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offlabel

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All Content by offlabel

  1. If you have the intellectual horse power to clear out physics, o-chem/biochem, whatever, do it. Your BSN program, as you've already figured out, doesn't require the heavy hitting "weed out" science...
  2. Propofol in the ICU

    Just google Diprivan dude...this is getting
  3. Addressing Bullying in the ED

    Well, you'll certainly won't get anywhere if the problems is totally mis-identified,
  4. Addressing Bullying in the ED

    Reducing regressive unprofessional attitudes by poorly trained and intellectually unqualified nurses to the term "bullying" is absurd. It just confirms to those that would criticize nursing as a...
  5. Careful of triumphalism. Playing the chest thumping game goes both ways and can just as easily go against CRNA's. It's why experienced anesthesia folks, CRNA or docs, focus on successes to demonstrate...
  6. Vasoactive Drips with a DNR

  7. Do these patients with comorbidities get echo's routinely? Would seem to take the guess work out of giving
  8. Vasoactive Drips with a DNR

    6 liters of crystalloid and NE? Just cuz didn't nobody push on the chest mean that wasn't a resuscitation. It
  9. And I don't believe in aspiration of CSF at the end of a spinal injection
  10. And there's no need to give robinul before neostigmine, ie, you can very safely mix the two in the same
  11. Male identified CNMs?

    I wonder if it matters more what identity the pregnant woman assigns to the
  12. Real Talk

    As unpopular as it is to say, a big part about training for advanced practice in general and anesthesia in particular is to begin to stop thinking like nurses are trained to think. A complete...
  13. Crna job hours and call

    And understand that the phrase "leave when cases are done" doesn't mean all day everyday. You take turns with your group being early, late and points in between. Call is wildly variable as well. I...
  14. Sepsis, causes,vitamin c?????

    Look at/ listen to this. You'll understand. EMCrit Wee - Edited Version of Paul Marik on the Metabolic Resuscitation of
  15. I briefly worked with a guy from the "number one ranked" school (out of Virginia at the time, can't remember the name.) One of the most ill prepared CRNA's I've ever met, but his incompetency was only...
  16. Support Planned Parenthood Today!

    But "choice" is selectively applied, isn't it? Women are coerced into abortions every day, yet there is silence on that issue from the prochoice side. That is what really dings the credibility of PP...
  17. Support Planned Parenthood Today!

    Who is leaving real vulnerable children twisting in the wind that is opposed to abortion? Is that a requirement? If I'm against nuclear war but don't make sure I also state very clearly that I'm...
  18. Support Planned Parenthood Today!

    Not sure of the logic here. It sounds as though you're associating brutal child abuse and murder (both bad things) with the abused and murdered children not having been aborted. But abortion has been...
  19. Support Planned Parenthood Today!

    OK. Fair enough, but that doesn't seem to matter to the boyfriends or parents of women that do not want to have an abortion and want desperately to keep their child. Women are brought to abortion...
  20. Sings of hypoxia on a ventilator

    Visualize Papa
  21. NMBA and high PEEP relation

    Aggressive ventilator settings like that imply that the PO2 and PCO2 are at thresholds that strongly stimulate the patients respiratory drive. As the above poster noted, this creates ventilator...
  22. 5-Wire Telemetry. Which lead tracing do I interpret?

    Re-reading this thread, just wanted to point out that lead II absolutely will show ST elevation during an ischemic event involving the
  23. Can I place tele leads on a pt’s back?

    If all you want is to see the rate and presence or absence of things like the QRS or p waves and their morphology, then it doesn't matter where you put the leads. If you're trying to make a specific...
  24. Operating Room Medications

    Documenting the volume of heparinized saline in these cases would be an educated guess at best. Sort of like blood loss. The main thing would be to make sure it was the dilute concentration of...
  25. Verbal order-Denied by resident

    Sounds generally like a general lack of understanding of sedation, analgesia, mechanical ventilation and hemodynamic management. Sorry you were in the middle of all of that. What a