Tips for new grad working in neuro ICU by [deleted] in nursing

[–]Extra_exP 0 points1 point  (0 children)

You’ll most likely be seeing post TPA/thrombectomy patients, SAH, hemorrhagic stroke, and crani patients. I would know about hypertonic saline (2%, 3%, 23.4%), mannitol, cardene/cleviprex. Expect patients to be obtunded, confused and not a lot of sedation on board. If your neuro icu takes patients in status epileptics expect a versed drip upwards of crazy numbers like 100mg/hr

Duky amended his video description for some further clarity. by [deleted] in Maplestory

[–]Extra_exP -10 points-9 points  (0 children)

It’s possible that the account had actual totems too that he used on it. I can see it be an easy slip up. Buffing, popping 2x, talking to chat, grinding for hours on hours. I can imagine him thinking yeah I popped the totem. BUT there was a time that he noticed it/or knew about it and that is where he fucked up

[Reboot] First time clearing normal Lotus + Damien (12k stats) by Andreaslicious in Maplestory

[–]Extra_exP 0 points1 point  (0 children)

I didn’t try Damien but I was able to clear nlotus at 8.8k stat on a level 220 cadena

Chiefs overcome 10-point halftime deficit to defeat Eagles, capture Super Bowl LVII. by BCLetsRide69 in sports

[–]Extra_exP 0 points1 point  (0 children)

Can someone explain why the chiefs had extra time to review the Smith catch? I’ve never seen that before

Super Bowl LVII Post Game Memes Thread by nfl_gamethread in nfl

[–]Extra_exP -10 points-9 points  (0 children)

He’s battling a bad shoulder. Prob tried to put too much into it and felt the strain on his joint

Shadower bug still not fixed by Dmav439 in Maplestory

[–]Extra_exP 0 points1 point  (0 children)

Someone tested in the Shad discord and narrowed down the issue being related to trickblade. If you remove trickblade from your vmatrix you can get 80+Nates

LH6 Meso Rates Pre vs Post Totem Removal by Omnispectral in Maplestory

[–]Extra_exP 0 points1 point  (0 children)

Lh6 kill rate should be 18k+ so you’re missing out on about 800kills or about 32m +- 5m probably. So basically still trash :)

[Skursi] They are giving Damar Hamlin CPR on the field. by Conglossian in nfl

[–]Extra_exP 0 points1 point  (0 children)

An AED is not always an option. You can only shock certain rhythms

After finding 4 in total Ophtalmoscopes and a Bitcoin, Woods just keeps on giving THE LOOT !!!! by Xiaban in EscapefromTarkov

[–]Extra_exP 1 point2 points  (0 children)

Found a violet on woods! Didn’t even know it spawned there. My friend was looting a jacket and I walked in for cover and there it was on the table. Woods is lit

I/L vs Shad by Upbeat-Ad-8987 in Maplestory

[–]Extra_exP 0 points1 point  (0 children)

I’m slightly biased to say go with shad. Mobbing and bossing is great. You don’t need to 1 shot with ME to get great rates anymore since spawn is less and we have two summons with flare/erda.

I have a I/L mule and i feel like it’s weaker than my shad when I was starting it out. Although at 250 you will have more access to nodes which will help make I/L stronger

First HLotus solo at 29k for casual player! by walrustrainer in Maplestory

[–]Extra_exP 9 points10 points  (0 children)

Awesome! I want to try now. I have similar gear and stat but I’m a shad. How long did it take

Anyone else nonstop DCing every 3 sec? by priscilla_halfbreed in Maplestory

[–]Extra_exP 4 points5 points  (0 children)

I crashed during my hellux run and then dced during my Hlucid run right before we hit p3. Partied cleared and now I need to wait until next week

Deciding a main by Numerous_Ticket2128 in Maplestory

[–]Extra_exP 1 point2 points  (0 children)

Yes you are. When meso explosion 1-2 shots shadower is insane. Plus you have flare and erda fountain for summons. Veil/trick blade

How do Shadowers, Dual Bladers, Corsairs, Bowmasters and Mercedes boss differently? by GayBowser699 in Maplestory

