For physiology studs only..

[rn29306]

Allright guys. All you physiology masters pay attention. I need an explanation of what happened to me when I was in my early 20s.

DISCLAIMER: To the moderators, please don't can this thread. I am not seeking medical advice as this was a one-time occurence and I got a checkup soon after. All checked out OK. I AM NOT SEEKING MEDICAL ADVICE, just a physiological explanation.

Early 20s, better than average shape and build, but certainly not marathon runner shape (I guess as you will soon see). There is a place in Georgia called Kennesaw Mountain. It has a hiking trail up the mountain and then a paved road that circles the mountain all the way up, about 2 miles in distance. It is quite a steep road. I put on a very quality heart monitor and basically ran down the paved road as fast as I could. For 2 miles. Suprisingly it was not that hard, just put you feet in front of you. During this, I passed a car traveling down the road. No lie.

My HR peaked at 209 BPM which violates the 220 - your age formula.

Sustained HR in 180-195 range the trip down.

Afterwards for 3 days, anytime I took a more than normal, resting tidal volume breath an inspiratory wheeze developed and I had an irrestible urge to cough. Needless to say, this was worse than my nagging GF ever was.

I would assume I gave my self a stress test at that time. Never did I feel any CP or discomfort. I probably created a very large consumption / supply deficit because I was not breathing that hard (running down a hill ain't rocket science, just go with gravity) with such a high HR. But like I said, never any CP or discomfort.

Any takers on the cough and wheeze?

[yoga crna]

I usually don't get angry on this board, but I must take issue with Nephro's post regarding allergies. I am making an assumption that nephro is not a nurse, because I can't imagine an RN not knowing what the word "allergy" means. You have a right to your own opinions about how you feel about injections, but you do not have the right to change the definition of "allergy". This could lead to a very serious mishap with a patient if you do not understand allergy. I hope someone who does QA at your institution or a member of the Board on Nursing of your state is paying attention to your lack of critical knowledge. You do a major disservice to the nursing profession.

Yoga

[skipaway]

I usually don't get angry on this board, but I must take issue with Nephro's post regarding allergies. I am making an assumption that nephro is not a nurse, because I can't imagine an RN not knowing what the word "allergy" means. You have a right to your own opinions about how you feel about injections, but you do not have the right to change the definition of "allergy". This could lead to a very serious mishap with a patient if you do not understand allergy.

Yoga

I agree with Yoga here, I think you should substitute the word "intolerance" when you speak about your dislike of Lidocaine and Percocet.

[NephroBSN, BSN, RN]

I usually don't get angry on this board, but I must take issue with Nephro's post regarding allergies. I am making an assumption that nephro is not a nurse, because I can't imagine an RN not knowing what the word "allergy" means. You have a right to your own opinions about how you feel about injections, but you do not have the right to change the definition of "allergy". This could lead to a very serious mishap with a patient if you do not understand allergy. I hope someone who does QA at your institution or a member of the Board on Nursing of your state is paying attention to your lack of critical knowledge. You do a major disservice to the nursing profession.

Yoga

Excuse me I am not defining allergy. I am saying that nurses were forcing a drug on me that I didn't want. The way to get around that was to say I am allergic to it. I have a right to do that.

[NephroBSN, BSN, RN]

I agree with Yoga here, I think you should substitute the word "intolerance" when you speak about your dislike of Lidocaine and Percocet.

Do they put intolerance on the charts at your hospital.. This is done when I am a patient.. I have a right to refuse any medication I chose to.

[NephroBSN, BSN, RN]

I usually don't get angry on this board, but I must take issue with Nephro's post regarding allergies. I am making an assumption that nephro is not a nurse, because I can't imagine an RN not knowing what the word "allergy" means. You have a right to your own opinions about how you feel about injections, but you do not have the right to change the definition of "allergy". This could lead to a very serious mishap with a patient if you do not understand allergy. I hope someone who does QA at your institution or a member of the Board on Nursing of your state is paying attention to your lack of critical knowledge. You do a major disservice to the nursing profession.

Yoga

I am not telling any patient what to claim as an allergy. AAMOF I have told many patients who have a some slight itching that it is not truely an allergy but if they don't want to take a med they have a right to refuse it.

[zaggar]

I know you guys are enjoying a good semantic discussion over the term "allergy", but here's another question for physiology studs:

A friend of mine bought a dozen Krispy Kreme donuts for a charitable fundraiser. He didn't want to throw them away, so he wound up eating a whole dozen donuts all by himself. He never eats junk food like that.

The very same day, his thumb swelled up to twice the size.

His thumb had never swollen up before. He had never eaten a dozen Krispy Kreme donuts in a single day before. He is a young, healthy adult male who has had recent checkups.

Coincidence? If not, explain.

[MmacFN]

Hey Nephro

There is nothing wrong with refusing a drug because of preference. You may even go so far as to call it a sensitivity. There is certainly nothing wrong with saying its an allergy if you want to. Its a patients right to say anything, refuse anything they dont want. I have had many RNs tell me they were allegric to adenosine, which is physiologically impossible.

What yoga and the others here were getting upset about, i think, was that you suggested it "was" an allergy right from your initial post. This made it look like you were lacking an understanding of what it means, especially when you initially defended it.

no harm, no foul.

[NephroBSN, BSN, RN]

Hey Nephro

There is nothing wrong with refusing a drug because of preference. You may even go so far as to call it a sensitivity. There is certainly nothing wrong with saying its an allergy if you want to. Its a patients right to say anything, refuse anything they dont want. I have had many RNs tell me they were allegric to adenosine, which is physiologically impossible.

What yoga and the others here were getting upset about, i think, was that you suggested it "was" an allergy right from your initial post. This made it look like you were lacking an understanding of what it means, especially when you initially defended it.

no harm, no foul.

