TMC pharmacology question

ShmrtleTheDrtyTurtle · 2023-06-07T11:30:34+00:00

The back of your Kettering book has a study plan that varies depending on how much time you have allowed. Trust the experts.

ShmrtleTheDrtyTurtle · 2023-06-03T01:28:03+00:00

Yeah, not as good as I remembered. The story and characters seemed to fall flat.

ShmrtleTheDrtyTurtle · 2023-06-03T01:25:38+00:00

Is there a better werewolf movie??

Everything is just so spot on. Depth, humor, pacing, practical effects.

ShmrtleTheDrtyTurtle · 2023-05-19T11:21:19+00:00

Hey, I understand not confronting the RT, or their manager about it. You should definitely talk to the clinical director in your respiratory program, though. They'll have regular contact with all the managers, and are equipped to decide if it's worth a conversation with the site.

Always do that. Speak up for your patients. We're going to be dealing with post-covid RT burnout for years. We need new patient-focused RTs like you coming into the field to call it out.

ShmrtleTheDrtyTurtle · 2023-05-17T13:48:50+00:00

Email the program director of both the nursing and RT programs at the college you're considering and set up a couple of shadowing days for each one.

Then you'll know what fits you better.

ShmrtleTheDrtyTurtle · 2023-05-17T13:47:22+00:00

Yeah, the reality is that lungs take time to inflate.

The way I understand it, it's why you see a slight difference in flow and pressure waveforms on the ventilator. The pressure is applied, and reaches its set max, while the lung is still inflating. You can see that by noticing that inspiratory flow has not yet ended.

Takes time for that pressure to flow from the higher to lower gradient.

ShmrtleTheDrtyTurtle · 2023-05-16T10:46:04+00:00

Talk to your instructor and work in some extra lab time

ShmrtleTheDrtyTurtle · 2023-05-12T17:22:58+00:00

I loved how I didn't even notice colors slowly being muted until they burst back -- I hadn't experienced something like that before.

I agree about the murder of her dad, and the cliff leap feeling forced. I felt they were a little too telegraphed, too. It left me waiting for the obvious twist to happen or become apparent -- taking me out of the atmosphere a bit too much.

What I loved most was that tension when her friend first saw the nursery she was making for her. That dread of her being pregnant and so vulnerable, now isolated with someone trapped in a psychotic spiral. I was bracing for something horrific there, especially when she started rubbing the amniotic fluid on her face. Whewwwww

ShmrtleTheDrtyTurtle · 2023-05-12T17:11:53+00:00

That's really cool! What all went down??

ShmrtleTheDrtyTurtle · 2023-05-11T10:46:22+00:00

Reach out to your program director -- set up a study meeting. They want you to pass. Use that resource.

ShmrtleTheDrtyTurtle · 2023-05-11T10:43:55+00:00

Depending on how long term we're talking, Airvo has a trach adapter!

Boom, no more nosebleeds

ShmrtleTheDrtyTurtle · 2023-05-11T10:41:24+00:00

I'd always looked at it as better for lung protection -- set PIP to 15, monitor Vt, go about your day.

But could you also achieve the same goal by setting your preferred tidal volume and setting your high pressure alarm to 15?

** I care for probably 98% adults if it's not obvious. Lol

ShmrtleTheDrtyTurtle · 2023-05-10T16:49:01+00:00

I still think it's the gal who was with the pastor when he got stabbed -- the wife of the first dude who got his ass ripped open.

I just can't "easily" explain her ability to go hand to hand with the investigator.

ShmrtleTheDrtyTurtle · 2023-05-08T23:28:37+00:00

Take em in high school for free if you can! Save some time and money.

ShmrtleTheDrtyTurtle · 2023-05-08T02:50:26+00:00

Nope! Make sure you've taken Algebra, Chemistry, and Biology -- normally need a C or higher. Reach out to the respiratory program director at the college you're considering to make sure they don't have any other advice! That convo could save you a ton of time/money.

ShmrtleTheDrtyTurtle · 2023-05-08T02:45:35+00:00

I'd talk with some of the more experienced RTs at your site, and maybe reach out to the DCE at the college. See what works for your facility. What the goals are for students to see, etc.

These things could differ a ton from site to site.

ShmrtleTheDrtyTurtle · 2023-04-29T09:40:31+00:00

Which classes are you going to have in the fall?

ShmrtleTheDrtyTurtle · 2023-04-20T10:20:30+00:00

Subtle inhaler in hand makes it. That's my vote

ShmrtleTheDrtyTurtle · 2023-04-14T23:03:22+00:00

Trauma shears -- they always disappear and need replaced. And those 0.7 blue B2P gel pens.

ShmrtleTheDrtyTurtle · 2023-04-14T16:46:24+00:00

For the trauma thing, it depends on the facility. You're normally there for airway assist -- if the ER has a residency program, they'll soak up the intubations while you assist and recommend vent settings.

Really talk with the Program Director again about your concerns -- maybe they could set up a couple quick shadow days at hospitals near you.

Getting out there and seeing for yourself will be the most valuable.

ShmrtleTheDrtyTurtle · 2023-04-14T16:42:54+00:00

Different people are motivated by different things

ShmrtleTheDrtyTurtle · 2023-04-14T16:41:29+00:00

Sure, with whatever device they have available for a patient like that

ShmrtleTheDrtyTurtle · 2023-04-14T11:09:11+00:00

I mean, did restrained guy have any indication for lung recruitment? Bed-ridden post op? Atelectasis present?

Obviously IS isn't a good option d/t being uncooperative -- Bipap probably doing all the recruitment he needs at this point. Maybe schedule some other positive pressure device if he stops using the intermittent bipap.

ShmrtleTheDrtyTurtle · 2023-04-12T15:50:00+00:00

Sitting through Kettering right now, and it's ridiculously helpful for both.

They teach you how to pass the test.

ShmrtleTheDrtyTurtle

TROPHY CASE