thanatos

thanatos

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About thanatos

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  1. Patients who steal from the ER

    stuff is constantly "walking" off...stethoscopes, reflex hammers, thermometers, diapers, tube gauze holder, and a doppler U/S. I had this one guy who was acting reeeeaaal weird...he took some splinting supplies and put a splint on one of his hands. ...
  2. difficult IV starts

    This topic has been addressed numerous times. If you do a search, you will find a plethora of useful information.
  3. Help, teaching 6th graders about handwashing

    I taught the same thing to my college speech class. I arrived to class early and put the glow stuff on the tables. I gave my presentation about halfway through the class (plenty of time for them to get the glow stuff on themselves). At the beginni...
  4. interesting...almost all of the kidney stone patients I have taken care of were not obese. I can only think of one that was. I wonder if there is an increase of a particular type of kidney stone, e.g. uric acid, calcium oxylate, etc? I will have t...
  5. HELP!!! with ACLS Drugs!

    yup...valium is no longer recommended to be given via ETT.
  6. PDA in the ER

    PDA = Personal Data Assistant, e.g. palm pilot.
  7. Challenge: 25 Words or Less

    flu. flu. flu. r/o appy. "fell on butt". flu. suicide attempt. positive M.I. . frequent flier..."sciatica". and dental pain. didn't have to speak spanish once!!
  8. puncture wound... what to do?

    All animal (including human) bites should be treated urgently. Antibiotics is the key. I've seen some cat bites turn ugly very rapidly which required hospitalization and IV abx. Even with thourough irrigation, antibiotics are needed. This is some...
  9. CCRN Preparation

    I found the following books very helpful: Critical Care Cerification: preparation, review, & practice exams. Thomas Ahrens & Donna Prentice. Pass CCRN! Robin Dennison. Core Curriculum for Critical Care Nursing. Alspach, Ed. Core Review fo...
  10. CEN test coming up

    ok, back to those mast trousers.... 2. what is the tx of choice for cat bites? tridil, Are you still using MAST pants for hypotension? Haven't seen them used in years. Also, regarding cat bites, I though Augmentin was the tx of choice; at least tha...
  11. Identifying main medical problem...

    If their GCS drops to a 5, they have, or will soon have, a serious problem with "A" & "B" of the ABCs, i.e. they will need assist with maintaining the airway & ventilating. C-collar (if c-spine injury cannot be ruled out). Intubate. That w...
  12. Kids and Gun powder!

    I agree w/ above poster re not using ice. But I don't understand about the Doc's comment about the cold water. Stopping the burning process is number one priority, i.e. douse w/ water. Was he referring to potential long term infections from not u...
  13. Identifying main medical problem...

    uuuummmmmm...how about all of the above. The fall caused the head injury...that caused the epidural bleed...that then caused increased ICP...and now it sounds like he may be herniating. Okay, seriously, what is his main promblem? I would say the ...
  14. svt question

    aaaahhhhhh! sustained VT, not supraventricular tachy. In order to be "sustained" it has to last 30 seconds or more. Here's a reference: http://www.merck.com/mmhe/sec03/ch027/ch027g.html Be careful w/ the SVT acronym. As far as I know, it is used ...
  15. svt question

    I'm confused (more so than usual)...could you please clarify? V tach and SVT (SUPRAventricular tachy.) are mutually exclusive. It's either one or the other. The length of time does not matter. Maybe I'm missing something?