GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    Respiratory Acidosis?

    GilaRRT replied to jaquelynne's topic in Emergency

    Not a
  2. GilaRRT

    Respiratory Acidosis?

    GilaRRT replied to jaquelynne's topic in Emergency

    Yes, an acute OD of valium will decrease the resp. drive. Diazepam is a benzodiazepine. These meds work by enhancing a neurotransmitter called GABA. GABA generally inhibit activity in the CNS. This...
  3. GilaRRT

    is there anyone who didn't study for nclex

    GilaRRT replied to AlwaysTired's topic in NCLEX Exam, Programs

    I do not think you can study and know every thing that a national standard exam will throw your way. I think the key to exam taking is learning how to take a test. The best techniques seem to be...
  4. GilaRRT

    Traumatic Brain Injury pt

    GilaRRT replied to zacarias's topic in General Nursing

    In addition, posturing may not be seen in patients depending on the location of the injury. Decorticate posturing is seen in lesions that damage the corticospinal tract and mesencephalic area. This...
  5. GilaRRT

    I might be in trouble. I will not use restraints, care planned or not.

    GilaRRT replied to SuesquatchRN's topic in Geriatric, LTC

    Have you confronted the nurse in
  6. GilaRRT

    Diluting SQ Epi

    GilaRRT replied to melrina75's topic in Emergency

    I think this was done because it saves space. The 1:1000 vials are used by a flight service. I guess having only 1 vial saves space over several 1:10,000 containers. We do waste what is not used. I am...
  7. GilaRRT

    Womens interest in male nurses

    GilaRRT replied to johny1's topic in Men in Nursing

    We must take all of this in context to the society she lived in at the time. We are talking about the 1800's. Typical gender related norms were quite different than the society we live in today. I...
  8. GilaRRT

    Say What??????!!!!!!!!!!

    GilaRRT replied to gt4everpn's topic in Patient, Colleague Relations

    Took care of a patient who was 48 hours s/p barium enema study. Needless to say everything had backed up and nothing worked in spite of all the high technology that medicine has to offer. I ended up...
  9. GilaRRT

    Womens interest in male nurses

    GilaRRT replied to johny1's topic in Men in Nursing

    If somebody is so shallow as to make an assumption regarding your character based on your vocation/profession, then perhaps they are not worth your time. If I was a young single guy out and about...
  10. GilaRRT

    IV Glucagon and Beta Blocker Overdose ??

    GilaRRT replied to KR's topic in General Nursing

    The physiological mechanism is related to the fact that glucagon activates cAMP through non-adrenergic pathways. Because the adrenergic pathways are blocked, (ie Beta blockade) glucogon essentially...
  11. GilaRRT

    Help Figuring Out ABGs!!!

    GilaRRT replied to Luvelyone's topic in Nursing Student Assistance

    I split the values up. First, I look at the PH. Is it high or low? Alkalosis versus Acidoses. Then, I look at the other values to find the cause of the acidosis or alkalosis. C02: High or low Bicarb:...
  12. GilaRRT

    Capnography

    GilaRRT posted a topic in Emergency

    I would like to pose a question? How many of you utilize waveform capnography and how many of you make note of the end-tidal CO2? I have both worked and been in many Emerency Rooms and Intensive Care...
  13. GilaRRT

    Diluting SQ Epi

    GilaRRT replied to melrina75's topic in Emergency

    That is correct we mix our own 1;10,000. No prefilled syringes of
  14. GilaRRT

    Does it get better?

    GilaRRT replied to shortstuff31117's topic in Ob/Gyn

    Unfortunately, the situations do not get better. You will always have bad patients and bad situations. However, as you grow, learn, and experience these situations, you will start to mature as a...
  15. GilaRRT

    Reader's Digest article on nursing

    GilaRRT replied to TigerGalLE's topic in General Nursing

    Some pretty poor excuses in my humble opinion. Is this an actual trend among nurses? How hard is it to pick up the phone and get the doc out of bed. Nearly all of the nurses I have worked with had no...
  16. GilaRRT

    Do nurses support physician assisted suicide?

    GilaRRT replied to NightOwl0624's topic in General Nursing

    This is quite a polarized topic. My opposition to PAS is indeed related to my moral and perhaps religious views. I do not think I as a health care provider should knowingly administer or help...
  17. GilaRRT

    Capnography

    GilaRRT replied to GilaRRT's topic in Emergency

    I am not sure I understand how it is not useful. A very important QA/QI aspect of intubated patients is verification of tube placement during the actual intubation and following patient movement or...
  18. GilaRRT

    Med Ed seminars

    GilaRRT replied to Jen2's topic in Emergency

    I also used the CEN Review Manual . In fact, this was one of the few study aids I utilized. Many of the actual CEN questions were near carbon copies of questions from this book. I think the key to...
  19. GilaRRT

    Do nurses support physician assisted suicide?

    GilaRRT replied to NightOwl0624's topic in General Nursing

    I do not support
  20. GilaRRT

    Diluting SQ Epi

    GilaRRT replied to melrina75's topic in Emergency

    I have worked at places where all you had was 30 ML 1:1,000 multidose vials and were required to make your own 1:10,000 concentration for IV use. I agree, that you should pay close attention to this...
  21. GilaRRT

    What do you love about ER nursing?

    GilaRRT replied to jollyjenny's topic in Emergency

    Honestly, I love the interactions with physicians and the ability to make every day a learning experience. You are able to review tests, assessments, differentials, and actually have intelligent...
  22. GilaRRT

    Capnography

    GilaRRT replied to GilaRRT's topic in Emergency

    Thank you for the replies. I never used any form of C02 monitoring, with the exception of easy cap color devices until I transitioned into the transport and HEMS environment. Now, I cannot imagine...
  23. GilaRRT

    Flight Nurse description

    GilaRRT replied to sutherner86's topic in Flight, Surface Transport

    Room service is for a Hotel; unfortunately, this is a view many people have of Nurses. I would say this is much like people simply calling paramedics “ambulance drivers.” True, Nursing is much...
  24. GilaRRT

    Eye care on ED intubated patients

    GilaRRT replied to kmoonshine's topic in Emergency

    Intubated, sedated, and paralyzed patients are at high risk for corneal injuries. Taping the eyes is not an unreasonable action. This is especially true in an environment that is very dynamic. (ER,...
  25. GilaRRT

    RN to Paramedic

    GilaRRT replied to blueskedoo's topic in General Nursing

    Each state has different requirements; however, many require some kind of formal education prior to obtaining paramedic credentials. In addition, I understand some states have a pre-hospital RN...