PageRespiratory!

PageRespiratory!

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  1. Woman in iron lung dies after power failure

    Wow, really sad, she sounds like a Pt we'd like to care for. According to the article a "spinal deformity" prevented her from using PPV. http://www.cnn.com/2008/US/05/28/iron.lung.death.ap/index.html
  2. RT's Drawing from a UAC

    >What an incredible waste of resources.
  3. RT's Drawing from a UAC

    >Same in both NICU's I previously worked in. We also administered all the surfactant.
  4. Why hospitals continue use incentive spirometry

    >Not to mention the costs ($) associated with positive pressure therapy. I would imagine the longer term hidden costs would be notable as well, positive pressure used for lung recruitment can be dangerous. For sure, its bound to be appropiate for ...
  5. Why hospitals continue use incentive spirometry

    >Hey, I just call 'em as I see 'em. Let me get this straight, you make an incredibly vague post questioning a procedure citing something you read somewhere. And then when another poster suggests the hospital may bill for it because its provided by...
  6. Nassau Community College

    >Undoubtedly a Malloy student that just realized they're getting half the education for ten times the cost.GO LIONS!
  7. Why hospitals continue use incentive spirometry

    >>Cripes, why don't they just order IPPB? NIPPV is a VENTILATOR, for Pt's with acute respiratory failure.
  8. Why hospitals continue use incentive spirometry

    What are you getting at? Out with it already. I cannot find one single piece of literature that states "I.S. doesn't work", and about 500 that says it is effective. This one inparticular: The AARC clinical guidelines for SMI (Do you even know what th...
  9. arterial line insertion by OR/PACU nurses

    "Back from the dead 'yall.........back from the dead"
  10. SIMV mode and initiating a breath

    Synchronized...Intermittent...Mandatory...Ventilation...SIMV is a set rate (volume control or pressure control [either a set tidal volume or insp pressure]) and the Pt is able to breathe spontaneously (with or without pressure support) inbetween mand...
  11. The Best Route to a CRNA

    >>Hello cart, meet horse.
  12. Hyperpnea vs. Hyperventilation vs. Kussmaul's

    >Absolutely agree with everything excpet above quoted. An I'll admit I may be splitting hairs here, but "Ventilation" can only be assesed with a CO2 measurement. It seems to me WOB is what you're refering to. I often administer morphine to the dys...
  13. It pays to be a nurse.

    Moreso by your description using the terms "arrogant" "threat" and "bully to you". > I was being humorously sarcastic > Do you feel the same about the public perception of nurses?
  14. "Trach time"

    >That has been the majority of my experience as well, variable dependent on the physician. One place had a hard and fast rule, on the 7th day intubated they got trached........can you guess how many people I weaned on the 8th or 9th day?!?! As far...
  15. Hyperpnea vs. Hyperventilation vs. Kussmaul's

    .....................Ventilation does not equal oxygenation......................Tacypnea: abnormal elevation of respiratory rate. (Notice no mention of depth of breaths or ventilation).....Bradypnea: abnormal decrease in respiratory rate (Again, no ...
  16. Hyperpnea vs. Hyperventilation vs. Kussmaul's

    So far, so good. Ventilation = bulk movement of air. Perhaps. The Pt may indeed have adequate ventilation and still be hypoxic. CO2 is far more diffusible than O2. So there may be inpaired gas exchange, but normal ventilation. Of course you may have...
  17. It pays to be a nurse.

    >I was driving home from MI (pre 9-11) and was stoppped and diverted for a random search at the border, the following conversation ensued; Border Patrol: Are you a US citizen? Me: Yes. Border Patrol: Where are you going? Me: Home, Hil...
  18. It pays to be a nurse.

    >yes, i understand the point you were trying to make. btw - i don't necessarily disagree with that point. however, you went on to say that handing over your ccw premit with your id to a cop was arrogant, threatening, out of context, and showing of...
  19. It pays to be a nurse.

    > It is required by law in just about all states that if you have a CCW, you MUST present it when when pulled over for a traffic violation or when asked for ID by a police officer in any situation. Same holds true even if you're a US citizen pulle...
  20. Hyperpnea vs. Hyperventilation vs. Kussmaul's

    > Above bolded is incorrect, ones ventilation cannot be assed without a CO2 measurment. (ABG/endtidal/ect.). Even though a Pt. is tacypneic, they may not be hyperventilating. And yes hyperventilation is associated with metobolic acidosis compensat...
  21. BIPAP ventilation

    Holy jeez, was that question from 1998?!?!
  22. What is considered a large hospital??

    When I worked in a 1200 bed county hospital, I had a per diem gig at a "small" 400 bed community hospital, this was in metro NY. I now work in northern New England at a 25 bed hospital, the closest major tertiary care center is about 400 beds and con...
  23. BIPAP ventilation

    As far as I understand it, the modes of ventilation on any brand ventilator can be labeled anything the manufacturer wants. So the term 'BiPAP' is actually a brand name that belongs to Respironics and whatever other company owns them. The techinical ...
  24. So we have a Code coming in....

    > That means you're doing it correctly. Did you notice how violent the thumper seemed to be? Quality CPR is ugly.
  25. So we have a Code coming in....

    > The only way to really asses the efficacy of chest compressions is to feel for the carotid pulse while administering compressions.