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WolfpackRed

WolfpackRed

Nurse Anesthesia, ICU, ED
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WolfpackRed has 4 years experience and specializes in Nurse Anesthesia, ICU, ED.

WolfpackRed's Latest Activity

  1. this is a bunch of crap. in looking at the FDA statement FDA Safety Communication: Boxed Warning on increased mortality and severe renal injury, and additional warning on risk of bleeding, for use of hydroxyethyl starch solutions in some settings regarding this issue, i felt that the populations studied are already at increased risk for renal damage (critically ill requiring ICU admission and septic) and the volumes used (>2L in over each of the studies cited) are a tad excessive. Also, the FDA warning states that "Renal injury was not evident in a review of 59 RCTs in which HES products were administered in the operating room to adult and pediatric patients who were undergoing surgery and were followed for a short period of time, the facility I work in withdrew all HES products from the pharmacy after this warning was issued. I am concerned that it limits may fluid options for patients in the OR (Jehovah's Witnesses who elect to not receive albumin come to mind). Also, the cost of albumin is a concern. However, given the FDA warning and the European warning, perhaps I should consider investing in albumin manufacturers.
  2. WolfpackRed

    does Burn count as ICU

    According to the AANA, yes burn ICU would count. HOWEVER, you should contact potential programs and inquire how they view your ICU experience
  3. WolfpackRed

    What exactly does a nurse anesthetist do?

    i prefer words with friends
  4. WolfpackRed

    How to become a Nurse Anesthetist

    even easier, there is a FAQ at the bottom of the forum page.
  5. WolfpackRed

    Is SICU really the preferred ICU of choice when becoming a CRNA?

    My ICU experience was medical for ~2yrs followed by neuro ICU ~18months (both adult) prior to starting anesthesia school. You will hear and see many opinions on which is the "best" ICU to get experience in. in my class we have a good mix from every ICU background: trauma, surgical, medical, CV, cardiac, and neuro.
  6. WolfpackRed

    Valley Review question

    Anesthesia Board Question of the Day from Core Concepts Daily Free Board Question
  7. WolfpackRed

    Boards - Prodigy vs valley

    i have the sweat book and flash cards from friends and did not attend the actual course. I have used the Prodigy system and find it more to my learning style - the computerized questions and practice tests are very convenient.
  8. WolfpackRed

    Valley Review question

    the "sweat book" contains all the info that you will cover in the review course; you should receive it a couple of weeks prior to the live course. the memory master is the same as the flash cards, except the MM has all the questions printed out on 8x11 pages instead of "flash cards"
  9. WolfpackRed

    Books r/t CRNA?

    "Watchful Care" by Marianne Bankert would be a good start. Also any book from here: Books
  10. WolfpackRed

    How to increase my Chances for CRNA schools

    as you are asking for ways to INCREASE you chances of being accepted, the best thing you should do is speak to the director of any program you are interested in attending. the standards set forth by the AANA are purely minimal, and your BA GPA needs some improvement. as Skip said prior, you will probably need your BSN (I am ~99.9% certain that you will need it). while you can take grad level courses to demonstrate you can handle the work, it may not replace your grades in your undergrad; again a good discussion for the program director However, any adult ICU experience will suffice; I know the AANA states "acute care" and that is left up to the admissions committee. There are programs that will consider pediatric experience and other "acute" areas, but adult ICU should have you covered. Certainly, many people have a preference of CVICU being "better" than anything else, but any ICU experience counts and have more than one year helps. Get your CCRN. Don't forget about the GRE. Focus on shadowing CRNAs. If you want to do committee work, stay involved once you are working; school committees look good, but (again my opinion) work committees demonstrate professional involvement. you can try to volunteer in an ICU as a way to get you foot in the door for a job, but in my experience, there is little place for volunteers. to get your foot in the door you may consider a nurse assistant/PCT position
  11. WolfpackRed

