athomas91

athomas91

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All Content by athomas91

  1. Beta Blockade during C-section

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

    ok... the latest and greatest state that neo doesn't cause uterine artery constriction to the degree once thought and therefore is a safe first line treatment to hypotension just as

  2. Beta Blockade during C-section

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

    Brenna's Dad, the latest and greatest in literature is contraindicating earlier beliefs that neo causes fetal comprimise and is now considered just as safe and first line as ephedrine.... however, i...

  3. Local Anesthetics in Labor Epidurals

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

    we likewise don't use ropivicaine much at my current site - but it does have a propensity due to its isomerism (i believe) to block sensory to a greater extent than motor some use it for "walking"...

  4. Anesthesia and the Morbidly Obese

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

    We were actually having this exact conversation at my clinical site within the past month... the problem we are encountering is that the patients sched. for bariatric surgery are CORRECTLY worked up -...

  5. hypertension during pregnancy

    athomas91 posted a topic in Ob/Gyn

    i was just curious - today i had an episode of visual changes and hypertension that lasted approx 2 hourse - i was already at the hospital so i was monitored right away (i am 33wks) the episode did...

  6. hypertension during pregnancy

    athomas91 replied to athomas91's topic in Ob/Gyn

    my sx are coming and going and they are right now ever so slight - slight h/a, slight visual change L eye, intermittent/dull slight RUQ pain... if it continues and i cannot attribute to anything else...

  7. hypertension during pregnancy

    athomas91 replied to athomas91's topic in Ob/Gyn

    due 11/22 i am on house rest till monday when i follow up w/ my primary obgyn i guess my main concern is that this was just the beginning and not an isolated episode and i am unable to find in the...

  8. Hgb vs Hct

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

    hct is a % and therefore swayed by fluid status

  9. Clinical - Induction Sequence and Ventilation

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

    charles-thor- i likewise (if not RSI or contraindicated) attempt ventilation prior to paralyzation - i don't think that i have nearly enough experience to risk it -

  10. RRNA or SRNA for title, What is your opinion?

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

    anesres- "misleading" implies no deception - whether you infer it or not is your choice - misleading is just what it states - a student is understood to be "new" to an experience, or without...

  11. NBP cuffs...?mis-used in ICU....

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

    i have been reading lately where the Alines will eventually be transduced to the "head" because the level of the R atria doesn't really matter if the head isn't perfused... just a

  12. Cutting Balloon cuffs

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

    i agree - use the syringe...i have seen the balloon cuffed ripped and the tubing occluded - and now - no way to deflate the

  13. opinions

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

    ok - thanks for the clarity.

  14. opinions

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

    ok - so say we don't address all the other possibilities underlying the hypotension.... we give neo - surgeon cut - bp 180/100... are you going to chase your tail and give a beta blocker...then...

  15. Position of arms

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

    yoga, in an ideal setting, i would like to pad the elbows w/ gel pads and place them in a thumbs up position - but i find that the OR nurses in an attempt to help and expedite often tuck the arms...

  16. RRNA or SRNA for title, What is your opinion?

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

    i believe it is also misleading for patients to assume that a "resident" has more experience than a "student" nurse anesthetist... but it happens. and you are absolutely WRONG - when you say i am a...

  17. Clinical Topics

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

    i disagree separating SRNA forum from this forum - the information gained from others years of experience is invaluable. i understand the questions about "how do i get in...what is it...

  18. opinions

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

    the thread "sidetracked" after the question was answered....neo.... as for hetastarch - the coagulation effects are "negligible" per the literature - i have not done anesthesia long enough to have my...

  19. opinions

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

    colloids are expensive - but hetastarch 6% is helpful for up to 48 hours - so the expense over time vs. benefit isn't that great... the more expensive albumin is

  20. Clinical Topics

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

    i agree completely!! i would love more clinically relevant discussions... i had a patient the other day w/ mastocytosis - many of the anesthesia providers had never had a patient w/ this - and i was...

  21. RRNA or SRNA for title, What is your opinion?

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

    I usually introduce myself and tell the patient I am part of their anesthesia team for the day - when questions arise - i use the opportunity to explain my exact role - that I am a nurse currently...

  22. opinions

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

    i am in agreeance w/ Neo - the pt is beta blocked for a reason (possibly BP but could be for stenotic lesions etc...) where increasing the HR could be detrimental. good points

  23. RRNA or SRNA for title, What is your opinion?

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

    jwk - what do AA students call themselves in school??? i actually am just curious. however, it really doesn't matter what other advanced practice nurses call themselves while training - the fact is...

  24. SRNA's Did you do a clinical with a CRNA?

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

    ivypetals - may want to keep that information on the down low once you start as an SRNA... your clinical site will want you green (so they can take credit LOL!!!) this is not absolutely the case -...

  25. Should I give up?

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

    i am not at all being condescending or rude - but if you are already contemplating giving up - it may be one difficult road to