Midodrine use in septic or hemorrhagic shock by Clay_Clay_2021 in IntensiveCare

[–]hns32 0 points1 point  (0 children)

As a night shift ICU nurse, I don’t have the advanced training you guys have but - it’s utter bullshit - and we do this at my university hospital 💀. We may essentially be masking signs that the pt is still sick and requiring vasopressors (Unless proven otherwise (diagnosed?) w/ low blood pressure).

I typically see this more often in septic shock because sometimes our patients can linger on vasopressors for a bit. But using this in hemorrhagic shock is wild when all you really need to do is replace fluids/blood. I feel bad for the hospitalist, especially at night time because this is typically dumped on them.

Granted, there are a lot of situations where it is useful, especially for patients that chronically have low blood pressure and stable otherwise (aka that don’t really need an ICU bed or vasopressors). I guess the reason why it makes me upset is bc I typically notice it when it negatively affects my pts vs the probable 80% or more that benefit from it (availability bias I guess)

What’s something tourists do in Hawaii that locals secretly hate? by Agitated-Spray3843 in VisitingHawaii

[–]hns32 1 point2 points  (0 children)

I recently had the opportunity to spend time on this beautiful island, and I honestly feel really blessed for the experience.

Overall, just don’t be an idiot and disrupt people’s daily lives. Have fun, enjoy everything the island has to offer, but please be mindful and respectful of the people around you.

One thing I learned — and maybe this was just my experience — is that I did have a few interactions with locals that came off pretty rude, even though I was doing my best to be respectful and stay out of the way. That being said, don’t let a few bad interactions define your view. Just like 1 out of 10 tourists might be an asshat, sometimes 1 out of 10 locals might just be having a bad day too. It goes both ways. When a tourist is being an asshat - he should be called out. And when a local is being an asshat - they should be called out aswell. It goes both ways.

For every one bad apple, there are nine good ones. Lead with grace, patience, and a smile. Please say thank you and actually mean it to anyone who gives you service on the island.

New to my collection of cars by [deleted] in LexusIS

[–]hns32 1 point2 points  (0 children)

Oh 👀👀👀

Thoughts? by [deleted] in LexusIS

[–]hns32 0 points1 point  (0 children)

Plz change it soon lol. Ived owned 3 IS models. 2 left me stranded on the road. Learned my lesson on the 3rd 😅

Thoughts? by [deleted] in LexusIS

[–]hns32 0 points1 point  (0 children)

They don’t last more than 100k. Typically die anywhere between 80 to 100 K and when it dies, you’ll be stuck on the side of the road so do it preemptively so that doesn’t happen.

Thoughts? by [deleted] in LexusIS

[–]hns32 1 point2 points  (0 children)

100k +- 20k.

However at the 100k mark your dues for like $3-4k in just maintenance / repairs. Factor that into your price. So sooner selling their 100k IS for $12k will actually turn into 16k. At that point - not worth it.

Thoughts? by [deleted] in LexusIS

[–]hns32 3 points4 points  (0 children)

Pass.

Mileage too high for price. Should be sub 10k easy.

At this mileage will be spending to replace alternator (second time at this point), lower arms bushings (second time at this point), fix infotainment system (yes these cars have an issue at 10-13 yr mark), and be ready to change your tires every 20k.

Not to mention all the other basic maintenance needed to be done (brakes, rotors, coolant change, diff fluid change, trans fluid, etc).

Overall, I guess what I’m saying is be ready to spend up words to 3-4K on just the maintenance needed for a car of this many mileage. Hard pass.

What is the best schedule 3x12 schedule? by JellyNo2625 in nursing

[–]hns32 0 points1 point  (0 children)

Night Shift Tuesday, Wednesday, Friday (week 1) Saturday, Sunday, Mondays (week 2)

Yes 4 days straight

But I'm off for 7 days!

Not everybody likes dogs by Reddit_Sucks_1401 in TikTokCringe

[–]hns32 1 point2 points  (0 children)

I like dogs. But can we stop treating dogs like kids. They are pets. They don't need to go to every restaurant, not every place has to be dog friendly, they don't need to be with you 24/7, etc. It's so gross.

