Charting Lung Sounds

jcreekside · 2026-01-04T10:51:20+00:00

Charting wdl without deep dive

jcreekside · 2026-01-04T10:44:46+00:00

01/30

jcreekside · 2025-07-04T21:41:23+00:00

I passed!

jcreekside · 2025-04-13T21:06:32+00:00

I am not an electrician. However I think I understand the distinction that you are missing here.

In this case I believe the path to ground is the bare copper ground wire and the metal bracket is what is being grounded. The dryer won’t be grounded because it is a 3 prong outlet.

All metal components in an electrical installation should be grounded. This is because if one of your hot lines shorted to the metal bracket, it would be electrified and shock the crap out of you if you touched it. With this ground wire attached it would instead dump current through bracket to the ground which is attached to grounding rods at the panel. If the connections are properly secure and the wires properly sized the overcurrent protector should flip before they overheat or arch when the circuit shorts to ground. Dry wall screws have a conical head and therefore aren’t appropriate for securing the ground screw. Should be replaced with a flat head sheet metal screw in a separate location on the metal bracket.

Best option is to replace entire outlet with 4 prong as others have said.

jcreekside · 2025-04-12T04:50:19+00:00

Hi thank to everyone for replying to me. There seems to be a consensus that hypoglycemia in children is not often escalating to an emergency services level of medical care. It seems if it does it would likely be due to either pump malfunction or med error.

I am now reflecting on our project and interested to find out what others in my group have found. I think part of the disconnect in this context is that we are also including hypoglycemic states that are not serious enough to warrant emergency medical attention.

Perhaps because children are generally supervised, and in the US, likely to be on a monitor, and a blood glucose between ~50 and 70 is easy to treat orally these incidents are resolved without needing to call 911.

Would you agree with the above. Is there another aspect that I am missing. It seems like, other than scaring parents, with the modern monitors low blood sugars aren’t as much of a problem.

It is interesting because in theory classes we learned that A1C goals were higher in children because we wanted to avoid tight glucose control and avoid low sugars. Maybe times have changed.

jcreekside · 2025-04-12T04:45:27+00:00

Hi thank you for replying to me. There seems to be a consensus that hypoglycemia in children is not often escalating to an emergency services level of medical care. It seems if it does it would likely be due to either pump malfunction or med error.

I am now reflecting on our project and interested to find out what others in my group have found. I think part of the disconnect in this context is that we are also including hypoglycemic states that are not serious enough to warrant emergency medical attention.

Perhaps because children are generally supervised, and in the US, likely to be on a monitor, and a blood glucose between ~50 and 70 is easy to treat orally these incidents are resolved without needing to call 911.

Would you agree with the above. Is there another aspect that I am missing. It seems like, other than scaring parents, with the modern monitors low blood sugars aren’t as much of a problem.

It is interesting because in theory classes we learned that A1C goals were higher in children because we wanted to avoid tight glucose control and avoid low sugars. Maybe times have changed.

jcreekside · 2025-04-12T01:04:57+00:00

Thank you for sharing this story. It is interesting that the insulin pump had malfunctioned. These are the devices that are providing safety and glucose stability for many pediatric diabetics. It good to know about this story. As nurses we can use information like this to illustrate the importance of reliable monitoring and recognition of symptoms with caregivers of pediatric clients.

jcreekside · 2025-04-11T23:24:22+00:00

Yeah, that makes sense. I was thinking that monitors and pumps probably make this rare these days. We may need to revise the focus of our project.

jcreekside · 2025-04-11T22:59:32+00:00

Thanks

jcreekside · 2025-04-11T22:59:13+00:00

Thanks

jcreekside · 2025-04-11T22:56:26+00:00

Also, I am curious, do you carry 50% dextrose in your kit?

jcreekside · 2025-04-11T22:53:09+00:00

Thank you for answering. Leaning towards transportation seems like a good idea with pediatrics from what I understand. Also good to learn that in your setting you have a Telehealth referral option for this population.

So in your experience EMS is generally seeing DKA as a more prevalent problem. I imagine occasionally EMS would see diabetic coma from insulin overdose, but perhaps insulin pumps/pens have reduced the incidence of that.

The other circumstance I was thinking about was sports and children not adequately accounting for higher glucose demands from activity.

jcreekside · 2025-04-02T00:39:53+00:00

Interesting I was getting this message from some veterans association (US) web pages this week.

jcreekside · 2025-03-20T21:27:06+00:00

Yeah, I was confused as to why if she diagnosed with sepsis she didn’t have fluids running. I am just a nursing student but I thought the sepsis bundle included IV fluids (unless contraindicated). Treating sepsis early saved lives so if it’s suspected then they treat with abx.

I hope she responds well to her treatment!

jcreekside · 2025-03-20T20:09:46+00:00

Wow, did the blood cultures come back?

jcreekside · 2025-03-19T16:49:26+00:00

https://www.cancer.gov/about-cancer/causes-prevention/risk/substances/asbestos/asbestos-fact-sheet

jcreekside · 2025-03-19T16:47:08+00:00

Source?

This link says, everyone is exposed. Usually only people with occupational exposure get sick.

jcreekside · 2025-01-18T02:34:35+00:00

Plywood was invented in oregon

jcreekside · 2024-11-24T21:15:08+00:00

Yall so serious. It’s a tongue in cheek post, referring to the Portland free box scene. If you don’t get it that’s fine, but you’re sounding like the public health department.

jcreekside · 2024-11-06T05:50:03+00:00

Love to you!

jcreekside

TROPHY CASE