offlabel

offlabel

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All Content by offlabel

  1. Are you good at regional blocks?

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

    I don't do peripheral blocks because of the sub- specialty that I practice in. (CT/vascular). That said I do echo and lines. Should indy CRNA's feel less the anesthetists because they don't practice...

  2. Flotrac Sensor

    offlabel replied to Catticus11's topic in MICU, SICU

    Anesthesia in a volume depleted patient, like a trauma patient, causes hypotension because of the effect on venous return, among other things. PEEP has an adverse effect on venous return as well which...

  3. Flotrac Sensor

    offlabel replied to Catticus11's topic in MICU, SICU

    Once you start inopressor use the Flotrac loses accuracy. That's why it isn't universally

  4. NTI - Swan Ganz Monitoring for Your ICU Patient

    offlabel replied to allnurses's topic in Critical Care

    Great news...more numbers to confuse the situation! Can't

  5. NYT Article: Men don't want to be nurses, and their wives agree

    offlabel replied to Neuronurse1114's topic in Men in Nursing

    Very few CRNAs consider themselves

  6. Police investigating use of opiates in comfort care case

    offlabel replied to MunoRN's topic in General Nursing

    There isn't any need to extubate a patient for

  7. Police investigating use of opiates in comfort care case

    offlabel replied to MunoRN's topic in General Nursing

    Then why bother terminating life support? Why not just take the kid to the OR and harvest his organs? The outcome would be the same and the "end goal" would have been

  8. Fellow NPs: What's your strategy for retirement?

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

    By or before 65. The way this market is going, hopefully before. Won't look

  9. speak out or grin and bear it?? Intimidation/bullying

    offlabel replied to M1026L's topic in Nursing Professionalism

    1. yes 2.no 3. no way to tell Sounds like an awful place, find a new job when you are

  10. VS during active seizures

    offlabel replied to Trisherrz's topic in General Nursing

    I'd be more interested in why the patient was seizing than his blood

  11. Police investigating use of opiates in comfort care case

    offlabel replied to MunoRN's topic in General Nursing

    One of the questions to be answered is whether or not the 500 mcgs were given as a bolus or not. That isn't very clear in the story. Even if that was given in divided doses, it's difficult to see...

  12. Frustrating... ED is Not Critical Care

    offlabel replied to bgxyrnf's topic in Emergency

    Boarding critical patients in the ER does not make the RN taking care of them a critical care nurse. It means they are doing critical care. If every single nurse on the shift was qualified and able to...

  13. ARDS patient, dialysis

    offlabel replied to zzyzx's topic in Critical Care

    Needed

  14. Frustrating... ED is Not Critical Care

    offlabel replied to bgxyrnf's topic in Emergency

    They're not the same things. There are elements in common, but are ICU nurses emergency nurses? Their patients arrest sometimes and they get direct admits that are unstable that require emergency...

  15. Interesting Situation (Thoughts?)

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

  16. Question about broviac! Urgent please HELP!

    offlabel replied to dcnurse789's topic in Infusion, Intravenous

    Was drawing back for the purpose of wasting the in-line heparin? I could see that being the case so that the patient didn't get bolused with a lot of heparin when the line was accessed. There is no...

  17. Interesting Situation (Thoughts?)

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

    Hard titration numbers are tough to work with. When I titrate off drips quickly (milrinone's half life notwithstanding) I cut in half whatever the patient is on at the time. So, as goofy as it may...

  18. NS with KCl 20mEq ordered; 0.5% Dextrose and .45NaCl with KCl 20mEq given

    offlabel replied to wrst's topic in Patient Medications

    5% is 5% and 0.5% is 0.5%. You're mixing your units. D5W is 5 gm of dextrose in 100 cc's. If there was such a thing as D.5%W that would be one half gm of dextrose in 100 cc's. D50W is 50 gm dextrose...

  19. AEDs in the Wild?

    offlabel replied to Ruby Vee's topic in General Nursing

    As far as "boating" goes, a PFD is at least if not superior to an AED. How about starting with

  20. AEDs in the Wild?

    offlabel replied to Ruby Vee's topic in General Nursing

    What do you do after you've defibrillated? Mask ventilate? Intubate? Start an epi

  21. OR Scheduling Issues

    offlabel replied to azgirl34's topic in Operating Room

    "for profit" and "not for profit" designations are meaningless in terms of OR scheduling. "Not for profit" doesn't mean "we don't care about money". It means the profit has to be spent in ways other...

  22. Fentanyl only epidural

    offlabel replied to LPertgenRN's topic in Ob/Gyn

    Wouldn't make a whole lot of sense to go to the trouble of putting in an epidural catheter just to put fentanyl through it. Probably get the exact bang for your buck with an IV fentanyl PCA, mcg for...

  23. Fentanyl only epidural

    offlabel replied to LPertgenRN's topic in Ob/Gyn

    .....

  24. Emergency Titration Protocol ?

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

    So your hospital doesn't receive medicare/Medicaid

  25. Nursing Ethics Question!

    offlabel replied to Nugget's topic in Psychiatric

    Not doubting for a minute that this is true and appropriate. But there is no obligation for that staff to actually accompany or see to the transportation to the mall or wherever to by her