Tenesma

Tenesma

Member

  • Content

    364

  • Visitors

    7,718

  • Followers

    0

  • Likes

    3

All Content by Tenesma

  1. IV potassium

    Tenesma replied to limabean's topic in Patient Safety Issues

    define "gut isn't working well"... potassium is primarily absorbed in the stomach and its absorption rate is near 100%... so even if you have poor intestinal function, it will still work fine... and...

  2. cortisone injections to C5

    Tenesma replied to lifeLONGstudent's topic in Certified Registered Nurse Anesthetist, CRNA

    couldn't agree more - if you are having symptomatic radiculopathy then surgery is usually the best option. and steroid shots might not be the best option in that

  3. IV potassium

    Tenesma replied to limabean's topic in Patient Safety Issues

    one thing to remember is that it is a lot faster to replete K+ PO than it is to replete it IV....

  4. cortisone injections to C5

    Tenesma replied to lifeLONGstudent's topic in Certified Registered Nurse Anesthetist, CRNA

    depends on the symptoms.... fewer and fewer operations are being done for disc herniation today due to unchanged outcomes. I agree with you that getting different/2nd opinions is always the route to...

  5. do crna's have prescriptiion benefits?

    Tenesma replied to CCRNERIC's topic in Certified Registered Nurse Anesthetist, CRNA

    DEA licensing is granted to those who qualify and apply and pay the fee contingent on the following 1) must be permitted by the state's laws as a mid-level practitioner to prescribe controlled...

  6. do crna's have prescriptiion benefits?

    Tenesma replied to CCRNERIC's topic in Certified Registered Nurse Anesthetist, CRNA

    depends on the state laws... refer to the following chart for info http://www.nursingworld.org/gova/charts/dea.htm gives you an

  7. Is there something comparable to Toradol that can be given IV for pain?

    Tenesma replied to bellehill's topic in Pain Management

    true but you are comparing something that can be given IV vs something that can only be given

  8. Pharm questions

    Tenesma replied to rn4cicu's topic in Certified Registered Nurse Anesthetist, CRNA

    etomidate: a single dose of etomidate will not block the adrenocortical response to stress .... however repeated exposure to etomidate will lead to the following 1) inhibition of P450c11 hydroxylase...

  9. Why would an anesthesia provider do this?

    Tenesma replied to AmiK25's topic in Certified Registered Nurse Anesthetist, CRNA

    doesn't need to be a central line for

  10. Is there something comparable to Toradol that can be given IV for pain?

    Tenesma replied to bellehill's topic in Pain Management

    define "no

  11. What a Joke

    Tenesma replied to SICU/ER NURSE's topic in Certified Registered Nurse Anesthetist, CRNA

    Hilary also believes that residents should pay for their residency instead of being funded by Medicare... she is full of great ideas

  12. Is there something comparable to Toradol that can be given IV for pain?

    Tenesma replied to bellehill's topic in Pain Management

    1) the only useful test is TEG (INR and platelets and bleeding time are useless). 2) it does NOT need to be administered with a narcotic in order to relieve pain. 30mg IV toradol is equi-analgesic to...

  13. What a Joke

    Tenesma replied to SICU/ER NURSE's topic in Certified Registered Nurse Anesthetist, CRNA

    that statement is from a NURSE anesthesia website - and is partially correct, since states have the option to opt-out from

  14. Be-littling CRNA's

    Tenesma replied to forane2001's topic in Certified Registered Nurse Anesthetist, CRNA

    1) PACU RNs... I find that trying to give report to an RN until the patient is settled is pretty much useless, because they are focusing on all of their tasks. I therefore make it a point to teach my...

  15. Why would an anesthesia provider do this?

    Tenesma replied to AmiK25's topic in Certified Registered Nurse Anesthetist, CRNA

    Explanations: 1) the change was made without anticipating future ICU needs 2) the change was made for volume reasons and the QLC was either in the way or abutting the Quinton and needed to be removed,...

  16. Malignant Hyperthermia

    Tenesma replied to SN Mommy's topic in Certified Registered Nurse Anesthetist, CRNA

    you need a muscle biopsy and find out for sure what led to the MH, especially if you are planning on administering anesthesia.... where you will be exposed to some MH-drugs. If you have children, it...

  17. Intra-op MI

    Tenesma replied to arkgolfer's topic in Certified Registered Nurse Anesthetist, CRNA

    you should hope that every day as a student is like this - because you only learn by doing things you haven't experienced before.... another thing to consider is a paradoxical coronary embolus (either...

  18. CRNA subspecialty training question

    Tenesma replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    oh.... good ... because i really hope he/she doesn't use regional anesthesia for high-risk OBs - unless he/she meant neuraxial

  19. CRNA subspecialty training question

    Tenesma replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    how is regional anesthesia high

  20. CRNA subspecialty training question

    Tenesma replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    5000 births a month.... that is the funniest thing i heard today!!!! there is no hospital that does that many births a month... that is 160 deliveries a day!!! most large hospitals average 3000-4000...

  21. Zofran for morphine-induced itching?

    Tenesma replied to BigDave's topic in Certified Registered Nurse Anesthetist, CRNA

    zofran is a good option.... but not necessarily a cheap

  22. Cardiac Anesthesia Question

    Tenesma replied to WntrMute2's topic in Certified Registered Nurse Anesthetist, CRNA

    we are doing more and more fast-tracking... with some of the quicker surgeons we actually extubate about 15-20 mins after chest closure... it is pretty sweet :) but you have to pick those patients...

  23. Medical school?

    Tenesma replied to sonessrna's topic in Certified Registered Nurse Anesthetist, CRNA

    160 K was the average about 3 or 4 years ago... of course there will be extremes: if you go to GW in D.C. tuition is 39k/year which doesn't include housing.... if you go to the Mayo in Rochester,...

  24. Medical school?

    Tenesma replied to sonessrna's topic in Certified Registered Nurse Anesthetist, CRNA

    $400,000 is way out of the norm - the normal post med school debt (including undergrad debt) is about $160,000. I would think that by age 50, from a financial point of view, you will have recovered...

  25. Awake intubation question

    Tenesma replied to Toby's mum's topic in Certified Registered Nurse Anesthetist, CRNA

    boy am i glad that we are finally having a clinical discussion 1) I use sux on a regular basis for RSI in the OR setting - especially if I am planning on having them intubated for a while.... but I...