ER-101...Route/Meds/Terms - page 5

Hi, Just a tid-bit of info to those who are planning to work in an ER, or would just like to understand terms and what certain meds are for and what their uses are and why they are used. Correction... Read More

  1. by   shill
    [font=horn condensed]there is no time of the year to bring up bad news..especially around the holidays, but for those of you that have never heard of 'dusting' and have kids between 9-16years old, this is a must read article. for those of you that know all about this topic, you don't have to read it. but if you know of friends and families that have kids in this age range and don't know about "dusting", tell them,..you my be doing them a great favor!
    [font=horn condensed]i especially found this article very interesting and scary because,..my son's name is kyle and he is 14 years old,and will be 15 may 2nd next year...it gave me a chill!
    ************************
    i felt that this was important to forward to anyone who have children or have nephews, nieces or friends who have children… i also looked it up on snopes.com here’s the link regarding this email
    http://www.snopes.com/medical/toxins/dustoff.asp
    ************************
    'dusting' .... police officer's story....

    "first, i'm going to tell you a little about me and my family. my name is jeff. i am a police officer for a city which is known nationwide for it's crime rate. we have a lot of gangs and drugs. at one point we were # 2 in the nation in homicides per capita. i also have a police k-9 named thor. he was certified in drugs and general duty. he retired at 3 years old because he was shot in the line of duty. he lives with us now and i still train with him because he likes it. i always liked the fact that there was no way to bring drugs into my house. thor wouldn't allow it. he would tell on you. the reason i say this is so you understand that i know about drugs.

    i have taught in schools about drugs. my wife asks all our kids at least once a week if they used any drugs. makes them promise they won't.

    i like building computers occasionally and started building a new one in february 2005. i also was working on some of my older computers.
    they were full of dust so on one of my trips to the computer store i bought a 3 pack of "dust off". dust off is a can of compressed air to blow dust off a computer. a few weeks later when i went to use one of them they were all used. i talked to my kids and my two sons both said they had used them on their computer and messing around with them. i yelled at them for wasting the 10 dollars i paid for them.

    on february 28, i went back to the computer store. they didn't have the 3 pack which i had bought on sale so i bought a single jumbo can of dust off. i went home and set it down beside my computer.

    on march 1st, i left for work at 10 pm. just before midnight my wife went down and kissed kyle goodnight. at 5:30 am the next morning kathy went downstairs to wake kyle up for school, before she left for work. he was propped up in bed with his legs crossed and his head leaning over. she called to him a few times to get up. he didn't move. he would sometimes tease her like this and pretend he fell back asleep. he was never easy to get up. she went in and shook his arm. he fell over. he was pale white and had the straw from the dust off can coming out of his mouth. he had the new can of dust off in his hands. kyle was dead.

    i am a police officer and i had never heard of this. my wife is a nurse and she had never heard of this. we later found out from the coroner, after the autopsy, that only the propellant from the can of dust off was in his system. no other drugs. kyle had died between midnight and 1 am.

    i found out that using dust off is being done mostly by kids ages 9 through 15. they even have a name for it. it's called "dusting". a take off from the dust off name. it gives them a slight high for about 10 seconds. it makes them dizzy. a boy who lives down the street from us showed kyle how to do this about a month before. kyle showed his best friend. told him it was cool and it couldn't hurt you. it's just compressed air. it can't hurt you. his best friend said so.

    kyle was wrong. it's not just compressed air. it also contains a propellant called r2. it's a refrigerant like what is used in your refrigerator. it is a heavy gas. heavier than air. when you inhale it, it fills your lungs and keeps the good air, with oxygen, out that's why you feel dizzy, buzzed. it decreases the oxygen to your brain, to your heart. kyle was right. it can't hurt you. it kills you.

    the horrible part about this is there is no warning. there is no level that kills you. it's not cumulative or an overdose; it can just go randomly, terribly wrong. roll the dice and if your number comes up you die. its not an overdose. it's russian roulette. you don't die later. or not feel good and say i've had too much. you usually die as you're breathing it in. if not you die within 2 seconds of finishing "the hit." that's why the straw was still in kyle's mouth when he died. why his eyes were still open. the experts want to call this huffing. the kids don't believe its huffing. as adults we tend to lump many things together. but it doesn't fit here. and that's why its more accepted. there is no chemical reaction, no strong odor. it doesn't follow the huffing signals. kyle complained a few days, before he died, of his tongue hurting. it probably did. the propellant causes frostbite. if i had only known.
    it's easy to say hey, it's my life and i'll do what i want. but it isn't.
    others are always affected. this has forever changed our family's life. i have a hole in my heart and soul that can never be fixed. the pain is so immense i can't describe it. there's nowhere to run from it. i cry all the time and i don't ever cry. i do what i'm supposed to do but i don't really care. my kids are messed up. one won't talk about it. the other will only sleep in our room at night. and my wife, i can't even describe how bad she is taking this. i thought we were safe because of thor. i thought we were safe because we knew about drugs and talked to our kids about them.

