Board List | |
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Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 7:25:55 PM #26 | Super Saiyan 3 Goku posted... joestarrr posted...Super Saiyan 3 Goku posted...joestarrr posted...Super Saiyan 3 Goku posted...Reminds of ICU Sedation protocol I set up for my prior hospital. We emphasized bolus dosing of fentanyl before transitioning to drips. Same for midazolam, hydromorphone, etc if those were used. Oh I definitely prefer precedex, especially because it doesnt effect respiratory status and can be used in the absence of a ventilator. --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 7:24:17 PM #25 | Coffeebeanz posted... The patient's sedation and analgesia were discontinued despite the fact that they clearly needed both, then the intubated patient goes apeshit like any sane person would if they woke up with a tube shoved in their throat. Yuuuup. A tale as old as time in the ICU. Coffeebeanz posted... tfw the Family Medicine intern orders propofol for the patient with pancreatitis. LMAO OH GOD one of ours asked if the lipids in propofol would be enough for nutritional needs --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 7:13:59 PM #15 | haloiscoolisbak posted... As a nurse this is lame Trying to shorten it for the topic title --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 7:11:40 PM #11 | ImTheMacheteGuy posted... I want to understand what you're talking about but I'm failing :/ Just sedation stuffs. My patient was miserable tbh :/ --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 7:11:17 PM #10 | Super Saiyan 3 Goku posted... joestarrr posted...Super Saiyan 3 Goku posted...Reminds of ICU Sedation protocol I set up for my prior hospital. We emphasized bolus dosing of fentanyl before transitioning to drips. Same for midazolam, hydromorphone, etc if those were used. Nope no alcohol withdrawal. Might suggest precedex but a lot of the docs hate ordering ativan. Dont think Ive ever seen it in drip form. --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 7:00:17 PM #6 | Super Saiyan 3 Goku posted... Reminds of ICU Sedation protocol I set up for my prior hospital. We emphasized bolus dosing of fentanyl before transitioning to drips. Same for midazolam, hydromorphone, etc if those were used. He had both a PRN and a drip but one of the ICU docs d/cd it. Gave him 100 and titrated the gtt up a previous shift but he was still fighting then boom everything except propofol was gone. No morphine or hydromorphone either. thankfully I got 50 q1h prn ordered by another physician cuz I asked (and explained the whole ordeal) but Im gonna be buttmad if I come in tonight and its gone again lol I mean I fucking hate having to keep my patients super zonked but he was STILL following commands and opening his eyes. Dunno how that translates to comatose but --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 6:54:46 PM #4 | Duncanwii posted... ??? tl;dr: my patient needed more sedation --- |
Topic | 22 yo m w/ cc: chest pain |
joestarrr 10/08/18 6:50:57 PM #30 | Coffeebeanz posted... PhazonReborn posted...Imagine believing TC actually posts on CE while being an ER Physician on duty Phazon hates women. Its not just you --- |
Topic | tfw ur pt's fentanyl drip and prn gets d/c'd |
joestarrr 10/08/18 6:44:09 PM #1 | and theyre BUCK WILD fighting the ventilator and practically coughing their goddamn tube out while maxed out on propofol nice job mc dumbass but he was never comatose (I would know, I was with him 12 hours) and he has been consistently failing his SBT regardless of sedation being present --- |
Topic | I have a crush on a CEgal, how do i proceed? |
joestarrr 10/08/18 6:24:46 PM #3 | |
Topic | My Vitamin D is very low. What are good sources of Vitamin D? |
joestarrr 10/08/18 5:56:01 PM #7 | |
Topic | why are females so angry about videogames? |
joestarrr 10/08/18 5:51:47 PM #14 | also lol @ claiming all feminists hate video games what a story mark --- |
Topic | why are females so angry about videogames? |
joestarrr 10/08/18 5:51:00 PM #13 | inloveanddeath0 posted... joestarrr posted...look the only thing about vidya that makes me mad is that i dont have much time for it shut the fuck up --- |
Topic | Nice try, SBAllen |
joestarrr 10/08/18 5:50:45 PM #8 | smoliske posted... Burgess posted...You know what else will end up stuffed by thousands of other people. oof rekt --- |
Topic | why are females so angry about videogames? |
joestarrr 10/08/18 5:49:07 PM #10 | look the only thing about vidya that makes me mad is that i dont have much time for it maybe find people that dont shit on ur hobbies regardless of gender --- |
Topic | Selfie topix (the remake) owo |
joestarrr 10/08/18 5:42:20 PM #85 | |
Topic | I have a 1,000 letter essay on female anatomy due today |
joestarrr 10/08/18 4:26:50 PM #2 | Ask a dying video game website full of incel males who couldnt find a clitoris if their lives depended on it, clearly --- |
Topic | Emoji topic: explain your situation/feelings using emojis |
joestarrr 10/08/18 4:00:13 PM #9 | |
Topic | What is the most embarrassing moment in CE history? |
joestarrr 10/08/18 3:03:29 PM #11 | Oh they wouldve egged him on more. Look at how CE treats anyone who is depressed/suicidal. --- |
Topic | What is the most embarrassing moment in CE history? |
