Ep 174: Anesthesia Practice Considerations When Dealing with a Methamphetamine Patient

With the rise in methamphetamine use across the country, CRNAs need to be prepared to provide anesthesia to a substance use disorder patient. Jenny Krogh, CRNA, has noticed several misconceptions and conflicting management of patients who have used methamphetamines through her time working and researching. Today she joins us to explain the effects of methamphetamines on the body and clarifies some of the inaccuracies. 

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

You don’t have to work in healthcare to know the impact that methamphetamines have had on our country. The use of the drug is one the rise and likely under-reported because of its criminal nature, and it makes up a significant portion of the Substance Use Disorders (SUD) that have been diagnosed.

This increase in methamphetamines means that many CRNAs will likely face a situation where they have to provide anesthesia on a substance use disorder patient. Jenny Krogh, CRNA, has seen it first hand through the work she’s performed and the researched she’s done. Today she joins us to share her insight and experience, and she’ll help clarify some of the misconceptions around methamphetamine.

Check out the full conversation using the audio player above. As you get started on the episode, keep an ear out for these topics:

  • The rise in methamphetamines and her experience seeing it in hospitals.
  • The changes that happen in a person’s neurochemistry.
  • What leads someone to chasing this high?
  • How methamphetamines change anesthesia.
  • What can you do to treat hypertension?
  • How she’s treated a laboring patient who has used methamphetamines.
  • What she’s learned through her research and how people can access it.
  • Her algorithm

Check it out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

2:39 – Introducing our guest

5:28 – Why we are talking about this

7:14 – The use of meth in patients

8:52 –  Why words are important

10:21 – Neurochemistry

14:39 – Chasing the high

17:59 – How meth use changes anesthesia

20:44 – Treating hypertension 

23:01 – How it affects work in the OB

28:09 – Use of Ketamine

30:20 – Her research

34:04 – Final thoughts

37:21 – Lightning Round 

Additional Resources:

See the Methamphetamine Algorithm

Read the research Jenny did on the topic

“Methamphetamine is days sometimes where their brain is still lit up. This is why you’ll see patients that have used methamphetamines, they haven’t slept for maybe two or three days, they’re just amped up and ready to go. Then they crash and they crash hard.”

-Jenny Krogh, CRNA





CRNA Careers

Ep 237: To DNP or Not To DNP

Many CRNAs are returning to school to earn their Post-Master’s Doctor of Nursing Practice but is it worth it to spend the time and money to earn another degree? You can find plenty of information and discussion about DNP project topics and people that have earned their DNP, but it’s not as easy to find a thorough explanation of how to go through that process and the actual value it provides. Devin Miller, CRNA, DNP joins the show today to get into the details of a DNP and tell us why he feels it can empower nurses after completing the program.

Current Events

Ep 235: 2023 AANA Update with CEO, Bill Bruce

Bill Bruce, MBA, CAE, took over as the CEO of the AANA last summer so we caught up with him to get an update on how the organization has progressed over his first eight months. It’s already been a busy term already with staffing changes and the AANA moving into a new building, but there are many policy issues to be managed and addressed as well. Join us as we find out what’s happening inside the AANA and how the organization is tackling key issues.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.