    after kyle died another story came out. a probation officer went to the school system next to ours to speak with a student. while there he found a student using dust off in the bathroom. this student told him about another student who also had some in his locker. this is a rather affluent school system. they will tell you they don't have a drug problem there.
    they don't even have a dare or plus program there. so rather than tell everyone about this "new" way of getting high they found, they hid it. the probation officer told the media after kyle's death and they, the school, then admitted to it. i know that if they would have told the media and i had heard, it wouldn't have been in my house.

    we need to get this out of our homes and school computer labs. using dust off isn't new and some "professionals" do know about it. it just isn't talked about much, except by the kids. they all seem to know about it. april 2nd was 1 month since kyle died. april 5th would have been his 15th birthday. and every weekday i catch myself sitting on the living room couch at 2:30 in the afternoon and waiting to see him get off the bus. i know kyle is in heaven but i cant help but wonder if i died and went to hell."
    sherry
    Last edit by shill on Nov 28, '06 : Reason: You can't bring up the site without the http://
  2. by   twotrees2
    Quote from shill
    [font=horn condensed]there is no time of the year to bring up bad news..especially around the holidays, but for those of you that have never heard of 'dusting' and have kids between 9-16years old, this is a must read article. for those of you that know all about this topic, you don't have to read it. but if you know of friends and families that have kids in this age range and don't know about "dusting", tell them,..you my be doing them a great favor![font=horn condensed]
    i especially found this article very interesting and scary because,..my son's name is kyle and he is 14 years old,and will be 15 may 2nd next year...it gave me a chill!
    ************************
    i felt that this was important to forward to anyone who have children or have nephews, nieces or friends who have children... i also looked it up on snopes.com here's the link regarding this email
    www.snopes.com/medical/toxins/dustoff.asp
    ************************
    'dusting' .... police officer's story....

    "first, i'm going to tell you a little about me and my family. my name is jeff. i am a police officer for a city which is known nationwide for it's crime rate. we have a lot of gangs and drugs. at one point we were # 2 in the nation in homicides per capita. i also have a police k-9 named thor. he was certified in drugs and general duty. he retired at 3 years old because he was shot in the line of duty. he lives with us now and i still train with him because he likes it. i always liked the fact that there was no way to bring drugs into my house. thor wouldn't allow it. he would tell on you. the reason i say this is so you understand that i know about drugs.

    i have taught in schools about drugs. my wife asks all our kids at least once a week if they used any drugs. makes them promise they won't.

    i like building computers occasionally and started building a new one in february 2005. i also was working on some of my older computers.
    they were full of dust so on one of my trips to the computer store i bought a 3 pack of "dust off". dust off is a can of compressed air to blow dust off a computer. a few weeks later when i went to use one of them they were all used. i talked to my kids and my two sons both said they had used them on their computer and messing around with them. i yelled at them for wasting the 10 dollars i paid for them.

    on february 28, i went back to the computer store. they didn't have the 3 pack which i had bought on sale so i bought a single jumbo can of dust off. i went home and set it down beside my computer.

    on march 1st, i left for work at 10 pm. just before midnight my wife went down and kissed kyle goodnight. at 5:30 am the next morning kathy went downstairs to wake kyle up for school, before she left for work. he was propped up in bed with his legs crossed and his head leaning over. she called to him a few times to get up. he didn't move. he would sometimes tease her like this and pretend he fell back asleep. he was never easy to get up. she went in and shook his arm. he fell over. he was pale white and had the straw from the dust off can coming out of his mouth. he had the new can of dust off in his hands. kyle was dead.

    i am a police officer and i had never heard of this. my wife is a nurse and she had never heard of this. we later found out from the coroner, after the autopsy, that only the propellant from the can of dust off was in his system. no other drugs. kyle had died between midnight and 1 am.

    i found out that using dust off is being done mostly by kids ages 9 through 15. they even have a name for it. it's called "dusting". a take off from the dust off name. it gives them a slight high for about 10 seconds. it makes them dizzy. a boy who lives down the street from us showed kyle how to do this about a month before. kyle showed his best friend. told him it was cool and it couldn't hurt you. it's just compressed air. it can't hurt you. his best friend said so.

    kyle was wrong. it's not just compressed air. it also contains a propellant called r2. it's a refrigerant like what is used in your refrigerator. it is a heavy gas. heavier than air. when you inhale it, it fills your lungs and keeps the good air, with oxygen, out that's why you feel dizzy, buzzed. it decreases the oxygen to your brain, to your heart. kyle was right. it can't hurt you. it kills you.

