dmc_rrt

dmc_rrt has 5 years experience.

Latest Activity

1. Trach suctioning. Bullet vs. no bullet

   dmc_rrt replied to divaRN*'s topic in Pulmonary

   We teach all our long term trach pts to use these, or sterile saline through a syringe, when they need to clear their secretions. Its

2. lung sounds with vent

   dmc_rrt replied to muffins20's topic in Pulmonary

   You can usually hear the different breath sounds with a vent. I don't know the circumstances, but rapid gunshots arn't normal vent sounds. I think you were probably hearing circuit noise. perhaps...

3. respiratory distress vs respiraotry failure

   dmc_rrt replied to yatyu's topic in Pulmonary

   Simply put: Resp distress, which is increased WOB, will lead to resp failure when the muscles can no longer do the work. similar to untrained legs trying to run a marathon. ARDS is filling of the...

4. respirator mask for copd patients

   dmc_rrt replied to nu2this's topic in Pulmonary

   If the Hypoxic Drive to Breath theory is correct, it should happen immediatly as soon as the PaO2 becomes greater then 60mmhg. When the PaO2 is less than 60mmhg the peripheral O2 recepters kick in. As...

5. Questions on Mechanical Ventilators

   dmc_rrt replied to floridarose's topic in MICU, SICU

   I agree with you, that oxygen toxicity does not fit. How can you get oxygen toxicity if you ventilate your pt with high volumes or pressures on an FiO2 of .21? High pressures and volumes do release...

6. Is a Bronchoscopy needed for pt who chokes on dinner?

   dmc_rrt replied to CrabbyPatty's topic in MICU, SICU

   They might do a pharynoscopy to assess to compentency of the Larynx. This looks like a small

7. COPD & NRB your input please

   dmc_rrt replied to crb613's topic in Pulmonary

   As an RT I would definetly put the pt. on the NRB. Actually it sounds like the pt needed BiPap more then anything. I have never seen a COPDer stop breathing from too much O2, and if it does you remove...

8. Danger to self? help!

   dmc_rrt replied to Trubie's topic in General Nursing

   I understand she was palliative, so the main objective here is to make the pt. and her family comfortable. The removal of O2 should not have been a problem, the lack of proper sedation is more of a...

9. USE of PF Ratio with ARDS

   dmc_rrt replied to TennRN2004's topic in MICU, SICU

   Here is the ARDSnet protcol: NHLBI ARDS Network INCLUSION CRITERIA: Acute onset of ,Tahoma],Tahoma]1. PaO2/FiO2 ≤ 300 (corrected for altitude) ,Tahoma],Tahoma]2. Bilateral (patchy, diffuse, or...

10. Central Line Insertion

    dmc_rrt replied to haji's topic in MICU, SICU

    I say the Doc's retty lucky to have you there. I place femoral Central Lines and Have to get my own stuff together, and I am usually left alone, unlesss someone wants to watch. Tell him to quit his...

11. Dsitinguishing Breath Sounds

    dmc_rrt replied to TennRN2004's topic in Pulmonary

    Coorifice crackles on expiration are usually due to secretions. I find that most pleural effusions present as diminished breath sounds. Remember the fluid is gravity dependant and will usually collect...

12. Increase of super morbidly obese patients?

    dmc_rrt replied to Hoozdo's topic in MICU, SICU

    Funny, an ER RN and myself were just talking about it this

13. Ambu bags (inpt)

    dmc_rrt replied to LouisVRN's topic in General Nursing

    For cost effectiveness, my hospital has those mouth-to-mouth thingys, which to my own personal opinion are a joke. I have yet to see them used effectivly at the beggining of a code. The pt is blue, as...

14. Hijab (headscarf) Nurses

    dmc_rrt replied to skybmonkey's topic in General Nursing

    I've seen quite a few Drs. wear them too. they are all respected Pts. and

15. communicating w/ pts on ventilators

    dmc_rrt replied to turnforthenurse's topic in MICU, SICU

    I have one pt that uses his