sandman1

Latest Activity

1. Sleep & CRNA school

   sandman1 replied to crazylilkelly's topic in SRNA

   Yes......it can be done. As much as it still sucks getting up at 5am everyday..... I AM getting about 7 hours sleep before clinical no matter what. During CRNA school, especially during clinical, i recommend setting a goal for yourself to go to be...

2. Compare & Contrast Please

   sandman1 replied to cynt77's topic in SRNA

   I agree. They are hardly worth putting in the same sentence. Compare? kiddie slope vs. black diamond, 5k versus a marathon, life versus no life (literally),......you get the picture. I like the straw and fire hose analogy as well!!

3. to cuff or not to cuff

   sandman1 replied to dfk's topic in SRNA

   DFK....... If you have an art line that is "not working", clotting, damping, etc....... don't use it and go with the cuff. It' s not that hard of a decision. Just document that it is flawed. If you have been educated properly on monitoring BP with an...

4. Propofol/Ketamine for MAC case

   sandman1 posted a topic in CRNA

   Am interested in hearing about your experience with this combination for a MAC case. What ratios tend to work the best? Thanks. I've been using 10mg propofol/1mg Ketamine.

5. Mandatory DNP for CRNA's by 2015

   sandman1 replied to marvinskbaby1's topic in Doctoral

   Correct. It is only a proposal and it doesn't look like it will happen by then, if at all. First, you can go to the AANA website and find their position statement regarding this matter. Currently they do not support this action. Interestingly, the ...

6. Program ranking?

   sandman1 replied to MmacFN's topic in SRNA

   Those are still 2003 rankings. The process doesn't have anything to do with true quality of education. It IS very political and also based on things like the degrees the faculty have, how many texts they've published, # of simulators, # of faculty, ...

7. IM Atropine dose for peds emergency

   sandman1 replied to sandman1's topic in CRNA

   Thank you everyone for your well thought out and researched responses. Just to clarify,(as the title of this thread is "IM ATropine dose for peds emergency") I, nor anyone else on this board thinks that IM ATropine is a PRIMARY route for emergency f...

8. IM Atropine dose for peds emergency

   sandman1 replied to sandman1's topic in CRNA

   Thanks for your reply. I just wonder because at most facilities that I have been to, most anesthesia providers want you to draw up an IV AND IM dose of Succs and atropine for pediatric cases. The Succs is obviously to break laryngospasm in the unfor...

9. IM Atropine dose for peds emergency

   sandman1 posted a topic in CRNA

   What is the consensus on the IM Atropine dose for peds? As a student, I have had people tell me everything from .02mg/kg to .05mg/kg. I can only find references for .01 and .02, however. Can anyone provide a REFERENCE that states the IM Atropine d...

10. Valsalva maneuver

    sandman1 replied to rn4cicu's topic in CRNA

    Turn off the vent, close the APL valve, turn up the gas flow, squeeze the bag until you reach your predetermined pressure (40 is a nice number) and hold it.

11. colloids. 1:1 or 2:1?

    sandman1 replied to sandman1's topic in CRNA

    Come on guys. I KNOW the MAJORITY of you believes that colloids are to replace blood at 2:1. I'm trying to find the source of this because EVERY text that I read says 1:1. Where does this 2:1 come from? (Maybe it's in an older version of Barash, Mi...

12. colloids. 1:1 or 2:1?

    sandman1 posted a topic in CRNA

    Why is it that EVERY text I read says that blood is to be replaced with crystalloid at 3:1 and colloid at 1:1, but yet 90% of all anesthetists and MDA's I ask say that blood is replaced at 2:1 by colloids? Blood replacement aside.....(hypothetically,...

13. is a suit too much...

    sandman1 replied to dfk's topic in SRNA

    Suit or at the very least, conservative coat and tie. What you wear is representative to the interviewers as to how important the interview is to you. I've seen good candidates not get accepted because of their casual attire.

14. Spinal gone bad

    sandman1 replied to ccusherry's topic in CRNA

    There are also rare cases in which the spinal needle is not advanced far enough and only the tip of the needle is in the Subarachnoid space. In such a case, some drug is also injected in the subdural space and it only takes a miniscule amount of dru...

15. Question about MAC and the Meyer Overton Rule

    sandman1 replied to MollyS's topic in CRNA

    Methoxyflourane is the most potent agent because it's MAC is.......well, I don't know what the heck it is but it's less than halothane (halothane being .8%ish). It is the most potent agent because it takes the least amt of agent to acheive MAC. Des...