GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Chest Wall Rigidity and Morphine

    GilaRRT replied to Virgo_RN's topic in Emergency

    Fentanyl is typically associated with chest wall rigidity, and I have never experienced this problem even after giving rather liberal doses. However, the case reports are undeniable. With morphine;...
  2. GilaRRT

    Young adults and MI

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    I was unaware that painkillers and antidepressants had anything to do with speeding metabolism. Thyroid medications, maybe. However, since we are waiting on toxicology, we really have no idea. Once...
  3. GilaRRT

    Young adults and MI

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    Again I ask, how do you know she had a "heart
  4. GilaRRT

    Young adults and MI

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    A tendency to be
  5. GilaRRT

    Death of the Physical Assessment

    GilaRRT replied to blondy2061h's topic in General Nursing

    Unless you fail to appreciate bowel sounds, then you continue to listen and listen? I never commented on lung sounds; however, how many people actually perform a proper IPPA pulmonary assessment? I do...
  6. GilaRRT

    Death of the Physical Assessment

    GilaRRT replied to blondy2061h's topic in General Nursing

    I think we need to look at things realistically guys. First, how many people actually do what we were taught? Remember, 5 minutes a quadrant from school? So, 20 minutes just listening to bowel sounds....
  7. GilaRRT

    Young adults and MI

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    There in fact is no question regarding this case. We do not even know a cause of death, therefore the question of MI is quite presumptuous. The question in a vacuum separate from the case at hand is...
  8. GilaRRT

    Young adults and MI

    GilaRRT replied to Blackheartednurse's topic in General Nursing

    Yeah, MI does not equal cardiac arrest and visa versa. I am not sure why people continue to fail to make the distinction? We have no idea what killed Mrs. Murphy and an investigation will likely tell...
  9. GilaRRT

    Heart that squeaks

    GilaRRT replied to bluebloods's topic in General Nursing

    You need to read the TOS, we are not able to give out medical advice. Please see your primary care provider if this concerns
  10. GilaRRT

    Tasers being used on mentally ill patients.

    GilaRRT replied to mmtk's topic in Patient Safety Issues

    That kind of thinking can get you seriously injured or killed. We should always put ourselves first regarding safety and security. At the end of the day, I have a family to return home to and people...
  11. GilaRRT

    Seriously I don't know

    GilaRRT replied to chelynn's topic in General Nursing

    LPN ~
  12. GilaRRT

    Acute MI

    GilaRRT replied to marlboroking's topic in General Nursing

    I wanted to expand on the hypotension concept because so many nurses have a poor understanding of ACS localization and the implications of the said localization. I agree, many people are told MI =...
  13. GilaRRT

    Acute MI

    GilaRRT replied to marlboroking's topic in General Nursing

    Yes and no regarding fluids as the localization of the MI will be very important. A hypotensive anterior/septal MI will have different implications than an inferior wall MI. In the setting of...
  14. GilaRRT

    Did I cause my patient to die faster?

    GilaRRT replied to lou_tango's topic in General Nursing

    The nurse is an idiot. I do not often directly call people such names, but picking on an aide in such a way deserves straight up language defining the emotional and cognitive deficits that someone...
  15. GilaRRT

    Vertical Gastric Sleeve for future nurse?

    GilaRRT replied to fortunato's topic in Health, Stress Management

    You need to read the TOS. We cannot give out medical advice, talk with your provider about this. Good
  16. GilaRRT

    what is the role of the CRNA in the ER and CODES?

    GilaRRT replied to LewisN's topic in Certified Registered Nurse Anesthetist, CRNA

    You already have an active thread on this very topic.
  17. GilaRRT

    Do you keep your license(s) in your wallet?

    GilaRRT replied to phoenixrn's topic in General Nursing

    I carry nothing. Have scanned credentials in my iPhone
  18. GilaRRT

    Chemistry skills relevant to nursing

    GilaRRT replied to futurenurse93's topic in General Nursing

    So, if we do not use chemistry, we simply give medications as ordered, without appreciating the physiology of the medications we administer? What about the concepts of energy production and protein...
  19. GilaRRT

    Chemistry skills relevant to nursing

    GilaRRT replied to futurenurse93's topic in General Nursing

    Chemistry is the foundation of everything, save for the study of fundamental particles and string theory. Chemistry explains the billions of hydrogen bonds present in our body, to the action of...
  20. GilaRRT

    Flight Nurse vs Flight Paramedic

    GilaRRT replied to FlyMurse's topic in Flight, Surface Transport

    CCEMTP is not a bad introduction. In fact, the first two weeks of my flight orientation was the CCEMTP course. If you have a little money and time a few great online courses exist. The Wingfield...
  21. GilaRRT

    Anesthesia

    GilaRRT replied to cmonkey's topic in Certified Registered Nurse Anesthetist, CRNA

    If you have a link, I would love to read the source. I agree that sux is associated with many side effects, especially in my area of the world where every other person is a non-compliant chronic...
  22. GilaRRT

    Anesthesia

    GilaRRT replied to cmonkey's topic in Certified Registered Nurse Anesthetist, CRNA

    It is being used in Europe, however. We can only hope they continue to have good experiences with sugammadex and it obtains FDA approval. However, IV paracetamol has been used safely and with...
  23. GilaRRT

    Administering Nasal Oxygen with a Humidifier

    GilaRRT replied to smita's topic in General Nursing

    Should be very safe for the most part. Infection is a concern with the bubble devices; however, it is far less a concern compared to a large volume nebulizer. In fact, newer standards are even...
  24. GilaRRT

    Excelsior College - Has anyone graduated from this online program?

    GilaRRT replied to Nurse Blondie's topic in Online Distance Learning

    This is a news
  25. GilaRRT

    Anesthesia

    GilaRRT replied to cmonkey's topic in Certified Registered Nurse Anesthetist, CRNA

    Possibly, I am not big on watching the tele say for my Xbox and a few select shows that I buy on