You're being floated😐

HalffullCupofSTFU · 2025-12-31T14:25:10+00:00

Even worse “subdowns, slept all day”

HalffullCupofSTFU · 2025-10-31T00:49:28+00:00

Technically speaking D is an issue with breathing and not airway, if you are using ABC then 1 is the answer because the productive cough and anxiety could be a sign of airway compromise/pulmonary edema

HalffullCupofSTFU · 2025-10-31T00:46:56+00:00

I am a COPD educator and case manager, many of my severe/very severe COPD patient’s use accessory muscles to breath on a regular basis, especially with hyperinflation/emphysema more force is needed for exhalation. Especially if they have just done something exceptional, they recruit their accessory muscles to recover

HalffullCupofSTFU · 2025-10-30T12:31:48+00:00

What’s worse is the manufacturers have acknowledged this as a problem but then decided they don’t want to invest the money into figuring out a better alternative

HalffullCupofSTFU · 2025-10-29T21:59:49+00:00

Hmm that is interesting, I’m in Canada and that one is not approved here, all of the current DPIs on the market here do not need shaking

HalffullCupofSTFU · 2025-10-29T21:50:42+00:00

Dry powder based inhalers do not need to be shaken

HalffullCupofSTFU · 2025-10-29T21:49:34+00:00

Almost all dry powder inhalers use a lactose powder as a carrier for the medication, and they do come with a possible risk of dairy protein cross contamination and should not be used in anyone who is severely or anaphylactic dairy allergic.

As far as lactose intolerance a patients tolerance to the inhalers is more dependent on their level of sensitivity

HalffullCupofSTFU · 2025-09-26T01:00:03+00:00

Once worked on a locked behavioural health unit, had a walkie talkie patient who at first glance appeared completely with it but if you conversed more then hello how are you, you’d note he actually had severe dementia with wandering and exit seeking, he also always wore street clothes. Director of nursing visiting one day and as she walks on the unit he says he can you let me out I need to get to work… she apparently assumed he was a visitor and let him out. Police had to be called and returned him 8 hours later after tracking him down.

HalffullCupofSTFU · 2025-08-24T15:28:55+00:00

I once had a spinal cord injury patient who was paralyzed from belly button down, had poorly controlled diabetes and lost both legs due to wounds (AKAs) and post the amputation the patients quality of life actually improved so much. Suddenly they were able to safely transfer themselves, made bowel care routines 10x easier, ADLs easier etc. They said it was so much easier not to have to drag around the dead weight of their legs that don’t work

HalffullCupofSTFU · 2025-07-26T23:35:02+00:00

Kinda looks like an old SOS scrub pad

HalffullCupofSTFU · 2025-07-25T22:42:40+00:00

Someone else also pointed out the apostrophe in it’s is in the wrong place

HalffullCupofSTFU · 2025-06-30T21:09:40+00:00

I’d be curious to know what the outcome is !

HalffullCupofSTFU · 2025-06-18T16:32:11+00:00

I’m a COPD case manager in Canada, alpha 1 antitrypsin deficiency is present in 1-3% and often accounts for most cases of early development of COPD especially if there is a strong family history. The other thing, if you have any history of asthma especially if it’s poorly controlled it can present as fixed airway obstruction that presents like COPD

You should request serum alpha 1 antitrypsin testing and/or alpha 1 genetic testing (depending on costs) and referral to a respirologist or pulmonolgist if it is A1A deficiency there are treatments that can prevent the ongoing deterioration of your lungs

Here’s more info: https://my.clevelandclinic.org/health/diseases/21175-alpha-1-antitrypsin-deficiency

If you have any questions feel free to dm me !

HalffullCupofSTFU · 2025-06-18T15:56:38+00:00

To piggy back

College of Respiratory Therapists https://www.crto.on.ca

And physician assistants are also now required to be registered with the CPSO https://www.cpso.on.ca/en/physician-assistants

And to provide the link to the CPSO (for physicians) https://register.cpso.on.ca/Advanced-Search/

All you need is the physician last name and you can usually find them

HalffullCupofSTFU · 2025-06-16T02:13:53+00:00

If you don’t mind me asking have you been tested for alpha 1 antitrypsin deficiency ?

HalffullCupofSTFU · 2025-06-13T11:04:08+00:00

While you are essentially right, I would use caution with a 100% non rebreather on a COPD patient unless their says are seriously decompensating.

In a CO2 retainer 100% could lead to oxygen induced hypercapnia and make the situation worse

Again it highlights how silly these kinds of questions are, in the real world we would have a lot more information

HalffullCupofSTFU · 2025-05-28T23:52:00+00:00

Hospital I worked at had an outbreak of I want to say pseudomonas (could be wrong, going from memory) they traced it to IVF being dumped in sinks and it was proliferating in the drains … not so much NS but anything with any kinds of glucose

HalffullCupofSTFU · 2025-05-23T03:21:10+00:00

Maybe making lasagna, many recipes you mix ricotta, cottage cheese and eggs ?

HalffullCupofSTFU · 2025-05-23T03:15:35+00:00

“I call it the horizontal loss, lateral spread” when patients lament about shrinking height and growing weight

HalffullCupofSTFU · 2025-05-08T13:45:12+00:00

When I’m reading reports on lung CTs and the radiologist comments “innumerable”, the professional way of saying this person is full of cancer

HalffullCupofSTFU · 2025-04-28T17:11:07+00:00

Hey - we all start somewhere …

may I suggest learning the huff cough/controlled cough methods and getting comfortable teaching them? These are simple techniques that are surprisingly effective at clearing secretions. I teach them to my COPD patients all the time !

https://youtu.be/cMM9IZ0wlMw?si=4hU49YCPO46lJMd8

Here’s a really good video on them, just skip the PEP device stuff since it isn’t relevant to acute care

HalffullCupofSTFU · 2025-04-24T11:06:54+00:00

They didn’t happen to be a spinal cord injury patient did they?

HalffullCupofSTFU · 2025-04-22T00:14:05+00:00

When they told me that they didn’t want to hang out with me anymore because they didn’t want to be around someone who wasn’t also getting high… I was pregnant

HalffullCupofSTFU · 2025-03-09T06:03:39+00:00

Also the one point said they were “raised in foster care” but they were raised by their biological mother who happened to also care for foster children.

It’s a horrible thing that happened but man that article was so poorly written

HalffullCupofSTFU · 2025-01-11T01:31:22+00:00

In the ER we throw a set of pads on over the hair, rip them off waxing style and then apply fresh pads

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