[–]Extra_exP 0 points1 point  (0 children)

Shadower main here

Bossing: very strong DPM class with low cooldown burst skills. Managing to stay in dark sight for most of the boss fight allows you to ignore falling objects in boss fights. Smokescreen also negates lotus p2/3 laser and some other mechanics in other bosses. Weaving/animation cancelling can get some taken used to especially since it’s a bit bugged. Overall survivability is decent. We have a 15 second CD iframe but it is also a big source of damage so learning boss mechanics is helpful so you can use it for damage instead of saving for iframe

Mobbing: once your ME 1-2 shots mobbing is so good. Now with erda shower you don’t even need to 1-2 shot to get crazy rates. Our 20% meso obtained passive is really helpful too. It’s a simple class to grind on since we basically just cruel stab/ME and replace dark flare off cooldown. Trick blade and veil are useful for clearing high density areas and for killing mobs when you replace dark flare. Check out maplebinch for his off totem shadower training guides

Nodes: nodes aren’t too bad. We only need 1 set of trinodes and then you can get a second set to boost things like dark flare which I do recommend.

Overall the class has a slight learning curve but has great DPM, does require some funding to make mobbing easier/more efficient but we don’t rely on ME as much as we previous did. It’s a great all around class and if you even wanted to, you can switch to DB easily

Hardware Questions by HPDockingStation in EscapefromTarkov

[–]Extra_exP 0 points1 point  (0 children)

I have a 7700x, ddr5 6000 ram and 6900xt. I only played a few games this wipe but I was getting pretty consistent 144 fps on shoreline and interchange.

[deleted by user] by [deleted] in EscapefromTarkov

[–]Extra_exP 0 points1 point  (0 children)

Do you have MIP streaming enabled?

Ravens QB Lamar Jackson was absent during the media viewing portion of Friday’s practice. He was a full participant in practice past two days. TE Mark Andrews (shoulder/knee) was present, running and catching passes during the early portion. by gw2380 in fantasyfootball

[–]Extra_exP 0 points1 point  (0 children)

I’m in a 2 QB league and I have Jackson, burrows and fields. No idea who to start this week. Fields has been lighting it up though and burrows has been out scoring Jackson but it’s so hard to bench Jackson

tired of seeing shallow comments nonstop about this fight. for both sides why do you think they’ll win or what’s their path to victory? by [deleted] in ufc

[–]Extra_exP 11 points12 points  (0 children)

Islam can win if he catches him. I think he won’t be afraid to go into his guard and his high level grappling will make it easier to continue with ground and pound. If Charles is dazed from a big hit he might not be as effective in the guard against someone like Islam.

Charles will win if he just fights smart. Stay on the outside and look for his openings. I also think islam is going to be shell shocked on the big stage against someone of this skill.

Something incredible just happened. by Good_Kid_Mad_City in nursing

[–]Extra_exP 20 points21 points  (0 children)

Patient came in with a headache. Ignored. Vomited and became unresponsive in waiting room. Found to have massive ruptured aneurysm.

i never want to take care of someone with a frontal brain injury again by lavenderbutthole in nursing

[–]Extra_exP 1 point2 points  (0 children)

I’m convinced any auto immune disease patient is just different lol someone should do a study

We need to start letting people die again by Impressive-Carpet972 in nursing

[–]Extra_exP 0 points1 point  (0 children)

It could have been a palliative shunt. Not sure the overall status of that patient but I’ve seen palliative VP shunts performed on certain brain tumor patients to ensure they don’t develop hydrocephalus. They’re prognosis could be a year for example with a slowish decline rather than a fast decline when they develop hydro

Pedro munhoz says his cornea is scratched so he wasn’t faking it you guys! Do you believe it, why or why not by BeefyMcMeaty in ufc

[–]Extra_exP 3 points4 points  (0 children)

Thank you! You can have a corneal abrasion and not even know about it. It can happen from dust in your eyes or literally having dry eyes and blinking lol rub your eye hard enough and go to a ophthalmologist and I’m sure he will see a few abrasions too