PresG33

PresG33

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All Content by PresG33

  1. Role of Epinephrine in ACLS

    PresG33 replied to Catticus11's topic in CCU, Coronary, Cardiac

    Epi is used to increase the diastolic blood pressure and thus increase coronary artery perfusion, which will increase the chance of ROSC. However, the ACLS dosing of epinephrine was extrapolated from...

  2. CRNA Program and balancing family life

    PresG33 replied to Codeblue1982's topic in Student Registered Nurse Anesthetist

    Male perspective here so may or may not fully apply to you. I'm in school with a 2.5 year old and we had a baby at the end of my first semester. Some of my classmates are shocked that I have time for...

  3. Swan-Ganz Usage

    PresG33 replied to Cvepo's topic in Critical Care

    Use is definitely declining. I think a large part of the studies showing no benefit is confounded by providers misinterpreting the data. There was a large study done in Australia in which 50% of...

  4. Medical based CRNA program

    PresG33 replied to widmaerjm's topic in Student Registered Nurse Anesthetist

    I'd say your best bet is to look at stand alone schools that aren't affiliated with a school of nursing. Some offer a masters other than a Masters in Nursing. That being said, I think it is impossible...

  5. CRNA School Admission with bad past

    PresG33 replied to shon0616's topic in Student Registered Nurse Anesthetist

    In my opinion two things matter for anyone with a "rough patch" on their application: first is how you frame it. Rather than ignore it and hope they don't notice (they will), embrace it and talk about...

  6. Are you good at regional blocks?

    PresG33 replied to Bluebolt's topic in Certified Registered Nurse Anesthetist, CRNA

    In hospital where I worked in the ICU the MDAs did all the blocks and OB regional, CRNAs did spirals/epidurals in the room for OR cases. The explanation was that the MDA does the block for the next...

  7. CRNA vs ACNP vs PA education

    PresG33 replied to Alexxoxox's topic in Student Registered Nurse Anesthetist

    Agree with above poster that rigor of science education is low on the list of things to consider when deciding between these options. Tons of threads out there that examine the similarities and...

  8. Pressure Support Mode VS CPAP/BiPAP

    PresG33 replied to SterlingArcher's topic in MICU, SICU

    Good description of modes above, but in general, Pressure Support is considered to be the same thing as CPAP/BIPAP except you give pressure support through a ventilator and BIPAP though Non-Invasive...

  9. Interesting Situation (Thoughts?)

    PresG33 replied to asneakyseal's topic in CCU, Coronary, Cardiac

    Agree completely. Blindly resuscitating to a CVP of x or y (just like using any other single parameter) is misguided. However I am also not of the opinion that CVP should be banned from the unit or OR...

  10. % of schools that require physics?

    PresG33 replied to paramedic-RN's topic in Student Registered Nurse Anesthetist

    Yea, I'm a SRNA and there is def a lot of physics. We had a whole class on Chemistry and Physics of Anesthesia (and most programs have something like this). Physics is important regarding Gas Laws...

  11. Interesting Situation (Thoughts?)

    PresG33 replied to asneakyseal's topic in CCU, Coronary, Cardiac

    After a while, CVP is not a good indicator of intravascular fluid status (some would argue it never is but that's another issue). In this situation, I would have had someone throw a bedside echo probe...

  12. % of schools that require physics?

    PresG33 replied to paramedic-RN's topic in Student Registered Nurse Anesthetist

    More important is to look at the 5-10 schools that you'll be applying to and make the choice based on that. If a school across the country that you'd never apply to requires physics who cares?...

  13. Does CRNA school have a lot of math work?

    PresG33 replied to greenalmonds's topic in Student Registered Nurse Anesthetist

    We had a semester long class of Chemistry and Physics of Anesthesia. It was mainly focused on Gas/Fluid Laws and their application to anesthesia; but there was some math. Generally the math is nothing...

  14. Former ICU nurses - I need your help

    PresG33 replied to johosa12's topic in Student Registered Nurse Anesthetist

    For me, the big thing that pushed me to CRNA as opposed to ACNP was that I wanted equal parts thinking and doing. NPs do lines and intubate, but in my unit a main portion of their day was "managing"...

  15. Liver failure and lactic acid

    PresG33 replied to ArmaniX's topic in Critical Care

    So there is an excess of lactic acid, which is buffered by the body and turned into lactate, which is what we measure. The body has a relatively small amount of buffer available, so if there is extra...

  16. Prospective SRNA with Lower GPAs

    PresG33 replied to mdubb342's topic in Student Registered Nurse Anesthetist

    My undergrad GPA for my first bachelors in early 2000s was 2.8. Over a decade later I got >3.85 in an accelerated BSN. I also did well in GREs. No one even mentioned my prior GPA in my interview,...

  17. CRNA Midwestern application 2016

    PresG33 replied to RNcooley's topic in Student Registered Nurse Anesthetist

    No one's gonna bite on this. Jeeze AN is getting soft. To the OP, thanks for the heads up about Midwestern. I heard it was a decent program but from what you say it seems pretty suspect. I mean, why...

  18. End Goal CRNA: MSN, DNP or DNAP?

    PresG33 replied to TeachEm's topic in Student Registered Nurse Anesthetist

    1. The CRNA MSN programs aren't 1-2 years, they are 2-3 years (and the majority are 2.5ish yrs). 2. No one can give you a 100% answer on all of this because no one knows how this will all shake out....

  19. MSN or DNP? Which would you choose and why?

    PresG33 replied to passgas21's topic in Student Registered Nurse Anesthetist

    Going to MSN program now and only considered applying to MSN programs. I figure I will gain much more relevant anesthesia experience in my first year of practice than if I was in school for that year....

  20. Blood Glucose Measurement: Arterial vs Fingertip

    PresG33 replied to Catticus11's topic in Critical Care

    CBG = CAPILLARY blood glucose, so the machines are calibrated to capillary blood. That is the "JAHCO" answer. That being said, the studies that look at this found a variability within about 10 mg/dL...

  21. TTM Exclusion Criteria

    PresG33 replied to Catticus11's topic in CCU, Coronary, Cardiac

    Sigh... no it is not. It is a marker of someone who has some brain activity and is exactly the type of person that should be cooled. TTM is contraindicated in those who are following commands. We...

  22. Case Review: BP and Urine Output

    PresG33 replied to Catticus11's topic in Critical Care

    1. After any kind of surgery there is a stress response release of ADH and unrine output can drop despite adequate kidney perfusion. Low UO by itself is neither a sensitive nor specific measure of...

  23. Preferred ICU exp, in your opinion

    PresG33 replied to RNthenDoc's topic in Student Registered Nurse Anesthetist

    The one in which you have more autonomy and can articulate this in an interview. In my opinion admission committees know all applicants have set up drips, had patients on vents, had patients with...

  24. graduate level classes

    PresG33 replied to firemedic12's topic in Student Registered Nurse Anesthetist

    1. If you have schools you are interested in for whatever reason (can't move so only plan on applying to schools nearby) then call them and check to see if they recommend classes to take before...

  25. Calcium Chloride vs Calcium Gluconate

    PresG33 replied to Manurse715's topic in CCU, Coronary, Cardiac

    1. Replace Ca based on your ionized calcium from your ABG. This will remove the need to correct for the pt's albumin (do you think the albumin level you have from pre-op is the same as it is post-op?...