GreyGull

GreyGull

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All Content by GreyGull

  1. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    You attacked me when I pointed out that the nursing textbooks did not provide detailed ventilator information. If there is one that does which you know about, please post it. Maybe I should take it...

  2. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    Are you saying as a nurse one can not be well versed in ventilators? How much ventilator information did the text book you have in your nursing program provide you with? If it went into great detail...

  3. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    What does the manufacturer of the ventilator call it? By your screen name "Neo Pedi" I take it you might be referring to some of the Drager and Siemen products. In the neo and pedi world you get into...

  4. Melbourne Strapping Technique for ETTs

    GreyGull replied to missredhood's topic in Emergency

    I haven't seen that for about 30 years or so and nasal intubations have been extremely rare (usually just facial surgeries from OR) here for the past 20 years. Any nasal tubes from EMS will also be...

  5. Advair risks update?

    GreyGull replied to ilmbg's topic in Pulmonary

    When the Serevent and Advair notices came out about the potential dangers, a few law firms jumped on it but to the best of my knowledge, there is not a class action suit. In fact, this "legal" ad even...

  6. Nurse: 'I was fired for refusing flu shot'

    GreyGull replied to DesertRN2's topic in Disaster Preparation

    The flu shot is high recommended by the hospitals in my area. Once you got the shot, you got a sticker for your badge. If you did not want the shot, you signed acknowledging you would be required to...

  7. FDA: Albuterol Sulfate Inhalation Solution Recalled

    GreyGull replied to CAT-CNA's topic in General Nursing

    The official notice from the FDA came out January 3. Ritedose did a press release for the voluntary recall 12/30/10. Some of us are on the FDA email list but I may not always monitor my email all day...

  8. FDA: Albuterol Sulfate Inhalation Solution Recalled

    GreyGull replied to CAT-CNA's topic in General Nursing

    You must be a fan of Xopenex. Albuterol sulfate is still the most common bronchodilator used in the u.s. let's not start a panic by saying albuterol should be banned. Some people depend on it to...

  9. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    Is that all you have to offer? Aren't you a Respiratory Therapist and an

  10. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    All I have to say is go back and review oxygenation, the various airway pressures and the lung protective concepts which also utilizes PEEP. There is no way to discuss anything further until you...

  11. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    I'm only challenging you because of the information you are providing. I've already mentioned HFOV which we start MAP at 2 cmH2O higher than conventional for neonates and 5 cmH2O higher for adults....

  12. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    The LTC and home care RNs must have an understanding of the basic terms like MAP and PIP. They also must be able to explain the 3 questions which started this conversation. I wouldn't want someone's...

  13. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    I understand you limitation which is evident by your use of MAP and PIP or PAP. I showed you how MAP is determined and why as well as all the factors influencing MAP. I also wrote about ARDS and lung...

  14. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    This was stated earlier: If this was a take home test where the OP was to look up the questions, just giving the answers would not do any good. Just giving out answers is truly not being helpful. It...

  15. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    Me bad. zcoq72mehs, I guess I should have asked which ventilators your hospital was using before assuming they were from within the past 20 years. Since you mentioned RTs I did assume you were either...

  16. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    You commented on serial ABGs which were done in the past to document a trend with the changes in SIMV which would be one for the PSV, one for the rate and one for the FiO2. Since you are talking...

  17. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    Why would you put anyone on SIMV without a pressure supported breath after you description of resistance? Do you know how you would appropriately set up SIMV? When would you place a patient on no...

  18. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    In some patients achieving a higher MAP might be desirable for oxygenation and this is obtained by manipulating the factors or setting that are part of the MAP equation. This will be within reasaon...

  19. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    Breaths are delivered by the ventilator either by a controlled breath or a pressure supported breath but who or what initiated the breath is different. It would be rare today to not use a pressure...

  20. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    This question can either be a trick question on an RT exam or a poorly written question on a nursing

  21. Tracheostomy Care

    GreyGull replied to ToddMSRRT's topic in General Nursing

    It varies around here also. In one hospital it is q12 and another q8 based solely on the shifts the RNs or RTs are working with the order or protocol stating "q shift". We occasionally break policy...

  22. I'm thinking about dropping out of nursing school...?

    GreyGull replied to tatempole's topic in General Nursing

    It might be best if you did follow the accounting path so you can see where some of California's problems extend well past what you have stated. In fact there is enough pork amongst the wealthier...

  23. Infant CPR while holding the baby on your arm...What?

    GreyGull replied to everthesame's topic in General Nursing

    I have done CPR on infants too many times to count throughout my career. The latest one for carrying the infant and CPR was meeting the parents at the ED door. The mother gave a couple of quick...

  24. Cardiac Nurses

    GreyGull replied to ttpurtee's topic in General Nursing

    There are many situations that can cause fainting. I am uncertain at this point as to how to continue with this without giving out medical and/or legal advice to someone who is not in the medical...

  25. Cardiac Nurses

    GreyGull replied to ttpurtee's topic in General Nursing

    Not enough information to judge the health care professionals in this situation to determine stupidity or if they had actually given out bad information or what they should or should not have done....