GilaRRT

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  1. GilaRRT

    VFib Arrest after heaven discussion

    GilaRRT replied to curtiv's topic in General Nursing

    The patient was transferred to a different hospital, not simply a different floor in the same hospital. I think this creates an additional layer of complexity and it's better to let it go knowing you...
  2. GilaRRT

    VFib Arrest after heaven discussion

    GilaRRT replied to curtiv's topic in General Nursing

    The patient was ill and in the hospital. Also, the patient had an underlying electrolyte derangement. Ventricular irritability and possible ventricular fibrillation should not be unexpected in these...
  3. GilaRRT

    RN without ACLS pushing Versed?

    GilaRRT replied to NoAverageLPN's topic in Patient Safety Issues

    What exactly would having ACLS
  4. GilaRRT

    Anyone ever had experience with International SOS

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

    Sorry mate, many of us were required to sign confidentialty agreements regarding specifics of
  5. GilaRRT

    Do RN's seem just as happy in their careers as Respiratory Therapist?

    GilaRRT replied to northmississippi's topic in General Nursing

    I actually jumped ship after working as a nurse for many years. Thus far, I absolutely love respiratory therapy. However, my prior nursing and EMS experience has enabled me to transition into a great...
  6. GilaRRT

    did anyone fail any of their nursing classes? (i'm going for RN)

    GilaRRT replied to codyiscool's topic in General Students

    Nope, not likely unless your boss has sway and pulls some strings. Of course that would be unethical and could end up being a disaster for you. You are going to have to compete with everybody else....
  7. GilaRRT

    Question About Albuterol Atrovent Neb. Tx

    GilaRRT replied to fnkEchkn's topic in General Nursing

    Unfortunately, there may also be publication bias for xopenex as well. There exist many studies for and against each agent. I have also found paradoxical bronchospasm listed as a caution for Xopenex....
  8. GilaRRT

    Question About Albuterol Atrovent Neb. Tx

    GilaRRT replied to fnkEchkn's topic in General Nursing

    I am still not convinced that the evidence strongly supports using Xopenex over Albuterol however. It may be arguable in some situations, but I'm still do not find the evidence overwhelming...
  9. GilaRRT

    Question About Albuterol Atrovent Neb. Tx

    GilaRRT replied to fnkEchkn's topic in General Nursing

    In fact, I believe for any medication to be called a racemic mixture it must essentially contain a 1:1 ratio of left and right handed molecules. In theory, this make comparing conversions relatively...
  10. GilaRRT

    Question About Albuterol Atrovent Neb. Tx

    GilaRRT replied to fnkEchkn's topic in General Nursing

    Not a by-product. Racemic albuterol contains both the (L) & (S) enantiomer of albuterol. Basically, same components with a different mirror image configuration. Also, light will take a different...
  11. GilaRRT

    MA working beyond scope of practice

    GilaRRT replied to Catedi's topic in Patient Safety Issues

    You, in fact may not have a case. People have provided you with accurate information. We don't know where you live, so you will have to do some leg work and find out what laws or regulations exist...
  12. GilaRRT

    Possible to take a few nursing classes from community college?

    GilaRRT replied to marbear28's topic in General Nursing

    Nursing school is pretty much all or nothing. Some programmes allow LPN's to complete the second year and there exist RN to BSN bridge programmes; however, you will not generally be allowed to cherry...
  13. GilaRRT

    Tracheostomy Suctioning Sterile?

    GilaRRT replied to aimessue's topic in Geriatric, LTC

    From an infection control standpoint, this should be a sterile
  14. GilaRRT

    Okay, why do ER nurses think they're so cool?

    GilaRRT replied to gayle_the_RN's topic in General Nursing

    I was thinking it was humour, but I can be a little dense
  15. GilaRRT

    Okay, why do ER nurses think they're so cool?

    GilaRRT replied to gayle_the_RN's topic in General Nursing

    Okay?
  16. GilaRRT

    Okay, why do ER nurses think they're so cool?

    GilaRRT replied to gayle_the_RN's topic in General Nursing

    My advice is not to read blogs you find offensive and stay away from making sweeping generalisations about a group of people. This very well may be a vent; however, are you not creating a similar...
  17. GilaRRT

    NRP vs PALS?

    GilaRRT replied to Double-Helix's topic in General Nursing

    You can research the NRP programme on the American Academy of Paediatrics website. NRP is broken into modules that focus on different topics. You can expect to discuss congenital defects and special...
  18. GilaRRT

    how did they pass theyre boards??

    GilaRRT replied to reginachanana2660's topic in General Nursing

    Even if the argument is absolutely ridiculous, I would still stay away from direct, personal
  19. GilaRRT

    how did they pass theyre boards??

    GilaRRT replied to reginachanana2660's topic in General Nursing

    It seems as though this thread has run it's useful course, or lack
  20. GilaRRT

    how did they pass theyre boards??

    GilaRRT replied to reginachanana2660's topic in General Nursing

    Do you even know what a breathing treatment does? Are you familiar with autonomic nervous physiology, G proteins, adenyl cyclase, cAMP, assessing for bronchospasm? Again, you appear to have been...
  21. GilaRRT

    EMT-B + STNA = ER Nurse?

    GilaRRT replied to cgemt's topic in General Nursing

    You have literature to quantitatively back you up on this rather bold statement? There are many nurses such as my self who started in EMS and I have a difficult time thinking that "most" of us are...
  22. GilaRRT

    how did they pass theyre boards??

    GilaRRT replied to reginachanana2660's topic in General Nursing

    So far, you have not presented a case for administering a "breathing" treatment, assuming we are talking about giving adrenergics. The only recognised indication is bronchospasm and you have not...
  23. GilaRRT

    Dr Oz and Aspirin

    GilaRRT replied to carolmaccas66's topic in General Nursing

    The current consensus is that the evidence supporting alternatives to morphine is insufficient. At this point, the morphine versus fentanyl discussion for chest pain is largely opinion based on...
  24. GilaRRT

    resp therapy vs RN

    GilaRRT replied to obeyacts2's topic in Pulmonary

    If I had known about respiratory therapy when I went to college the first time, I most likely would not have gone to nursing school. RT jobs vary according to location; however, over half of my...
  25. GilaRRT

    Dr Oz and Aspirin

    GilaRRT replied to carolmaccas66's topic in General Nursing

    Just to be clear guys; MONA in it's original and literal form is on the way out. Giving oxygen to every patient is no longer emphasised. Also, morphine should be used very cautiously in certain...