dfk

ETCO2 is directly proportional to cardiac output. no pressure = no CO2. period. if you saw tube pass cords, and are also sure tube didn't dislodge from time you removed laryngoscope and secured tube, there's really no other cause.

actually, you're incorrect. there is O2 reserve. it's called functional reserve capacity (FRC). in the anesthetized patient, or non-breathing and fully oxygenated patient, you burn about 3 ml/kg of oxygen per minute. so, in the 70 kg patient, you burn about 210 ml of oxygen per minute. now, the average FRC is about 2000-2500 ml, ideally full of oxygen. so, you take that number and divide by the 210, and you get anywhere from 9-12 minutes of "stress free" apnea. make sense? again, this is ideal, and not taking into account other stressors of the body. as wtbcrna stated, you have more time than one would think. the ICU is a different breed from the OR. and no matter what you've seen/experienced as an ICU RN, it pales to the CRNA and what we see on a daily basis. i'm not knocking it, i'm just saying.

so, nobody sees wearing scrubs (from the OR/hospital to the outside world i.e. public transportation, grocery stores, etc.) a public health risk/concern? there's more on scrubs after a day's work than changing a diaper, etc.. you all are misinformed and delusional to believe otherwise. if i was on the public health police force, i'd give any and everyone a summons for wearing scrubs when leaving the hospital. no reason for it. period.

it's not really that ironic

can you cite some "pretty well established" references? last i knew, you are held to the standards you are hired for. for example, if i'm a crna and work as an EMT-B, i can only perform those duties. so, i disagree.. it depends on the facility and role in which you were hired in. dino kattato crna

paper and reality are two different things. completely and wholly. do yourself a favor, and shadow a CRNA for a few days (at least), to see if it's remotely anything you like. please don't choose a profession based on paper, or you'll be utterly surprised and upset, etc...

uh, no. perhaps reference please?

uh, not sure where you were going with this, but depending on what your job role is where you're at, and what you're hired for, your scope depends on that, as well as liability.

1. no 2. depends, all bsn's are different. won't matter really when applying to crna school. if you want to stand out, take grad science classes if you must. 3. won't matter if you don't. if you do, do whatever makes you happy. 4. uh, if you can't get thru bsn, you might want to reconsider crna. you'll have much more trouble if you cannot get the gist of things based on your english understanding. sorry.

few thoughts arise from this: 1) potassium channels are inhibited by magnesium. hypomagnesemia results in increased efflux of intracellular K. the cell loses potassium which then is excreted by the kidneys, resulting in hypokalemia 2) magnesium is needed for the adequate function of the Na+/K+-ATPase pumps in the cells of the heart. a lack of it depolaries and results in tachyarrhythmias. since magnesium inhibits release of potassium, a lack of magnesium increases loss of potassium. Intracellular levels of potassium decrease and the cells depolarize, hence arrhythmias 3) roughly 42% of patients with hypokalemia also have hypomagnesemia, not responding to potassium supplementation hope this helps some-

in terms of history and the public, yes, it IS a physician designation. i don't know what this is supposed to mean. this is unfortunately argumentative. this is exactly the issue.

hey surgical hrt rn, in no way does one need ekg certification (which, imo, means nothing unless you even remotely become proficient in not only knowing the geography of reading an ekg, but knowing and understanding axis deviation, r-r', qtc, etc...) to work in the icu. what one learns in acls is more than adequate to recognize the two main lethal arrythmias, vt and vf. also, can you reference the legality of "reading" an ekg without certification? jcaho?? c'mon, they aren't even clinicians that run the commission, so i don't hold much water for them. and also again, even if you "read" the ekg, chances are the md will be making the ultimate decision. so, in short, i disagree with what you say re: 12 lead certification. dfk crna

with PPV (positive pressure ventilation), there's a difference in intrathoracic/intrapulmonary/intrapleural pressures. all these can/will affect true CVP readings. this differs in the patient who is (SV) spontaneously ventilating. there is less compression of vessels and more venous return in the SV pt, hence readings will differ.

your number one is partially correct. you do not need an MSN to further obtain a PhD. essentially any master's degree will/can get you into PhD program, provided you're a strong candidate.

