Brenna's Dad

Brenna's Dad

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All Content by Brenna's Dad

  1. Anti-dysrhythmic therapy for Malignant Hyperthermia

    Brenna's Dad posted a topic in Certified Registered Nurse Anesthetist, CRNA

    My instructor proposed the following question during class: What antidysrthymic would be most effective for treating hyperkalemic induced dysrhythmias in the malignant hyperthermia patient?...

  2. Anti-dysrhythmic therapy for Malignant Hyperthermia

    Brenna's Dad replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    According to my quick literature search last night, it seems that it was previously thought that Procainamide helps relieve muscle contraction, but that this was disproven. (Feel free to refute this)...

  3. Anti-dysrhythmic therapy for Malignant Hyperthermia

    Brenna's Dad replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    Thank you for your response. I agree that treatment of hyperkalemia should be first line treatment for dysrythmias in MH. Besides bicarb, you can also use insulin and dextrose. According to my quick...

  4. Black Widows

    Brenna's Dad replied to Kason's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm not following the symptomology well. If it's binding to pre-synaptic cholinergic receptors, which, if I remember correctly act as a positive feedback mechanism by increasing the release of ACh,...

  5. Cosmetic Surgery Death after RN (not CRNA) Administered Propofol

    Brenna's Dad replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    What??? None of you have heard of the development of sublingual Propofol??? Bahh, I know this possibly cant be true. How the do you think sublingual Propofol spray will affect conscious sedation??...

  6. IF for some reason you COULDN'T be a CRNA what area of nursing...

    Brenna's Dad replied to Roland's topic in Certified Registered Nurse Anesthetist, CRNA

    Truthfully, the reason I didn't like the idea of NP (besides job opportunities, which I felt were lacking) is my probable misconception that I'd be seeing the same little old ladies with their same...

  7. Cosmetic Surgery Death after RN (not CRNA) Administered Propofol

    Brenna's Dad replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    I've been curious how sublingual propofol will affect conscious sedation practice, since this is the area it is specifically being developed

  8. IF for some reason you COULDN'T be a CRNA what area of nursing...

    Brenna's Dad replied to Roland's topic in Certified Registered Nurse Anesthetist, CRNA

    I would also try and leave nursing. Like others have said, I enjoyed my time there, but felt I was done. Cabinetmaking has always looked very

  9. ER Nurse to CRNA

    Brenna's Dad replied to susswood's topic in Certified Registered Nurse Anesthetist, CRNA

    I think ER is great experience. ICU however gives you some experience you will need in anesthesia. Even the little things you dont think about will be very handy. Fo example, I was wondering just the...

  10. Quick Quiz for CRNA students

    Brenna's Dad replied to austinrobi's topic in Certified Registered Nurse Anesthetist, CRNA

    So, it's really the same scale then, except for the addition of the brain-dead

  11. Quick Quiz for CRNA students

    Brenna's Dad replied to austinrobi's topic in Certified Registered Nurse Anesthetist, CRNA

    ASA classifications. Haven't heard of

  12. Socialized medicine, and the future of CRNAs

    Brenna's Dad replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    There's probably no alternatives like usual though. I don't think I'll ever go back. I'm tired of the democratic dictatorship

  13. Socialized medicine, and the future of CRNAs

    Brenna's Dad replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    Ahhh.... thanks for bringing me up to

  14. Socialized medicine, and the future of CRNAs

    Brenna's Dad replied to user69's topic in Certified Registered Nurse Anesthetist, CRNA

    The only private clinics in Canada, before I left four years ago, were for plastic surgery. There may be some orthopedic clinics in the province of Alberta now, who are beginning experimentation with...

  15. OR Nurses Giving Conscious Sedation--WHY SHOULD WE?

    Brenna's Dad replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    Being rendered apneic with airway obstruction is a definite possibility in the sedation arena. Isn't this why we always attempt to ventilate after induction and before giving muscle relaxants? Even in...

  16. flumazenil

    Brenna's Dad replied to New CCU RN's topic in Certified Registered Nurse Anesthetist, CRNA

    I understand the basics of the P-450 cytochrome system, but don't walk around knowing which enzymes inhibit/induce which drugs! (I had just reread an article since Tenesma's post stimualted some...

  17. flumazenil

    Brenna's Dad replied to New CCU RN's topic in Certified Registered Nurse Anesthetist, CRNA

    You pretty much have it right, New CCU RN. Cyctochrome P450 reactions are Phase One, oxidative and reduction reactions involving various liver enzymes responsible for drug metabolism. However, there...

  18. How do you pay for school?

    Brenna's Dad replied to richard13's topic in Certified Registered Nurse Anesthetist, CRNA

    Our plan (which has worked so far) was to pay off all our debt and then to borrow the maximum amount of stafford loans (18500/year) while my wife worked as an RN. With her working the evening shift,...

  19. flumazenil

    Brenna's Dad replied to New CCU RN's topic in Certified Registered Nurse Anesthetist, CRNA

    You would know then.... it was my understanding that P450 stimualtion would take longer than that. Very interesting. Anyone have an answer to the flumazenil and TCA

  20. OR Nurses Giving Conscious Sedation--WHY SHOULD WE?

    Brenna's Dad replied to stevierae's topic in Certified Registered Nurse Anesthetist, CRNA

    I have also observed this practice and I just don't get it. If someone is going to pay for cosmetic surgery, then why wouldn't they pay for anestheisa. That just doesn't make sense. When I had my...

  21. flumazenil

    Brenna's Dad replied to New CCU RN's topic in Certified Registered Nurse Anesthetist, CRNA

    Interesting response concept to increase her P450 enzymatic activity in an effort to increase liver metabolism. Probably impractical though, since increasing enzymatic activity would probably take at...

  22. Srnas &crnas--advice Please!!

    Brenna's Dad replied to jebain's topic in Certified Registered Nurse Anesthetist, CRNA

    I would also recommend M&M. A very strightforward book that covers the basics of

  23. simple mortality question

    Brenna's Dad replied to Rhon1991's topic in Certified Registered Nurse Anesthetist, CRNA

    In my extensive experience (lol), most patients do not ask. However, one of the best analogies that I've heard people use (and the one I use myself), is that there is always a very, very small risk...

  24. What do I do now that I'm in?

    Brenna's Dad replied to devine1's topic in Certified Registered Nurse Anesthetist, CRNA

    I also have two young children. My in-laws were gracious enough to move in with us for eight months or so when school started, but we found it to be too great a stress on our family. We now work...

  25. PONV- use of decadron and zofran

    Brenna's Dad replied to Jedav's topic in Certified Registered Nurse Anesthetist, CRNA

    Although I haven't looked a the chemical structure of droperidol and haldol, apparently they very similiar drugs. According to my pharmacy instructor, their apparent different mechanisms of action are...