athomas91

athomas91

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All Content by athomas91

  1. astromorph injection ?

    athomas91 replied to lisa41rn's topic in Certified Registered Nurse Anesthetist, CRNA

    if it is epidural you should not get any return (although a very small amt may be from the infusion -if any - that was running) i may be niave here - but i was always under the impression that...

  2. Clinical Question

    athomas91 replied to bwt02's topic in Certified Registered Nurse Anesthetist, CRNA

    what was his weight/health problems... i agree w/ mike though

  3. Drexel Interview!

    athomas91 replied to RNNJ's topic in Student Registered Nurse Anesthetist

    TNTsunflower - you will like the program - i graduate in may - it seems like just yesterday i started but the end still feels forever away... odd. we will all meet you in january at the...

  4. December graduates

    athomas91 replied to NCgirl's topic in Certified Registered Nurse Anesthetist, CRNA

    congrats you all - i am under the 6month mark - can't wait to be in your shoes.... even though our program starts in the winter - we graduate in may...

  5. Minority SRNA/CRNA's

    athomas91 replied to srnabound3997's topic in Student Registered Nurse Anesthetist

    London88- you go to crozer's program i have shared multiple clinical sites with many of their

  6. Minority SRNA/CRNA's

    athomas91 replied to srnabound3997's topic in Student Registered Nurse Anesthetist

    i go to drexel - our program is diverse.. i have been to 3 clinical sites thus far and have at each one had at least one CRNA that was not caucasion. i think that although it is important to identify...

  7. BIS Monitor

    athomas91 replied to sandman1914's topic in Certified Registered Nurse Anesthetist, CRNA

    sister ... and you are quite

  8. Question re Post-Op Amnesia

    athomas91 replied to Homesick Gypsy's topic in Certified Registered Nurse Anesthetist, CRNA

    i think you need to look first at who is "promising you" this and that - if you didn't hear it from your anesthesia provider then you have no right to "huff" because it is anesthesia who must...

  9. Epidural-induced Hypotension

    athomas91 replied to RaeT,RN's topic in Ob/Gyn

    it usually works well - but there are individuals who won't respond to

  10. Epidural-induced Hypotension

    athomas91 replied to RaeT,RN's topic in Ob/Gyn

    epidurals have a MUCH lower rate of hypotension than a spinal - however it can occur you are correct that a bolus of 1000cc of fluid is your best defense against the hypotension as it is caused by a...

  11. Post-Op Hypertension

    athomas91 replied to Pete495's topic in Certified Registered Nurse Anesthetist, CRNA

    i am surprised he hasn't blown a graft...although is sounds like he blew a bleb.... i would up the diprivan, give morphine - turn the NTG back on... do they have a swan in - what are the readings?? if...

  12. BIS Monitor

    athomas91 replied to sandman1914's topic in Certified Registered Nurse Anesthetist, CRNA

    why would he say OH NO - the BIS is not a standard of care and therefore it is a choice whether to use it or not. proper anesthetic level should not be guided by something that has of yet not been...

  13. any ideas on when???

    athomas91 replied to athomas91's topic in Ob/Gyn

    thank you all - made my husband do his husbandly duties - and they are starting to escalate - we'll see if it lasts. i am sure i will want to shoot myself in the foot for wishing it to come when the...

  14. any ideas on when???

    athomas91 posted a topic in Ob/Gyn

    i am 38 wks pregnant (first pregnancy)- lost my mucous plug and had a bloody show this past friday... started last pm w/ contractions q 5 min that are more severe than my previous BH contractions but...

  15. BIS Monitor

    athomas91 replied to sandman1914's topic in Certified Registered Nurse Anesthetist, CRNA

    if i had a bis i would use it - and when one has been available i take advantage even though there is no solid proof that it prevents recall - what can it hurt... i am however very very glad that i...

  16. Drexel Interview!

    athomas91 replied to RNNJ's topic in Student Registered Nurse Anesthetist

    i am a senior in the program. drexel unlike most other schools does a "rolling" admission - so if they like you - you are in - it may not be for a few years (waiting list) but they don't make you...

  17. When would you use a longer IV cath?

    athomas91 replied to amberrn's topic in Certified Registered Nurse Anesthetist, CRNA

    if it will blow with the invasion of a short cath - a long cath equals more friction and disruption to the vein and a higher chance of blowing the

  18. When would you use a longer IV cath?

    athomas91 replied to amberrn's topic in Certified Registered Nurse Anesthetist, CRNA

    i agree that for more "in depth" procedures a longer cath might be a better idea just due to anatomy. however - a shorter cath allows for less resistance and faster solution administration. so it...

  19. Question re Post-Op Amnesia

    athomas91 replied to Homesick Gypsy's topic in Certified Registered Nurse Anesthetist, CRNA

    there's the problem... it was an ologist......

  20. lotsa fentanyl, no sleepy

    athomas91 replied to elizabells's topic in Certified Registered Nurse Anesthetist, CRNA

    if she was comfortable - she had just the right amt of medication - con. sedation is just that - you are sedated but awake and able to follow

  21. Question re Post-Op Amnesia

    athomas91 replied to Homesick Gypsy's topic in Certified Registered Nurse Anesthetist, CRNA

    the anesthesia provider likely did finish your pre-op - and you may have very well told him/her all the info you needed to but just don't remember. it is also a possibility that you don't remember...

  22. lotsa fentanyl, no sleepy

    athomas91 replied to elizabells's topic in Certified Registered Nurse Anesthetist, CRNA

    because of your med regimen you are likely able to tolerate much more than someone who isn't on any meds could. sounds like they gave you just the right

  23. Beta Blockade during C-section

    athomas91 replied to Brenna's Dad's topic in Certified Registered Nurse Anesthetist, CRNA

    i agree - i too would have had to ask what was the best med to use - haven't run into that scenario - thanks for the heads

  24. lotsa fentanyl, no sleepy

    athomas91 replied to elizabells's topic in Certified Registered Nurse Anesthetist, CRNA

    what other meds do you take (on a daily

  25. Anesthesia and the Morbidly Obese

    athomas91 replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    clinically relevant things to consider w/ morbidly obese - higher incidence of OSA (and all the comorbid conditions associated w/ OSA) - if not positioned correctly (and sometimes even when positioned...