needdynurse

Had migraines for as long as I could remember in the order of about 2 a week- Because I am medical I felt that they could only dealt c -c drugs WRONG!!! G.P. recomended Chiropractor but I went ...after 32 yrs of excruciating pain-puke-dark-no noise-cry-Finally went to Chiropractor and my migraines went for 2-3 wk////to 1 Q2months if that--97% cured-Chiropractors are highly educated Doctors NOT bone crushers;"try it you'll like it" :) Go now Q1mo.=no more headaches ------HONEST I'm a happy guy :rotfl: Honestly please try it NRSDUG

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ As a 26 yr veteren in Respiratory Therapy,I will try to help. Can you take learn on the job training,and do you know what is involved? or do you want to take the 2-3 yr course,it's not a walk in the park. With inservice and helping other R.Ts you can learn gradually and ask as many questions as you need clarified. Chemistry will be of little use. A good R.T should be able to troubleshoot Ventilators,if you are real good,you will be able to tell what is wrong before you get to the ventilator. Tough things to learn are,interpreting A.B.G.values which would be PO2-PCO2- NaHCO3-O2 Saturation-V.D=Dead space criteria.You MUST want to do this well.Have you been to cardiac arrests? Do they scare you?Your all set... Hope this helped if not,ask an R.T.where you work-------NRSDUG/RT :imbar

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I am not exactly sure what you are asking,but as an R.T I will try to help....... DO NOTs--ignore monitor alarms, yet don't rely on the machine and ignore the patients appearance.2) interfear with a cardiac arrest,remember that the rest of the patients in I.C.U.,need attention also.3)ask a nurse about a certain proceedure if s/he is really busy with their patient.4) WORRY 5) Guess. --------------------------------------------------------------------------- DOs---Ask as many questions as is possible,from other health allied professionals,such as Physio/RT/E E G Techs--ec/ekg Techs/Pulmonary Techs Wash hands often and after treating another patients.2) not be afraid of what you see,just ask O.K? 3) Watch as many proceedures as you can. 4)watch what the nurses do.4) read I C U Proceedure book.5) Ask nurses if they need some help,just make sure that you know what your doing.Ask Isolation nurse if they need help,because they usually do,they cannot get dirty,offer to receive linnen,dressings,wrappers,etc--this will win you big brownie points 6) Don't freak out at what you may or manot see,and above all,don't let it show on your face,or say things like oh my God. :uhoh21: I hope that I have helped NRSDUG/R.T

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ You should have seen your DR. after week one.But my opinion as an R.T is that your trachea has been irritated,could be viral or bacterial,only a throat swab will tell you for sure.In the mean time look or have somebody look inside your mouth for any sighn of pus in posterior oral pharynx,maybe on tonsils. If BLACK CAT means that you own one, It can exacerbate your already coughing problem and perpetuate it if you have a cat dander allergy,Have you had an allergy skin test? If not,ask DR. if it would be appropriate for you. you may have allergies to something else in your house.--N*B* you can develop an allergy to anything anytime in your entire life.Lastly the pain in your thorax is probably caused by the demand that you are putting on your intercostal muscles and diaphram. Hope this helped. NRSDUG/RT :rotfl:

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes P.E.E.P @ 5 to 15 cm.H2O pressure.Now I don't know about books as mine are outdated BUT I have a lot of experience.One way of finding out what settings are appropriate for a patient,look at the DRs orders frequently and you will see a pattern arise.There a 3 main elements to know 1)V.T=tidal volume, or how deep a breath,usually 500-600 cc 2)V=flow usually 15-20 L P M 3) R R=Respiratory Rate anywhere from 12to 20 Breaths P. M just as in doing Vitals. {This for Adults,much different for infants} I hope I havent confused you,if I have ask an R.T or DR. if I am correct O.K.? Nurse/R.T NRSDUG :)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Venti Mask is the right answer BUT the WHY is more important than the WHAT C O P D rs walk around with a very love Pa O2 level and Saturation.Now if you give a C O P Dr and O2% higher than say 28% then the chemo receptors will measure the O2 he is taking in and it is say 50% Venti Mask the receptors will regester more than enough O2 and shut his breathing down. This is also called NITROGEN WASHOUT which means a change in the patients Acid/Base balance Remember that a Nasal Canula can be used burt only at a low flow rate,say 2-3 L P M. Don't look for a Saturation of 98% rather 70% because that is what they walk around with daily.If C.O.P.D.r needs more than 28% they should be intubated and ventilated,so that their breathing won't stop. Make sure the DR. orders L P M C' nasal canulla because O2% cannot be measured. Hope this helps in many ways. NRSDUG

