#anesthesia nurse

[blake078]

Nurse Lela Puts You Under

[heardatmedschool]

“There’s two types of people: those who have hit their head in the OR monitors, and those who eventually will.”

[blxxdbxgs]

She said to take your meds, drink enough water, practice good hygiene, and to know that you can always ask for help :)

[plxydxctxr]

I can hardly bear tying down a patient, even if it’s for their own safety.

Thank god for my handy dandy gas mask…

[nina-ya]

HELP 😭😭 a patient just asked me how long she would take to wake up after anesthesia and I told her typically 20-40 minutes but it can be more or less depending on the person and she god MAD at me and started yelling because she wanted an exact time so she knew when to schedule the Uber for like sorry ma’am I don’t know your bodies exact response to anesthesia

and she got even MORE mad at me when I had to gently explain to her that we don’t allow post anesthesia patients to go home in Ubers

[cinnamonest]

Hello all. Sorry for my radio silence until now, here's a half-vent-post, half-update-post for the mess I have going on.

So, my second doctor's appointment... I am very grateful to have a wonderful employer who let me take some time off, so since I've been not great, I've gone to stay with my parents for the week.

I am experiencing what I was told is something called "polydipsia," which I can only describe as something I would come up with if I were asked to devise a new method of psychological torture. It's the sensation of intense, constant thirst, but drinking water doesn't do anything. Like, you know how normally when you're super thirsty and drink water, you feel a sensation of relief when you drink water? That doesn't happen. When you swallow and put the glass down, the thirst is just as intense as it was before you drank, it just... does nothing. You just stay insanely, incredibly thirsty, nonstop, and there is nothing you can do, no amount of drinking makes the sensation go away, but you keep getting the urge to drink because that's what your brain compels you to do.

It was mild at first, now it's reached a point that I'm chugging bottles of water, just nonstop, can barely sleep due to thirst. I know it could be so much worse and a lot of people have much worse things and this is minor by comparison, and I'm very grateful this isn't painful, but it's driving me insane. Just the constant sensation that you're trying to fix but nothing alleviates it at all despite trying is frustrating in a way I cannot describe and it's slowly worn me down to the point of psychological exhaustion.

Apparently, this may be due to some kidney issue. If so that means basically all that water I'm drinking, is actually not being absorbed by my body, my kidneys do nothing, so basically it's as if I'm not drinking at all. So, effects of dehydration as well.

At first with the urgent care doctor I went to initially, I was told that I am not diabetic due to blood sugar normal levels and that I had a kidney problem I needed to see a specialist for. Then I finally got an appointment with the primary care doctor, who said that may be incorrect because diabetes would easily explain the polydipsia. However, the last blood sample they took for lab work they did a few days ago came back and it turns out, once again, I am in fact NOT diabetic.

They drew even more blood and did a series of extensive fluids tests, basically measuring the contents by electrolyte, so I would get updates of lab results sent to me reading like "potassium - normal" and "chloride - normal" etc etc as they test each component. Everything kept coming back as being at normal levels until it hit sodium, and then for some reason, sodium and only sodium got flagged as being imbalanced.

I may have "diabetes insipidus", I'll just have to wait for testing results.

Unfortunately, with comically impeccable timing, I needed wisdom teeth taken out as it's apparently already begun to undo my previous expensive orthodontic work, so I just got out of wisdom tooth surgery yesterday. However, since I have ADHD meds (which are amphetamines) flowing through my body, they put me under general anesthesia rather than laughing gas.

So it's done, my mouth is stuffed with gauze, I'm numb with opioids for the gaping holes in my gums, I feel like a pincushion with the number of needles that have been stuffed in me in the last 72 hours, but it's done and hopefully I won't need anything more.

[noodleblade]

sneak peek at this one-shot that's gotten stupid long (affectionately!!!!!)

[remyfire]

I think Leo Bardonaro is an anesthesiologist.

One, because an anesthesiologist's job is to take the 10 or 15 minutes max they have with a patient and essentially convince them to put their entire life in their hands. Other doctors and surgeons typically get a significantly longer chunk of time to interact with the patient and answer their questions, but at the end of the day, it is the anesthesiologist who will be keeping the patient alive, stable, and safe while the procedure is going on. For better or worse, Leo has the kind of relaxed, companionable personality that would not only be able to leave a patient laughing, but also to feel entirely at ease—he's confident, he's collected, and if he's not worried about this, why should they be?

Two, because I think he would've had way too much fun making jokes about laughing gas.

