pmath_RRT

pmath_RRT specializes in Respiratory Care.

Latest Activity

1. Proning patients, face and neck positioning

   pmath_RRT replied to Wildplaces's topic in MICU, SICU

   Your friendly RT should be taping the tubes as well. Using AnchorFasts cause soo much breakdown due to the hard plastic on them. I normally place a saline bag under their forehead and one on...

2. RN coworker discouraged me

   pmath_RRT replied to LPNwithBIGdreams's topic in General Nursing

   Confront her in a professional manner. Just tell her you don't appreciate her condescending comments about your personal life and you feel like she's creating a hostile environment. Majority of the...

3. Experiencing racism and xenophobia when coming to CA to help with Covid

   pmath_RRT replied to xwill327's topic in Activism, Healthcare

   Let's say you were in mgmt and what happened to you was brought to your attention. What would you do to handle this

4. Oxygen and the rebreather mask question

   pmath_RRT replied to Slipping CMA's topic in General Nursing

   Non-rebreather masks should not be set lower than 15L. You run it any lower than that you will cause the patient to rebreathe their CO2. The bag MUST be inflated at least 2/3rds full on peek...

5. Difficulty with respiratory issues as a new grad?

   pmath_RRT replied to Audacioustank's topic in General Nursing

   RT here, A lot of new grads/med/surg nurses tend to always think just because they hear a CHF pt with audible wheezing requires a dose of ALLBETTERol. Not all wheezes are due to bronchospasm. Think...

6. Uncontrolled asthma.

   pmath_RRT replied to SchoolNurse91's topic in School

   RT here, It sounds like this kid needs to be put on maintenance inhalers (LABAS) or maybe just an Inhaled corticosteroid. Also are you checking this kids peak flow? You guys should know what his...

7. Intubation turning into a code blue

   pmath_RRT replied to ICUisLife's topic in Critical Care

   Poor seal with mask. Always look for chest rise. Was it difficult to squeeze the bag? Yes I would have put in an oral airway, tongue could have been occluding the airway, if this were the case it...

8. Trach with oxygen

   pmath_RRT replied to LilyRN99's topic in Pulmonary

   A compressor only delivers RA. No matter what you set that dial on the aerosol bottle you will only get 21%. So it sounds like this pt is not on O2 but is on RA with

9. COPD and O2

   pmath_RRT replied to Dcsobe's topic in Pulmonary

   Hypoxic Drive...No! Its the Haladane Effet and V/Q mismatch. Remember that its called the hypoxic drive THEORY. It is just a theory, and nothing more. In my years of practicing as an RRT and seeing...

10. COPD and O2 use, am I wrong?

    pmath_RRT replied to tsm007's topic in Medical-Surgical

    Hypoxic drive THEORY. Notice I put theory in all caps because it is just a theory and actually more of a myth. Look into the Haldane effect and V/Q mismatch. Also if this pt has never had a PFT done...

11. Best choice for emergent desaturation in COPD

    pmath_RRT replied to CraftyKitten's topic in Medical-Surgical

    Sorry, no BiPAP for someone who is unresponsive. Patient cannot protect their airway with a mask strapped to their faces. Bipap requires patient participation as it is only for spontaneously breathing...

12. oxygen delivery with nasal cannula

    pmath_RRT replied to Fiioonnaa's topic in Pulmonary

    Yes there are these complex answers given by everyone in here but there is also a very simple explanation. The bubble humidifier is only meant for 6L. Exceeding this flow will cause the humidifier to...

13. ABG Results, Explain this to me....

    pmath_RRT replied to MillsAnthonyRNTL's topic in Critical Care

    Redraw. That is an false reading. Possibly air got into the sample or the ABG machine isn't calibrated right. Always "look at your patient". Do those results reflect how the pt

14. ARDS patient, dialysis

    pmath_RRT replied to zzyzx's topic in Critical Care

    Thats what we call a combined acidosis. The RT needs to fix those vent settings fast. And the docs need to get on that renal issue too. CRRT would help but we can blow that CO2 off to bring that pH...

15. Bipap/Cpap

    pmath_RRT replied to %)'s topic in Pulmonary

    BiPAP is considered "non-invasive ventilation". Therefore it is a