London88

London88

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All Content by London88

  1. Just before the crna intubates...

    London88 replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    No I am not kidding you. When you walk into a place and you are new you sometimes have to adapt to the culture of the organization. Failing that you are free to go work elsewhere. In all 5 heart rooms...

  2. Lidocaine prior to IV start?

    London88 replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    5mg/kg of lidocaine w/out epinephrine is the maximum dose. However with epinephrine it is 7mg/kg. That is not to say that a pt cannot seize with the above doses but they would not be toxic from the...

  3. Just before the crna intubates...

    London88 replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually I had a hard time adjusting to the monitor alarms being turned off. However in the heart rooms they are turned off for various reasons one being that one of our surgeons would go berserk if...

  4. Just before the crna intubates...

    London88 replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    I thoroughly agree that you do not want to rely on the monitor too much. In our ORs the alarm on the EKG monitors are turned off ( that is a topic for another discussion). I remember being a student...

  5. Lidocaine prior to IV start?

    London88 replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    JessicRN: I do not know what procedure your husband had but i can assure you that the 0.5cc of lidocaine injected even if it went into the vein by accident would not cause a seizure. Whether it be 1%...

  6. Med-Mal Reform -- Write your Senator

    London88 replied to deepz's topic in Certified Registered Nurse Anesthetist, CRNA

    Planton20 I thoroughly agree with you on the jury

  7. AANA members

    London88 replied to heartICU's topic in Certified Registered Nurse Anesthetist, CRNA

    post

  8. Am I wrong to say?

    London88 replied to blee1's topic in Student Registered Nurse Anesthetist

    blee1 i have not read "Ether

  9. Air Embolisms by Central Line Removal

    London88 replied to mach1of8's topic in Certified Registered Nurse Anesthetist, CRNA

    MmacFan; Are you doing a stick on the EJ or the IJ because I cannot imagine using a 14g needle to locate the

  10. Air Embolisms by Central Line Removal

    London88 replied to mach1of8's topic in Certified Registered Nurse Anesthetist, CRNA

    Nobody uses a finder needle where i work. we have specially made kits where the needle through which you thread the guide wire is bigger than the finder needle, but smaller than the needles used for...

  11. The Economic Realities of Trying to Get Into CRNA School: Is It Worth It?

    London88 replied to Sheri257's topic in Student Registered Nurse Anesthetist

    I fully agree with rn29306. If my pay was to be reduced I would still do anesthesia because I love doing it. I just don't want my boss to know this! I decided that looking at my family situation I...

  12. Am I wrong to say?

    London88 replied to blee1's topic in Student Registered Nurse Anesthetist

    There is nothing wrong with going into nursing to become a CRNA. I always wanted to become a CRNA even if I did do eleven years of bedside nursing. I think some of the stigma comes from back in the...

  13. muscle relaxants

    London88 replied to Isuhd8u's topic in Certified Registered Nurse Anesthetist, CRNA

    I also worked with a CRNA who used a sux drip for a short procedure. I thought it was awesome. Like athomas91 mentioned we used a continuous twich monitor to ensure that we were not going into a phase...

  14. how much of a disadvantage?

    London88 replied to blee1's topic in Certified Registered Nurse Anesthetist, CRNA

    I have to agree with MmcFan and some of the others in that there is no doubt that you can complete CRNA school after one year of ICU . However one year is not enough to learn and sharpen your critical...

  15. Lidocaine prior to IV start?

    London88 replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    MLOS: The point deepz is making is that as CRNAs we do not have a p&p manual stating that you are allowed to this or that when starting an IV. In other words when I get a good blood return on a...

  16. Lidocaine prior to IV start?

    London88 replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    I too would like the literature on lidocaine causing vasoconstriction! Next time I need to put a 14g cath in my pt I will call the infusion therapist above to do it without lidocaine to see how...

  17. Just before the crna intubates...

    London88 replied to traumaguy8's topic in Certified Registered Nurse Anesthetist, CRNA

    Watch the monitor for your B/P before intubating because it is never a good time to DL a pt with a elevated B/P. Most of my pts have A-lines but I always cycle a B/P right before I DL if I do not have...

  18. Med-Mal Reform -- Write your Senator

    London88 replied to deepz's topic in Certified Registered Nurse Anesthetist, CRNA

    I guess we can rely on the jurors because they know what all the medical terminology means and they know exactly how each surgical procedure is done. Yeah right! Like mentioned above they are simply...

  19. Moments of Terror

    London88 posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I am sure that most SRNAs and all CRNAs know that anesthesia is usually 99% relaxation and 1% sheer terror. Where I work it is 80% relaxation and 20% sheer terror because we do primarily cardiac...

  20. Non anesthesia provider providing anesthesia

    London88 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    rn29306 hit it on the nail . There is a difference between concious sedation and what i call general w/out an ETT. We always joke about this where I work because i tell evrybody that i do not do MAC...

  21. Moments of Terror

    London88 replied to London88's topic in Certified Registered Nurse Anesthetist, CRNA

    Subee: Why is pavulon a bad choice for a pt with a MR or AVR? The pt did not come in with a rapid afib. He developed it after induction. Pavulon is a good choice for MR or AVR because of its vagolytic...

  22. Moments of Terror

    London88 replied to London88's topic in Certified Registered Nurse Anesthetist, CRNA

    The MAP when up when I intubated him. a DL is very stimulating and is a good way to bring the B/P up . By the time I got done intubating the B/P was okay but we still had the HR issue. Many times pts...

  23. Non anesthesia provider providing anesthesia

    London88 replied to EMS/ICU/SRNA's topic in Certified Registered Nurse Anesthetist, CRNA

    Nitecap: i totally agree with your comments. The issue definetly comes down to the different level of monitoring.Anesthesia is always 1:1. That being said I must confess that i have no desire to have...

  24. Moments of Terror

    London88 replied to London88's topic in Certified Registered Nurse Anesthetist, CRNA

    Verapamil would have been okay. I look at the fact that because we are under anesthesia it better to give a drug that has a short half-life, such as brevibloc or verapamil. You may have to chase it...

  25. Work While In School?

    London88 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    I worked all the way through school. However, I completed 18 MSN core credits prior to didactic which allowed me to work full time. I completed the program in 3 years and worked every Saturday unless...