Anaphylaxis

caroladybelle, BSN, RN · Sep 17, 2003

Originally posted by angelbear
Laurlaur, Unfortunately tweety is correct it does help for nurses to develope a thick skin. Nurses really do eat their young and very often their not so young. I personally have had a very hard time developing that thick skin. Take heart though most of the nastiness is reserved for coworkers patient care is usually quite kind and compassionate.

Exactly what was "nastiness" and "bombardment needing armour" about either sjoe, mintjulep, or for that matter my response. There is nothing remotely nasty, insulting or rude in those posts. They are appropriate in tone.

The OP asked a question. It was answered in polite language with an appropriate answer - WITH NO NASTINESS OR RUDENESS. As I have posted before many times, reqretfully it was not the answer that the poster wanted and that upset him/her. BUT IT WAS STILL POLITELY ANSWERED.

Then we have comments about "eating young" and "nastiness is reserved for coworkers", from someone else. WHEN THERE WAS NOTHING REMOTELY NASTY IN THE ORIGINAL RESPONSES!!!!!

I suggest that some posters need to look to themselves to see the "nastiness" that they are projecting on to others. A mirror might be helpful.

Mint Julip · Sep 18, 2003

This is totally absurd. What was so rude about the response I gave? I simply said that information could be found in her school books. That was harsh I know. As far as being nasty or eating my young that is the furthest thing from the truth. In all of the messages I have posted on this bb I have never once written anything derogatory about anyone and I don't treat my coworkers that way either. That's not my style. So, please tell me how in the world anyone would know anything about my character simply from reading one sentence? Get off of your high horses. There are no saints on this bb.

MomNRN, BSN, RN · Sep 18, 2003

All I had to do was read the first couple lines of your responses to know they were abrupt and border on rude. I continued to read the rest of the replies because I knew it would turn into a hot tamale.

Instead of telling her to consult a textbook, why not just choose not to reply. I always assume the students are wise enough to check a textbook. If I think they aren't or are fishing for easy answer, I just keep on scrolling down.

The boards do tend to get a bit abusive. Unfortunately, it goes with the territory.

acuteobrn · Sep 18, 2003

Hey,

I know the frustration of reading a couple of hundred pages a week for school. Best way to learn is from the experiences of others, at least for me, the story sticks in my mind and makes more sence. I have a photographic memory, can usually recite text back but nothing is as good as a good clinical story. I tend to remember better that way.

For your Q: Think shock...anaphylaxsis is shock. Shock equals the sympatetic responce Inc. HR, RR, Dec. BP, Cool clammy skin, cough, wheeze, Dialated pupils, anxiety/apprehension.Sometimes the anxiety is the first clue w/ s/ LOC. Believe the pt when they tell you there is something not right. And just remember there doesn't have to be hives, rash or any other outward sign...and it happens FAST.

I have seen it clinically once d/t unkn PCN allergy: pt got anxious, burning sensation, got a little out of control, Big Change in MS, said her body felt tight...body went into shock, typical symptoms, from there stopped PCN, epi x two intubated (anesthesia happend to be on the unit) and given Solu-medrol I believe. Stablized, sent to ICU for obsv. for a day and marked w/ a big red PCN allergy sign...no long term sequalae.

So there is my story from new grad to new student...hope it helped.

Try E medicine, good info, not too dry also read the BB, there is a wealth of info here.

Good luck to you;)

caroladybelle, BSN, RN · Sep 18, 2003

Originally posted by MomNRN
All I had to do was read the first couple lines of your responses to know they were abrupt and bordering on rude.

The boards do tend to get a bit abusive. Unfortunately, it goes with the territory.

I suggest that you speak for yourself

THERE WERE NO FIRST COUPLE OF LINES!!!!!!!!!!!!!!!!

The responses were one and two lines apiece!!!!!!!!

and there was nothing ABUSIVE ABOUT THEM.