I know and the original post had nothing to do with this topic either.

I've never defended the use of topical lidocaine to start an IV that's what the initial post was all about on another thread.

[rayman]

It makes it an allergy if I say it is.. I also don't like the effect I got from Percocet I list it as an allergy. Some time I might not be able to speak. I don't want lidocaine under my skin.

I've had anestheologist start my IV's, yes I have terrible veins, and they didn't use lido.. Said I don't want to cover up what veins you do have.

I didn't like it when the ACU nurse just decided on her own to give me idocaine without asking me. I dont' like needles. One is enough for me.

And when I had the central line placed the surgeon used the spray.

Nephro, I respect your right to refuse a medication just as I would one of my patients. If you don't like needles and want to refuse the local for an iv, that is your perogative. "it makes it an allergy if I say it is"...yoga and skipaway are making very valid points in regard to this and your statement shows your ignorance and disregard for your alleged position as a RN. I hope by now you have researched the definition of an allergy and are not advising patients to use this word in this manner. If you are, you should think about the legal and ethical implications. Also by saying you are allergic to lido is doing yourself a disservice and may be potentially dangerous. Lidocaine is used during the course of surgeries in a manner other than as a local and would benefit you afterward but certainly someone such as your surgeon or anesthesia provider would have accurately determined your allergies beforehand. What about if you fibrillated or went into v-tach? Want to be allergic to lidocaine then? Of course they may think she will be dead if we don't give it so what's the harm...

[NephroBSN, BSN, RN]

It makes it an allergy if I say it is.. I also don't like the effect I got from Percocet I list it as an allergy. Some time I might not be able to speak. I don't want lidocaine under my skin.

I've had anestheologist start my IV's, yes I have terrible veins, and they didn't use lido.. Said I don't want to cover up what veins you do have.

I didn't like it when the ACU nurse just decided on her own to give me idocaine without asking me. I dont' like needles. One is enough for me.

And when I had the central line placed the surgeon used the spray.

Nephro, I respect your right to refuse a medication just as I would one of my patients. If you don't like needles and want to refuse the local for an iv, that is your perogative. "it makes it an allergy if I say it is"...yoga and skipaway are making very valid points in regard to this and your statement shows your ignorance and disregard for your alleged position as a RN. I hope by now you have researched the definition of an allergy and are not advising patients to use this word in this manner. If you are, you should think about the legal and ethical implications. Also by saying you are allergic to lido is doing yourself a disservice and may be potentially dangerous. Lidocaine is used during the course of surgeries in a manner other than as a local and would benefit you afterward but certainly someone such as your surgeon or anesthesia provider would have accurately determined your allergies beforehand. What about if you fibrillated or went into v-tach? Want to be allergic to lidocaine then? Of course they may think she will be dead if we don't give it so what's the harm...

AS I said before this is a subject from another thread. I do not advise patient's on their use/misuse of the word allergy.

It was a joke on the other thread and every one here has taken it out of context. By doing that you make all of us look._______________ you can fill in the blank.

Why not find the original post and refer to that. It was in another thread all together.

I am a no code. So I'll not worry about V-tach. All of this is a misunderstanding. I WAS the patient. I have a right to say I'm allergic to water if I want to. This has nothing to do with any patient but MYSELF.............

FYI the orginal post was about an ACU nurse using lidocaine to start my IV AFTER I told her I didn't want it. I told her again as she picked up the needle with lido in it that I didn't want it. And she tried to FORCE it on me saying it the IV wouldn't hurt with it. I again told her I didn't want it. She still picked up the lido and was about to administer it. That's when I had to say I was allergic to it. Get the point now????????????????

I have never incouraged a patient to list an untrue allergy. I don't know where you get that from?

[midwestsrna1]

Excuse me I am not defining allergy. I am saying that nurses were forcing a drug on me that I didn't want. The way to get around that was to say I am allergic to it. I have a right to do that.

As a healthcare provider you should realize the danger of incorrectly labeling something an allergy when it isn't (whether or not it's your right to lie is another topic that I don't really care about). You never know what situation you will be in some day and what medication could potentially bail you out (or would be most easily available-to my knowledge, lidocaine is the only antiarrhythmic agent in an emergency syringe, ready to go, in virtually every OR in the country...it's effectiveness is another discussion). Once something is in your medical records as an allergy, it is difficult to get that whole situation straightened out. I frequently see patients coming into the OR and the have the usual laundry list of allergies, many of which are sensitivities, intolerances, or side effects as discussed by others. I hate seeing "fake" allergies because you never know when that false info could negatively impact a pt's care.

[NephroBSN, BSN, RN]

As a healthcare provider you should realize the danger of incorrectly labeling something an allergy when it isn't (whether or not it's your right to lie is another topic that I don't really care about). You never know what situation you will be in some day and what medication could potentially bail you out (or would be most easily available-to my knowledge, lidocaine is the only antiarrhythmic agent in an emergency syringe, ready to go, in virtually every OR in the country...it's effectiveness is another discussion). Once something is in your medical records as an allergy, it is difficult to get that whole situation straightened out. I frequently see patients coming into the OR and the have the usual laundry list of allergies, many of which are sensitivities, intolerances, or side effects as discussed by others. I hate seeing "fake" allergies because you never know when that false info could negatively impact a pt's care.

OMG will you please read for content. And not jump to conclusions. This is all from another thread and not even pertinent to this discussion.

It was a joke............... JOKE. I was being forced to take a medication that IMHO is useless in the instance it was being used for.

I am not advocating false allegies..I don't know how you are even attempting to come to that conclusion.

As for IV lidocaine I'm a no code too. Is that ok with you?