--------------------------------------------------------------------------- Is there another school of nursing near you that wil consider all of the issues at a tribunal where justice is measures hopefully unbiastly as it should be. If you really want to be a nurse seek family G.P. for a letter and/or a letter from a Lawyer. We have the right to be heard.,so sue there glutes off. :angryfire

Sats will give you only that=the amount of oxygen on the R.B.C --------------------------------------------------------------------------- A.B.G's will give you a lot more critical info. eg. PaO2-PaCO2-NAHCO3-SAT's Will tell if there is a compensatory factor between acid and base. will show you Respiratory ALKALOSIS though rare. :)

If not -why not,so I'm asking why so many defib's? instead of precordial thump Question

--------------------------------------------------------------------------- Question: What ever happened to Precordial thump on vt pts? How many jules were used 8 or 9 times how big a patient M/F? Someone please send me an answer? :uhoh21: needdynurse

--------------------------------------------------------------------------- Yes I was camp nurse one summer.There are many unforseen factors involved. Be carefull now think on this long and hard please How many children will you be overseeing?from poor families?Ever heard of Rittlan? You will!!.You will be on call from about 0700 hrs -1900 hrs if your lucky. Each child must bring their medications that will be passed on to you alone.Each child must be checked for fleas by you.Ihad my own lodging "The Hospital if there is a bed avaliable.Sickness in the cabins can be frequent as in 0330. Your own car is amust unless the camp has a vehicle that will transport kids to the hospital when needed.Counsellors and staff rely on you also. your days off are generally Friday @ 1400 hrs til Sunday 2200 hrs. This is when you get some sleep and decent meals ,no time for fun too tired. Camps aren't notorious for stalking gauze,tape,gloves,ung,-normal things to us and do't demad any either ,they work on a tight budget oh yes I got $50 wk or $10 day.I was also responsible for checking cabins out, every morning while the kids were at breakfast,swabs taken if anything looks suspicious like fungus What do you do if a child has lost their sox and their feet are nothing but infected blisters(give them an antibiotic?-No!!) take them to the nearest Hospital to the camp,while you are in the middle of dispensing meds, then hunt the kids down who didn't get their H.S. meds and are noe asleep oh by the way many youngsters can't swallow meds of anyking unless chewable. Boy I'll never forget that summer unfortunately NRSDUG enjoy

--------------------------------------------------------------------------- I am truly sorry for your loss.You know that we are not our own,Mom's, Dad's, brother's, sister's belong to God. He lends them to us to care for as babies and for the rest of their lives.Don't look for answers,just pray for one another. read Numbers 6:24/25/26 God bless.nrsdug

--------------------------------------------------------------------------- God has always had a plan for your life and it looks like Nuirsing is it. Just remember from your past lesson that this is not a walk in the park. In order to give good patient care, they need to put out good Nurses Whatever you do unto the least, you have done it unto me. Congratulations Missdemz you will soon be a nurse-make us all poud!!NRSDUG

--------------------------------------------------------------------------- Wow what an impressive resume' anyone should be glad to snatch you up? But the Question that hit ,me right off was WHY WOULD YOU BOTHER? You have paid your dues.Now I can see how one loves their profession just as you and I do,but you have nothing to prove or obligation to anyone. Now if you are bound and bent on upgrading your skills there are always post graduate courses at a nearby college.If you want to get extreme take your BScN.or PHD. (By correspondencce I might add :rotfl: you could do your homework between Soaps commercials) :rotfl: If these are not options then go and sell Pineapple in Hawaii good greif girl doesn't your personal life count for anthing? R E L A X ------------- :) NRSDUG

--------------------------------------------------------------------------- Thank you Older Nurse I await your letter as to how you kicked butt and sued sucessfilluy. Don't let this die,as yopu perhaps are setting a precedence for other abused Nurses and patients at the hands of administration--NRSDUG