:smackingf:yeahthat: of course, if you don't (want to) believe what others have said/are saying, maybe call the schools you are interested in. the AANA does not recognize LTAC as critical care. for the most part, any unit designated as an ICU is what they are looking for. rarely will ER or PACU be acceptable, but surely i haven't heard of ANYONE EVER getting admitted to anesthesia school with LTAC experience. my recommendation is get yourself to a sick ICU, surgical IMO, but ICU none the less.

and here i thought you were actually working already as a CRNA. ok, so talk with whomever about whatever. trust me, there's usually more to the story than what's heard. your best bet is to talk with the CRNAs at the facility. and not just the one you shadowed. we'll see how much you like 1:3/1:4 call with no next day off, brunt of many caseloads, etc... so, until you've been in the business, don't tell me that your travel experiences/work experiences equate anything near to CRNA.

you can check with the AANA or COA to see if the school is recognized as an accredited program. you can even ask the CRNA school you're interested in if the BSN school is 'acceptable' or recognized.

word of caution, those jobs on gaswork are there for a reason. don't assume money equals ideal.

loans will be your best friend. those of you concerned about being in debt, well, it just happens 99.9% of the time to SRNAs. your debt to income ratio will work out fine. as for working during school, it has been done, but don't do yourself the disservice. many people work incredibly hard to make a B grade, and that's the lowest grade needed to stay in a program. so, consider going to anesthesia school a big and major commitment, because it is.

hey teila, while i don't disagree with much of your post, i have to rebut just a tad. since i am in the field, and yes, i am male, i have to say: according to the AANA, 42% of the 37,000 nurse anesthetists and student nurse anesthetists are male compared to only 8% of nursing as a whole. now, that's not to say that it isn't climbing, because it is.

i'm graduating in 114 days. do it. well worth it, not even about the money. shadow first, school later. i thought MD, but after all the experience and shite i've seen with residents and med students, fuggeddaboudit... medicine is a lost art in some sense, and will be lost even further. it's too bad. you learn more in med school/residency than any other profession with respect to medicine and well-being of the individual. with that, don't regret anything you do...!

well, i don't know if this is applicable, but my sister is a diabetic and in recovery (heroin).. she's on the methadone maintenance program.. as of late, she's been blowing numbers (0.01-0.03) before getting dosed, and she does not drink alcohol. her blood sugars are usually below ketone levels, but hey, who knows... when she doesn't shower or use hair products or certain toothpaste the morning of dosing, she is usually ok, but if she does any one of the above mentioned, she blows positive. her liver enzymes are normal... her liver doc cannot figure out what's up... any insight here??

well, i guess in response to your OP, yea, it can and has been done.. will the BSN help you? no, not really.. more of a diversion.. if you have nursing career behind you, then you will have patient care/in-hospital experience over those that aren't versed in such.. other than that, you will be starting from scratch... if you wanted to do medicine, why you chose BSN, i'm not sure...

well rusty, i'm surely not going to give you the third degree.. and please don't take offense to anything i say, but only as encouraging words in that i understand what you are going thru... with that said, i have a few concerns with what you have said.. going to work hungover does not eliminate being 'drunk'... it can be six hours later, without a drink, and still be legally drunk.. with respect to your 'functioning' comment, i take personal heartache with that.. since my mother was also a 'functioning' alcoholic... it's by no means a good progression, and thinking you can 'be a functioning' alcoholic is certainly misleading, and can be detrimental both acutely and long term... since your 'defensive' mechanisms and addictive traits ring out, i guess i'm trying to figure out what it is you want from this thread... again, no personal attack here, but i have many years of dealing with this, and it never ends happily... if you care to chat more, you can respond here, or p.m. me... again, i have concern for you, your outcome, and the fact that you take care of people in their most vulnerable state(s)...

i guess i'm a little confused with this statement. in any event, these two that you mentioned are two completely different paths and job roles... if your beginning thread (title) says BSN to DO or MD, why introduce DNP?