

    offlabel replied to FF_RN's topic in MICU, SICU

    If the decision is made to use an inotrope with cardiogenic shock in the pre-hospital or ER setting, it all really only comes down to style points. Dopamine has fallen out of favor with a lot of folks...