charles-thor

charles-thor

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All Content by charles-thor

  1. Duramorph/astromorph for C/S

    charles-thor replied to babies_r_us's topic in Ob/Gyn

    IV narcan works great to decrease the itching, N/V, ect that accompany neuraxial

  2. Best sites for IV's in the forearm

    charles-thor replied to payday's topic in Infusion, Intravenous

    Grab an anatomy atlas, and review venous anatomy in the hand and forearm. There are several that are very reliable in most patients. Here is the first place that I usually look. There are usually...

  3. Best sites for IV's in the forearm

    charles-thor replied to payday's topic in Infusion, Intravenous

    Grab an anatomy atlas, and review venous anatomy in the hand and forearm. There are several that are very reliable in most patients. Here is the first place that I usually look. There are usually...

  4. dosing meds for obese pt

    charles-thor replied to athomas91's topic in Certified Registered Nurse Anesthetist, CRNA

    Since adipose tissue has a low blood flow, it is possible that calculation based on true body wt might actually cause higher than expected plasma concentrations in obese patients. Miller and...

  5. Florida CRNA study

    charles-thor replied to CRNANUPE_2B's topic in Certified Registered Nurse Anesthetist, CRNA

    I saw that post as well, however I searched Medline and both the national and Florida state MD and NA associations and found nothing. I've learned you must consider the sources of these sorts of...

  6. Interesting Case - Pheochromocytoma

    charles-thor replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    I guess what I should've added is that context makes all the

  7. Interesting Case - Pheochromocytoma

    charles-thor replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm going to go out on a limb here with Tenesma's comment, so here goes. Since CVP is a combined function of venous compliance, volume, and right ventricular function; any alteration(s) of one or...

  8. Stupid Question

    charles-thor replied to SleepyRN2B's topic in Certified Registered Nurse Anesthetist, CRNA

    First of all, your question is not stupid. I do believe, however, that there is a very clear distinction between what you witnessed on the internet and what you will see in the operating room. The...

  9. Vasoactive drugs - down to the cellular level - Resources anyone?

    charles-thor replied to cortrn's topic in Certified Registered Nurse Anesthetist, CRNA

    Katzung's Basic and Clinical Pharmacology has a nice section on vasoactive drugs that includes second messenger systems. Also, don't forget about vasopressin. I've heard some schools ask about it,...

  10. Celiac Plexus Nerve Block

    charles-thor replied to aphippen's topic in Certified Registered Nurse Anesthetist, CRNA

    Brown's Atlas of Regional Anesthesia covers how to perform a celiac block. I like Hadzic and Vloka's Peripheral Nerve Blocks better, but I didn't see that that particular block was covered. You may...

  11. Bradycardia in response to hypoxemia in kids

    charles-thor posted a topic in Certified Registered Nurse Anesthetist, CRNA

    I may be missing something completely obvious, but can someone give an IN-DEPTH physiologic explanation why kids immediately respond to hypoxemia with bradycardia? Thanks in

  12. MAC help

    charles-thor replied to gravitycure's topic in Certified Registered Nurse Anesthetist, CRNA

    MAC is a measure of potency, and it's really not much more than the ED50 of any other drug. Keep in mind what MAC is (50% pts will not move to a surgical stimulus at a given partial pressure of a...

  13. cooling down after CPR

    charles-thor replied to Dirk's topic in MICU, SICU

    1. Since shivering can increase oxygen consumption upwards of 300%, wouldn't shivering during resuscitative measures always be a problem? 2. What about the profound left shift of the oxyhemoglobin...

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

    charles-thor replied to Diprivan/Vented's topic in Certified Registered Nurse Anesthetist, CRNA

    ....hmmmmmmmmmm..................this should be a lively

  15. ACLS and PALS online courses - important

    charles-thor replied to charles-thor's topic in Certified Registered Nurse Anesthetist, CRNA

    Athlein1 I agree with your argument 100%, as this these are the things that we deal with on a daily basis. My biggest concern is that the AHA does not recognize it as certification, which led me to...

  16. Etomidate

    charles-thor replied to LadyBugLass's topic in CCU, Coronary, Cardiac

    Etomidate is a non-barbiturate hypnotic with out analgesic activity. It increases the GABA-A receptor for GABA, thus leading to a depression of the reticular activating system. It is primarily used...

  17. lets discuss extubation

    charles-thor replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    Lalaith, Thanks for taking the time to compose a wonderful post. I sent you a

  18. New Overtime Rules

    charles-thor replied to georgia_aa's topic in Certified Registered Nurse Anesthetist, CRNA

    My understanding is mess is that CRNAs, AAs, ect will be exempt from an employer's obligation to provide overtime at the employer's discretion, unless they are protected under a union contract. I...

  19. lets discuss extubation

    charles-thor replied to gaspassah's topic in Certified Registered Nurse Anesthetist, CRNA

    I have read that low does of ketamine (5-20mg iv) provide profound analgesia and may act to decrease narcotic requirements. Does anyone out there do

  20. CRNA School Reassurance

    charles-thor replied to nitro23's topic in Certified Registered Nurse Anesthetist, CRNA

    When I applied to Buffalo two years ago, they did not require the GRE if your undergrad GPA was acceptable (3.0 I think?). The interview was low stress, and went very smoothly. They did, however,...

  21. Radius to the 4th power

    charles-thor replied to Tia's topic in Certified Registered Nurse Anesthetist, CRNA

    Poiselles law = Π(radius to 4th power)(ΔP) / 8 (viscosity)(length of tube) This assumes that flow is laminar, when it is turbulent; however, radius becomes even more important, as it is raised to...

  22. Radius to the 4th power

    charles-thor replied to Tia's topic in Certified Registered Nurse Anesthetist, CRNA

    See

  23. Resource books

    charles-thor replied to jewelcutt's topic in Certified Registered Nurse Anesthetist, CRNA

    Evers and Maze is similar to Stoelting's Pharm and Phys, and it rocks! It really bridges the gap between drug action at the cellular level and it's clinical effects, in addition to a very well...

  24. CRNA vs NP

    charles-thor replied to 4EverStudent's topic in Certified Registered Nurse Anesthetist, CRNA

    NA market saturated?

  25. Washington, D.C. CRNAS

    charles-thor replied to pnurseuwm's topic in Certified Registered Nurse Anesthetist, CRNA

    JWK, Funny...you are not a doctor, so why would you? It's been a while since I've posted since school has consumed all that used to be me, but for this one I just couldn't help