offlabel

offlabel

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All Content by offlabel

  1. Who do you tell if someone breaks HIPAA?

    offlabel replied to ColleenT's topic in General Students

    Great way to get rid of a coworker you dislike..... Kidding,

  2. Why Lactated Ringers in Postpartum?

    offlabel replied to BKnurse44's topic in Ob/Gyn

    If your talking about 1 to 2 liters, there really isn't any difference between those two. Beyond that, you're right. LR is probably better. But better than both of those for larger crystalloid volumes...

  3. Why Lactated Ringers in Postpartum?

    offlabel replied to BKnurse44's topic in Ob/Gyn

    You might be thinking of D5W or D5.5 NS? There is no free water release from NS nor

  4. Why Lactated Ringers in Postpartum?

    offlabel replied to BKnurse44's topic in Ob/Gyn

    You can.... as long as you don't mix a significant volume of it with the packed cells. The miniscule amount of calcium in the LR in the IV tubing is not nearly enough to cause the reaction with the...

  5. Vasopressin

    offlabel replied to Doge's topic in MICU, SICU

    From the manufacturer, eh? Sounds like a good way to sell 25% more

  6. Why Lactated Ringers in Postpartum?

    offlabel replied to BKnurse44's topic in Ob/Gyn

    Not true. If the small amount of potassium in LR lysed PRBC's, they'd lyse in the bag because there is far more potassium in a unit of packed cells than there is in a bag of ringers. The concern was...

  7. Adult Critical Care Update: New Definitions of Sepsis and Septic Shock

    offlabel replied to Corey Narry's topic in Critical Care

    Re-quoting you here, not to put too fine a point on this.... the non invasive CO monitors, Flo Trac etc. have their issues, but they have been seen as an alternative to the gold standard PA catheter....

  8. Adult Critical Care Update: New Definitions of Sepsis and Septic Shock

    offlabel replied to Corey Narry's topic in Critical Care

    It will help, but CO can absolutely rise in the presence of relative volume overload. Lots of work being done with MSFP determination, which is where the conversation is moving in certain centers...

  9. Abset/Flat T-wave

    offlabel replied to Jlucasrn92's topic in CCU, Coronary, Cardiac

    or anterior wall ischemia or

  10. Abset/Flat T-wave

    offlabel replied to Jlucasrn92's topic in CCU, Coronary, Cardiac

    Found this in about 4 seconds with a Google search. T wave ECG

  11. Did I hit the sciatic nerve?

    offlabel replied to Femine91's topic in Nursing Student Assistance

    It very much sounds like an epidural steroid injection. The sciatic n. arises from the L4 and L5 nerve roots so it wouldn't be uncommon at all to elicit parasthesias along the sciatic distribution....

  12. Adult Critical Care Update: New Definitions of Sepsis and Septic Shock

    offlabel replied to Corey Narry's topic in Critical Care

    If they're worried about aggressive fluid caused failure, measuring cardiac output isn't the way to avoid it. It's also interesting that dopamine is still widely used (enough to fall into...

  13. Air in Line...

    offlabel replied to anita56's topic in General Nursing

    Go into 'options' and change the "micro" air or bubble detection thingy setting from 250 to

  14. Pulseless VT/VT

    offlabel replied to edvardsoz's topic in Cardiac

    Well, you can pick being 10 years older as a stripper or 10 years older as an electrophysiologist. Either way, 10 years is going to pass. Good

  15. Words You Hate

    offlabel replied to OyWithThePoodles's topic in General Nursing

    Anethesis for anesthetist Larnyx for larynx Accrost for across And finally, "how is your food

  16. Can sugar alleviate anaphylactic reactions?

    offlabel replied to sdgdude's topic in Emergency

    No more than ground liver of newt, snake bile or sprinkling the patient with anaphylaxis with chicken

  17. Room Turnover -- How to get faster?

    offlabel replied to hereinlc's topic in Operating Room

    First and foremost, you need to have buy in from everyone in the room. It may sound corny, but people need to be enthusiastic about making it a personal challenge to make the room hum that day. That...

  18. Pulseless VT/VT

    offlabel replied to edvardsoz's topic in Cardiac

    You have a very bright future ahead of you, I think. Very insightful question. Patients have pulseless rhythms for all kinds of different reasons. In VT, it's just a matter of whether or not the...

  19. Pulmonary function test interpretation

    offlabel replied to Karolyte's topic in Pulmonary

    The reality is, each practitioner looks for different things in PFT's, depending on what their role in the care of the patient is. I think there are two basic categories of information derived from...

  20. Trouble with infusion and the AC stick.

    offlabel replied to bebebond's topic in Infusion, Intravenous

    Ultrasound is vastly under utilized, imho. There are at least as many large, deep veins in the forearm as there are AC veins (cephalic, basilic). It requires a little instruction and skill as well as...

  21. Triage question

    offlabel replied to gvrn13's topic in Emergency

    Just a note....a normal EKG does not rule out cardiac

  22. "Bleed" an IV line

    offlabel replied to gospa's topic in Emergency

    Our insulin comes in 100 cc bags. Between the tubing volume and some waste volume, we'd need another bag before

  23. "Bleed" an IV line

    offlabel replied to gospa's topic in Emergency

    That's a really old timer way of saying

  24. Triage question

    offlabel replied to gvrn13's topic in Emergency

  25. Triage question

    offlabel replied to gvrn13's topic in Emergency

    Any complaint has to be put into the context in which it is given. Lots of reasons for your patient's complaint, and the most worrisome would be cardiac, which is why we're all even talking about...