Tenesma

Tenesma

Member

  • Content

    364

  • Visitors

    7,718

  • Followers

    0

  • Likes

    3

All Content by Tenesma

  1. How would you manage this airway?

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

    exposed gray matter and blood in the lungs does not make for a good donor (except for bone/cornea, and you don't have to keep them intubated for that). the force of impact to reveal gray matter is not...

  2. How would you manage this airway?

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

    if i see gray matter i would place an IV, hydrate them w/ some morphine and let the family say goodbye with a lot of bandage on that pts

  3. crna becoming anesthesiologists,MD??

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

    While PA, CRNA, PH.D. students do take some courses with medical students - they often don't take the same amount of hours and don't take all the tests involved with that specific course. For...

  4. Have Docs kept you out of an OR room b/c your a CRNA?

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

    Your position is that CRNAs can do Chronic Pain and the interventional aspects of it - since you guys contend it falls under the practice of nursing - and since you have some superficial exposure to...

  5. I have finally had it-I'm giving up

    Tenesma replied to ER-RN2's topic in Pain Management

    there are many treatments for interstitial cystitis - including some cheap medications - some bladder treatments by urology, and then finally sacral root stimulation implants. go online and read up...

  6. crna becoming anesthesiologists,MD??

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

    I know three who went back to med school - 2 became anesthesiologists and the other one went into internal medicine (go figure). there is no such thing as "CLEP" - even PAs can't bypass first

  7. Pain management after surgery for former addict

    Tenesma replied to eandgsma's topic in Pain Management

    former addicts have a high risk of relapse even if the drugs are used for post-op pain control.... my recommendation would be 1) a lot of long-acting local anesthetic from the surgeon 2) toradol for 3...

  8. SON HAS STOLEN MY MEDS

    Tenesma replied to edna wood's topic in Pain Management

    1) the fact that you know who took your medications and you aren't reporting it to the police makes you guilty of diversion which is a felony. so your only real choice is to file a police report. 2)...

  9. Clinical Question

    Tenesma replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    0.6mg/kg??? that may be a typo - i don't go over

  10. Wrote a doctor up!!!

    Tenesma replied to ShayRN's topic in General Nursing

    why would you take a foot IV out --- flush it and use it. Instead you subjected this poor patient to a bunch of sticks for no good reason.... And exlain to me how flushing an IV is going to cause a...

  11. Retrograde Intubation vs. Crichotyrotomy

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

    I have been at a LOT of airway shambles on the streets, in the ER and the OR... Most people who say they can do a quick surgical airway are full of c r a p ... If you ask the average ENT surgeon how...

  12. Intrathecal anesthesia in Von Willebrand patient

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

    there are many case reports in the literature of patients with Von Willebrand receiving neuraxial anesthesia (primarily in the OB anesthesia literature). Most patients are responsive to DDAVP or at...

  13. NBP cuffs...?mis-used in ICU....

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

    papawjohn... 1) BP cuffs: it does not matter which way the cuff is applied (right side up or upside down... inside out is a lot harder though) 2) Placement: it doesn't matter where the BP cuff goes -...

  14. Milranone and B/P

    Tenesma replied to MacNurse's topic in CCU, Coronary, Cardiac

    if his BP is in the crapper because he is having coronary vasoconstriction in the setting of an acute coronary syndrome (ie: MI) then providing coronary vasodilation may actually improve blood flow to...

  15. Milranone and B/P

    Tenesma replied to MacNurse's topic in CCU, Coronary, Cardiac

    why couldn't you give nitro? it might have been appropriate for that

  16. Interesting case of hypothermia

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

    not to mention that there are studies in the SURGICAL literature that show lower infection rates, less post-op hematoma formation, etc... when patients are maintained euthermic.... when surgeons want...

  17. Milranone and B/P

    Tenesma replied to MacNurse's topic in CCU, Coronary, Cardiac

    but if your afterload is appropriately reduced and the milrinone is improving your C.O., don't be surprised if your BP actually starts getting better after the vasodilatory dip... plus in some...

  18. Correlating monitor cuff pressure with manual?

    Tenesma replied to erinnRN's topic in MICU, SICU

    dynamaps use a different system to measure BP that has its own bugs - and therefore in certain clinical situations should be correlated with a manual cuff (ie: irregular rhythms, fast rhythms, very...

  19. CRNA vs. MDA - pros and cons

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

    nitecap... you are right on the money... the cost per year is about the same, in fact there are some med schools (state vs private) that are cheaper per year than some of the more private CRNA schools...

  20. CRNA vs. MDA - pros and cons

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

    rn29306 ... i agree with you, stereotyping on that other website is immature as

  21. CRNA vs. MDA - pros and cons

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

    i love how this thread went from discussing the merits of choosing a field to the usual us vs them mentality.... doesn't it get old after a while of maintaining the same old stereotypes???...

  22. CRNA vs. MDA - pros and cons

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

    yoga - i am impressed that you still do so many big, long cases after 45 years in the OR. That is a really long time!!!! wow!!! for the original poster: your choice is a tough one. It sounds like...

  23. Prophylactic Beta-blockers

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

    by now, most hospitals have adopted a peri-operative beta-blocker protocol - it is just a matter of being informed about it and following

  24. is it muscle or technique for intubating?

    Tenesma replied to kestrel1121's topic in Certified Registered Nurse Anesthetist, CRNA

    funny thing about LMAs a neat trick for LMAs that just don't go down right: - use either a bougie or an OGT and advance it down the goose, then advance the LMA over the bougie/ogt into the mouth -...

  25. Beginner with OB epidurals

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

    hmm... so you had an intra-thecal catheter... no biggie, just wait till the motor blockade resolves then run it as an intra-thecal labor analgesic.... patients LOVE those, so much better than an...