papawjohn

papawjohn

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All Content by papawjohn

  1. Nursing with a Southern Accent

    papawjohn replied to natron20's topic in General Nursing

    Hey Y'all Two comments. First, there are lots of 'southern' accents. Just like there is a Bah-ston accent and a CHI-cargo accent. In the 'deep' South of plantations (and sadly, slavery) where I...

  2. NaHCO3 for BP?

    papawjohn replied to hellonurse36's topic in CCU, Coronary, Cardiac

    Hey Y'all!!! Ditto you dinith. The only thing that makes sense to me in this scenario, is that acidosis like 'neutralizes' most meds. The acidosis is (as has been said) from Lactic Acid produced by...

  3. course of action for pt who cannot expectorate mucous

    papawjohn replied to greatshakes's topic in Pulmonary

    Hey Hassled!!! Well, I was gonna dash off an ICU nurse's response to ya. But the Mrs is a nurse in LTC and she's sittin' right here. She suggests that she'd give a nebulizer and if that didn't work...

  4. man new to nursing.

    papawjohn replied to magichands's topic in Men in Nursing

    Hey Buddy!!! There is no simple way to deal with the 'male-nurse' thing in an intellectual way. What the word 'nurse' or 'nursing' means is---well, we're mammals, right? So what's a person lucky...

  5. map & dbp question

    papawjohn replied to chaosRN's topic in CCU, Coronary, Cardiac

    Hey Everybody!!! Like I said above---when the REAL CVICU nurses show up, I give up. (Or words to that effect. ;>) Dorimar---I'll return a complement: You could be MY nurse, PLEASE!!!---if I'm...

  6. map & dbp question

    papawjohn replied to chaosRN's topic in CCU, Coronary, Cardiac

    Hey Y'all!!! What a privilege to have such good conversation!! I was checking my EMail and the allnurses' site directed me to the reply from Chaos and as I was thinking of how to respond--whoops!!...

  7. early s/sx of your cardiac pts going bad?

    papawjohn replied to lifeLONGstudent's topic in CCU, Coronary, Cardiac

    Hey Student!!! I have to say, I started to cruise on by this question because it's not very specific. I mean--you specify 'cardiac' Pt but how about the Open Chole in my SICU with a 'history' of CAD?...

  8. map & dbp question

    papawjohn replied to chaosRN's topic in CCU, Coronary, Cardiac

    Hey Chaos!!! Let me try to answer your question. Obviously I was not there with you last nite--so whatever I say is kinda theoretical. (And cannot be interpreted--because NEVER meant--as critical.)...

  9. vent not working

    papawjohn replied to G'smommy's topic in MICU, SICU

    Hey Y'all!!! I've had HME's get soggy and cause high-pressure problems but always had the alarms go off appropriately. And in the situation described here, the Nurses seem to have done well enough....

  10. Has anyone ever assisted in a roadside emergency?

    papawjohn replied to c5150b's topic in General Nursing

    Hey Y'all!!! I mostly stop if there doesn't seem like first responders are already on the scene. And like Mandana, I've found that non-medical bystanders are too anxious to do CPR. Had a fella...

  11. Patricia Hewitt

    papawjohn replied to Owain Glyndwr's topic in International Nursing

    Hey Y'all!!! I caught a reference to the Nat'l Health Service's Boss getting booed by a confab of UK Nurses in this mornings paper. It was just a short paragraph in a story about TonyBlairs recent...

  12. Pacer question

    papawjohn replied to monkeyman1000's topic in CCU, Coronary, Cardiac

    Hey Monkeyman!!! It's been so long since I did CCU!! I have spent years (decades!) on MedSurg ICU and Trauma. But let me try to answer a few of your questions as best as I can. You know of course...

  13. New student in ICU/CCU

    papawjohn replied to luv2shopp85's topic in CCU, Coronary, Cardiac

    Hey Luv!!! First of all--let your fear and anxiety be in relation to your responsibility. OK? Not being a smart@ss at all!!! Just an observation that very high levels of anxiety will block...

  14. calcium effect on blood glucose?

    papawjohn replied to utahliz's topic in CCU, Coronary, Cardiac

    Hey Y'all!!! I agree that I've never heard of a connection between 'repleting' Ca++ and lowering the Glucose. Thought it's worth the time to just remind ourselves of the connection between giving D50W...

  15. Help with inverted T-waves/reciprocol

    papawjohn replied to rarjn5's topic in CCU, Coronary, Cardiac

    Hey Again Ever'body!!! Gosh--these E-Mail referrals (someone has replied to a thread....) get me coming back here. Was thinking about 'Reciprocal' changes--and had a little lite-bulb goes off over...

  16. Fact or Fiction

    papawjohn replied to stkp's topic in Cardiac

    Hey Y'all One thing about the ear-crease and similar 'nurse's sign's'--they seem logical until they show up on YOUR personal physiology. I thought the ear-crease was an absolute sign of...

  17. Help with inverted T-waves/reciprocol

    papawjohn replied to rarjn5's topic in CCU, Coronary, Cardiac

    Hey Again!!! Gosh, I kinda remember my prev note was kinda breezy--like: Know the difference between 'inverted T' and 'depressed S-T segment' and worry about the latter, don't worry about the former....

  18. Help with inverted T-waves/reciprocol

    papawjohn replied to rarjn5's topic in CCU, Coronary, Cardiac

    Hey Y'all!!! I've been away from the keyb'd a few days. Boat projects. I guess I'm late here. Thanx for thinking of me, BTW. Here's the thing with any of those squiggly things from the ECG or the...

  19. ICU Psychosis ?????

    papawjohn replied to loricatus's topic in MICU, SICU

    Hey loricatus!!! True story--happened last week: Gentleman in his 80s takes home meds including coumadin is visiting the Park in Sarasota and unfortunately takes a ground-level fall. Visits local ER...

  20. Two questions

    papawjohn replied to paulamac's topic in First Year After Licensure

    Hey!!! It's swell to have a 'new' nurse seriously thinking these kind of thoughts. We are the responsible person on the scene when these decisions are made and thinking about it now makes the...

  21. Fact or Fiction

    papawjohn replied to stkp's topic in Cardiac

    Hey!!! The ear-crease is typical of what I call 'nurse's superstitions' that actually seems to have something to it but that I have never heard a reasonable scientific rationale. (Kind of like...

  22. New Here (Hello, Everyone!) Need advice about education

    papawjohn replied to kellysmom's topic in Nursing Career

    Hey!!! Congratulations on your new future and welcome to the Allnurses' place. The answer to your question is really about what your long-term goals are and how much money you need to earn as you go...

  23. train of four

    papawjohn replied to rarjn5's topic in MICU, SICU

    Hey Y'all!!! Thank you so much for the kind words. Here's my 'thing'--lots of nurses feel dumb. But they aren't--they just haven't had an explanation that make sense to them. I have a 'visual' sort...

  24. Assessment for Pericardial Rub,need some advice

    papawjohn replied to whatmaters's topic in Nursing Student Assistance

    Hey!!! Well, you have to face the simple fact that not too many Pt's will accomodate you by having Pericardial Friction Rubs. Infact, very very few. So start by thinking of what kind of Pt is likely...

  25. train of four

    papawjohn replied to rarjn5's topic in MICU, SICU

    Hey!!! Well, as mentioned--'train of four' is used to evalute how deeply paralysed your Pt is. How's it do that? The curare type meds work by blocking the synapse that occurs at the junction of...