GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    VQ mismatch?

    GilaRRT replied to jeyre1847's topic in General Nursing

    Fine crackles indicates the potential presence of atelectasis. The crackling is often the sound of collapsed alveoli being forced open. This can cause V/Q
  2. GilaRRT

    VQ mismatch?

    GilaRRT replied to jeyre1847's topic in General Nursing

    Was the baby angry, crying and moving about during the treatment? If so, you really cannot rely on pulse oximetry all that much. If she was not having clear indications of an obstructive deficit...
  3. GilaRRT

    Rn's, are you able to do job well without chemistry class?

    GilaRRT replied to northmississippi's topic in General Students

    I perform my job more efficiently, am able to critically think much better and can communicate much more effectively with other providers because of my education in chemistry. Chemistry, like...
  4. GilaRRT

    Ambu bag with COPD patient question..

    GilaRRT replied to lvnnars1's topic in General Nursing

    Plus, the "hypoxic drive" is a scarecrow that nursing students are taught to fear and avoid. However, once you are actually to the point bagging a patient, does it really
  5. GilaRRT

    How does a LP cause herniation with increased ICP?

    GilaRRT replied to TooterIA's topic in General Nursing

    Not always the case. Again, in some circles, it is suggested that doing a CT in the case of meningitis may actually delay treatment and in fact, the potential for "herniation" may not even be...
  6. GilaRRT

    How does a LP cause herniation with increased ICP?

    GilaRRT replied to TooterIA's topic in General Nursing

    No hate, I just want to place emphasis on the fact that this is rare and even debatable in some circles. Sometimes these rare things can take off and become scarecrows like the hypoxic
  7. GilaRRT

    How does a LP cause herniation with increased ICP?

    GilaRRT replied to TooterIA's topic in General Nursing

    Let's also realize that people love to get caught up in the drama of LP's killing people from herniation, when in fact it's not exactly a common
  8. GilaRRT

    Profound hypoglycemia after d/c sodium bicarb gtt

    GilaRRT replied to WWRN's topic in General Nursing

    Pretty much agree. Five percent dextrose gives you 5 grams per 100 ml. This patient was receiving 12.5 grams per hour. Just to clarify the intuition, we took a patient who was receiving half an amp of...
  9. GilaRRT

    Difference b/t Cardioversion and Defibrillator

    GilaRRT replied to pinoysn's topic in Nursing Student Assistance

    Before we jump all over another member and rough them up too much, we need to recognise that there could be some differences in language. The person in question is correct that both are basically the...
  10. GilaRRT

    Difference b/t Cardioversion and Defibrillator

    GilaRRT replied to pinoysn's topic in Nursing Student Assistance

    No, they are not basically the same. Cardioversion requires you to synchronise the shock on the R wave in a patient with a pulse. This is to avoid delivering the shock during the absolute refractory...
  11. GilaRRT

    RN or Paramedic advice

    GilaRRT replied to Kevsab7's topic in General Nursing

    Both programmes of study have difficult areas. Paramedic will not be an easy way out. Your best bet is to focus on nursing school. Clearly, you are having issues with something. You need to seek help...
  12. GilaRRT

    Acidosis/Alkalosis

    GilaRRT replied to queenjulie's topic in General Nursing

    Just to clarify, do not EVER use a paper bag to treat a patient. You must always assume a respiratory alkalosis is the result of an underlying problem or a compensatory process. The paper bag...
  13. GilaRRT

    oral care on vent patients

    GilaRRT replied to jnferguson11's topic in General Nursing

    Does it have to be a nursing journal? That sounds rather myopic IMHO? The AARC (American Association for Respiratory Care) among other organisations put out quite a bit of literature on this
  14. GilaRRT

    nurses intubating newborns

    GilaRRT replied to gunverferth's topic in General Nursing

    To be clear, we are not talking about every meconium
  15. GilaRRT

    Oxygen administration during labor

    GilaRRT replied to HelenLouise's topic in Ob/Gyn

    However, does increased fetal SPO2 lead to improved outcomes? What is a normal SPO2 and how do we consider fetal haemoglobin, being that it's affinity for oxygen is much different than adult...
  16. GilaRRT

    A question about Adenosine

    GilaRRT replied to Aerin's topic in Emergency

    Adenosine has a t1/2 that is less than 10 seconds. It is recommended that adenosine is given as a rapid IV bolus in 1-3 seconds followed by a rapid flush. You better make sure we are talking about the...
  17. GilaRRT

    A question about Adenosine

    GilaRRT replied to Aerin's topic in Emergency

    Give adenosine slow? Never seen it "stop" the heart? Are we talking about the same
  18. GilaRRT

    Flight Nurse vs Flight Paramedic

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

    What do you mean by "advanced practice?" Nurses are still involved in transport throughout the world. If anything, evolving the paramedic and requiring additional education can only ensure a better...
  19. GilaRRT

    Oxygen administration during labor

    GilaRRT replied to HelenLouise's topic in Ob/Gyn

    no; however, you need at least 6lpm with a simple face mask to wash out carbon dioxide. slower rates can result in
  20. GilaRRT

    BSN to Med School

    GilaRRT replied to JWestbrook20's topic in General Nursing

    If you want to be a doctor, I would highly suggest you look at more traditional routes. You can check out SDN for more accurate information. In fact, there is a thread over there discussing a similar...
  21. GilaRRT

    Why Lactated Ringers in Postpartum?

    GilaRRT replied to BKnurse44's topic in Ob/Gyn

    Could you explain the physiology of this
  22. GilaRRT

    Call for the Priest!

    GilaRRT replied to iNurseUK's topic in General Nursing

    More or less analogous to the American
  23. GilaRRT

    Air Transport

    GilaRRT replied to jnick31's topic in General Nursing

    You failed to take my post into it's proper context. My response was related to a typical paramedic/RN team. It is reasonable to expect that the paramedic will be an expert in "emergency" medicine...
  24. GilaRRT

    Air Transport

    GilaRRT replied to jnick31's topic in General Nursing

    Solid ICU experience would be your best bet. Many of the paramedic/RN teams assume that the nurse is well versed in "critical care." While ER experience is good, you do not typically receive...
  25. GilaRRT

    Why Lactated Ringers in Postpartum?

    GilaRRT replied to BKnurse44's topic in Ob/Gyn

    How did you come to this