vogueress, RN

🇵🇸

[vogueress, RN @slippish]

In highschool on my wall I had an American flag, the constitution and a painting of George Washington praying next to a horse or some shit so any one can become a socialist if they want to.

[vogueress, RN @slippish]

@DocPriyamMD Potassium but please don’t push it

[vogueress, RN @slippish]

@PARobert @iamisla_ There is a simple vaccine that prevents that though

[vogueress, RN @slippish]

@MatchTalks_ So brutal for such a gritty performance from arsenal to be undone by horrendous goal keeping.

[vogueress, RN @slippish]

@anatelorenzen @JWayneMcClure The swimmer in the lead is not experiencing the waves that are pushing the swimmer on the left. The lead swimmer has clean water, the pool design would have no effect on the

[vogueress, RN @slippish]

@drkeithsiau @Frank0371871681 Easy to treat is throwing me off, I would not classify either EPS or serotonin syndrome as “easy to treat”

[vogueress, RN @slippish]

@drkeithsiau Could be anything that interferes with dopamine or serotonin pathways, so cocaine, meth, MDMA or even adderall if it’s dopamine driven or Fentanyl, MDMA, cocaine, LSD or dextromethorphan if serotonin driven

[vogueress, RN @slippish]

@Coronel_Blimp @6age6y @DocPriyamMD I clearly said it in a confusing way but I more meant do what you need to do to start correcting the metabolic acidosis. Certainly wouldn’t give any bicarb with the K+ at 2.5

[vogueress, RN @slippish]

@6age6y @Coronel_Blimp @DocPriyamMD Do everything you can to avoid intubating. The only reason you would ever intubate this patient is if they can’t oxygenate. But if they can maintain there sats, even if it’s on a non-rebreather, you hold off on intubation and try to get their Bicarb up as quickly as possible

[vogueress, RN @slippish]

@6age6y @DocPriyamMD The only thing keeping her alive is how well she is blowing off CO2, you aren’t going to be able to keep up with positive pressure ventilation. You should do everything you can to avoid intubating this patient. The chances she survives even 15 seconds of apnea are not great

[Mike Beauvais @MikeBeauvais]

The “Everyone is 12 now” theory truly is foundational for our times.

[vogueress, RN @slippish]

@virgo_tendency @elizabethbelsky It’s quite abnormal for modern Mormons.

[vogueress, RN @slippish]

@johnsemalhuis @Hragy That’s the way to go if you have the blood stores. Blood can be replaced relatively quickly and easily, cardiac muscle cannot be replaced quickly or easily

[vogueress, RN @slippish]

@UFGators352 @ross_prager How long did you run it for? It can be 10-15 minutes before you start seeing improvement in hemodynamics and up to an hour before you see the full effects.

[vogueress, RN @slippish]

@Pete24674598463 @drjohnm Because humans are bad at understanding long term benefits. We are bad at doing things now that will only benefit us in the somewhat distant future.

[vogueress, RN @slippish]

@ross_prager It’s impressive how good it is already! Had fun messing around with it.

[vogueress, RN @slippish]

@IM_Crit_ On a positive note maybe the doctors at my hospital will stop ordering UFH for PE patients. It’s crazy how many patients aren’t fully anticoagulated until they have been on the heparin gtt for 24 or even 48 hours. It’s frustrating doing so much work for inferior results

[vogueress, RN @slippish]

@tazmanldn @anaesthetic_spr Yeah… I could see the argument if they were not responding to pressors at all, but plenty of people in septic shock don’t respond to fluids, and are drowsy and hypoglycemic. Unless they are on chronic steroids jumping to adrenal crisis with that info is hunting for zebras.

[vogueress, RN @slippish]

@idiotdoesart @utacult All sorts of dubious lawsuits are allowed to go through, and there are “doctors” whose only job is to lie on the stand as “expert witness” for money so those dubious lawsuits end up winning. It’s one of the major problems on US healthcare.

[vogueress, RN @slippish]

@austincamp I imagine you would have to somehow get a good sputum sample from a patient who isn’t coughing lol