WntrMute2

WntrMute2

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About WntrMute2

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  1. Nurse Anesthesia Board Exam Advice

    Assuming you are a good student with the usual godd to excellent grades, then the test shoukd be what you have been preparing for these past 2 years. So, don't sweat it too much. I found a lot of the questions were in Valley but the answerrs weren...
  2. Awake Fiberoptic with Ketamine? Any other tricks?

    In school I was able to do a couple of dozen. We had a spine surgeon at our primary site that liked them done on all his cervical spine patients. As a practicing CRNA I do them aboout once a month on patients that I put to sleep and then do a FOB p...
  3. HELP, New CRNA prac getting screwed by the man.

    Well, organize youself a bit and with a united front tell them no. Then negotiate a deal that is fair to you. If all of you refuse to comply then you'll have some real power. I know it sounds a little like a union (I hear the gasps and see the hea...
  4. Circ Arrest

    We do these about 1 per month. Pavulon just prior to CPB cesation, so they don't try to breath and get an air embolus. Big dose of methyl-prednisolone 10-15 mg/kg. Mannitol by perfusion, lasix 10 mg., 50 mg benadryl and 20 mg pepcid for GI protectio...
  5. Swan Lines

    Well managing a patient in the ICU or during transport is different than managing a patient with PHT after a 4 hr pump run or even a 60 min run and the patient suddenly tanks as the surgeon closes the pericardium. I have to know SVR/CO now. not 2 ...
  6. Swan Lines

    I must be working in a backwater hospital. We put PA caths in ALL hearts and thoracic or AAAs. I would reccomend being familiar with waveforms, complications. instertions as the board questions may certainly cover them. Also, if you do clinicals w...
  7. Had my interview Figured u guys would be interested :P

    You know what's really weird, I interviewed at 4 schools and had exactly no clinical questions. All each school wanted to know was how I was going to manage the academic, personal and financial stress. I kept asking do you have any clinical questio...
  8. Book: Nurse Anesthesia SECRETS

    So I have a question for you MmacFN, truly I don't mean this in anything other than curiosity, no attack intended so don't see one please. Your posts have been filled with excitment about your present job as a flight nurse and you seem to have lots ...
  9. Have Docs kept you out of an OR room b/c your a CRNA?

    I have to agree w/ the Doc here (despite my usual position). Pain management seems clearly diagnosis and treatment, which makes it a Medical issue clearly. That doesn't mean we couldn't learn to deal with chronic pain, it just might mean we do it i...
  10. Questions about Ketamine & Propofol Case

    Well, there is also the simple plan of JUST NOT USING IT. Seems pretty simple, but it works. The reasons textbooks don't tell you when and when not to use it is because clinical judgement is in the hands of the provider. Actually, Pete, the texts ar...
  11. Questions about Ketamine & Propofol Case

    Usually I just use 1 induction agent plus muscle relaxant plus fentanyl. On big cases like AAAs valves etc. I might do a narcotic induction w/ sufentanil. I have given combinations before but that is usually begun w/ STP and if the patient isn't de...
  12. Questions about Ketamine & Propofol Case

    Pete495 says: "Can't argue with Barash. There's no doubt about Ketamine's bronchodilating effects. I think the question is do you use it in a rapid sequence w/ sux, and do you use it with hemodynamically unstable patients....Personally, just my opini...
  13. Questions about Ketamine & Propofol Case

    From Barash, Clinical Anesthesia:"Ketamine has well-characterized bronchodilatory activity. In the presence of active bronchospasm ketamine is considered the iv induction agent of choice. Ketamine has been used in subanesthetic doses to treat persis...
  14. Questions about Ketamine & Propofol Case

    "I was asking questions that related to an actual case. I thought it might be interesting but if your going to be an as* about it i wont bother posting anymore" Cool
  15. Have Docs kept you out of an OR room b/c your a CRNA?

    Actually, most of the time the surgeons ask why do we have MDAs when the CRNAs do all the work. There are moments where a surgeon may ask if the MD can step into the room. That's happened exactly twice. Both times to yell at them for a decision ma...