GilaRRT

Member

  • Content

    1,905

  • Visitors

    17,805

  • Followers

    0

  • Likes

    38

All Content by GilaRRT

  1. GilaRRT

    New Grad: grunt work or unique abroad experience?

    GilaRRT replied to LuxCalidaNP's topic in General Nursing

    Do it, ghetto medicine and "clinical" diagnosis based on a good H&P is as good experience as you can find. It should be seen as an asset. My experiences in Afghanistan and Iraq were second to none...
  2. GilaRRT

    Nurses not speaking english at work

    GilaRRT replied to Guest296136's topic in General Nursing

    Meh, it's a way of life where I live. If they accept you and treat you well, who cares what language they speak during a meal
  3. GilaRRT

    What has happened to nursing?

    GilaRRT replied to mandm336's topic in General Nursing

    Nursing in the time of old Flo was pretty miserable IMHO. In addition, Flo was very good at politics, working the system and getting her way. In many ways, we are now better off due to the work of the...
  4. GilaRRT

    Neuro Yawn

    GilaRRT replied to MagpieCCRN's topic in General Nursing

    Typo I guess. If I'm not mistaken, Zofran may cause hiccups? I can only assume I was thinking about causes when I typed the post. Good
  5. GilaRRT

    Where are all of the "experienced nurses hiding?"

    GilaRRT replied to SWS RN's topic in General Nursing

    Meh, relax it's not all that
  6. GilaRRT

    Neuro Yawn

    GilaRRT replied to MagpieCCRN's topic in General Nursing

    Actually, the physiology of yawning is not well understood. Hyperventilation is a Peter and Paul situation in the setting of intracranial
  7. GilaRRT

    Neuro Yawn

    GilaRRT replied to MagpieCCRN's topic in General Nursing

    Nobody really knows the exact mechanisms behind yawning. Many theories exist but nothing definitive that I am aware of. Many medications including Zofran and Droperidol can be used for hiccup...
  8. GilaRRT

    How many mEq's of K would it take to kill a 54lb woman?

    GilaRRT replied to DaughteroftheKing's topic in General Nursing

    A very rough answer should be easy to find. Google is your friend. Search for the LD 50 of potassium chloride. This will most likely be in a gram or milligram per kilogram dose. Clearly, differences...
  9. GilaRRT

    A non-nurse who gets what nurses are about.

    GilaRRT replied to 3rdcareerRN's topic in General Nursing

    Agreed, many people make the world of medicine go round. To marginalise their role with overinflated self importance does little to promote the positive aspects of nursing. He seems to forget that...
  10. GilaRRT

    Pharm ???? grains converted to mg.

    GilaRRT replied to nursejackie2010's topic in General Nursing

    Living in the land of the southern cross, you most likely will never encounter a grain. However in the States we still have a few holdouts that insist a number system based on the factor of ten is...
  11. GilaRRT

    Pharm ???? grains converted to mg.

    GilaRRT replied to nursejackie2010's topic in General Nursing

    I worked with a surgeon some years back who wrote Tylenol and Aspirin orders in grains. However, I agree, this is an antiquated system and the conversion to metric is not exact in any event. The rest...
  12. GilaRRT

    DKA versus HHNK

    GilaRRT replied to flightnursetaylor's topic in General Nursing

    I think a more important consideration should be the emphasis on the pathophysiology between the two conditions. A fair amount of confusion about these two problems exist and focusing on the...
  13. GilaRRT

    Daytonite has passed away...

    GilaRRT replied to Brian's topic in General Nursing

    Thoughts and
  14. GilaRRT

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    No one ever listens or wins in a heated argument anyways. Try teaching them calmly and if you have to, back it up with supporting facts and not because, "I said so.". ( if that is the way of things)....
  15. GilaRRT

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    It can lower blood pressure in some cases, but this is much less likely with fentanyl compared to a medication like morphine. Just make sure the patient doesn't have COPD if you go above 2l. Why?...
  16. GilaRRT

    getting patients to use their incentive spirometer

    GilaRRT replied to angelsr28's topic in General Nursing

    IC is a curious dichotomy IMHO. If somebody is well enough to properly utilise it several times an hour as intended, do they actually need
  17. GilaRRT

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    However, increasing the FiO2 will do little in the way of enhancing oxygen delivery to the ischemic myocardium. While I am not against giving supplemental oxygen, in many cases the true benefit is...
  18. GilaRRT

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    Depends, if I am dealing with a RVI or hemodynamic instability, I'll use
  19. GilaRRT

    Addicted Nurses.. Who to blame !

    GilaRRT replied to hoope's topic in General Nursing

    It pretty common knowledge that addiction is bad. I would agree anecdotally that most people do not intend to be addicts; however, poor choices and behaviour often leads to dependancy and addiction....
  20. GilaRRT

    Do you admister oxygen on your floor to a pt complaing of chest pain?

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    I do it with the caveat that any patient who is saturating well with a decent A-a will not really benefit from oxygen. Yet, the chart and QA/QI police think otherwise. Beta blockers as immediate...
  21. GilaRRT

    Nurse on t.v. stripping!

    GilaRRT replied to NurseLoveJoy88's topic in General Nursing

    Meh, people are people regardless of profession or vocation. We have far bigger problems than a person stripping on the tele who happens to be a
  22. GilaRRT

    What do you know/have you been taught about Sepsis?

    GilaRRT replied to clemmm78's topic in General Nursing

    No need to reinvent the wheel. The surviving sepsis consensus statement and campaign is a good framework already in place: Surviving Sepsis
  23. GilaRRT

    Flight nurse qualifications

    GilaRRT replied to BMD5's topic in General Nursing

    There are companies who will hire a new grad, an RN with 1-2 years of experience. A better question may be "what experience should I have prior to looking for a job in the field?" Anecdotally, I find...
  24. GilaRRT

    Messy-sloppy MAR's!!

    GilaRRT replied to celticwoman61's topic in General Nursing

    Dude, I am saying... I have never worked a day of my career as a nurse on the floor. Now, I am spending all my time on the floor as an allied health student, and the MAR's are a disaster at every...
  25. GilaRRT

    Hyperosmolar Hyperglycemic Nonketotic Syndrome causes?

    GilaRRT replied to HenryHyde's topic in General Nursing

    I watched avenue Q too, I'm rather fond of the monster Internet song however. As a matter of fact, I am an educator. No schadenfreude intended, a push in the proper direction rather. Sometimes the...