MunoRN 43,468 Views
Joined Nov 18, '10 - from '.'.
MunoRN is a Critical Care.
She has '10' year(s) of experience.
Posts: 8,042 (70% Liked)
Lidocaine gtt is generally only considered effective for drug induced long-qt ventricular arrhythmias, it is of little benefit in congenital long-qt syndrome which is treated with magnesium and defibrillation and can be successfully avoided with intermittent overdrive pacing (typically with a paced rate of 120 or greater).
Confusion is not uncommon with systemic lidocaine treatment, if that's what you mean by "weird", but delirium is not uncommon in patients having recurrent torsades due to congenital long-qt, due to the need for versed, shocks, stress, anxiety, etc.
For most if us, our reasons for finding the idea universal healthcare to be horrific, have nothing to to with the constitution.
"1. How would you fix the ACA?"
By repealing it completely; government should have minimal involvement in health care.
"2. What is the perfect healthcare system for the U.S?"
EMBRACE Single System (not Single Payer) Healthcare System- An Introduction - YouTube might good if it grabs traction.
After that I was afraid to give her pain meds every hour.
If you're concerned about your license then you should be just as concerned about holding indicated meds without any apparent rationale other than what appears to be a personal bias. I get that it often feels like you're losing some sort of personal battle every time you give a patient an opiate where there is some component of seeking involved, but it's important to keep that separate from an objective assessment of whether or not the medication should be held, particularly in a post-surgical patient.
It would be reasonable given that list to ask that it be condensed to a single long acting and prn order in addition to the toradol. but the doses are all relative and can't really be compared to every other patient, it's quite possible that giving a Norco or two to another patient is far more risky than giving an opiate tolerant patient 4mg of dilaudid.
Let me ask you about your comments.
You mentioned making any cuts to Medicare is bad. Immoral is the term you used. 25% of the population is on it, according to you.
How I took it was that you think even more people should have to rely on the government for healthcare. Am I wrong?
Or should we work to a solution where fewer people rely on the government?
Is it moral to leave Medicare alone and simply let it go broke?
Sorry about that. Let's try again.
Noncitizen illegal vote number higher than estimated - Washington Times
Several people brought up treason, starting with Tim Kaine. Nancy Pelosi said something about "crimes of espionage". And on this thread, people such as Nel said he was guilty of treason.
PA caths feed our thirst for numbers, but even proficient management of those numbers doesn't change patient outcomes in most of the patients we've used PA caths for. Many years ago they were common for severe sepsis, then it was just OHS patients, now they're only considered useful in OHS patients with marked LV dysfunction, otherwise even open hearts don't benefit from them. Wedging the PA cath carries a high risk of complications and death, at my current facility wedging is only allowed on initial placement, even by MDs.
Dershowitz on Trump/Russia Investigation: Stop Accusing People Of Crimes When There Is No Evidence Of Crimes | Video | RealClearPolitics
And Steny Hoyer is out there blaming republicans for not fixing Obamacare.
None of that answers the question as to why she was allowed to overstay that special visa she had gotten from the Obama administration.
I've agreed to this point that the Trump campaign cooperation with the Russians has been all smoke and no fire, a very unusual amount of smoke to be around without any fire, but all smoke nonetheless. I don't see how it's possible to look right at the fire which is now clear to see and say it doesn't exist.
I'm not sure what's left to argue at this point, here's what we know from what Don Jr has told us: He was offered information obtained by an adversarial government and told that this information was being offered on behalf of the Russian government as part of their desire to help Trump become president, he enthusiastically took the meeting. Game over.
Charles Krauthammer pretty well sums it up:
Charles Krauthammer: Bungled collusion is still collusion
You're injecting your sister with dietary supplements you got from Russia?
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