[droxynark]

Would you like to see this been used on my partner? Ask for it on our site:

[theatregirl1]

patient positioning in the operating theatre ˶ᵔ ᵕ ᵔ˶

aims to:

maintain patient's airway, circulation, and prevent nerve damage

expose the operating site

keep the patient safe + secure

consider:

length of surgery

surgeon's preference (ask!)

anesthetist's preference (ask!)

risk factors for patient (age, weight, skin issues, current injuries/conditions)

Patient dignity (cover patient with sheet where possible, especially when theatre doors are open; avoid violating privacy unnecessarily)

nursing responsibilities

safe transfer from theatre table to bed (four people minimum, six+ people if patient is >100kg); use hovermat if patient >100kg, otherwise flexislide or slidesheet and sliding board)

use padding to protect sensitive areas (where plastic + metal are touching patient's skin)

use aids to maintain patient position

positions

supine

patient on back with legs extended straight, arms on arm boards (usually extended at 90 degrees and strapped) or tucked into the sides (usually secured using a soft pad/fabric tucked underneath the patient's torso)

spine / hips / head aligned

the back of the head, arms and heels are padded

variation - trendelenburg

bed is tilted "head-down" (head is lower than pelvis)

usually strap used above knees to secure patient

used for procedures requiring exposure of the lower abdomen, uterus and/or pelvic area

can cause organ pressure against the diaphragm (decreased lung volume) and heart

variation - reverse trendelenburg

opposite of trendelenburg (head higher than feet)

usually strap used above the knees and a foot plate at the patients feet

used for head/neck procedures

decreases blood supply to head/neck area

variation - sitting / lawn chair / beach chair / fowler's

patient is anesthetized in supine position

foot of bed is lowered to flex the knees and the head/torso part is raised up

foot plate is used again

patients arms are crossed over their body

pillow/wedge is sometimes used to flex the knees instead of altering the lower bed

used for cranial procedures (head fixed with head rest), shoulder procedures (often using a spider) + breast reductions

prone

often anesthetized supine on their bed before flipping patient onto table face-down

padding rolls placed length-wise along sides of chest and abdomen with a gap between to relieve pressure off chest + abdomen

arms are at sides or above head

head is face-down on sponge with t-shaped hole for nose and mouth or facing to the side

pillow placed under ankles + sometimes under knees

strap placed above knees

used in spinal + anorectal procedures

variation - jackknife

patient in prone is inverted into a "V" position

bed is flexed at 90 degrees, hips rise above rest of body

used in gluteal + anorectal procedures

lithotomy

patient is in supine position, legs are raised + abducted + placed in stirrups

patients bottom lines up with break in table

lift legs at same time (2 people) to prevent injury, stirrups should mirror each other

ask anesthetist before moving legs

foot plate + bottom end of table are removed or lowered

variations - high lithotomy (legs at 90 degrees) + low lithotomy (legs at 45 degrees or lower)

used for vaginal + anal procedures

pay attention to leg position in stirrups and how far knees are from the start of the stirrups

[girlfailurefelix]

Anyways, so you guys will never believe what I did before work today :) This one is wayyyy shorter than my Beckory one but yay for Gregory-centric fics

[rapidhrtftm95]

I will send you a picture like this but the lucky ones gets the recordings 😁

[blxxdbxgs]

Nurse Gerard cut me up and cover yourself with all my blood please..

[wolfeyedwitch]

Hospital and Recovery Whump Dialogue

"Ew, why does my mouth taste so gross?" "That would be the iodine they swabbed your nose with before putting you under."

*reading medication list* "Ketamine? Like Special K? Man, that must have been some kind of party!" "Yeah, such a party that you were unconscious for the whole thing."

(alternatively) "Ketamine? Like Special K? Why would they give me that???" "Oh, maybe so that you wouldn't wake up during surgery?"

"Caretaker? Where are my clothes?" "Same place they were the last five times you asked; are you going to remember this time?"

"My teacher always said the winner of the knife fight goes to the hospital, and the loser goes to the morgue. I'm pretty sure this counts as me losing the knife fight though..." "Whumpee, it wasn't a knife fight, it was surgery!" "Same difference."

"Whumpee, stop moving or you're gonna rip your stitches!" "Right, the dissolvable stitches. I had momentarily forgotten that my insides are being held together by spun sugar."

"Ugh, it itches so much!" "That means it's healing. Now stop scratching before I have to find a cone of shame."

"Ooh, type O blood! You should totally donate!" "Uh, maybe later, when I'm not actively bleeding."

[outlying-hyppocrate]

writing a poem for biology about appendicitis and remembering the time i had it and i am so so so viscerally uncomfortable

[archduke-enver-gortash]

BACK FROM THE SURGERY i was right. 1% of zeke's suffering WOULD absolutely kill me.