jwk

jwk

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All Content by jwk

  1. Physostigmine + Neostigmine

    jwk replied to devine1's topic in Certified Registered Nurse Anesthetist, CRNA

    Bogus all around. Physostigmine is not indicated for reversal of NMB. Any chance you're thinking of pyridostigmine, which is a pretty old drug we used to use eons ago? And if you have "no solid...

  2. Computerized Documentation

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

    Yep, glad everyone is paying attention to and answering YOUR question. We used an anesthesia recordkeeping system several years ago - it was not ready for prime time then, but when it worked it was...

  3. BIS Monitor

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

    Thank you brother (or sister) - tell it like it

  4. BIS Monitor

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

    We don't use it because there's no proof it does what it purports to do. It's basically voodoo at the moment. Hey, you knew someone would say

  5. Warning: Political Contents Inside

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

    Here we

  6. prone positioning and pt. blindness

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

    There are a lot of theories about blindness after surgery in the prone position (pressure on the eyes, low BP, etc.) but there don't appear to be enough common denominators in the cases that have been...

  7. Question re Post-Op Amnesia

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

    Absolutely right on target. And Gypsy, sorry if you and your best friend the RN don't agree, but I think your anesthetist appears to have done exactly the things he/she was supposed to do. Your...

  8. Question re Post-Op Amnesia

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

    Many patients will recieve something like midazolam in preop because of anxiety. It has an amnestic effect, but it is very short-lived. I would suggest that you were "in a fog" for several days...

  9. Beta Blockade during C-section

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

    Just an old fart here - it's taken me a good while to feel comfortable with neo, but it works great, and as an expected bonus, has cut way down on those high heart rates from big doses of

  10. Beta Blockade during C-section

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

    What was her pressure to start with? If they were fairly high with an acute drop, even though still in the 110's, I might think about a little phenylephrine. Also, with the SOB, I'd be thinking...

  11. fresh gas flow rates

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

    Here's an old trick. O2=100%, Air=20% (just to use a round number) O2 100 20 \ / 40 20:60 = 1:3 ratio of O2 to Air / \ AIR 20 60 Put your desired O2 %age in the middle Going diagonally, the difference...

  12. Epidural-induced Hypotension

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

    It ain't the

  13. Clinical - GlideScope and intubation assistant devices..

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

    The GlideScope is our hottest new toy. The view is amazing, even if it is a black and white screen. Use a stylet, always, and mold the curve to the blade of the GlideScope. At the distal end, curve...

  14. The AANA, the ASA, and the SDN

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

    Ooops - davvid, ya walked right into that little Cook County trap... Sigma, although davvid2700 is a little over the top, you're both getting into that never-ending pi**ing match pretty quickly. As...

  15. Apnea and CO2 rise

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

    3mmHg per minute of

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

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

    and perhaps

  17. The AANA, the ASA, and the SDN

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

    :chuckle and y'all think I'm

  18. Fentanyl Vs. Alfentanil in Acidosis

    jwk replied to soliant12's topic in Certified Registered Nurse Anesthetist, CRNA

    first thought? with a ph of 7.0, selection of narcotics wouldn't be my biggest

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

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

    RNAI???

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

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

    It doesn't matter if the cuff is "upside-down", nor does it matter where the tubing comes off. The transducer is inside the machine - the cuff and tubing merely transmit those oscillatory pressure...

  21. Cutting Balloon cuffs

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

    Never rip off the pilot balloon - use the

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

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

    DO's have 4 years of osteopathic medical school - they are considered the equivalent of MD's. APN's are not. Although their main focus is primary care, many now specialize, and if they do, they...

  23. Regarding paramedics in ER..why are they paid so terribly ?

    jwk replied to carachel2's topic in Emergency

    Again - much or most of what you are doing falls well outside a paramedic's legal scope of practice. I don't believe for a second that ANY pharmacist would accept a prescription signed by Joe Blow,...

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

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

    Yep, there it is - I rest my

  25. What is beyond the CRNA position?

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

    If you read the post again, I stated "The responsibilities vary, but might include scheduling, daily assignments, interviewing, hiring and firing, budgeting..." I didn't mean to imply that I did all...