    What kind of computer?

    what does Barry recommend? also, I would contact the financial aid office to see what the requirements are to qualify for financial assistance/reimbursement on your computer purchase. to answer you original question, I bought a Dell Inspiron 17in screen laptop with i5 processor and 4Gb RAM/ 400 Gb hard drive. I am more comfortable with a Windows OS; further I felt that I would be able to keep this laptop for personal use after school is complete. Some people have Apple/Macs, but the biggest problems that many run into is the occasional problems when these students try to do presentations from their MACs onto the school's Windows based presentation software/hardware.
  12. WolfpackRed

    Pimp Thread?

    Benzyl alcohol, a component of this product, has been associated with serious adverse events and death, particularly in pediatric patients. The "gasping syndrome," (characterized by central nervous system depression, metabolic acidosis, gasping respirations, and high levels of benzyl alcohol and its metabolites found in the blood and urine) has been associated with benzyl alcohol dosages >99 mg/kg/day in neonates and low-birth weight neonates. Additional symptoms may include gradual neurological deterioration, seizures, intracranial hemorrhage, hematologic abnormalities, skin breakdown, hepatic and renal failure, hypotension, bradycardia, and cardiovascular collapse. Although normal therapeutic doses of this product deliver amounts of benzyl alcohol that are substantially lower than those reported in association with the "gasping syndrome," the minimum amount of benzyl alcohol at which toxicity may occur is not known. Premature and low-birth weight infants, as well as patients receiving high dosages, may be more likely to develop toxicity. Practitioners administering this and other medications containing benzyl alcohol should consider the combined daily metabolic load of benzyl alcohol from all sources. from the hospira package insert for its formulation of propofol
  13. WolfpackRed

    Labor and Delivery Experience with ICU for CRNA school?

    according to the AANA "The requirements for becoming a Certified Registered Nurse Anesthetist (CRNA) mainly include having a bachelor's degree in nursing (or other appropriate baccalaureate degree), Registered Nurse licensure, a minimum of one year acute care experience (for example, ICU or ER), and the successful completion of both an accredited nurse anesthesia educational program and the national certification examination." it is left up to the program on defining the acute care experience and other admissions requirements.
  14. WolfpackRed

    Pimp Thread?

    modern day vaporizers can maintain volatile agent concentrations over a range of temperatures and fresh gas flows the des vaporizer differs in that it keeps a higher temperature and pressure since des can boil away at STP; also des is ~5x less potent than iso and sevo and thus very high fresh gas flows would be needed to dilute the agent to safe levels 4 methods - landmarks/ paraesthesia, field blocks, nerve stimulation and U/S guided IV, tracheal, intercostal, cervical, epidural, brachial plexus, sciatic, and SQ propofol can have EDTA and Na metabisulfite, the bisulfite preservative can cause problems in ICU/ARDS pts. on a side note, in the institution I train, we have seen benzyl alcohol as a preservative and had alerts against using this formulation in the peds pts. finally, NO state (unless you count a state of delusion) requires CRNA supervision for practice
  15. WolfpackRed

    Did you like critical care?

    in my opinion, you should look into another area besides CRNA. the process of ICU preparation and an anesthesia program may be very difficult if you are not motivated to do it. i enjoyed the ICU; i worked MICU and Neuro ICU. I also worked part time in an ER. perhaps you should look into that.
  16. WolfpackRed

    Pimp Thread?

    the pt's use of these drugs would modify the plan as cogentin will antagonize the ACh and histamine receptors, selegine is an MAOI and therefore ephedrine should be avoided but small doses of direct acting alpha agonist (neo) can be used for hypotension. sinemet increases the amount of dopamine available. other antiemetics to use include decadron and I forgot to mention the use of 80-100% oxygen. antiemetics to avoid: butyrophenones (droperidol), metoclopramide, and phenothiazines (phenergan and compazine) as these can increase the extrapyramidal side effects