keermie

keermie

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All Content by keermie

  1. Combitubes and curiosity

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

    The combitube is appealing because of ease, but can be cumbersome. A much better alternative which follows a lot of the same principles of the combitube is the King LT. The similarity is that there...

  2. Interesting Case

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

    In a TIVA, the BIS will monitor agents like propofol but not fentanyl. So depending on what you are using for your TIVA and the ratio . . . interpret your BIS from this rationale. Also, I would not...

  3. Aggressive fluid therapy in Severe Septic Shock and ARDS.

    keermie replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    Contrary to what we had been told for countless years, the popular opinion at the moments is that there is no longer such an infusion of dopamine which helps with renal perfusion. You will find...

  4. Question

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

    Ketamine hits the NMDA receptors? I used the word MDA in an interview for school, and an anesthesiologist took offense to it even though all the ones I had worked with previously called themselves...

  5. CRNAs and SRNAs, what's in your fanny..

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

    I am with Craig on this one. I used to carry one around until the senior students hazed me by buying me a little pony pink fanny. The hazing is relentless. Also, I got so frustrated with having a...

  6. Opinions on BIS Monitors?

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

    Being that jello is essentially a quad, I believe that a spinal infusion of vodka does remarkably well being that it is able to blunt jello's sympathetic hyper reflexia. Finding the L2-L3 is a bit of...

  7. Using same syringes all day

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

    The hepatitis outbreak (100 and counting) was the result of using a liter bag of fluid to draw flushes. The reuse of syringes or tubing or needles is indefensible because the CDC and OSHA...

  8. CRNA Debate from www.studentdoctor.net

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

    All of you have inspired me to post because you have all done a remarkable job maintaining your professionalism. I would like to redirect a lot of the focus on what else can be done. I was recently...

  9. dexmetatomadine

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

    Dr. Ramsey (ala the Ramsey sedation scale) came and spoke about Precedex. Amongst his lecture was an open heart, who woke up from surgery and promptly walked out of the room on his hemodynamic drips...

  10. charting...dialed in or end tidal?

    keermie replied to mbrian46's topic in Certified Registered Nurse Anesthetist, CRNA

    End tidal is the most accurate method; however, the dialed in will be more easily defended in a lawsuit. An example is an end tidal of 2.5 and the patient's CO drops from 5.0 to 1.2. You want to...

  11. What would happen if someone accepted an offer from a hospital, anesthesia groups ect

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

    ENOUGH! Here is the answer you are looking for. . . it is acceptable to use a stipend and default on it. It really is alright because you worked hard becoming a CRNA. People have done it before...

  12. Hemodynamics

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

    Of the four interviews I went to, one asked clinical questions. That one gave you a piece of paper with values on it and asked, "what is happening based on these values and what are you going to do...

  13. Clinical Question

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

    I did attempt to look it up, and was surprised to find limited literature on the subject. What a great thesis

  14. Clinical Question

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

    I did attempt to look it up, and was surprised to find limited literature on the subject. What a great thesis

  15. Clinical Question

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

    I second this. It is a primary reason I usually choose an oral airway vs nasal airway, as I have seen this numerous times. The population, a young athletic male, is especially predisposed due to wild...

  16. Accepted to Bryan LGH/KU

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

    :rotfl: Good program! Live close to KUMC, not that bad. All didactic up front. Clinicals at Bryan etc have lots of regional and little competition for cases. Good

  17. Question about Cushing's

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

    This is not an answer out of a book, but the way that I would explain the low diastolic: the increased systolic is a result of increasing inotropic contraction of the heart to increase pressure thus...

  18. futurenurseanesthetist

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

    i feel i was taken out of context, and paraphrased what i was conotating was that this board has already addressed this issue many times and that its detrimental to the board when a large porportion...

  19. futurenurseanesthetist

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

    in continuation . . . i really don't see the point in bringing this to subject. the link does not work? i have read it many times without fault, as have many others. can we please not talk about...

  20. futurenurseanesthetist

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

    personally, i have a prob when the first remark is about money. the next is when somone complains about poop; so for that i give an F-, and tell the person better luck next

  21. AA vs. CRNA - Let's Discuss.

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

    Thank you for the advice. I really hope to gain a better understanding of the issue, and the book seems like a great place to

  22. AA vs. CRNA - Let's Discuss.

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

    loisane, In reply to your post when AA legislation is introduced in my state . . . Part of being a professional is being an active member in your organization. There is nothing wrong with debate,...

  23. AA vs. CRNA - Let's Discuss.

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

    This is my first post; however, I have browsed this forum for about a year, as I start a program this week. One of the most disturbing issues to me is the fight between MDA's and CRNA's. I do not...