offlabel

offlabel

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All Content by offlabel

  1. IABP Alternative

    offlabel replied to HeliKel's topic in Critical Care

    Well, if you do get asked the question, keep it simple. Wandering out into the tall weeds will just get you naming every drip in the book and making it look like you're grasping at straws. I stand by...

  2. IABP Alternative

    offlabel replied to HeliKel's topic in Critical Care

    Trick question?

  3. Anesthesia for CPR

    offlabel replied to Rinto's topic in Critical Care

    Be careful about that. Ketamine doesn't give predictable amnesia and even when it does, the dose is higher than just doses for sedation. Giving ketamine without reliable amnesia (versed) is asking for...

  4. Myoclonus From Sedation

    offlabel replied to Catticus11's topic in Critical Care

    Brevital is used in the

  5. IABP Alternative

    offlabel replied to HeliKel's topic in Critical Care

    When you need an IABP, there is no

  6. Vasoactive medication help

    offlabel replied to XDeemerDogx12's topic in Critical Care

    In any cardio-genic emergency, the first priority is getting blood down the coronary arteries. Any medicine that increases vasomotor tone, among the other beneficial effects, will increase aortic root...

  7. Which is it? Coolest and most glamorous nursing jobs

    offlabel replied to Flyboy17's topic in General Nursing

    Spouse of a hot New England or California plastic

  8. Eclipse concerns

    offlabel replied to SaltineQueen's topic in School

    https://www.bing.com/videos/search?q=brian+regan+sun+stare&view=detail&mid=629A31CB55E683DD5A52629A31CB55E683DD5A52&FORM=VIRE

  9. Mom suing nurse after suffocation accident

    offlabel replied to MunoRN's topic in Nursing News

    If past proceedings of legislators of the state of Oregon is any indication, they'll probably outlaw delivery in hospitals. Oh...but if you're 15 or under while delivering, you can smoke dope for...

  10. Track to being a future CRNA?

    offlabel replied to rmariee's topic in Student Registered Nurse Anesthetist

    With all due respect, it sounds like you're being pretty picky about not wanting to experience discomfort/inconvenience. Assuming you even got admitted to a program, anesthesia school has it's...

  11. Experienced CRNA...ask me anything

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

    Be careful about chest thumping. ASA types look at examples like this as an admission that nurse anesthesia training and experience alone is inadequate. You aren't an NP so you're a lesser anesthesia...

  12. Everyone is in NP school !

    offlabel replied to Atl-Murse's topic in Nurse Practitioners, NP

    Never thought of that consequence of making so many NP's. NP as entry level

  13. Made a med error

    offlabel replied to russianbear's topic in Emergency

    No big deal. The kid got the medicine he needed. You know it wasn't by the intended route and are the wiser for it. Move

  14. Near miss

    offlabel replied to Lame's topic in PICU, Pediatric

    The more drugs you handle, the more likely a near miss is. I've lost count the number of near misses I've caught. The only defense against an actual error is to develop the habit of being mindful,...

  15. Swan-Ganz Usage

    offlabel replied to Cvepo's topic in Critical Care

    Generally speaking, where I am anyway, PA catheters are most often used for 2 reasons. Bad pulmonary hypertension and in those patients in whom severe acute LV failure is likely after cardiac surgery....

  16. Negotiate Vacation time

    offlabel replied to angie16451's topic in Nurse Practitioners, NP

    You don't mention if you have already taken a new spot or not. What is the culture/standard of the office you're entering? If everyone starts at the same point and go from there, that is a fair deal....

  17. Bradycardia during surgery

    offlabel replied to Jenna07's topic in Certified Registered Nurse Anesthetist, CRNA

    Giving atropine (or robinul) intraoperatively is very common. There are a lot of reasons for bradycardia during surgery and anesthesia, most of which are benign. Just as an editorial comment, for...

  18. Treating Bipap Induced Hypotension

    offlabel replied to Catticus11's topic in Critical Care

    So breaking down the issues... 1. Hypotension presumably caused by a fall in venous return from the bipap. 2. Pulmonary hypertension that is exacerbated by the rise in PaCO2. If there was hypoxia...

  19. Experienced CRNA...ask me anything

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

    Then you really must not want to ever get behind the wheel of a

  20. Experienced CRNA...ask me anything

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

    So that makes you 46 now... did you get in on the ground floor of Amazon or are you going into another

  21. Experienced CRNA...ask me anything

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

    How old were you when you entered anesthesia practice? 12 years doesn't seem that long to be in practice before retirement. No criticism here, just

  22. Experienced CRNA...ask me anything

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

    It probably happens more than folks realize. There is a period between the time the baby delivers and the time the uterus is closed that there is a brief, spontaneously resolving drop in SpO2. It...

  23. New Graduate in ICU

    offlabel replied to nicenurse01's topic in Critical Care

    Get a medical text book of critical care and read it both from cover to cover and by looking up specific issues you're dealing with. Having a strong practical foundation in day to day critical care...

  24. Living in a RV instead of apartment while travel nursing?

    offlabel replied to northmississippi's topic in Travel

    I've know a couple of folks that have done this. It's a great idea. Incidentally, a couple of the best nurses Ive

  25. DON lied.

    offlabel replied to futurepsychrn's topic in General Nursing

    If you don't like the position, leave. Or