    the horrible part about this is there is no warning. there is no level that kills you. it's not cumulative or an overdose; it can just go randomly, terribly wrong. roll the dice and if your number comes up you die. its not an overdose. it's russian roulette. you don't die later. or not feel good and say i've had too much. you usually die as you're breathing it in. if not you die within 2 seconds of finishing "the hit." that's why the straw was still in kyle's mouth when he died. why his eyes were still open. the experts want to call this huffing. the kids don't believe its huffing. as adults we tend to lump many things together. but it doesn't fit here. and that's why its more accepted. there is no chemical reaction, no strong odor. it doesn't follow the huffing signals. kyle complained a few days, before he died, of his tongue hurting. it probably did. the propellant causes frostbite. if i had only known.
    it's easy to say hey, it's my life and i'll do what i want. but it isn't.
    others are always affected. this has forever changed our family's life. i have a hole in my heart and soul that can never be fixed. the pain is so immense i can't describe it. there's nowhere to run from it. i cry all the time and i don't ever cry. i do what i'm supposed to do but i don't really care. my kids are messed up. one won't talk about it. the other will only sleep in our room at night. and my wife, i can't even describe how bad she is taking this. i thought we were safe because of thor. i thought we were safe because we knew about drugs and talked to our kids about them.

    after kyle died another story came out. a probation officer went to the school system next to ours to speak with a student. while there he found a student using dust off in the bathroom. this student told him about another student who also had some in his locker. this is a rather affluent school system. they will tell you they don't have a drug problem there.
    they don't even have a dare or plus program there. so rather than tell everyone about this "new" way of getting high they found, they hid it. the probation officer told the media after kyle's death and they, the school, then admitted to it. i know that if they would have told the media and i had heard, it wouldn't have been in my house.

    we need to get this out of our homes and school computer labs. using dust off isn't new and some "professionals" do know about it. it just isn't talked about much, except by the kids. they all seem to know about it. april 2nd was 1 month since kyle died. april 5th would have been his 15th birthday. and every weekday i catch myself sitting on the living room couch at 2:30 in the afternoon and waiting to see him get off the bus. i know kyle is in heaven but i cant help but wonder if i died and went to hell."
    sherry
    wow - - this is way to scary - i will never keep more than one can at a time and hidden from the kids. when they get to finding it we wil just have to not buy it. dang -how do kids come up with all this stuff. there is so much weird stuff compared to when we were kids. sigh - tough to be a parent these days. thanks for alerting us.
  3. by   pinoyRN_23
    wow this thread is very informative..im a new grad and just passed my nclex exam 2 weeks ago.. i was thinkin of pursuing my career in this area but im just not that confident yet that i can handle it well..

    besides ER,im thinkin about NICU...inot quite sure which road to take though..
    any advice?
  4. by   marybethm
    You don't have to know everything before you get to an ER...you just have to be willing to learn. I worked in an ER for ten years and it changed my life. You become much more confident, develop great decision-making skills and don't mind being vocal. It has served me well for every phase of my life and I think in every other job I've had since, I've been a much better nurse due to my ER experience. School nurse, camp nurse, Public Health nurse. It's the best teacher I could ever have had.

    NICU is great but has a much narrower focus. I would just go for what interests you the most...you don't have to be an expert before you go in...you learn as you go.

    I took a trauma class years ago at Cook County Trauma Unit in Chicago which was pretty well-known at the time for it's excellence and they liked to hire new grads so they could train them their way. So don't worry about being a new grad. Just want to learn everything you can and you'll be fine.
  5. by   pinoyRN_23
    thanks marybethm,i really like ER and i couldnt agree even more with you that my experiences there would be really life changing..thanks for your advice.. am soo willing to learn cuz nobody wants to screw up in the ER right?..thanks to you..
  6. by   Havin' A Party!
    About to start in the ER. Thanks, Shill for trying to be helpful. Much appreciated.

    Wishing you a full recovery.
  7. by   rose1135
    This thread is a great resource. As a new grad in the ER I am looking for ANY and ALL advice!! Thanks again, and keep up the great informative posts..
  8. by   RNinED
    Thankyou for the list and no ofense taken for anything I already knew. This would have been so helpful 3 yrs ago when I started in my little ED. I had never needed to give flouroscein until then, though I had several yrs on monitored care/ ICU and believed I was well prepared for the high acuity of the ED. I had no idea of the broad spectrum of nursing care it would require. Any thing that is positive that will help others (no matter how new or experienced ) is appreciated.
  9. by   idontwin
    What happened to ER102?
  10. by   Raebeth
    Very comprehensive and helpful. Thank you!
  11. by   SDS_RN
    Great info on this site. I have only been in the ED for about 2 months and also have not had a lot of experience in certain areas yet. Some of the info I've been reading is familiar and some of it is new to me and will definatly help me in practice. Thanks.
  12. by   SecondGenRN
    Hi there
    I realise this is a very old thread, but I had a quick question about ET meds... I was taught that the acronym for ET meds was NAVEL
    Narcan
    Atropine
    Vasopressin
    Epinephrine
    Lidocaine

    Is the other list an older version? I just took ACLS for the first time last month so I'm not familiar with the older standards
  13. by   mmutk
    hmmm well I have never heard of NAVEL...The current EMT-P Curriculum (National Registry) Uses LEAN...
    Lido,
    Epi,
    Atropine,
    Narcan

    It seems he V could sometimes be confused as Versed OR Vecuronium which CANNOT be used down the ET Tube so NAVEL doesn't sound good to me.

    Luckily with recent advances in IO access, the ET Tube isn't used as often as it used to be for emergency administration of drugs.

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