luckyluke 2 Posted June 5, 2011 Share Posted June 5, 2011 I make sure people don't die under anaesthetic. ...whilst the anaesthetist is pissing around on his iphone. To answer your question Leazes, the doses of the drugs we give both to put a patient to sleep and to keep them anaesthetised are tailored due to the patient's age, weight, and physical status and according to the properties of the drugs themselves. The amounts we give to maintain anaesthesia are monitored by a variety of methods and adjusted as necessary. In addition, other drugs are given to keep the patient paralysed/maintain their blood pressure/for pain relief/to stop them being sick and for a variety of other reasons. Or, 100 of fent, 200 of propofol, a mac of sevo and a laryngeal mask... OK. Thanks. I realise thats a basic crash course but interesting, I wouldn't mind knowing more though. Why is it difficult for people who are overweight [i'm not overweight by the way], is it more to do with blood pressure and heartbeat ? Because sometimes they turn away people who are overweight ? The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. Link to comment Share on other sites More sharing options...
NJS 4375 Posted June 5, 2011 Share Posted June 5, 2011 The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Link to comment Share on other sites More sharing options...
luckyluke 2 Posted June 5, 2011 Share Posted June 5, 2011 The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Drug doses can be a bit more problematic but it's not the major concern. Tbf to GPs, anaesthetics is a very specialised area that uses equipment, techniques and especially drugs that other doctors, particularly GPs, rarely if ever come into contact with. Link to comment Share on other sites More sharing options...
LeazesMag 0 Posted June 5, 2011 Share Posted June 5, 2011 The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Drug doses can be a bit more problematic but it's not the major concern. Tbf to GPs, anaesthetics is a very specialised area that uses equipment, techniques and especially drugs that other doctors, particularly GPs, rarely if ever come into contact with. so Catmag is a highly technically skilled lady ? Impressive. Link to comment Share on other sites More sharing options...
catmag 336 Posted June 5, 2011 Share Posted June 5, 2011 The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Drug doses can be a bit more problematic but it's not the major concern. Tbf to GPs, anaesthetics is a very specialised area that uses equipment, techniques and especially drugs that other doctors, particularly GPs, rarely if ever come into contact with. so Catmag is a highly technically skilled lady ? Impressive. You sound surprised? I think that other than intensive care, anaesthetic nursing is about as technical as it gets as it's a pretty specialist area. Luke - they're trying to stop us using sevo at the moment because of the cost issue but we're ignoring it. God forbid we do what is best for the patient.. Link to comment Share on other sites More sharing options...
LeazesMag 0 Posted June 5, 2011 Share Posted June 5, 2011 The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Drug doses can be a bit more problematic but it's not the major concern. Tbf to GPs, anaesthetics is a very specialised area that uses equipment, techniques and especially drugs that other doctors, particularly GPs, rarely if ever come into contact with. so Catmag is a highly technically skilled lady ? Impressive. You sound surprised? just being diplomatic, I'm in a good mood Link to comment Share on other sites More sharing options...
ChezGiven 0 Posted June 5, 2011 Share Posted June 5, 2011 Fairly sinister line of enquiry tbh. Leazes blatantly planning to chloroform the overweight next door neighbour Link to comment Share on other sites More sharing options...
luckyluke 2 Posted June 5, 2011 Share Posted June 5, 2011 The obese present a number of difficulties - such as helping them adequately or even AT ALL. They also often have a number of medical problems - diabetes, heart disease. Their body composition can affect the behaviour of the drugs we give, and their size and shape can make the operation, inserting drips and maintaining their away technically difficult. I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Drug doses can be a bit more problematic but it's not the major concern. Tbf to GPs, anaesthetics is a very specialised area that uses equipment, techniques and especially drugs that other doctors, particularly GPs, rarely if ever come into contact with. so Catmag is a highly technically skilled lady ? Impressive. You sound surprised? I think that other than intensive care, anaesthetic nursing is about as technical as it gets as it's a pretty specialist area. Luke - they're trying to stop us using sevo at the moment because of the cost issue but we're ignoring it. God forbid we do what is best for the patient.. A fellow anaesthetic chum of mine worked somewhere in South Yorkshire where the sevo is locked up and you can only use it if have a specific clinical indication for it - ie gas induction on a kid. Quite how easy that is when you have an inhaled foreign body/ acute epiglottitis in the middle of the night I'm not too sure. He once sent me a wiki quote along the lines of 'desflurane and sevoflurane are becoming the standard volatile agents of choice globally, except for the third world' which confirmed his suspicions that where he worked was indeed part of the third world! BTW Leazes of all the female ODPs I know most of them are highly skilled but few could be described as ladies. Link to comment Share on other sites More sharing options...
Monkeys Fist 42219 Posted June 5, 2011 Share Posted June 5, 2011 Fairly sinister line of enquiry tbh. Leazes blatantly planning to chloroform the overweight next door neighbour Fat Mohammed? Surely not. Link to comment Share on other sites More sharing options...
