offlabel

offlabel

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All Content by offlabel

  1. How to build my confidence and competence

    Read, read, read..... ask an attending for a recommendation of a medical textbook of critical care and read
  2. What order should i take these classes?

    This is for an RN degree? My opinion... nutrition is tedious and boring. I never took medical terminology, but it has to be more interesting than nutrition so I'd take that with pathophys, which might...
  3. Priming potassium lines

    You're using secondary tubing for the K, yeah? Just back prime into that with the primary fluid. No big
  4. CME for ER suggestions

    Up To Date is a fantastic source of
  5. lactic acidosis in status asthma

    If the event is severe enough, left ventricular filling becomes impeded and CO falls. That combined with hypoxemia and rise in sympathetic tone is enough to bump
  6. Enter critical care nursing without giving a thought to a future in anesthesia. Learn the bedside trade of caring for the critically ill and injured. Read medical textbooks in critical care and...
  7. Religion and Suspicious Death

    A suspicious death doesn't invalidate religious beliefs of the family and decedent. If there are considerations in care for the dead that a particular faith tradition holds, why wouldn't the ME's...
  8. Vasovagal during procedure

    Gastric/bowel and brain stem ischemia from acute and severe hypotension activating chemoreceptor trigger zone =
  9. Insulin and phenylepherine

    Thanks...could you provide the study sources? I'm not familiar with
  10. lactic acidosis in status asthma

    how high was the
  11. Patient positioning after epidural

    Whatever position is comfortable for mom and tolerable for babe. There is no required or recommended position. That said, leaving mom on one side for too long can give analgesia that is greater on one...
  12. CRNA DNP with an MBA?

    Oh, ok
  13. TNCC

    From a legal stand point there is no difference between an RN with and without these certifications. They don't even guarantee more knowledge or clinical skill than someone that is not certified...
  14. Passing gas in the OR

    Just pretend you're in church...same rules
  15. CRNA DNP with an MBA?

    Cool...P and S in relation to Judeo-Christianity today or just on their philosophy? Are you also pursuing a degree in those
  16. Who is Right?

    I'll just add that lifting the leg by itself puts shear stress on the bone(s) because it is the leg that is supporting the load of the frame instead of the other way around. It hurts more and opposes...
  17. CRNA DNP with an MBA?

    OK, I'll bite...theology? Are dual enrolled for the ministry? What is you paper
  18. 2 month baby shots lots of blood

    Sounds like you went through a cutaneous vessel. Pretty hard to avoid those if you can't see them. Don't worry about
  19. Administering PRBC's -alone or with NS?

    Do you mean with NS mixed into the PC's? I don't mix the two. Just run or squeeze them in as is. Some might argue that mixing in a little NS thins the blood out a little bit and makes transfusion a...
  20. I'm not sure if I know an advanced practice RN that regrets the decision to enter advanced practice, but I know plenty that I regret their having entered. Their motives include a bump in salary,...
  21. CRNA DNP with an MBA?

    Run from whomever was giving you that pitch as fast as you can and take every thing else that comes out of their mouths with great suspicion. That really sounds like a sleazy sales pitch to get people...
  22. CVP/ BP and mechanical ventilation

    CVP (right atrial pressure) and venous return are two different things. In fact, they are inversely proportional. That is, the higher the CVP (RAP), the lower venous return. This is because the force...
  23. Unlicensed surgery tech working under my RN licence?

    With rural critical access hospitals, this type of thing is the tip of the ice burg. A little off the original intent of the thread, but these types of places are not really for new grads if they can...
  24. CRNA DNP with an MBA?

    Been doing this for about 25 years (anesthesia) and I don't personally know a single person like that. Not as if that has any bearing on what someone decided to do along those lines...I just guess I'd...
  25. Epinephrine and coronary arteries

    I didn't read the article so maybe my answer will be different. Ultimately, I think you're asking the wrong question. It should be "what does epinephrine do to coronary artery flow", be cause whatever...