thanatos

thanatos

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All Content by thanatos

  1. SHAVING & WAXING

    ditto...I had tears running down my face I was laughing so hard. It read like a Dave Barry
  2. What's you highest...?

    K+ 8.4 (7y.o. w/ tumor lysis
  3. Learning thread (ER medicine)

    Why is it important to alkalinize the urine of an aspirin OD? I'm looking for the specific mechanism that leads to increased elimination from the
  4. 20 month old high temp

    Paracetamol is used in the US, but we call it a different name. Paracetamol is actually acetaminophen and, in the US, the trade name is Tylenol. Ibuprofen is also widely used in the
  5. I can't imagine not having coudes. As soon as I hear the words "prostate problems" coupled w/ urinary retention, I reach for a Coude. Filiforms and followers are tools urologists have in their bag...
  6. I have pretty success in these cases using lidocaine jelly and a coude catheter. Just apply steady pressure and generally the stiff curved tip of the coude will slide past the obstruction. I have...
  7. Phenergan Supp given to toddler; child dies

    My point is that suppositories are not designed to be cut. There is no 'score' to delineate equate amounts of med and to facilitate breakage into two equal pieces. I have found it very difficult to...
  8. Phenergan Supp given to toddler; child dies

    First of all, I am extremely sorry for your friend's loss. A few things regarding phenergan and peds: 1) We used to give it all the time to kids under 2. We would even cut a 12.5 in half (not the...
  9. What does Drug classification mean?

    This is for eyes and ears...so I need to know that a miotic dilates the pupil.. right?? Thanks!! just for clarifciation: miotic = agent that CONSTRICTS pupils mydriatic = agent the DILATES...
  10. IV start advice

    There are numerous threads regarding starting IVs. Here is the most current one (I thinK): https://allnurses.com/forums/showthread.php?t=3793 you can also try a search on this bulletin board. There...
  11. What/Who are duncan and shultz? r/o

    Since I am not an OB nurse, I had no idea either. A simple Dogpile search (or Google) revealed the answer (I simply searched "duncan schultz umbilical cord placenta). Here is one hit:...
  12. Male RN-assist with pelvic exams?

    I work w/ only male ER docs and I don't assist w/ pelvics. I will, on occasion, insert a foley in a female depending on the circumstances. I have been led to believe that if we ever have a female ER...
  13. ER abuse was encouraged last night

    You need to go to an ER immediately. Hematuria following trauma is a bad thing; have yourself checked out...this cannot
  14. Learning thread (ER medicine)

    1) normal LOC 2) no ETOH on board 3) no focal neurological deficits 4) no point tenderness to posterior c-spine 5) no distracting injuries btw...you did stump me, I had to look it
  15. Learning thread (ER medicine)

    I've only seen this w/ strep, but you're right...it can occur any sore throat, including mono. what is the
  16. Drug Seeker Antics and Dramas- the Vents

    when I worked med-surg, we had to do the same thing w/ a pt. he was suppose to be NPO yet we caught him drinking out of the sink...I even caught him sticking his finger down his throat. Again, very...
  17. Learning thread (ER medicine)

    bump... isn't anyone going to take a stab at this
  18. Learning thread (ER medicine)

  19. Drug Seeker Antics and Dramas- the Vents

    we have some lovely patients who are cyclic vomiters. One in particular dramatically retches and vomits into his pink bucket while in the lobby until the front desk has had enough and begs us to take...
  20. Learning thread (ER medicine)

    speaking of strep throat, why is important to know if a pt who is presenting like an appy recently had strep
  21. Learning thread (ER medicine)

    what are the Centor criteria for empirically treating for Strep
  22. Learning thread (ER medicine)

    Interesting tidbits I have learned recently about ketamine. My research was prompted by the current provocative "ketamine" thread and a recent incident w/ a new pediatrician who insisted on giving...
  23. Learning thread (ER medicine)

    yep. increased ICP is a relative contraindication for sux and the potential deleterious effects are ameliorated by premedicating w/ lido. PLUS: Sux can increase K+ levels, thus is not given when...
  24. Learning thread (ER medicine)

    I'll bite...Beta blockers are contraindicated with cocaine induced MI. Another easy one: When is succinylcholine contraindated? btw: good idea for a
  25. Delivering in Grand Junction, CO

    There are 2 hospitals in G.J., St. Mary's & Community. I don't anything about the the latter one, but the former, in general, provides excellent care, IMHO. I don't know what level nursery it...