ChezGiven 0 Posted June 5, 2011 Share Posted June 5, 2011 Fairly sinister line of enquiry tbh. Leazes blatantly planning to chloroform the overweight next door neighbour Fat Mohammed? Surely not. "Mr Patel, 51 years old was found dead in the early hours of Sunday morning gagged and tied with pork rind. Neighbours had complained about the smell" Link to comment Share on other sites More sharing options...
Monkeys Fist 42219 Posted June 5, 2011 Share Posted June 5, 2011 Police stated the most disturbing aspect was the use of a teddy bear as the gag. Link to comment Share on other sites More sharing options...
LeazesMag 0 Posted June 5, 2011 Share Posted June 5, 2011 I thought it was just a case of increased dosage = dodgy. I was mooted to have a gall bladder op a few years ago (turned out I didn't need it) and was told it would be iffy due to my weight because of dosage - that was just from the GP though. Drug doses can be a bit more problematic but it's not the major concern. Tbf to GPs, anaesthetics is a very specialised area that uses equipment, techniques and especially drugs that other doctors, particularly GPs, rarely if ever come into contact with. so Catmag is a highly technically skilled lady ? Impressive. You sound surprised? I think that other than intensive care, anaesthetic nursing is about as technical as it gets as it's a pretty specialist area. Luke - they're trying to stop us using sevo at the moment because of the cost issue but we're ignoring it. God forbid we do what is best for the patient.. A fellow anaesthetic chum of mine worked somewhere in South Yorkshire where the sevo is locked up and you can only use it if have a specific clinical indication for it - ie gas induction on a kid. Quite how easy that is when you have an inhaled foreign body/ acute epiglottitis in the middle of the night I'm not too sure. He once sent me a wiki quote along the lines of 'desflurane and sevoflurane are becoming the standard volatile agents of choice globally, except for the third world' which confirmed his suspicions that where he worked was indeed part of the third world! BTW Leazes of all the female ODPs I know most of them are highly skilled but few could be described as ladies. that is what I expected Cath to pick up Link to comment Share on other sites More sharing options...
catmag 336 Posted June 6, 2011 Share Posted June 6, 2011 Yeah but I'm not an ODP, I'm a nurse. So obviously I'm a lady too Link to comment Share on other sites More sharing options...
luckyluke 2 Posted June 6, 2011 Share Posted June 6, 2011 Yeah but I'm not an ODP, I'm a nurse. So obviously I'm a lady too Ah you said anaesthetic nurse in that message so that's what I thought you meant. A thousand apologies. Link to comment Share on other sites More sharing options...
Kevin Carr's Gloves 3860 Posted June 6, 2011 Share Posted June 6, 2011 I got a job in Mach as a test analyst for Sky. Handy seeing as my degree was in History & Politics Link to comment Share on other sites More sharing options...
snakehips 0 Posted June 6, 2011 Share Posted June 6, 2011 I got a job in Mach as a test analyst for Sky. Handy seeing as my degree was in History & Politics Crikey, that sounds a real fast job. Fighter jets or space rockets? Link to comment Share on other sites More sharing options...
catmag 336 Posted June 6, 2011 Share Posted June 6, 2011 Yeah but I'm not an ODP, I'm a nurse. So obviously I'm a lady too Ah you said anaesthetic nurse in that message so that's what I thought you meant. A thousand apologies. I'm confused now. I am an anaesthetic nurse Link to comment Share on other sites More sharing options...
ChezGiven 0 Posted June 6, 2011 Share Posted June 6, 2011 Luke's a Doctor, he never listens to nurses Link to comment Share on other sites More sharing options...
catmag 336 Posted June 6, 2011 Share Posted June 6, 2011 Luke's a Doctor, he never listens to nurses Aye, he's too busy pissing around in the coffee room whilst we look after his patient! Link to comment Share on other sites More sharing options...
LucindaLaboureyas 0 Posted July 2, 2013 Share Posted July 2, 2013 I work for a housing association which owns Nursing, care, sheltered and supported living homes. I work 3 nights a week in one of our nursing homes which is ok as I'm in charge at night and have no one looking over my shoulder telling me what to do! But of course it has its down sides too, it can be stressful and very tiring. Its a constant worry to make the right decisions because you are responsible for people who are vulnerable and dependent on you. I also managed one of our Sheltered Schemes for 6 years but decided to go back onto nights because the role of the job changed so much, I was stuck in my pokey little office doing paperwork instead of spending time with my tenants. These are the issues why i don't like these nursing homes, they don't have a proper management or resources for the members, the old and people with disabilities totally depend on the staff, i prefer living in private supported living communities they have resources and supportive staff, all the facilities are available here. Link to comment Share on other sites More sharing options...
ewerk 30409 Posted July 2, 2013 Share Posted July 2, 2013 You were really browsing the back catalogue there. Link to comment Share on other sites More sharing options...
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