Re: anesthesiology - nurses?

[Guest guest]

No problem Kathy, there is a difference between conscious sedation and

anesthesiology. Conscious sedation is when the patient is very relaxed but still

able to talk and communicate, or may be sleeping but is breathing on their own,

not intubated. Yes, to be intubated and " put under " requires an anesthesiologist

or nurse anesthetist (spelling?)

Even doing conscious sedation there is the risk of giving too much so Narcan

(reversal drug) and a crashcart are at the bedside and I am trained in

intubation from working in ICU.

Subject: Ditropan

To: tetheredspinalcord

Date: Wednesday, March 23, 2011, 2:17 AM

JBobin said the following on 3/22/2011 11:50 PM:

> I started on Ditropan XL and it worked great. Then it went generic and the

> insurance stopped covering the brand. But- the generic didn't work worth a

> POS. Reason? The actual medicine/active ingredient as a time released Rx

> was off patent, but the actual time release mechanism used in Ditropan XL

> was still protected. So, the generic uses a different mechanism for its time

> release. But, it is not as reliable or consistent.

The reason is that it does not digest or break down properly. I found

some undigested tablets in my stool. At first my doc said they were just

'shit stones' but they tested to be the oxybutynin.

Rick

[Guest guest]

The last two times I was in the hospital (one was considered a procedure and one

surgery) - I didn't require a breathing tube. I was given versid (sp) and I

believe propofol. I don't remember a thing for either one - with the foot

surgery three weeks ago they also did an ankle block but waited until I was

asleep before injecting the calf. Would these have been drugs you would have

administered? Were you specifically trained and given experience administering

anesthetist drugs?

I hope I was clear with my last message to you regarding narcotics that it's

strictly not personal, but instead hoping that you understand and research that

people on different medications that are non-narcotic can experience

side-effects that cause head effects that impair judgment. It's because I've

taken narcotics, had them help me, and not experienced side-effects (once at a

stable dosage and again, never having my pain completely gone).

It's the attitude that all that are prescribed these class of meds have impaired

judgment that carry the cycle of prejudice and with drug testing required for

almost every job now, I hate to see everyone grouped into a lump sum of people

that cannot perform jobs with responsibility.

Kathy

Ditropan

To: tetheredspinalcord

Date: Wednesday, March 23, 2011, 2:17 AM

JBobin said the following on 3/22/2011 11:50 PM:

> I started on Ditropan XL and it worked great. Then it went generic and the

> insurance stopped covering the brand. But- the generic didn't work worth a

> POS. Reason? The actual medicine/active ingredient as a time released Rx

> was off patent, but the actual time release mechanism used in Ditropan XL

> was still protected. So, the generic uses a different mechanism for its time

> release. But, it is not as reliable or consistent.

The reason is that it does not digest or break down properly. I found

some undigested tablets in my stool. At first my doc said they were just

'shit stones' but they tested to be the oxybutynin.

Rick

[Guest guest]

No I would not have administered Propofol. That is a anesthetic and requires an

anesthesiologist. I did give versed and other sedating agents which are commonly

given by RN's in ICU. 

Subject: Ditropan

To: tetheredspinalcord

Date: Wednesday, March 23, 2011, 2:17 AM

JBobin said the following on 3/22/2011 11:50 PM:

> I started on Ditropan XL and it worked great. Then it went generic and the

> insurance stopped covering the brand. But- the generic didn't work worth a

> POS. Reason? The actual medicine/active ingredient as a time released Rx

> was off patent, but the actual time release mechanism used in Ditropan XL

> was still protected. So, the generic uses a different mechanism for its time

> release. But, it is not as reliable or consistent.

The reason is that it does not digest or break down properly. I found

some undigested tablets in my stool. At first my doc said they were just

'shit stones' but they tested to be the oxybutynin.

Rick