And as far as not responding, well how about those saying that they are being abusive and eating young, when they are so obviously not? They could have just as easily not responded either.

We have posters that complain when they do not get responses to their posts. We have posters that complain that the answers are not good enough or fast enough in coming. We have posters that complain about the responses they get, despite being polite in them. And then we have people complaining about abusiveness and nurse eating that just doesn't exist in the posted answers and nastiness that didn't come up until the "nice" people start slinging insults.

How do some people live their lives - SURROUNDED BY BUBBLE WRAP?????

Gesssshhhhh!!!!!!!!!!

MomNRN, BSN, RN · Sep 18, 2003

I'm sorry - perhaps I did not state that this was in MY OPINION. Yes the "unsupportive" posts were brusque. I remember thinking as I was reading that they were a bit over-the-top in regard to the simplicity of the question that was asked. My mother's mantra was always, "If you can't say something nice, don't say anything at all." I guess I still feel that way.

While some posters feel the need to reply to every post is beyond me. I guess I would assume if there were no answers to my post, I should find the info on my own.

In the same regard, has nursing school been that long ago that we can't remember what it was like to struggle? Sure there is alot of info in texts, manuals, references books and the computer, but sometime it is nice to commiserate and share your question. Don't we always tell our children, "There are no dumb questions?"

I have to tell you I very rarely get involved in catfights on the board - it is not worth my time, but this time I felt an innocent got shot down. No need for bubblewrap, just compassion and a willingess to share what we learned.

Home Health Columnist / Guide · Sep 18, 2003

Here are two personal scenerios I've been involved in.

Working as camp RN, I was away during daytime at regular visiting nurse job. Came back to camp at 7PM to hear that one camper with history of asthma had a bee sting earlier in the day. She had come back to infirmary wheezing around 3 PM and was given albuterol nebulizer treatment. When I saw her at 7:30PM she had resp rate of 28, diffuse wheeze with very tight chest, very anxious, pure white hands and heart rate of 120-140. Pediatrician was immediately contacted, stat minimeb repeated x 2, epipen used and 50 mg Benadryl and 120 mg Prednisone PO were given. Symptoms resolved over next hour. She continued on prednisone for 5 days. This was a delayed analyphylaxis reaction. Other RN hadn't realized that bee sting could cause delayed symptoms.

Son with hx mild asthma and tree allergies came home from neighbors complaining of itchy throat. Drank milk to relieve itch. Starting coughing after 15 min. Called neighbors to find he had eaten only 1/2 cashew nut. Gave him 25 mg benadyl due to wheezing and started albuterol nebulizer treatment. Face was red, voice hoorifice went up an octive at end of neb tx then he turned LOBSTER RED. Rushed to ER 5 minutes away --treated with epinephrine, IV solumedrol, IV pepcid, IV Benadryl, 10 liters Oxygen and albuterol minineb treatment. It took 10 hours to stop wheezing and was in hospital 24 hours.Luckliy no intubation.

Coninuted on prednisone for a week. He received allergy shots and carries an epipen, reads labels and avoids all tree nut products.

Hope this helps.

Marie_LPN, RN, LPN, RN · Sep 18, 2003

Reading some prior posts, it obviously doesn't take much to get some ppl's white undies in an uproar.

I look up something first, then i post if i can't find it, plain and simple. Then there's always "yahoo", or also researching past threads here. Because i realize that by asking a question, i could be trolling for all answers to an assignment i'm working on, a LOT of people do that, which is why some respose are like "look it up".

My own personal experience with anaphylaxis is with jalapeno peppers or poison oak, ivy, or sumac, i now have the Epipen when i encounter any of it. Feels like a large hand squeezing my throat.

Now for the mentioning of this board being "abusive". No i won't because by telling someone something they don't want to hear then I'M an abuser too. Forget that.

( And I've also noticed that the A word gets used 99% of the time when a person doesn't get the answer they want to hear/read.)