Learning thread (ER medicine) - page 8

Heres an idea. once you learn something new regarding ER medicine, post it here. it will become a nice discussion and we can all learn something. post something that you think most ER rns wont... Read More

  1. by   MMARN
    WOOOO HOOOO!!! Love this thread. Thanks for starting it!!
  2. by   erjulie
    Quote from qanik
    Betablocker to decrease shearing effect of nipride. Reasearch shows you are better off with a gtt of esmolol then a repeated single dosing of other beta blockers.

    Qanik
    what does shearing effect mean? what's the mechanism? Thanks!
  3. by   TRAMA1RN
    Just learned this from a visiting ER doc. When you have a child brought in by parents with the complaint that the child will not stop crying, what should you look for?

    Corneal abrasions, scratches. Young children are always scratching at their faces and cannot see the long hair from their mothers or others holding them and this can result in scratches, very painful.
  4. by   jbird125
    Quote from nightngale1998
    Okay, I just took TNCC for the 1st time and thought this was cool to know (don't stone me if it is too easy):

    Why is it not okay to have a young child flat on a back board? What else do you need to do?
    They all got the answers right for this one, however one thing that has taken off in the UK particuly with london ambulance staff is using a leg vacum splint for the child, after all the child is not beig enough to put on an adult board (and we don't have small ones), this also makes it more comfortable for the child.
  5. by   zaleah
    Exciting learning on night shift....
    Why should you not give 1:1000 Epi IV for an allergic rx? (0.3 ml's slow push)
  6. by   zaleah
    reply to er julie
    Shearing is just what it sounds like. A single structure ripped apart ie. a spleen or a brain, shearing from the lining....(very bad as they it ussually just results in little tiny bleeds that are not able to recover from...bad, bad, bad.....) it tears apart, not like nice neat stab wounds or bullet wounds, however sheared skin is treated like a burn Ie. road rash...
    Am I right?
  7. by   carachel2
    Quote from thanatos
    Why is it important to alkalinize the urine of an aspirin OD? I'm looking for the specific mechanism that leads to increased elimination from the body.

    Coming in late and this may have been answered, but you need to alkalinize the urine of an ASA overdose patient so the acid will transfer out through the urine. It is a concept called "pH partitioning" and based on the idea that particles will ionize in pH environment that is opposite of their current one. I am post final exam this morning so I'm a little muddly, but you can get the point.
  8. by   zaleah
    Just read the whole thread, and not just the last page--did not realize you meant shearing regarding a nipride gtt, which thank god was answered because I have never heard of that.......LOL.....and I have been doing this a looooooonnnnnnggggg time!!!!!!! Mind, we do not use nipride often any more, don't even stock it......
  9. by   zaleah
    Some one reply to the epi question....I am itching to tell about the 1 in 10,000 response that we saw........
  10. by   CoolhandHutch
    FYI: Did you know that if you need the height of a patient( for instance, bedbound pts that cant stand), you have pt stretch arms out to side. The distance from fingertips (from left and right) is same as pts height. Try it on yourself.
    Name the condition your patient has where this wouldn't work...and don't say "amputees" :roll
  11. by   RNCENCCRNNREMTP
    Quote from CoolhandHutch
    Name the condition your patient has where this wouldn't work...and don't say "amputees" :roll
    Marfan's Syndrome
  12. by   RNCENCCRNNREMTP
    Quote from evilnightwitch
    Just learned this from a visiting ER doc. When you have a child brought in by parents with the complaint that the child will not stop crying, what should you look for?

    Corneal abrasions, scratches. Young children are always scratching at their faces and cannot see the long hair from their mothers or others holding them and this can result in scratches, very painful.
    Also hair tourniquets on fingers, toes and penis
  13. by   carachel2
    Quote from zaleah
    Exciting learning on night shift....
    Why should you not give 1:1000 Epi IV for an allergic rx? (0.3 ml's slow push)

    Because you probably kill your patient ?!! Wrong strength. 1:1000 strength is always subQ, right ?

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