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Search Results Type: Posts; User: dmc_rrt

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  1. Trach suctioning. Bullet vs. no bullet
    We teach all our long term trach pts to use these, or sterile saline through a syringe, when they need to clear their secretions. Its NBD
    May 2, '11
    Forum: Pulmonary Nursing
  2. lung sounds with vent
    You can usually hear the different breath sounds with a vent. I don't know the circumstances, but rapid gunshots arn't normal vent sounds. I think you were probably hearing circuit noise. perhaps...
    May 2, '11
    Forum: Pulmonary Nursing
  3. respiratory distress vs respiraotry failure
    Simply put: Resp distress, which is increased WOB, will lead to resp failure when the muscles can no longer do the work. similar to untrained legs trying to run a marathon. ARDS is filling of the...
    May 2, '11
    Forum: Pulmonary Nursing
  4. Neb Tx after thoracotomy?
    You could give an epi neb I guess to try and slow any bleeding. I have an ENT Doc that likes to use a nebulized nasal decongestant (neo-synefrine) to stop bleeding.
    Mar 29, '11
    Forum: MICU / SICU Nursing
  5. respirator mask for copd patients
    If the Hypoxic Drive to Breath theory is correct, it should happen immediatly as soon as the PaO2 becomes greater then 60mmhg. When the PaO2 is less than 60mmhg the peripheral O2 recepters kick in....
    Mar 10, '11
    Forum: Pulmonary Nursing
  6. Trach patient in SNF?
    Cuffless, trached pt's should be able to go to any floor or facility, as long as proper education has been given to the staff.
    Mar 10, '11
    Forum: Pulmonary Nursing
  7. please help me to find the correct answer
    Answer D: The nurse should not be deflating the cuff to sxn. It is a new trach and no trach weaning trials have been performed yet. This means that the pt's airway is not protected and possible...
    Mar 10, '11
    Forum: Pulmonary Nursing
  8. Pulmonary Rehab
    It is possible, but it depends on how advanced her COPD is, and to how "healthy" or strong she is now, as to how long its going to take. The pulmonary function tests will tell you this. The way I...
    Mar 10, '11
    Forum: Pulmonary Nursing
  9. Questions on Mechanical Ventilators
    I agree with you, that oxygen toxicity does not fit. How can you get oxygen toxicity if you ventilate your pt with high volumes or pressures on an FiO2 of .21? High pressures and volumes do release...
    Dec 17, '10
    Forum: MICU / SICU Nursing
  10. Is a Bronchoscopy needed for pt who chokes on dinner?
    They might do a pharynoscopy to assess to compentency of the Larynx. This looks like a small bronchoscope.
    Nov 24, '10
    Forum: MICU / SICU Nursing
  11. COPD & NRB  your input please
    As an RT I would definetly put the pt. on the NRB. Actually it sounds like the pt needed BiPap more then anything. I have never seen a COPDer stop breathing from too much O2, and if it does you...
    Nov 22, '10
    Forum: Pulmonary Nursing
  12. Danger to self? help!
    I understand she was palliative, so the main objective here is to make the pt. and her family comfortable. The removal of O2 should not have been a problem, the lack of proper sedation is more of a...
    Nov 22, '10
    Forum: General Nursing Discussion
  13. USE of PF Ratio with ARDS
    Here is the ARDSnet protcol: NHLBI ARDS Network INCLUSION CRITERIA: Acute onset of 1. PaO2/FiO2 ≤ 300 (corrected for altitude) 2. Bilateral (patchy, diffuse, or homogeneous) infiltrates...
    Oct 23, '10
    Forum: MICU / SICU Nursing
  14. Central Line Insertion
    I say the Doc's retty lucky to have you there. I place femoral Central Lines and Have to get my own stuff together, and I am usually left alone, unlesss someone wants to watch. Tell him to quit his...
    Oct 6, '10
    Forum: MICU / SICU Nursing
  15. Dsitinguishing Breath Sounds
    Coarse crackles on expiration are usually due to secretions. I find that most pleural effusions present as diminished breath sounds. Remember the fluid is gravity dependant and will usually collect...
    Sep 17, '10
    Forum: Pulmonary Nursing
  16. Increase of super morbidly obese patients?
    Funny, an ER RN and myself were just talking about it this morning
    Sep 17, '10
    Forum: MICU / SICU Nursing
  17. Ambu bags (inpt)
    For cost effectiveness, my hospital has those mouth-to-mouth thingys, which to my own personal opinion are a joke. I have yet to see them used effectivly at the beggining of a code. The pt is blue,...
    Sep 12, '10
    Forum: General Nursing Discussion
  18. Hijab (headscarf) Nurses
    I've seen quite a few Drs. wear them too. they are all respected Pts. and peers.
    Aug 21, '10
    Forum: General Nursing Discussion
  19. communicating w/ pts on ventilators
    I have one pt that uses his i-touch
    Aug 1, '10
    Forum: MICU / SICU Nursing
  20. When to transition from non rebreather to bag valve mask?
    I agee with dano. Prior to intubation, if the pt can hold their sats close to 100% by breathing on their own, then use the NRBM. Bagging can cause increased anxiety, and gastric insufflation.
    Jul 28, '10
    Forum: MICU / SICU Nursing
  21. Need help on mark twain quote!
    I think that it means to sort through the BS of what you're tought, and find out for yourself what is real. Just because a teacher or a book tells you something doesn't make it true. This is why it...
    Jul 25, '10
    Forum: General Nursing Discussion
  22. Facilitating intubations
    Some of tythis stuff might have already been covered, but here's my 2 bits: 1. Get the bed ready, away from the wall, raisednup to about belly button level. 2. Suction ready 3. Pt on 100% O2 4....
    Jul 4, '10
    Forum: MICU / SICU Nursing
  23. Frustrated over a code
    I would write up an incident report in regards to the lack of training by the MRI/ ultrasound staff. Any person in the hospital should know that sats of 40% is not acceptable. They should have called...
    Jul 4, '10
    Forum: General Nursing Discussion
  24. Transporting Pt. on O2
    Your plastic tank sounds like a refillable liquid O2 tank. The plastic housing can get banged up, but it is there to protect the metal tank inside.
    Jun 3, '10
    Forum: Nursing Issues On Patient Safety
  25. Do your ICUs/hospitals offer all therapies?
    We have a 14 bed ICU. We don't offer PRISMA, HFOV, ECMO, we have NO but have not used it in 3 yrs. Any heart pts get transferred out to other hospitals for surgery. Our long term vents get...
    May 23, '10
    Forum: MICU / SICU Nursing


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