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?

[NephroBSN, BSN, RN]

Not really the same issue. I enjoy my classmates and the ones a year behind me. You tell people things that aren't true for the sake of convenience. So your instance is not really like the joke about junior students.

I never said it was.. I said it was a joke for this board......

So if it quacks like a duck and it waddles like a duck it might not be a duck?????????????????

BTW I always ask for an Anesthelogist.

[yoga crna]

]BTW I always ask for an Anesthelogist.

You get what you deserve.

Now go start painful IVs on your poor suffering patients and leave us CRNAs to give great professional care. You would probably be happier posting on a board with less educated uncaring nurses and let us discuss useful clinical and scientific topics.

[susswood]

I hate to break the mood here.... but for anyone who may be interested in exercise induced asthma.... 2 pre-emptive puffs of albuterol prior to exercise often prevents exaccerbations.

Feel free to go on with the other banter........

[NephroBSN, BSN, RN]

You get what you deserve.

Now go start painful IVs on your poor suffering patients and leave us CRNAs to give great professional care. You would probably be happier posting on a board with less educated uncaring nurses and let us discuss useful clinical and scientific topics.

Well the next time I have a patient "request" lido I'll give ya'll a call.

OMG I'm a poet and don't know it.........

[NephroBSN, BSN, RN]

Call me slow to catch on as I'm from the South and all, but what I understand thus far is that your ? key is about to call it quits. He said he was tired of being pushed around. :rotfl:

I really don't have a care in the world what the Red Cross does. People go there out of a feeling of contributing to their fellow man and society. If it hurts a little, then that is something to be proud of. I know what we in anesthesia try and do, and that is to make MOST people comfortable when facing surgery. I am sorry that RN didn't listen to you. Maybe she was a moron. Who knows? A patient of mine wants no lido, fine with me. But a greater overwhelming majority of pts will say they like lido.

Maybe the ARC should take notice.

I'm amazed you don't know the answer..

LIDOCAINE is a prescription drug.. The Red Cross has no MD or CRNA present to prescribe it.

[NephroBSN, BSN, RN]

You get what you deserve.

Now go start painful IVs on your poor suffering patients and leave us CRNAs to give great professional care. You would probably be happier posting on a board with less educated uncaring nurses and let us discuss useful clinical and scientific topics.

Well bless my pee picking heart..

As Richard Pryor used to say "When I go into the woods to pick out my switch for you to beat me with I hope it meets with your approval"

[Pete495]

BTW I always ask for an Anesthelogist.

No offense, but You're really going to spark fires with comments like that on a CRNA board. So expect a little flaming

My .02 cents is that we have patients that come in all the time that are allergic to the earth, and they need 2 or 3 arm bands just to describe the allergies, which was really an unpleasant side effect to a medication he or she was given. That is why we ask specifically what the reaction was, so that we may determine whether it was a true allergy.

In any case, if you didn't want the lido, and she was going to give it to you anyway, I can see why you were upest, and she had no right to force it on you. However, my .02 cents is that Lidocaine is a drug I would not want to be allergic to, because I know as an RN it has the potential to save my life. That's like me saying I'm allergic to epinephrine or norepi.

Let the bantering continue....it gave me a good laugh this morning

[Retired R.N.]

There have been some heated comments about what is, or is not, an allergy; but so far nobody has posted a really good definition of allergy and compared it with a sensitivity.

My personal interest in the subject is wanting to know what I should tell people to absolutely guarantee that I will never be given Albuterol the next time I am taken to an emergency room because of an asthmatic episode. I doubt that I will be in any condition at that time to explain the difference between Proventil and Ventolin to anyone who is convinced that they are both chemically the same and can be substituted for each other with no adverse effects. It seems far simpler and more effective to wear a tag saying that I am "allergic" to Albuterol.

[CuttingEdgeRN]

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.

He ate the donuts TOO FAST and accidently BIT his thumb!

[NephroBSN, BSN, RN]

No offense, but You're really going to spark fires with comments like that on a CRNA board. So expect a little flaming

My .02 cents is that we have patients that come in all the time that are allergic to the earth, and they need 2 or 3 arm bands just to describe the allergies, which was really an unpleasant side effect to a medication he or she was given. That is why we ask specifically what the reaction was, so that we may determine whether it was a true allergy.

In any case, if you didn't want the lido, and she was going to give it to you anyway, I can see why you were upest, and she had no right to force it on you. However, my .02 cents is that Lidocaine is a drug I would not want to be allergic to, because I know as an RN it has the potential to save my life. That's like me saying I'm allergic to epinephrine or norepi.

Let the bantering continue....it gave me a good laugh this morning

In recalling the incident further she also said she liked using lido so she "could dig" if she needed to.. Now this was one RN to another. I know what digging is and what it entails. Imagine what another patient might have thought.

As for unpleasant side effects. Those can and do lead to full blown allergies. PCN being one of them for me.. I took it so much as a kid that when given it as an adult my airway started to close.. Yeah I ain't looking up anaphylaxsis... So those unpleasant side effects shouldn't be ignored

As for the Anesthelogist comment.. These CRNA's are afraid I'll go into V-Tach. Even though I have a living will and am a no code. I was just allying their fears of having to take care of me in that moment of indecision.

BTW I never said Lidocaine was actually on my chart as an allergy.. When it's foisted on my at an IV stick I will mention it. I do "list" it verbally when needed.

[NephroBSN, BSN, RN]

There have been some heated comments about what is, or is not, an allergy; but so far nobody has posted a really good definition of allergy and compared it with a sensitivity.

My personal interest in the subject is wanting to know what I should tell people to absolutely guarantee that I will never be given Albuterol the next time I am taken to an emergency room because of an asthmatic episode. I doubt that I will be in any condition at that time to explain the difference between Proventil and Ventolin to anyone who is convinced that they are both chemically the same and can be substituted for each other with no adverse effects. It seems far simpler and more effective to wear a tag saying that I am "allergic" to Albuterol.

Just don't wear your tag in the wrong environment.........

[NephroBSN, BSN, RN]

You get what you deserve.

Now go start painful IVs on your poor suffering patients and leave us CRNAs to give great professional care. You would probably be happier posting on a board with less educated uncaring nurses and let us discuss useful clinical and scientific topics.

Ok you come right on down to the local Dialysis unit. We'll let you put in 15's any day you want to. And when you use lidocaine as a local topical anesthetic and ruin the only life line a little 40k lady has YOU tell it to the vascular surgeon.