GilaRRT

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  1. GilaRRT

    Trying to educate myself - Reversing Heparin

    GilaRRT replied to widi96's topic in General Nursing

    You need to be very careful when giving Protamine Sulfate. Many cases of anaphylaxis and other reactions have been reported with this medication. You should always try to give a small test dose prior...
  2. GilaRRT

    My pt died, lab results question?

    GilaRRT replied to BinkieRN's topic in General Nursing

    Or, she had ALL, MI, anemia, and
  3. GilaRRT

    My pt died, lab results question?

    GilaRRT replied to BinkieRN's topic in General Nursing

    Do not beat your self up on this one. Looks like she was having the big one. It is not uncommon to have myocardial ischemia and additional stress on the heart when you are septic. Your heart is...
  4. GilaRRT

    I charted that he died!

    GilaRRT replied to mgababyko's topic in General Nursing

    Not until the patient and their legal team start hitting people up for money, then the chart becomes a bit more
  5. GilaRRT

    Is it true that a BSN will be mandatory soon?

    GilaRRT replied to szccdw's topic in Diploma, ADN, BSN

    With the current educational system, I tend to agree with your points. For the sake of discussion, let us say we changed the way BSN programs are designed. Let us say the courses were focused on...
  6. GilaRRT

    Which would you choose IF you had to?

    GilaRRT replied to BiologyNerd's topic in General Nursing

    I say, start school, focus on your studies, and get a feel for what you really want in nursing as you gain experience. Allot can change in four years. Both your goals and the hospital benefit...
  7. GilaRRT

    Interesting Flight stories

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

    Sierra Vista hospital to William Beaumont in a rotor? Pretty long flight
  8. GilaRRT

    CFRN/CTRN Support Thread

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

    What I gather from the Will Wingfield and ASTNA book is that the airway management modalities are all based on the the Ron Walls Airway Management
  9. GilaRRT

    Mag Sulfate Antepartum

    GilaRRT replied to JenTheRN's topic in Ob/Gyn

    I have to agree. Magnesium sulfate is not typically considered an antihypertensive agent. Magnesium works to antagonize calcium at the neuromuscular junction. This prevents the release of...
  10. GilaRRT

    I don't understand how Nurses are happy..

    GilaRRT replied to kgard7777's topic in General Nursing

    Hey, you need to do what makes you happy. I am not happy about the sorry shape of health care. However, at the end of the day, I simply see it as a job. I realize the things that make me happy cannot...
  11. GilaRRT

    New nurses don't know enough?

    GilaRRT replied to nurturer's topic in General Nursing

    I do not think it has to do with quality of education. Modalities and nomenclature may differ from the US to Canada. For example, you may see a blood sugar in Canada charted in mmol/l, where in the...
  12. GilaRRT

    New nurses don't know enough?

    GilaRRT replied to nurturer's topic in General Nursing

    This is a valid concern IMHO. In fact, I would be the biggest supporter of BSN programs if the focus was on clinical experience with a strong emphasis on the clinical objectives in the classroom....
  13. GilaRRT

    nurses from maintenance point of view

    GilaRRT replied to sailordave's topic in General Nursing

    Witch with a B eh? I guess that would make us nurses who have slight anatomical differences from our sisters Mitches? Time for a vacation
  14. GilaRRT

    Can RNs do research?

    GilaRRT replied to nurturer's topic in General Nursing

    Yes, RN's do research. You will be required to do reseach for many MS programs. You will have to do research if you want a PhD as well. I think you could do research with an AAS; however, I would...
  15. GilaRRT

    A&P Respiratory Question

    GilaRRT replied to Delta18's topic in General Nursing

    I do not think the instructors are at odds with these concepts. From what I gather, the OP simply has not been taught the basics of acid/base balance. It seems like the OP has a very basic level of...
  16. GilaRRT

    A&P Respiratory Question

    GilaRRT replied to Delta18's topic in General Nursing

    I do not disagree, as long as we are aware that the PH is changed by hydrogen ions and understand how CO2 fits into this
  17. GilaRRT

    A&P Respiratory Question

    GilaRRT replied to Delta18's topic in General Nursing

    I am not sure I understand your point. The process I explained is what should happen in a normal person. If you do not have gas exchange or perfusion at the level of the alveoli, then yes this process...
  18. GilaRRT

    A&P Respiratory Question

    GilaRRT replied to Delta18's topic in General Nursing

    Yeah, I read the post again. I think without much A&P, the way the book and the instructors seem to be articulating is quite confusing. I think it is important that people undestand PH is "per...
  19. GilaRRT

    A&P Respiratory Question

    GilaRRT replied to Delta18's topic in General Nursing

    Placing a chest tube through a wound can lead to several complications. First, who really knows where the wound goes. We try to place a chest tube in a specific area to prevent further damage. Too...
  20. GilaRRT

    May lose my license :(

    GilaRRT replied to kentucky_RN's topic in General Nursing

    I agree, more information is needed. Was the drug screen following an incident at work? If that was the case then you had ETOH on board while at work and, this could be a problem. I do not usually...
  21. GilaRRT

    CFRN/CTRN Support Thread

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

    Yeah, one of the nurses I work with took both the CFRN and CTRN two weeks apart. He said they are essentially the same
  22. GilaRRT

    Physiology of blood transfusions and meds

    GilaRRT replied to elizabells's topic in General Nursing

    We are actually talking about different concepts. Banked blood products are not like the circulating blood within our bodies. First, many types of blood products are treated with citrate to prevent...
  23. GilaRRT

    Intraosseous

    GilaRRT replied to Dr.Nurse2b's topic in General Nursing

    IO access is a good tool to have in the field. I think it has a place in the hospital as well; however, it is a great option when rapid IV access is required and conventional IV access is not an...
  24. GilaRRT

    CFRN/CTRN Support Thread

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

    Thanks a bunch! Currently, I am using Wingfield's ACE SAT book, and I am finding the review quite intense. I have taken all of the tests and notes on each chapter. Now, I continue to retake tests and...
  25. GilaRRT

    STEMI and Dopamine

    GilaRRT replied to MikeyBSN's topic in General Nursing

    No, I read your post; however, I want to emphasize that starting pressors prior to preload augmentation could exacerbate the