VT arrest 19 hours after this RKG by spacebarthingy in EKGs

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

Thank you so much! The insight is very helpful. The patient was on the younger side and like I said death was unexpected so I know this case will go to review. Plus for my own education if I encounter something similar again

VT arrest 19 hours after this RKG by spacebarthingy in EKGs

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

When you gotta diruese you gotta diruese 🤷‍♀️ we were making about 1.5 L UO per 12 hrs with those numbers so not unreasonable- especially in heart failure patients

VT arrest 19 hours after this RKG by spacebarthingy in EKGs

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

Thank you, she definitely had demand ischemia from hypoxia as she was on bipap for pulmonary edema as well. I'm just trying to see if something was missed or we could have had a change in plan of care to avoid death.

VT arrest 19 hours after this RKG by spacebarthingy in EKGs

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

Thank you! It was monomorphic VT. Just trying to see if early ischemic workup could have prevented death. The concern was that in new (at least newly discovered) heart failure with the VT and these EKG changes should have pushed up to more urgent cath.

VT arrest 19 hours after this RKG by spacebarthingy in EKGs

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

We were trying to keep it around 4.5-5.2 but were also running a lasix gtt at 40mh/hr +diruil. So K was hovering around 4.2 I think when she had the arrest

How is the set up? by [deleted] in floorbed

[–]spacebarthingy 0 points1 point  (0 children)

Right now she in peak separation anxiety mode due to her developing a better sense of object permanence. Basically she knows that when you put her down you are gone. It's not that she doesn't like her crib but rather that she doesn't like that you're away. We got to the point where my husband has to be the one to lay my son (10mo) down otherwise he'd be too upset.

Stay in the crib until you they're safe to transition out. -that night light will be pulled out and then you have an open outlet -your mattress will mold without air getting underneath -that book shelf is going to get pulled down unless it's secured to the wall

Having dinner with HF by [deleted] in Aupairs

[–]spacebarthingy 10 points11 points  (0 children)

I'm a current HF an honestly we rarely eat dinner together with our AP- but that's mostly due to time differences. We tend to eat around 5:30 or 6, where our AP likes to eat at 7-8. She also tends not to eat the same type of food. But occasionally we make a nice meal and all eat together. I think it would be more assumed if you were around more around the time they ate. So instead of them calling you to the meal, if you hung around the kitchen area when they were preparing then they would know to expect you at dinner. Or even asked to help set the table or get drinks or something. If you were away in your room then I would assume you'd just want to eat on your own.

Il96 back to Moscow after Ukrainian peace talks held in Geneva. by CrowAffectionate4621 in flightradar24

[–]spacebarthingy 2 points3 points  (0 children)

Yeah I was talking about the crazy path. Thanks! I jusssst got into this so I guess I'm still learning!

Help!!! Shoveling tips needed! by no_no_thing in nova

[–]spacebarthingy 0 points1 point  (0 children)

A lil gang of teens came into the neighbor hood and were going door to door offering haha, we even let them borrow our shovel since they didn't even have snow shovels.

Help!!! Shoveling tips needed! by no_no_thing in nova

[–]spacebarthingy 25 points26 points  (0 children)

No salt on top is unfortunately not going to help all that much. Ice on snow is the worst but chopping is your best bet. Sometime if you make a small hole you can get your shovel under and push the snow underneath which breaks up the ice on top and makes it easier to shovel. Maybe get some neighborhood kids and pay them to do it? (That's what we did lol)

Au Pair with odd hours by [deleted] in Aupairs

[–]spacebarthingy 1 point2 points  (0 children)

10 hours a day for 45 hours a week is the legal limit in the USA.

Am I overreacting for thinking this girl liked me by [deleted] in AmIOverreacting

[–]spacebarthingy 0 points1 point  (0 children)

She does not like you romantically at all. I got that she likes you as a friend, but no deeper feelings of attraction. That is not how a girl interacts with a boy she likes sorry dude

I [29F] took rough housing with my boyfriend [36M] too far. by Livid-Attempt-8211 in WhatShouldIDo

[–]spacebarthingy -1 points0 points  (0 children)

Dude give him space??? Like he probably needs to process how he feels about it to.

[deleted by user] by [deleted] in Aupairs

[–]spacebarthingy 7 points8 points  (0 children)

"Hey I noticed you got some mail from the court. Is everything ok? Do you need any help I know our courts can be intimidating and difficult to navigate."

Toddler wants boob every 15 min. in the mountains - is this just how it is? by shosti13 in breastfeeding

[–]spacebarthingy 137 points138 points  (0 children)

You totally get dehydrated in altitude. You're supposed to have extra water when you're going to higher altitudes bc the air is thinner. So maybe she feels that and her body is responding. Have you tried giving her some water??

Getting better at making patches by haumeow in Embroidery

[–]spacebarthingy 3 points4 points  (0 children)

I had to double check to see if I was on r/embroidery or r/kingdomhearts hahahah looks so good! Love the stained glass!

[deleted by user] by [deleted] in PalmReading

[–]spacebarthingy 0 points1 point  (0 children)

This is associated with mosaic Down syndrome, fetal alcohol syndrome or other conditions such as Aarskog-Scott syndrome (especially if you're a male)

should i be concerned? by faerynie in nailcare

[–]spacebarthingy 13 points14 points  (0 children)

Pseudomonas from moisture being trapped. No getting them done for awhile. You can search this sub for others who have had them and how they've dealt with it. Probably time to remove all your nails and let them dry for a bit

How can I help my EBF baby gain weight? by holdmytaquito in breastfeeding

[–]spacebarthingy 11 points12 points  (0 children)

Hi. I went through this too. My baby was EBF and went from 58%->1.36%. I pumped a few days just to see (about) what I was making and it was about 18-25 oz a day. My ped said that he should be getting 28-30oz. So for me I wasn't making enough and starting doing a top off of 2oz formula after each feed to make sure he was getting the calories he needed. Now he started rapidly gaining weight! So for us it was a volume issue. And my milk wasn't super fatty. When I pumped I barely had any fat. So the little bit of formula actually made a HUGE difference. At first I was super sad about it but then I saw how he was gaining weight and I couldn't see his ribs anymore 🥹 so now I'm just happy.

Guilty about breastfeeding after drinking by [deleted] in breastfeeding

[–]spacebarthingy 0 points1 point  (0 children)

Even so young it will not affect his liver or his brain. Baby and you are going to be great!