WntrMute2

Latest Activity

1. Nurse Anesthesia Board Exam Advice

   WntrMute2 replied to MaleAPRN's topic in Certified Registered Nurse Anesthetist, CRNA

   Assuming you are a good student with the usual godd to excellent grades, then the test shoukd be what you have been preparing for these past 2 years. So, don't sweat it too much. I found a lot of...

2. Awake Fiberoptic with Ketamine? Any other tricks?

   WntrMute2 replied to miloisstinky's topic in Certified Registered Nurse Anesthetist, CRNA

   In school I was able to do a couple of dozen. We had a spine surgeon at our primary site that liked them done on all his cervical spine patients. As a practicing CRNA I do them aboout once a month...

3. HELP, New CRNA prac getting screwed by the man.

   WntrMute2 replied to alansmith52's topic in Certified Registered Nurse Anesthetist, CRNA

   Well, organize youself a bit and with a united front tell them no. Then negotiate a deal that is fair to you. If all of you refuse to comply then you'll have some real power. I know it sounds a...

4. Circ Arrest

   WntrMute2 replied to rn29306's topic in Certified Registered Nurse Anesthetist, CRNA

   We do these about 1 per month. Pavulon just prior to CPB cesation, so they don't try to breath and get an air embolus. Big dose of methyl-prednisolone 10-15 mg/kg. Mannitol by perfusion, lasix 10...

5. Swan Lines

   WntrMute2 replied to 2ndChance's topic in Certified Registered Nurse Anesthetist, CRNA

   Well managing a patient in the ICU or during transport is different than managing a patient with PHT after a 4 hr pump run or even a 60 min run and the patient suddenly tanks as the surgeon closes the...

6. Swan Lines

   WntrMute2 replied to 2ndChance's topic in Certified Registered Nurse Anesthetist, CRNA

   I must be working in a backwater hospital. We put PA caths in ALL hearts and thoracic or AAAs. I would reccomend being familiar with waveforms, complications. instertions as the board questions may...

7. Had my interview Figured u guys would be interested :P

   WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

   You know what's really weird, I interviewed at 4 schools and had exactly no clinical questions. All each school wanted to know was how I was going to manage the academic, personal and financial...

8. Book: Nurse Anesthesia SECRETS

   WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

   So I have a question for you MmacFN, truly I don't mean this in anything other than curiosity, no attack intended so don't see one please. Your posts have been filled with excitment about your...

9. Have Docs kept you out of an OR room b/c your a CRNA?

   WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

   I have to agree w/ the Doc here (despite my usual position). Pain management seems clearly diagnosis and treatment, which makes it a Medical issue clearly. That doesn't mean we couldn't learn to...

10. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Well, there is also the simple plan of JUST NOT USING IT. Seems pretty simple, but it works. The reasons textbooks don't tell you when and when not to use it is because clinical judgement is in the...

11. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Usually I just use 1 induction agent plus muscle relaxant plus fentanyl. On big cases like AAAs valves etc. I might do a narcotic induction w/ sufentanil. I have given combinations before but that...

12. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Pete495 says: "Can't argue with Barash. There's no doubt about Ketamine's bronchodilating effects. I think the question is do you use it in a rapid sequence w/ sux, and do you use it with...

13. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    From Barash, Clinical Anesthesia:"Ketamine has well-characterized bronchodilatory activity. In the presence of active bronchospasm ketamine is considered the iv induction agent of choice. Ketamine...

14. Questions about Ketamine & Propofol Case

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    "I was asking questions that related to an actual case. I thought it might be interesting but if your going to be an as* about it i wont bother posting anymore"

15. Have Docs kept you out of an OR room b/c your a CRNA?

    WntrMute2 replied to MmacFN's topic in Certified Registered Nurse Anesthetist, CRNA

    Actually, most of the time the surgeons ask why do we have MDAs when the CRNAs do all the work. There are moments where a surgeon may ask if the MD can step into the room. That's happened exactly...