GilaRRT

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  1. GilaRRT

    Concerned...allnurses store product

    GilaRRT replied to AwayWeGo's topic in General Nursing

    Really guys? How about you your teach kids about pills and let people buy chocolate covered sunflower seeds as gag gifts if they so please. Also remember, this is a nursing forum where the members...
  2. GilaRRT

    NRB & COPD your input please

    GilaRRT replied to crb613's topic in Emergency

    Agree. It is not particularly difficult to calculate the PAO2 and appreciate a large A-a with a patient on oxygen and/or do a PF ratio. Clearly, if somebody has a significant shunt, getting a room...
  3. GilaRRT

    NRB & COPD your input please

    GilaRRT replied to crb613's topic in Emergency

    No you stated 4LPM is the usual EMS treatment, nothing was written about a specific or isolated case involving two paramedics. "Since 4 L NC is the usual EMS treatment regardless of SpO2 or the...
  4. GilaRRT

    NRB & COPD your input please

    GilaRRT replied to crb613's topic in Emergency

    You made a rather bold statement that appeared to generalise EMS. If this is becoming a general trend and is being reported in the literature, I would love to see the references. This has not been my...
  5. GilaRRT

    NRB & COPD your input please

    GilaRRT replied to crb613's topic in Emergency

    You have good literature that says this is the usual EMS treatment regardless of pulse oximetry or symptoms or is this
  6. GilaRRT

    Was I wrong?

    GilaRRT replied to waggykeeper's topic in General Nursing

    Depends on the patient. I would have no problem giving a DKA patient potassium even if their potassium was a bit elevated. However, a renal failure patient with an elevated potassium may be a...
  7. GilaRRT

    ACLS

    GilaRRT replied to Idaho80's topic in General Nursing

    Not really. Many courses are now a day long and the emphasis is on basic life support. Even dysrhythmia interpretation is limited to shock versus do not shock. The pharmacology is limited and advanced...
  8. GilaRRT

    ACLS

    GilaRRT replied to Idaho80's topic in General Nursing

    If you can knock out a day ACLS course now, why not. You need not worry about all the "teething" issues that always occur after major changes to the guidelines. Then, after two years when you go...
  9. GilaRRT

    ACLS

    GilaRRT replied to Idaho80's topic in General Nursing

    It will take a while to roll out the new material. The 2005 standards will still be taught after January, but the push is to roll out the material over the next several
  10. GilaRRT

    ACLS

    GilaRRT replied to Idaho80's topic in General Nursing

    No, students can take ACLS. ACLS and PALS are incorporated into my college respiratory and paramedic programmes. As an ACLS instructor, I do not "certify" anybody in the sense that they are...
  11. GilaRRT

    OK Here A Kicker For Ya

    GilaRRT replied to KarmaWiseRaven's topic in General Nursing

    Pretty hard to make any sort of objective comment based on one post without refrences. I would look at the particulars of this plan prior to condemnation. It may be a disaster; however, I do not know...
  12. GilaRRT

    Are nurses smarter than resident physicians?

    GilaRRT replied to LeLeeFNP's topic in General Nursing

    Post of the year candidate. This is exactly what I want in a physician. I can carry out the prescribed treatment, but I need the physician to make the right call in the first
  13. GilaRRT

    Anyone know anything about American nurses working in Mexico?

    GilaRRT replied to klone's topic in International Nursing

    I live more to the East, but I assume we have had similar
  14. GilaRRT

    Anyone know anything about American nurses working in Mexico?

    GilaRRT replied to klone's topic in International Nursing

    We are not talking about Mexico City either. The violence is widespread and it is even dangerous in the expat communities that have typically been "relatively safe." Those of us who live on the...
  15. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    Alternatively, we are all big boys and girls here. Assuming we have been well informed of the situation, the options and the alternatives, we are free to
  16. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    Why take this so personally? You have presented an alternative point of view and some of us are curious as to how you derived this set of beliefs. Feel free not to explain your self; however, I would...
  17. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    I lived in Afghanistan and have familiarity with the culture; however, I would not be quick to call somebody argumentative because they could not wrap their head around an Afghan cultural concept that...
  18. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    Perhaps the person in question will. Another example would be say norepinephrine. It's naturally created; however, we can make the same molecule, synthetically, in the lab and administer it as an...
  19. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    Yeah really. I can make "synthetic" water in a lab if I wanted. So, where do we draw the
  20. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    No, I do not understand the context of said post. If I did, I would not have asked for clarification. The binding energy of an electron in it's ground state (n=1) for a hydrogen atom is -13.6 electron...
  21. GilaRRT

    Religion, culture and nursing

    GilaRRT replied to raebabelvn's topic in Spirituality, Religion

    No disrespect, but I want to try to appreciate your mental frame of reference. You say you do not want chemicals in your body, but anything consisting of atoms will by definition be a chemical. The...
  22. GilaRRT

    Nurses really aren't the smartest people

    GilaRRT replied to Simply Complicated's topic in General Nursing

    Kind of put's things in perspective. Lived with a load of South African's in Afghanistan. The absolute horror of some of the stuff we saw at the hands of the government over there kinda makes you...
  23. GilaRRT

    Calcium Chloride dose for Preeclampsia

    GilaRRT replied to klbk82's topic in Ob/Gyn

    Either will work. Calcium chloride has more elemental calcium than gluconate when comparing each medication by
  24. GilaRRT

    Calcium Chloride dose for Preeclampsia

    GilaRRT replied to klbk82's topic in Ob/Gyn

    You do not give calcium chloride to treat preeclampsia. You may give it in the event you overdose the patient on magnesium sulfate, but not for any other reason save the rare situation where...
  25. GilaRRT

    Nurses really aren't the smartest people

    GilaRRT replied to Simply Complicated's topic in General Nursing

    We are upset because somebody who would most likely be grouped with people who wear foil on their head to keep the CIA from jamming their ESP said nurses are not the brightest