arkgolfer

Cardene is a great short acting antihypertensive. I use it mostly during CABG, mainly when getting the pressure down for cannulation. I mix it 2cc with 8cc ns for a 0.5mg/ml concentration. I give 1/2 to 1cc at a time. I like to give a cc early in the case to get an idea of how much of a drop in bp I get. Usually 0.5 mg will give me about a 15 to 20 pt decrease in bp. It will usually last for about 10 minutes. You do get a reflex increase in hr, so watch out for that. I used it today, and it worked great. The cardene rep inserviced us on this bolus technique.

Extremely comfortable shoes!! You won't sit down for a few weeks.

Had my first (and hopefully last) one of these today. Pt. was in for p*****-implant. My MDA and CRNA had been gone awhile since induction, succ had long worn off, no real need for non-depolarizers in this case. All was going well until.... Pt. bucked one time, very little, I had about 5.8% ET Des going, plus about 7 cc fentanyl on board. I turned up the gas to settle him back down, looked at my monitor to see if we had HR increase, then saw his ST segments starting to rise, then saw ET CO2 start to plummet, BP followed soon after. CRNA and MDA back in the room within 30 seconds. Too far along to abort the case, surgeon had to finish while we started a-line, worked on BP, etc... Pt. to the cath lab with a 98% proximal RCA lesion. Seems to be doing ok now, on IABP in CVICU. Had normal stress test 2 months ago. Anyone else have this happen????? Lot-o-learnin today!!!!

Go elsewhere Tx Wesleyan will treat you like dirt. A lot of cheating goes on here. Tx Wes Student CRNA. Sorry, But I have to take offense to this. If you are aware of this going on, you should report it to Dr. Reinke, or John Martin, instead of blasting the school you are in. There are numerous RN's who would trade places with you in a heartbeat. You should report this to not only protect the reputation of the school, but also the integrity of the future certification you and I are to hold. Blasting the school will only make you look bad. This school has a long reputation of CRNA production. It also has its problems, like I'm sure every school does. I'm not sure how you were treated like dirt, but this is adult education, you get out of it what you put into it. There were several in my class, one year ahead of you, that wanted to be spoon fed info all year, and whined the whole time. They made it tough on us too. If you are that unhappy, maybe you should quit. If you make it to clinical, you'll be glad you had to go through what you're in right now. I apologize if this is offensive, this just caused a minor catecholamine surge.

Boy is that ever a quote from someone with inside information!!! :rotfl:

"Back in the Day", we used the iced solution, that's what the curly part of the tubing was for. Today's thermistors(sp?) are much more sensitive, and are able to pick up the change in temp as the solution goes screaming by.

What was the pH of Gluick acid again??????????

Ditto to what Matt said, without the typos Not sure where you're going, but I'm sure they are all just as painful. Develop a game plan for studying, first and foremost. This will be your job for the next 2+ years, so treat it as such. I tried to get in 6-8 hours per day between studying and classtime. Sometimes I made it, sometimes not. Some days you will work less, some days you get a LOT of overtime. Don't get behind. After each class, try to be prepared to take a test on the material you covered by the next class. That will keep you on track, and not cramming the weekend before a test. As for getting ready before school starts, pick up the Evelyn Wood book on speed reading. There are great tips for increasing comprehension. Wish I would have put a little more time in that last summer. All in all, good luck and hang on for the ride of your life!

Congrats! Welcome to Reinke's World!!!!!

I was accepted at TWU in Jan 03, prior to graduating in May 03 with BSN. Had 9 years experience as ADN. Shouldn't be a prob as long as you have graduated before classes start. Good Luck

I seem to remember something about him being a pimp.......

Seems to be some controversy in the anesthesia literature about this. Stoelting and Miller sugggest usage doesn't precipitate, however Katzung, M&M suggest there is an increased risk, especially with longterm use of BZDs. Per package insert: should be aware of a risk of seizure in association with flumazenil treatment, particularly in long-term BZD users and TCA overdose. Maybe this patient had some history with BZDs or TCAs. Hope this helps. Just happen to be studying about this now.

A day in the life of an anesthesia student. I am posting this for my own therapy. Second semester SRNA (TWU), have research project due to be presented this Friday. Go to meet with study group to finalize and work on technical presentation stuff. After about 2 hours, we haven't heard from our other 2 partners. Finally get in touch with one of them, running behind, on the way. The other one, was in route to meet us, starting having dizzy spells going ~ 80, and barely got her vehicle stopped before crashing. Went to the doc, got a CT, everything is ok, just stress (Go Figure!). Meanwhile, we get kicked out of our study classroom, for a sexual harassment inservice(not for us, who's got time for that?). We decide to part ways and work individually. I get home and have to spend 4 hours, trying to get my laptop fixed, have all my (and everybody elses) research stuff on it. Oh, and when I got home the dog had thrown up everywhere, had to work on that to. So, here I am, finally getting the ole PC back up and running. Oh yeah, what's for supper? This was my therapy, hope you enjoy. You future SRNA's, these kinds of days will happen to you, get ready. I'm sure you guys that are looking back will have your own interesting stories along a similar line.

I agree. Any head start you can get on action potentials, cell functions, etc..., the better off you'll be. And not get totally BLINDSIDED by the action potential concept. I just THOUGHT I understood depolarization/repolarization before anesthesia school.

Some of our big discussions recently have included: 1. DNR in the OR 2. Definitely awareness under anesthesia 3. Providing analgesia to peds under anesthesia (the practice of not providing, is it really out there?) 4. Anesthesia responsibilty regarding consents and patient wishes (pt consented for "x" procedure, but while operating, surgeon sees need for "y" procedure, etc...) charlie