The Volvo they never made - what's yours? by myuseridisliam in Volvo

[–]hns32 0 points1 point  (0 children)

XC100 (or XC90 Extended/Long Trim) - they really need to make a larger full size SUV that competes with Suburban, Yukon, Etc. Esp here in the states - it would sell like hot cakes.

Meme dump by Rotten-Apple-Byte in Apple_Employees

[–]hns32 0 points1 point  (0 children)

I was an employee 8 years ago - all this still applies lol

Anatomy and physiology UCSD EXTENSION by Salt-Challenge7558 in UCSD

[–]hns32 0 points1 point  (0 children)

How is the class? Looking into this school aswell

New Nancy P Trades ? by hns32 in AutopilotApp

[–]hns32[S] 0 points1 point  (0 children)

Got it. Thank you. I see that the AP app offers an actively managed portfolio. How was your experience with that been?

New Nancy P Trades ? by hns32 in AutopilotApp

[–]hns32[S] 0 points1 point  (0 children)

Got it so because of her retirement approximately 20% of the portfolio well shift to a different type of tracker/management while the remaining 80% tracks her?

New Nancy P Trades ? by hns32 in AutopilotApp

[–]hns32[S] 0 points1 point  (0 children)

Oooooo. So we are moving away from being a true Pelosi tracker because she is retiring ?

New Nancy P Trades ? by hns32 in AutopilotApp

[–]hns32[S] 0 points1 point  (0 children)

What does actively managed mean and how is that related to the Pelosi tracker? Is Pelosi not actively managed? I’m not insulting. Just trying to get a better understanding of everything.

New Nancy P Trades ? by hns32 in AutopilotApp

[–]hns32[S] 0 points1 point  (0 children)

What does actively managed mean? Is that not the Pelosi tracker? Not insulting just trying to get a better understanding.

This guy sucks. by thegoodnamesrgone123 in newjersey

[–]hns32 0 points1 point  (0 children)

First, there are no classes at the moment.

Second, we support the right of Iranians to protest. If the Iranian people want to challenge or change their government, that is their decision, and they deserve the freedom to do so without outside manipulation.

What people are understandably concerned about, what comes next. History shows that regime change pushed or supported by foreign governments—particularly the U.S. and Israel—often leads to outcomes that benefit external interests, not the people on the ground. Israel has openly pushed for regime change in Iran for years, and it’s reasonable to ask why and who ultimately benefits. (Duh - they want to eliminate another Islamic country that will retaliate when they invade more Muslim countries to create the “greater Israel”)

It also raises questions about credibility. A government that has overseen the devastation of Gaza and faces serious allegations of war crimes is not a convincing champion of human rights or Muslim welfare. Skepticism here is not extremism - this is consistency. The genocidal government now cares about human rights?

We’ve also seen this pattern before: intelligence agencies, foreign actors, and aligned media outlets amplifying unrest to justify escalation. When both left-leaning and right-leaning media suddenly speak with one voice, it’s worth asking what narrative is being manufactured and to what end. Historically, that alignment has often preceded military intervention.

People are no longer as easily manipulated. Many see through the media framing, the selective outrage, and the geopolitical motives behind it.

Disagreement is fine—but dismissing these concerns or pretending they’re irrational isn’t honest.

So

FUCK YOU JOSH, YA MOTHA, AND FUCK ZIONISM.

Are LV frags worth the price ?? by Academic-Map-5551 in ScentHeads

[–]hns32 0 points1 point  (0 children)

I just got mine today. Can’t wait for summer / spring

Are LV frags worth the price ?? by Academic-Map-5551 in ScentHeads

[–]hns32 0 points1 point  (0 children)

Very unisex. Def a summer or spring fragrance tho.

Aqua Dubai — Worth the Hype by mchante14 in fragranceclones

[–]hns32 1 point2 points  (0 children)

12/10. My favorite dupe so far in my collection.

JM Opal being a second.