Jolie 22,652 Views
Joined Oct 17, '01.
Posts: 9,425 (48% Liked)
I encourage you to consider that providing supplemental oxygen in and of itself will not reduce the baby's work of breathing.
Grunting, retracting and nasal flaring are all indicators that an infant is working too hard to move air in and out of the lungs. While the oxygen saturation may temporarily hold in the "OK" range of 93-95%, the baby is likely to decompensate and supplemental oxygen alone won't be sufficient to rescue the baby at that point.
The least invasive means of supporting a baby who is working hard to breathe is prone positioning with the head of bed elevated. Bracing the sternum and ribcage against a firm mattress lessens the work of breathing, and may buy you time to set up a high flow cannula or CPAP at the bedside. It is best to intervene with these measures before the baby is completely exhausted and needs intubation and ventilation.
They do. They are magic.
Tell them they can have their ammonia inhalers when they stop ostracizing kids from school for a single nit.
You'll need them for the increased incidence of fainting
Honestly, I've never used one. Do they really work?
What do your state and school district allow to be dispensed without a provider's order and/or parental consent? Makes no sense to keep anything on hand in a classroom that might lead to compliance issues with the regulations that guide your practice as well as policy and procedure.
Vinyl gloves. Soap. Water. Bandaids. Maybe individual packets of petroleum jelly.
Anything else will probably cause more trouble than it's worth.
Re: other countries' immigration rules....do you know how easy it was for me to get into [insert Central American country here] last month? I literally walked up to the customs guy, handed him $10 and my passport. He asked me what I do for a living, not that it mattered much. He handed me my passport and my stamped tourist card back and said, "Welcome to our country." The tourist card had a space for passport number and nationality, neither of which did he bother to fill in. 90-day tourist cards and permanent residency are not the same thing, I get it. But try getting to the US that easily - and legally - from Mexico or Central America. They are way more generous to us than we are to them, and it's not like they have good reason to be. We have a lot of Mexican/Central American blood on our hands.[/QUOTE]
I believe you are missing a simple and obvious point. The Central American country you visited didn't welcome you with open arms out of generosity. They warmly welcomed you because it was to their economic advantage to do so. They didn't check your profession or desired length of stay because it was all irrelevant to them. Regardless of your reason for visiting (business, personal, voluntourism, even nefarious activities), your visit left their country better off financially.
The same can not be said for most crossing the borders into our country. That doesn't mean that we should refuse entry to all, but it does mean that we must be judicious in planning and pacing immigration so that we can absorb those who enter our country in a manner that betters their lives without overburdening our citizens and legal immigrants and visitors.
You discuss the possibility of our citizens someday being financially disadvantaged and seeking refuge in other countries. I daresay that if/when Americans are perceived to be a financial detriment, your Central American welcome would be far less generous.
I don't mean that as a slam on another nation. I fully understand there are necessary limitations in the care and protection of one's own citizens.
Other posters have disputed that 650 number. I mean seriously, if I heard that I would immediately "use an internet search engine" for some backup like I do with all outrageous claims.
Where did you hear that?
171,109 people participated in the 2016 Iowa Democratic caucus. Some precincts ran out of ballots.
Some friends of mine that are Bernie fans are bitter about this, and some left wing press is reporting it. Perhaps like me, if fell under their radar. The Sander's campaign isn't making a big deal about it, because obviously they understand the process.
I've only just heard about the Super Delegates....guess I haven't paid attention. Bernie Sanders fans are understandably upset at this development.
Still it's not a rule Mrs. Clinton made up.
Pope Frank said climate change is real. Is that what you mean by too political?
Is your friend cool with Trump saying Mexicans are murderers and rapists?
Donald Trump slams Pope Francis for Mexico visit - UPI.com
The Pope is visiting border towns affected by drug cartel wars next week and Trump says the Pope is just being "a very political person" and that he doesnt understand why we need a wall.
Great campaign strategy. Insult the Pope, Catholics, Italy, Mexico, Latino Americans and El Chapo.
I'm sorry for your situation and send my best wishes to you and your baby.
One reason for the pregnancy question is that it may impact Occupational Health decisions regarding vaccinations, TB testing vs. chest X-ray and clinical placement in settings with high-risk exposure to teratogenic agents such as X-rays, chemotherapy and certain viral infections.
Please be honest.
I understand and sympathize with the patient in the original example. Who among us has not at some point in time, even momentarily, thought about harming ourselves or someone else? And as we have read in previous posts and know from our own experiences, individuals are sometimes miscast by over-zealous, well-meaning or just plain incompetent practitioners.
My daughter is a college junior majoring in something as far removed from healthcare as possible . Prior to Christmas vacation, she experienced a couple of episodes that sounded to me like panic attacks. At the time, she was planning an elective surgery and shortly thereafter, scheduled to start an intensive practicum for her major. She is not one to share her thoughts, feelings or moods freely, and it doesn't surprise me to know that she experienced the symptoms she described. She made an appointment with our family doctor, had an exam & labs to rule out a physical cause and decided to consult with a therapist.
She called me last week following the appointment. She knows this woman from campus and would have preferred an appointment with someone else, but didn't want to wait too long for an initial consult. She described the stressors of the last few months, as well as the episodes that involved waking during the night feeling short of breath, among other things. After a few brief questions, the therapist told my daughter that she needs a psychiatric referral due to self harm. My daughter questioned whether the therapist had listened and heard her correctly. She emphatically stated that she was not, and had no intention to, harm herself, and didn't understand how the therapist construed awakening with distressing symptoms an indication of self harm.
Dear Daughter left the office and called a psychologist friend of hers (a former professor) who kindly gave her a phone consult offering some reading material, along with the professional opinion the therapist is a wack-a-doodle, and she should hold out for an appointment with the person she wanted to see in the first place.
These experiences, unfortunately, leave lasting impressions.
There is a local pharmacy that provides Epi-ens to our school district at cost. Perhaps you could check with local pharmacies, hospitals, EMS systems to see if they would be able and willing to partner with you on this.
Do you mean that your school has money to spend and you can ask for some via a grant request?
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