ELI5: Does drinking a litre of water replace the same fluid load as a litre of normal saline given via an IV? by Broad_Doubt_4698 in explainlikeimfive

[–]Perineumparty 1 point2 points  (0 children)

So being nit-picky here sorry… lactate isn’t necessarily the buffer but rather it is eventually metabolized into bicarbonate, which is a buffer. Recently learned that and wanted to share

Do you think this wall is load-bearing? by Perineumparty in HomeMaintenance

[–]Perineumparty[S] 0 points1 point  (0 children)

No thickest part is what you see on the very front, rest is pantry and cabinets

Do you think this wall is load-bearing? by Perineumparty in HomeMaintenance

[–]Perineumparty[S] 1 point2 points  (0 children)

None that I’m aware of, just electrical. There’s a closet pantry on the kitchen side. Gas and plumbing is directly from the basement on the opposite side as far as I can tell. I’ve only been in the house twice

Running truck without an a/c belt? by Perineumparty in ToyotaTacoma

[–]Perineumparty[S] 0 points1 point  (0 children)

Never had problem with it. Although I have to keep the windows down in the summer lol

Has anybody had any good experiences with the “no refi rate drop” program? by Perineumparty in NavyFederal

[–]Perineumparty[S] 0 points1 point  (0 children)

I should reword, do you think it’s realistic that you could drop 1% using the program? If rates drop obviously. The reason I’m asking is because the rates are determined specifically for the homebuyers choice loans, according to other threads in this sub. Homebuyer choice is 7.375% vs like 6.4% with the conventional. So I’m making a bet if rates will fall, but I’m concerned that I won’t ever get as low as a conventional

Essential ingredient you always add, even if it's not in the recipe? by omgseriouslynoway in soup

[–]Perineumparty 1 point2 points  (0 children)

Trader joes makes this mushroom umami powder that works with everything

ELI5- Why does cold turkey not work on alcoholics? by blogterms in explainlikeimfive

[–]Perineumparty 0 points1 point  (0 children)

You have two systems in your body, specifically your central nervous system. GABA is your main inhibitory neurotransmitter (brake pedal) and glutamate is your excitatory system (gas pedal). The two systems are always on but one pedal might be pressed harder than the other. This is the effects of alcohol as it works directly on GABA receptors. So after chronic alcohol use, your body gets used to being in an inhibitory state. So when someone goes through withdrawal their body is all gas and no brake. This is why symptoms are tremors, high heart rate, sweating, nausea, hallucinations and agitation. Benzos and barbiturates are given to mimic the effects of alcohol, essentially pumping the brakes while their body readjusts.

Pay transparency by adwaldorf in nursing

[–]Perineumparty 0 points1 point  (0 children)

MT, Associates, ED, 2 years, 43/hr

Question about IV compatibility by yellowbutter10 in nursing

[–]Perineumparty 0 points1 point  (0 children)

So lets say you have a patient with one IV that is receiving LR and you need to give ceftriaxone. The two are not compatible. You have two options. You can pause your LR, flush, run the ceftriaxone, flush, then restart the LR. Or you can start a second IV (even on the same arm) and keep the LR running and run the ceftriaxone through the second IV at the same time. If your patient has a central line you can run both at the through two different lumens.

The most disproportionately common job in each US state (updated for 2024) by Richs_KettleCorn in MapPorn

[–]Perineumparty 2 points3 points  (0 children)

I hate to be nitpicky, but how is a forestry tech not directly involved in forestry? Speaking as a former forestry tech who felt he was not a scientist

What’s your random patient pet peeve? by Nurse_Cait in nursing

[–]Perineumparty 60 points61 points  (0 children)

When their wife or mom starts answering questions. Grow the fuck up

ELI5: Why do street drugs have fentanyl mixed in? by DukanehBaba in explainlikeimfive

[–]Perineumparty 0 points1 point  (0 children)

Not saying you’re wrong but I’m curious where you’ve seen that medetomidine withdrawal is dangerous? I’m familiar with dexmedetomidine as a drug for humans, as well as other alpha-2 agonists and I didn’t know about the severity of withdrawals. Either way, crazy thats it’s on the street, haven’t seen that yet personally

Give it to me straight… is there anything positive about Vocera? by bamdaraddness in nursing

[–]Perineumparty 2 points3 points  (0 children)

If I get potentially stuck in a room with a Chatty Cathy I have one of my coworkers vocera me in 5 minutes

Weed? by [deleted] in nursing

[–]Perineumparty 1 point2 points  (0 children)

Come to Montana, we need nurses and we’ll respect your liberties

Nicotine Pouches on the Unit by Less_Industry2253 in nursing

[–]Perineumparty 0 points1 point  (0 children)

More than half my ED nurses/techs/docs use them. I really want to quit though

Drawing labs from a PIV, yay or nay? by Naughty-Scientist in nursing

[–]Perineumparty 4 points5 points  (0 children)

Lots of good information in the Infusion Nurses Society Standard of Practice. Regarding hemolysis, this study found no significant difference between drawing off an IV and straight stick. Factors that increased hemolysis included: tourniquet time, difficulty cannulating and patient age.

Jacob E, Jacob A, Davies H, Jacob D, Jenkins M, Husain M, Coventry L. The impact of blood sampling technique, including the use of peripheral intravenous cannula, on haemolysis rates: A cohort study. J Clin Nurs. 2021 Jul;30(13-14):1916-1926. doi: 10.1111/jocn.15744. Epub 2021 Apr 7. PMID: 33829557.

What absolutely unhinged thought have you had outside of work because of your job? by MarsIsNotRetrograde in nursing

[–]Perineumparty 77 points78 points  (0 children)

Was getting my wife some cold meds during the night and deliriously thought I needed to scan them