GrannyRRT

GrannyRRT

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All Content by GrannyRRT

  1. Asthma treatment

    GrannyRRT replied to Leegc's topic in School

    Not knowing the hx of this child's CLD, I would probably place the classification at moderate persistent and poorly controlled. Albuterol does not always make wheezing go away. The inflammatory...

  2. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    Typed this from a mobile device? Let me address this first. No. It is not "against the law" for a nurse to operate a ventilator. Florida has several RN/RN and RN/Paramedic transport teams which...

  3. Nurses doing nebs

    GrannyRRT replied to sistrmoon's topic in General Nursing

    The terminations probably came as a result of the hospital's decision to cut costs since CMS cut reimbursement for nebs. RTs are being laid off all over the country. This is not good since COPD is now...

  4. Endotracheal Intubation Tube-Redesigned??

    GrannyRRT replied to luisf31's topic in Nurse Entrepreneurs, Innovators

    We have focused on the method and device for intubation. Studies have shown prehospital intubation is not always necessary and supra glottic ET tubes can work. At least once the patient is intubated...

  5. Tracheostomy and Vent Information

    GrannyRRT replied to NRSKarenRN's topic in Home Health

    A lot of that information, especially the documents, is almost 20 years old. Ventilators and trachs have come a long way since then. Maybe it is time for a new discussion so you can gather more...

  6. Ventolin or Advair. Which comes first?

    GrannyRRT replied to mlimoges's topic in Patient Medications

    Great question! If the child is in Pressure Control or even Pressure Support, the tidal volume is great indicator. For volume the inhaled (set) vs exhaled helps along with PIP. Several small vents...

  7. Ventolin or Advair. Which comes first?

    GrannyRRT replied to mlimoges's topic in Patient Medications

    Since you are dealing with a physician wannabe, it is time to up the game for a more detailed explanation. Actually, since nurses are giving the inhaled meds and are responsible for teaching the CLD...

  8. Ventolin or Advair. Which comes first?

    GrannyRRT replied to mlimoges's topic in Patient Medications

    Advair, if used in the DPI (dry particle inhaler form) diskus, can be irritating to some creating a response which makes delivery ineffective. Pre medicating with albuterol makes it better...

  9. O2 sat monitor question

    GrannyRRT replied to createun's topic in General Nursing

    First, learn the make and model name of your equipment. We can help you troubleshoot better. Some SpO2 monitors such as Masimo have an adjustment in the settings on a couple of models to pick up...

  10. radiology tech vs respiratory therapy vs nursing

    GrannyRRT replied to Nursetobe25's topic in Nursing Career

    You are the first nurse to ever say you learned about ventilators and the care of a ventilator in a nursing program. I have seen the respiratory section in the nursing curriculums and it is not...

  11. Please help me understand COPD!

    GrannyRRT replied to georgianurse16's topic in General Nursing

    Oxygen and CO2 Retention in COPD Enough with the "knocking out the hypoxic drive" stuff. It is time to stop teaching the myth and start teaching the real mechanisms so correct therapy and oxygen...

  12. EMT-B and RN: Scope of practice limitations

    GrannyRRT replied to CamillusRN's topic in General Nursing

    Your best bet is to call the Kansas EMS board for the state and your region. Unless someone here is an RN in Kansas under the same circumstances it is doubtful they will know how to answer correctly....

  13. asthma assessment

    GrannyRRT replied to kidzcare's topic in School

    This again brings us back to asthma education. If you are seeing this child almost daily, basic maintenance is probably not being done appropriately or poorly prescribed. How many know the...

  14. Caffeine and Inhalers

    GrannyRRT replied to inthecosmos's topic in Nursing Student Assistance

    Just remember there are also different classes of bronchodilators such as Beta Agonists (long and short term) and anticholinergics. Wow! Nursing programs aren't teaching basic

  15. Caffeine and Inhalers

    GrannyRRT replied to inthecosmos's topic in Nursing Student Assistance

    There are over 80 inhalers commonly used so you need to be more specific. I am going to take a guess and answer as if you mean a SABA or LABA (Short or Long Acting Beta Agonist) which are used for...

  16. asthma assessment

    GrannyRRT replied to kidzcare's topic in School

    We have been trying to work with schools for over 3 decades to provide more resources for nurses, parents and teachers. The asthma educators website has some great links for assessment. It is much...

  17. Vibrating vest and other tx for COPD?

    GrannyRRT replied to anon456's topic in General Nursing

    Yes there are foam pads in the shape of a donut which can be used for ports and pegs. But, there are times when they have the needle in the port during IV therapy which can be painful if jiggled...

  18. Vibrating vest and other tx for COPD?

    GrannyRRT replied to anon456's topic in General Nursing

    The Vest is not tolerated very well by older adults with COPD and especially some women with breast implants or surgery hx. Back injuries can also be exacerbated with the Vest in older adult. Obesity...

  19. Too much oxygen?

    GrannyRRT replied to RN_EMT's topic in General Nursing

    Very little of that adult experience adequately prepares you for a pediatric cardiac patient like this. ACLS definitely does not cover CHDs in children. You should consider doing acute care on a pedi...

  20. Too much oxygen?

    GrannyRRT replied to RN_EMT's topic in General Nursing

    What was the SpO2 of the patient during report? Was this s/p repair? Was the cannula on a blender? (I would hope if this is a cadiac child.) 5 l/m @ 21% is not the same as 5 l/m 100% What kind of...

  21. radiology tech vs respiratory therapy vs nursing

    GrannyRRT replied to Nursetobe25's topic in Nursing Career

    It might be within your state scope of practice but it also has to be within the policy for the hospital you work in. Some nurses will mess with things they have not been properly trained for. CMS...

  22. radiology tech vs respiratory therapy vs nursing

    GrannyRRT replied to Nursetobe25's topic in Nursing Career

    I hear this from some nurses but I have yet to see any of them step up and say THEY are RESPONSIBLE for what the RT did or did not do. RTs answer to their own supervisors and directly to their...

  23. Info about Polysomnography

    GrannyRRT replied to kevoo1987's topic in General Nursing

    Google the site Advance for Respiratory Care and Sleep. They recently did a salary survey. As you can see most know very little about the profession. It has traditionally been a specialty spin off of...

  24. Oxygen Therapy

    GrannyRRT replied to Sugar-Phosphate's topic in Nursing Student Assistance

    Hypoxic Drive? You must make the distinction between the hypoxic drive and the hypoxic drive theory. Good reading: [h=1]Oxygen-induced hypercapnia in COPD: myths and facts[/h] Oxygen-induced...

  25. Pregnancy and Xray Exposure

    GrannyRRT replied to Axian817's topic in General Nursing

    The Radiology department should have policies and good recommendations for protection and exposure levels. They can also provide the approximate numbers of radiation for each machine during exposure...