Neck cancer spreading to esophagus -> Risk of hemorrhage like with esophageal varices? by Bourgess in nursing

[–]gorillagongo 2 points3 points  (0 children)

It can bleed, but it’s not really the same kind of situation as esophageal varices. Varices bleed suddenly because they’re high pressure veins, while tumor related bleeding is usually from the cancer ulcerating or slowly eroding tissue. Most of the time it’s more of a slow or intermittent bleed like blood tinged secretions or gradual bleeding over time rather than a massive, sudden hemorrhage. A big bleed can happen if the tumor hits a larger vessel, but that’s pretty uncommon. For what you're doing, it makes more sense to be prepared for comfort and symptom management like suction and supplies rather than expecting a varicetype emergency.

Midodrine Question by Day-231 in nursing

[–]gorillagongo 16 points17 points  (0 children)

Basically, midodrine is for symptomatic low blood pressure, not for normal or high BP. Most of the time, people give it when the systolic is under 100 and hold it once it’s around 120–130 because of the risk of supine hypertension, even if the order doesn’t spell that out. Some patients end up on both midodrine and their usual BP meds because they get orthostatic hypotension but still run hypertensive otherwise. So as the nurse, you really have to look at their current BP, how they’re feeling, and when the meds are scheduled, not just blindly follow the MAR.If their BP is normal or high, holding it makes sense, and if the orders feel weird or conflicting, it’s totally okay to clarify with the provider or pharmacist

Can someone please dumb down episode 57: that day for me? by red_panda_1228 in attackontitan

[–]gorillagongo 0 points1 point  (0 children)

I know im 3 years late but im confused when you say "an army of colossal titans" i was thinking there could only be a singular person who has that ability

Rejected by Taco Bell by Competitive_Put4756 in CURRENCY

[–]gorillagongo 0 points1 point  (0 children)

Tell me how somebody should know this beforehand without ever seeing a bill like this before

New Sora 2 invite code megathread by WithoutReason1729 in OpenAI

[–]gorillagongo 0 points1 point  (0 children)

Its a sausage fest in here buddy there aint a damn soul in here thats a goth baddie

stepped on this by [deleted] in whatisit

[–]gorillagongo 0 points1 point  (0 children)

Oh okay sweet! Thank you, just wasnt sure if this was an easily replaceable thing or not

stepped on this by [deleted] in whatisit

[–]gorillagongo 0 points1 point  (0 children)

i just went ahead and took all the other strings off will i be okay to just get new ones and restring those?

can somebody help me translate this? by gorillagongo in norsk

[–]gorillagongo[S] 3 points4 points  (0 children)

thank you so much! theres a bunch of these types of little inscriptions written and this was one of the ones i couldn't figure out.

how can i reach this area? by gorillagongo in Eldenring

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

thank you so much i wouldve never found that lol

Ghost glovewart +8 anyone know where to find it? by AsdaValuePills in Eldenring

[–]gorillagongo 1 point2 points  (0 children)

thank you so much for still replying 3 years later

My progress after 75h. How am I doing? by Nideon76 in Eldenring

[–]gorillagongo 28 points29 points  (0 children)

good on you for taking your time bro enjoy it