GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Electrolyte shifts and fluid overload in AMI patients?

    GilaRRT replied to Aliakey's topic in General Nursing

    There is a big difference between a EMT and a paramedic. In addition, all sorts of hybrid levels exist between the
  2. GilaRRT

    Electrolyte shifts and fluid overload in AMI patients?

    GilaRRT replied to Aliakey's topic in General Nursing

    The OP is a paramedic, so it is quite reasonable to expect a paramedic to perform XII lead monitoring and assessment and integrate other modalities such as V4R and posterior lead assessments into the...
  3. GilaRRT

    Electrolyte shifts and fluid overload in AMI patients?

    GilaRRT replied to Aliakey's topic in General Nursing

    Let us be clear, the evidence regarding pre-hospital GTN and patient outcomes is rather scant in spite of it being in use for quite a while. In fact, this much has been acknowledged in the newest...
  4. GilaRRT

    Electrolyte shifts and fluid overload in AMI patients?

    GilaRRT replied to Aliakey's topic in General Nursing

    Unfortunately, you cannot easily apply your controlled situation to the chaotic situation of EMS. Also remember, the effects of NTG are rather subtle on coronary arteries but can significantly effect...
  5. GilaRRT

    Electrolyte shifts and fluid overload in AMI patients?

    GilaRRT replied to Aliakey's topic in General Nursing

    Actually, a V4R looks at the right ventricular. You would be correct in that a RVI (Right Ventricular Infarction) is often associated with hypotension due to loss of left ventricular preload. RVI is...
  6. GilaRRT

    Electrolyte shifts and fluid overload in AMI patients?

    GilaRRT replied to Aliakey's topic in General Nursing

    Oh no, it's the big bad scarecrow of giving an anterior wall MI fluids, causing overload and failure. Your biggest mistake was treating the patient clinically instead of treating squiggly lines on a...
  7. GilaRRT

    Paramedics in the ER

    GilaRRT replied to okie4ever's topic in Emergency

    Nurses are proliferating into the prehospital environment, something they are clearly not taught to do in nursing school. Significant overlap exists, so it's a rather grey
  8. GilaRRT

    Paramedics in the ER

    GilaRRT replied to okie4ever's topic in Emergency

    Nursing school doesn't include critical elements of ventilator management. I could say I didn't know anything about ventilators prior to respiratory school, but that would be a lie because I had...
  9. GilaRRT

    Paramedics in the ER

    GilaRRT replied to okie4ever's topic in Emergency

    Different kind of triage. START triage in the field is much different from triage in the hospital where resource allocation and utilisation is different. However, triage is not rocket science and I...
  10. GilaRRT

    Paramedics in the ER

    GilaRRT replied to okie4ever's topic in Emergency

    I worked in an ER with full scope medics. No "mother may I nurse has to micromanage" environment. The medics were essentially taking on the role of a nurse. Anecdotally, it worked quite well for
  11. GilaRRT

    Paramedics in the ER

    GilaRRT replied to okie4ever's topic in Emergency

    Double
  12. GilaRRT

    D5W 1/2 NS in pulmonary embolism

    GilaRRT replied to equinas82's topic in General Nursing

    It's just maintenance fluid. Your not actually treating the PE, you are just giving it as part of standard
  13. GilaRRT

    Should I take chemistry just too impress?

    GilaRRT replied to northmississippi's topic in Pre-Nursing Students

    No problem and I by no means want to minimalise what you guys have done. I imagine after taking so much chemistry the mundane problems of basic stoichiometry that plague nursing students are childs...
  14. GilaRRT

    Should I take chemistry just too impress?

    GilaRRT replied to northmississippi's topic in Pre-Nursing Students

    I have no issues with that, but she is speaking from her experience and not from the experience of many of the prospective nursing students who do not have the benefit of "hard" science coursework...
  15. GilaRRT

    Should I take chemistry just too impress?

    GilaRRT replied to northmississippi's topic in Pre-Nursing Students

    You mention P-Chem; however, there is not a nursing programme in existence (the United States that I know of) that requires P-Chem. This course is typical for Chem majors that have several semesters...
  16. GilaRRT

    CRNA Threat

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

    So, let's have a cross forum slug fest based on things people type on sites that are public? (in other words a 12 year old could be typing stuff.) Let's judge other providers based on this ranting...
  17. GilaRRT

    Would you advise anyone to get into nursing?

    GilaRRT replied to -RN-'s topic in General Nursing

    Meh, every job I've had has been an amalgamation of good and bad. Nursing is no different. There are jobs that are huch more physically demanding and I've been reminded by more than a few people that...
  18. GilaRRT

    Atropine

    GilaRRT replied to EDrunnerRN's topic in Emergency

    Shoot, atropine has been so de-emphasised save for special situations the focus should be on the proper
  19. GilaRRT

    Naloxone for septic shock?

    GilaRRT replied to annister's topic in General Nursing

    Let's be realistic however. We cannot pull all these resources out of our behinds, nor can we often materialise a transfer to another facility by snapping our fingers or raising heck, let alone get a...
  20. GilaRRT

    Naloxone for septic shock?

    GilaRRT replied to annister's topic in General Nursing

    Nobody is saying we should use naloxone in lieu of standard therapies. Even the link states that naloxone may be considered as adjunctive therapy. The OP did not say anything about using naloxone as a...
  21. GilaRRT

    RT or LPN

    GilaRRT replied to samirish's topic in General Nursing

    Just to emphasise a point already brought up; RRT and LPN is not a particularly valid
  22. GilaRRT

    RT or LPN

    GilaRRT replied to samirish's topic in General Nursing

    You run into CRT versus RRT hierarchy issues on occasion. While I agree that there is more variety than ever before regrading respiratory care practitioners, I would still say nursing offers more...
  23. GilaRRT

    RT or LPN

    GilaRRT replied to samirish's topic in General Nursing

    As an RN going into respiratory therapy, I would recommend you consider respiratory therapy. I would say that school for respiratory has been more technically demanding and time intensive than nursing...
  24. GilaRRT

    moving to el paso in Summer 2011/military

    GilaRRT replied to eerobinson's topic in General Nursing

    https://allnurses.com/general-nursing-discussion/moving-el-paso-384102-page3.html#post4798733
  25. GilaRRT

    Moving to El Paso Texas

    GilaRRT replied to sassye's topic in General Nursing

    You have several options: Del Sol, Las Palmas, UMC, Providence, Sierra and Beaumont are all large hospitals with possible openings. Look them up and start putting in apps and connect with HR. Good...