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]

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.

Actually, lidocaine allergy was never intended to be the topic of this thread.

[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

BUT.............IF one is allergic to it. It has a greater potential to kill them

[Retired R.N.]

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

And just WHERE, pray tell, is the wrong environment for a person to wear a Medic-Alert tag?

[athomas91]

nephrobsn...:rotfl:

are you serious..... yoga, is she serious??

anyway... if you are such an accomplished dialysis rn (or whatever it is you do...) then i don't understand why you couldn't tell the nurse not to use lido - and if she still intended on doing it...tell her you were an rn and you had a right to refuse it... but instead you tell her you are allergic because it was easy?? i guess you don't think that anyone would then go back and write that on a chart...

and you keep talking about this no code bulls#%^... lido can be give IV for many things other than a code my friend...but...don't worry - we'll make sure not to give you any... too bad about those runs of vtach... :)

[NephroBSN, BSN, RN]

And just WHERE, pray tell, is the wrong environment for a person to wear a Medic-Alert tag?

Haven't you been paying attention

[NephroBSN, BSN, RN]

nephrobsn...:rotfl:

are you serious..... yoga, is she serious??

anyway... if you are such an accomplished dialysis rn (or whatever it is you do...) then i don't understand why you couldn't tell the nurse not to use lido - and if she still intended on doing it...tell her you were an rn and you had a right to refuse it... but instead you tell her you are allergic because it was easy?? i guess you don't think that anyone would then go back and write that on a chart...

and you keep talking about this no code bulls#%^... lido can be give IV for many things other than a code my friend...but...don't worry - we'll make sure not to give you any... too bad about those runs of vtach... :)

NOW HEAR THIS

I could tell "them" but it seems that they've decided every PIV requires LIDO...

And I did tell her twice. I had to get her attention somehow Allergic seems to perk up some ears.

She knew I was an RN and I had worked with her before in ACU.

She wanted to did.. " I give lido so I can dig" and that's a quote.

Try to get all the facts ok?????

I was just sticking with the experts here who wanted to give it for V-Tach that was my response.

[susswood]

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

Not true. 4% Lidocaine cream (LMX) is available over the counter. It is about 40 bucks for 30 grams.

[athomas91]

i think we all have the facts... you are fighting a misled and invalid point that calling something an "allergy" to get someone's attention is the appropriate thing to do... you are fighting it as hard as possible so that your action can be deemed "right" but stating it over and over again and shouting it from the roof-tops still doesn't make it correct...

repetition doesn't equal validity...

no one here is saying you should be given lido when you request not to have it. they are arguing that you quote it as an allergy when it is indeed not an allergy. you say it isn't charted as an allergy - but you over and over again have stated you clearly told another rn you are "allergic" ... all anyone is saying here is that the proper most appropriate and professional thing to do would be to pull away from the injection and tell the RN that you would hate to report her for giving a med you refused. so the fact that you shot off the hip and stated "i am allergic" to get her to stop is fine... but that is what it was... a off-cuff reaction... don't defend it as a well thought through logical and professional thing to do... that is where the reaction from all of the posters are coming from...

[versatile_kat]

I've read through most of this discussion with disbelief ... but, Nephro, here's something you may find interesting about when CRNAs administer life saving drugs - it's done intraoperatively. Which usually means you're DNR order no longer plays a part in your immediate care (or for 48 hours postoperatively in most institutions).

[CuttingEdgeRN]

I've read through most of this discussion with disbelief ... but, Nephro, here's something you may find interesting about when CRNAs administer life saving drugs - it's done intraoperatively. Which usually means you're DNR order no longer plays a part in your immediate care (or for 48 hours postoperatively in most institutions).

That's exactly how it is in our O.R. NO ONE is a DNR.

Did I guess correctly about the swollen thumb and donuts??? Did I win a prize?:biggringi

[athomas91]

cuttingedge - you won a box of donuts!!! way to go.

[deepz]

........She knew I was an RN and I had worked with her before in ACU.

She wanted to did.. " I give lido so I can dig" and that's a quote.

......

So this was someone who knew you well. Well......

I'm beginning to get the picture as to why someone might be motivated not to do as you say, Nephro!

.