GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Question about Renal Failure

    GilaRRT replied to IcanHealYou's topic in General Nursing

    I am not sure you have a totally accurate clinical picture of renal failure, especially acute renal failure. In the setting of acute renal failure, the body is almost always not able to adapt to the...
  2. GilaRRT

    Sure signs your pt. is sick

    GilaRRT replied to danger's topic in Emergency

    Actually, CPR means the patient is
  3. GilaRRT

    trauma nurse course or prehospital trauma course

    GilaRRT replied to LPMRN's topic in General Nursing

    I have taken both TNCC & PHTLS. From a purely technical and psychomotor stance, PHTLS is the way to go. The curriculum is based on the ATLS curriculum and scenarios are dynamic and challenging. If...
  4. GilaRRT

    DKA question

    GilaRRT replied to IcanHealYou's topic in General Nursing

    No worries,
  5. GilaRRT

    DKA question

    GilaRRT replied to IcanHealYou's topic in General Nursing

    With an acute hypoglycemic event, there is not much time to mobilize alternative pathways. With DKA and conditions such as malnutrition, the body typically has a heads up. Remember, DKA is typically a...
  6. GilaRRT

    DKA question

    GilaRRT replied to IcanHealYou's topic in General Nursing

    Perhaps that was a little confusing. So, we have all this sugar outside that cannot enter due to lack of insulin. However, the fatty acids bypass this process and are turned into Acetyl-co-A. That...
  7. GilaRRT

    DKA question

    GilaRRT replied to IcanHealYou's topic in General Nursing

    I may cause more confusion without typing on a computer proper; however, remember back to your A&P & micro. Specifically, the molecular biology portions. Parts of gluconeogenesis can actually...
  8. GilaRRT

    DKA question

    GilaRRT replied to IcanHealYou's topic in General Nursing

    Great question and point. DKA is specific to diabetes, yet many other conditions can cause ketone production. Ketones in acute hypoglycemia is not typical, because glycolysis shuts down without...
  9. GilaRRT

    What's so stressful about working 3, 12hr shifts?

    GilaRRT replied to ArtisticAthlete's topic in General Nursing

    I read the post; however, as another person stated there are ways of asking a question to receive a positive or negative response. The fact that you emphasized the nurses day is "sooo stressful"...
  10. GilaRRT

    What's so stressful about working 3, 12hr shifts?

    GilaRRT replied to ArtisticAthlete's topic in General Nursing

    Thats why we have Allnurses! We can come here and whine, complain, and bicker. :lghmky: Better here than a bunch of unemployed
  11. GilaRRT

    What's so stressful about working 3, 12hr shifts?

    GilaRRT replied to ArtisticAthlete's topic in General Nursing

    You have got to be kidding!?!? Perhaps you could make comments about a nurses work schedule after you actually spend a few years working the said schedule? The problem is you assume that 36 hours is...
  12. GilaRRT

    Question about Desaturation

    GilaRRT replied to IcanHealYou's topic in General Nursing

    Let's complicate this a bit more, LOL. Technically, all of the above will at least indirectly effect the pulse oximetry values. As stated pulse oximetry is a non invasive method of monitoring the...
  13. GilaRRT

    Questioning the Decision of Nursing

    GilaRRT replied to ChihuahuaMamaX2's topic in General Nursing

    Issues of finance and politics exist in every career. You have to decide what you want to do and what you are willing to tolerate. Unfortunately, the economy is in a bad way and cuts from health...
  14. GilaRRT

    Vertigo

    GilaRRT replied to IcanHealYou's topic in General Nursing

    Both. Vertigo can be the symptom of numerous conditions or a stand alone condition such as the case with benign paroxysmal positional vertigo ( BPPV
  15. GilaRRT

    Sure signs your pt. is sick

    GilaRRT replied to danger's topic in Emergency

    Not really. It is a good indicator of the progression of shock however. Studies have correlated higher levels with worsened outcomes. However resolution of elevated serum lactate is considered a...
  16. GilaRRT

    Sure signs your pt. is sick

    GilaRRT replied to danger's topic in Emergency

    Elevated serum lactate. The definitive sign of
  17. GilaRRT

    Pain in childbirth 'a good thing'

    GilaRRT replied to Anxious Patient's topic in Ob/Gyn

    You may want to do a little looking before implying that the US is killing off babies as a result of our "improvements" including anesthesia and analgesia. Per CDC figures, one of the most important...
  18. GilaRRT

    obturator placed in trach stoma?

    GilaRRT replied to SunnyAndrsn's topic in General Nursing

    Unless it was a new trach with the obturator in place? I simply cannot see placing an obturator without taking any steps to secure any type of airway. Additionally, there is a chance that the EMT or...
  19. GilaRRT

    Pros / Cons of APN vs. RN

    GilaRRT replied to ChihuahuaMamaX2's topic in General Nursing

    Nearly every CRNA school I know of requires at least a year of critical care experience. Additionally, providing complex care as an ACNP would be difficult without the benefit of acute care...
  20. GilaRRT

    Pharmacology for Nursing online

    GilaRRT replied to northwoodsmom's topic in General Nursing

    You can also listen to podcasts if you simply want to brush up on concepts. You can download several free podcasts off of itunes. I know of one called EMS pharmacology. It is produced by Jeffrey S....
  21. GilaRRT

    Texas RNs arrested for patient advocacy!

    GilaRRT replied to txdude35's topic in Activism, Healthcare

    https://allnurses.com/nursing-news/tx-nurses-facing-408891.html
  22. GilaRRT

    Nurse Anesthesia or Dentistry? Which career choice would you choose?

    GilaRRT replied to Canadian eh?'s topic in General Nursing

    Being that dentistry is not nursing, it may be hard for us to answer your
  23. GilaRRT

    Names for A Nurse Superhero

    GilaRRT replied to amateur's topic in General Nursing

    D:
  24. GilaRRT

    Career Path Advice: ICU or ER to flight nursing

    GilaRRT replied to hopefullICUnurse77's topic in General Nursing

    A helicopter that does CCT is not an extension of the ER IMHO. Solid critical care experience will be your best bet when considering the typical crew configuration of a HEMS platform. The most...
  25. GilaRRT

    ACLS question

    GilaRRT replied to dyaryan's topic in General Nursing

    True; however, find a state BON that does not allow a RN to administer front line cardiac medications in an emergency