jwk

jwk

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All Content by jwk

  1. Hollywood movie called "awake"

    jwk replied to crna2bee's topic in Certified Registered Nurse Anesthetist, CRNA

    Y'all just can't help yourselves, can

  2. Propofol

    jwk replied to czipp's topic in Gastroenterology

    So obviously you have no professional bias -

  3. ASA's response to Grey's Anatomy

    jwk replied to no-pain's topic in Certified Registered Nurse Anesthetist, CRNA

    And I find it interesting that a nursing STUDENT (not even an anesthesia student) thinks they know so much about anesthesia politics. I have a basis for my opinions - you

  4. ASA's response to Grey's Anatomy

    jwk replied to no-pain's topic in Certified Registered Nurse Anesthetist, CRNA

    FINALLY, a voice of reason on this thread. The rest of you have totally lost your objectivity. How long ago was it that there was a thread about a magazine article that quoted some plastic surgeon...

  5. SSEP Monitoring

    jwk replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    This brings up a common issue - there is NO agreement that if you use X type of monitoring that you can't use Drug A or Gas B. Different services, different techs, different opinions, different...

  6. SSEP Monitoring

    jwk replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

    I usually start by asking "What do you want me NOT to give so I can ignore you?" :chuckle Most of our techs now will ask, rather than tell us, what would work better for their readings. Depending on...

  7. Naming Organic Compounds

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

    enflurane

  8. Epilepsy and ANesthesia

    jwk replied to bulletproofbarb's topic in Operating Room

    Those drugs are rarely used by anesthesia providers in the US. Both of the common induction agents (pentothal and propofol) are fine with seizure

  9. Epilepsy and ANesthesia

    jwk replied to bulletproofbarb's topic in Operating Room

    We put people to sleep with seizure disorders all the time. Tell your anesthesia provider. It's not really a big deal at all if we know about

  10. Anesthesia and Me

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

    You knew I wouldn't let that one

  11. Anesthesia and Me

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

    :angryfire :angryfire :angryfire You don't even know what an anesthesiologist assistant is, yet you're sure that we don't have "anywhere near the education or experience that a CRNA has". Why...

  12. propofol

    jwk replied to popbob's topic in Emergency

    Gee, where to begin?First - there is no such thing as "unconscious sedation". That's called general anesthesia. Second - a grimace is a response to a painful stimuli and has no relation to...

  13. propofol

    jwk replied to popbob's topic in Emergency

    As ALWAYS - another example of someone thinking they know a lot more than they

  14. Tuition reimbursement with first CRNA job.

    jwk replied to jenniek's topic in Certified Registered Nurse Anesthetist, CRNA

    That makes it a little more palatable, but not if it's doubled, which you indicated

  15. Tuition reimbursement with first CRNA job.

    jwk replied to jenniek's topic in Certified Registered Nurse Anesthetist, CRNA

    Am I clear on that first one, that it totals $80k, or am I misreading it?I would NEVER EVER sign a five year contract with ANYONE, and especially with a double payback - I've never even heard of that....

  16. A question for OR nurses

    jwk replied to JJFROG's topic in Operating Room

    CXR's are not done routinely on central lines placed in the OR by anesthesia. However, at least on the surface, this many attempts sounds excessive, but without knowing the patient's body habitus and...

  17. Doxepram?

    jwk replied to apaisRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Doxepram (Dopram), as I recall from my ancient anesthesia pharmacology trivia section of my brain, is some sort of "CNS stimulant". Sorry, I don't remember why exactly it works. We used it years...

  18. Unresolved post-op tachy in c-section pt.

    jwk replied to epiphany's topic in Certified Registered Nurse Anesthetist, CRNA

    Could still be on the dry side - I don't see any relationship of the tachycardia to the versed or

  19. Multidose antibiotic vials in OR?

    jwk replied to NRSKarenRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Ditto here as well - antibiotics here are usually unit dose from the manufacturer or pre-mixed by the pharmacy. The message all around seems to be use single dose vials. I'm not sure I've ever seen...

  20. propofol

    jwk replied to popbob's topic in Emergency

    The reason you stopped breathing was that you received TOO MUCH propofol. This is exactly why anesthesia providers do not want propofol used by nurses in GI labs and ER's. If the person giving you...

  21. Lap Chole and Narcotics

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

    15cc of Fentanyl for a 20-30 minute case is probably excessive to most people. I have a hard time believing they're breathing adequately in that short period of time without narcan. But hey, if it...

  22. Uterine rupture & maternal code

    jwk replied to RNLaborNurse4U's topic in Ob/Gyn

    Allowing someone to even contemplate a VBAC in that situation is malpractice, and you have the bad outcome to prove

  23. propofol

    jwk replied to popbob's topic in Emergency

    Anyone given enough/too much propofol (depending on your perspective) will stop breathing. That's not a side effect - that's an action of the drug. You weren't "bagged back to consciousness". They...

  24. Lap Chole and Narcotics

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

    15cc of Fentanyl and 5 of vec for a 40 minute case??? I guess my question would be why so

  25. OR patients bypass PACU for ICU

    jwk replied to fedupnurse's topic in PACU

    If our patients bypass the PACU for the ICU, it's almost always because they're going to be on a vent anyway, so there're no reason for respiratory to set everything up twice or move a vent. If you...