pmath_RRT

pmath_RRT

Respiratory Care

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All Content by pmath_RRT

  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

  16. Judging when to suction trach

    pmath_RRT replied to Maddy_Rose's topic in Pulmonary

    Suction PRN. You can cause mucosal damage thus causing the pt to bleed in their airway. If the pt isn't able to cough it up through the trach or is desatting then suction. If they can cough it out...

  17. Do you humidify high-flow oxygen with a nonrebreather?

    pmath_RRT replied to Freedom42's topic in Pulmonary

    Non-rebreather masks are not high flow oxygen. In order for a device to be considered high flow it must guarantee a specific FiO2 regardless of the pts rate/depth of breathing. A NRM by the textbook...

  18. Treating Bipap Induced Hypotension

    pmath_RRT replied to Catticus11's topic in Critical Care

    As an RT I would like to ask why they are starting biPAP on a person that is fully compensated? Unless this pt was tachypnic and they wanted it for WOB. You will blow off too much CO2 and the pt will...