offlabel

offlabel

Member

  • Content

    1,709

  • Visitors

    18,987

  • Followers

    1

  • Likes

    780

All Content by offlabel

  1. RT focus on pao2?

    offlabel replied to hotcoffee's topic in MICU, SICU

    Slavish adherence to the minutia of the physiology without taking into account the circumstances of the particular patient is naïve. Tens of thousands of people get extubated in ORs and ICUs every...

  2. Burn dressings vs. Defibrillation

    offlabel replied to marienm, RN, CCRN's topic in Burn

    I'd cut the dressings and use gel pads with the paddles. Better chance of saving grafts than the stick on pads I would think, and you can put the paddles where they're supposed to go for optimizing...

  3. Giving labetalol with low heart rate

    offlabel replied to smash222's topic in Patient Medications

    It was a legitimate question and the MD was a tool for reacting that way, but he clearly has inferiority issues otherwise he wouldn't have wanted to make you feel more inferior than he does. As to...

  4. medical air (21%) vs oxygen (100%)

    offlabel replied to eiwneon's topic in General Nursing

    0 what are the indications for each of these? Air is used to cut pure O2 in order to be able to adjust FiO2. I suppose you could use pure medical nitrogen too, but if you made a mistake and forgot to...

  5. oxygen delivery with nasal cannula

    offlabel replied to Fiioonnaa's topic in Pulmonary

    Right, and healthy normal people don't need nasal cannulae. The point is that the amount of O2 that can be delivered via NC plateaus at about 6 lpm and if hypoxia that will respond to more 02 is the...

  6. 5-Wire Telemetry. Which lead tracing do I interpret?

    offlabel replied to winzer's topic in Cardiac

    If you can follow II and V5 simultaneously, you'll pick up nearly 90% of potential ischemic

  7. CRNA Hours

    offlabel replied to William2's topic in Certified Registered Nurse Anesthetist, CRNA

    I don't feel sorry for your friend. If someone is getting jacked up like that as a CRNA, it isn't anyone's fault but their own. Anesthesiologist

  8. CRNA Hours

    offlabel replied to William2's topic in Certified Registered Nurse Anesthetist, CRNA

    M-F 7-1500 24 hr in house call one day off, two 8 hour days back, 24 hr in house, 3 days off 4 days back, 3 12 hr days/week, week on/week off, 24 on 48 off, 36 hr call from home alternating home when...

  9. Chloraprep used for facial surgery

    offlabel replied to coleeliza's topic in Operating Room

    You probably just shoved some ear wax down the canal with the cotton ball. A groggy patient might not know the difference. You'd need to pour that prep directly into the ear to have a problem like...

  10. Being called a racial slur by a patient I sat?

    offlabel replied to Rayrayma's topic in Patient, Colleague Relations

    Would you be offended if a patient on chemotherapy barfed on you? Grossed out, sure, appalled and shocked, for sure. But offended? Had a patient with an old frontal lobe injury that was talking to me...

  11. oxygen delivery with nasal cannula

    offlabel replied to Fiioonnaa's topic in Pulmonary

    About 6 lpm is the maximum FiO2 for nasal cannula, which is .44 1 lpm = .24 2lpm = .28 3 lpm= .32 4lpm =.36 5lpm = .40 6 lpm = .44 7 lpm = .44 8 lpm= .44 etc. HFNC is a different thing

  12. EMT Starting RN program anyone else go down this road?

    offlabel replied to Deuceswild1's topic in Men in Nursing

    why change? I'd advise to learn how nurses are supposed to think and pick the one that works the

  13. Whatever happened to Anzemet?

    offlabel replied to NurseCard's topic in Patient Medications

    Seems like I gave Anzemet more than anything else. Wonder why it isn't given much anymore. I stopped giving it because it came in those dumb .5 ml amps that were a hassle to work with. There was as...

  14. Can anyone with a perioperative certificate answer the following...

    offlabel replied to Alexandriia's topic in Canada

    My hourly rate is $120...I can PM with an account number for direct deposit and we can get going on

  15. Hyperosmotic

    offlabel replied to russianbear's topic in Critical Care

    Diabetes

  16. Hyperosmotic

    offlabel replied to russianbear's topic in Critical Care

    Not nearly enough information here. Was it DKA or non-ketotic hyperosmolar hyperglycemia? Acidemia with the former, not necessarily with the latter. You can have a hyperosmolar patient in

  17. questions about duramorph and c-sections

    offlabel replied to blackmamba123's topic in Certified Registered Nurse Anesthetist, CRNA

    It's preservative free and is added to the local anesthetic for the spinal block. So for example, I use 1.6 mls of .75 % Marcaine (7.5 mg/ml) and add .25 to .3 mg of morphine to that. I inject the...

  18. Inserting IV on arm that had I&D done

    offlabel replied to mheisey's topic in Medical-Surgical

    Increase risk of phlebitis/thrombus formation perhaps. Wasn't there somewhere else to

  19. Questions about putting in an epidural?

    offlabel replied to Nursing2102's topic in Certified Registered Nurse Anesthetist, CRNA

    1. I was wondering, when you put in an epidural, how do you know it is in the epidural space and not the subdural/intrathecal space? The only way to truly know is when the epidural is working...

  20. Nurse opinions on "Birth Rape"

    offlabel replied to EKUGRAD's topic in Ob/Gyn

    Can we just stop with the "birth rape" thing? It's a visceral, emotional hook phrase that isn't meant to improve care of women in labor at all. And it is so completely dismissive and invalidating of...

  21. Blood Sugar Measurement: Arterial vs Fingertip

    offlabel replied to Catticus11's topic in Diabetes, Endocrine Nursing

    ...no

  22. Nurse opinions on "Birth Rape"

    offlabel replied to EKUGRAD's topic in Ob/Gyn

    They don't have epidurals either. Is there really a problem with RN's running around gratuitously checking cervixes for the thrill of it? Against the explicit wishes of the patient? Maybe I just work...

  23. Nurse opinions on "Birth Rape"

    offlabel replied to EKUGRAD's topic in Ob/Gyn

    Maybe, but pushing against one that is too closed can create

  24. Nurse opinions on "Birth Rape"

    offlabel replied to EKUGRAD's topic in Ob/Gyn

    We better add checking rectal sphincters in the trauma bay...wouldn't want someone to feel raped at the cost of finding a neurologic injury. Just

  25. intravenous diazepam

    offlabel replied to rjrule's topic in Emergency

    Ativan way less trouble than