joestarrr 10/08/18 3:01:12 PM #6 | frozenshock posted... That topic where a guy posted an aim convo with the girl he was crushing on and forgot to hide her username. And everyone started messenging her and posting the convos That is the most CE thing I think Ive ever seen jfc --- |
Topic | CE: Are you single or in a relationship? |
joestarrr 10/08/18 2:54:43 PM #14 | |
Topic | Did you call your ex lover after hearing Adele's Hello? |
joestarrr 10/08/18 8:58:10 AM #2 | Dude hes probably getting STDs from Tinder whores. Hes the last person I need to hit up --- |
Topic | Who else is workin' night shift? |
joestarrr 10/08/18 8:51:59 AM #18 | starting to miss day shift when my mother was asleep and didnt have screaming matches with me before and after work :^) Less work stress, more home stress - what a perfect balance! --- |
Topic | Have you ever deeded twice in one day |
joestarrr 10/08/18 4:00:19 AM #23 | |
Topic | Whatever happened to LanHikari10? |
joestarrr 10/08/18 3:39:39 AM #76 | ImCallingYouOut posted... Muffinz0rz posted...REMercsChamp posted...What's the full story behind this joestarxlanhikari thing? Except none of that fucking happened --- |
Topic | What are you looking forward to, CE? |
joestarrr 10/07/18 9:03:38 PM #29 | RoboLaserGandhi posted... You leaving Leaving where? Lmfao --- |
Topic | There really are like 2 types of girls on tinder |
joestarrr 10/07/18 7:15:09 PM #4 | 92_56_43 posted... Yet none still match with you rekt --- |
Topic | Boogie2988's new girlfriend |
joestarrr 10/07/18 7:12:39 PM #11 | Damn_Underscore posted... he has a gf but no one on CE can get one. . . Pretty sad isn't it ? --- |
Topic | What are you looking forward to, CE? |
joestarrr 10/07/18 7:11:40 PM #12 | Menardii posted... The Spyro Trilogy remake. i played like one spyro game once, it was aite ne14a6t9r posted... I have a camping weekend away in 3 weeks, so probably just that. I should really set myself some goals... camping is a nice getaway Burgess posted... Moving this weekend. Hairy-man posted... Im looking forward to moving into my new apartment! moving is the best other than the tedious stuff --- |
Topic | What are you looking forward to, CE? |
joestarrr 10/07/18 7:10:50 PM #10 | TeaMilk posted... @DocileOrangeCup visiting in December ;_; we've got all the travel arrangements made, i'm really excited but also nervous You should be nervous Don't get trapped in his basement where he keeps the --- |
Topic | Why do people consider Oriental to be a slur? Orient and Occident are latin for |
joestarrr 10/07/18 7:09:45 PM #51 | RebelElite791 posted... Ah yes the ole conservative standby of "context doesn't real" --- |
Topic | If Kanye asked you to dinner but said he will change your political affiliation |
joestarrr 10/07/18 7:09:17 PM #5 | Gafemage posted... RebelElite791 posted...I can't imagine any scenario where I wouldnt want to spend time with Kanye regardless of his political affiliation. --- |
Topic | Tch, women. |
joestarrr 10/07/18 7:08:31 PM #3 | |
Topic | Why do so many women keep their phones in their back pockets? |
joestarrr 10/07/18 7:08:11 PM #10 | the idea of keeping my expensive ass phone in my butt pocket or any pocket gives me intense anxiety --- |
Topic | White women benefit from patriarchy |
joestarrr 10/07/18 7:07:22 PM #3 | Hmmm Adding that article to my reading list --- |
Topic | Anyone here know what is the ideology of American conservative women? |
joestarrr 10/07/18 7:06:28 PM #13 | monkmith posted... Rick-C137 posted...when you're not constantly blaming people, you're usually a nicer more well adjusted person LMAO and it's usually for jeebus --- |
Topic | What are you looking forward to, CE? |
joestarrr 10/07/18 7:02:35 PM #4 | TheDogfather posted... nothing surely there's something like sleep coffee naps petting ur cat --- |
Topic | Anyone here know what is the ideology of American conservative women? |
joestarrr 10/07/18 7:02:09 PM #5 | Not actual research, but (anecdotally) a lot of it is internalized misogyny mostly for the purpose of men approving their actions, hence shitting on other women and the "I'm not like other girls" mentality. --- |
Topic | sourceforge finally updated their UI |
joestarrr 10/07/18 6:58:01 PM #9 | smoliske posted... joestarrr posted...smoliske posted...joestarrr posted...@smoliske nope because i vaguely think i saw a post of yours somewhere from like 2011 that mentioned sourceforge wasn't sure if you still used it --- |
Topic | What are you looking forward to, CE? |
joestarrr 10/07/18 6:57:21 PM #1 | Can be short term or long term (or both). I'm looking forward to having 3 days off work that I'll get to spend with my SO. Will mostly be studying but it'll be a nice break from the bullshit. Long term I'm planning on finally living on my own for a lil while hopefully by the start of next year. :B --- |
Topic | sourceforge finally updated their UI |
joestarrr 10/07/18 6:55:18 PM #6 | smoliske posted... joestarrr posted...@smoliske duh but i tagged u for reasons --- |
Topic | I can't be here anymore |
joestarrr 10/07/18 6:54:44 PM #4 | there's a lot of negativity here for sure --- |
Topic | Who else is workin' night shift? |
joestarrr 10/07/18 6:31:29 PM #12 | HydraSlayer82 posted... Ive done it in the past. Not my thing. I like it because there are fewer people to deal with. Problem with that is = fewer resources that you might actually need. --- |
Topic | Who else is workin' night shift? |
joestarrr 10/07/18 6:23:39 PM #9 | about to start night two of three weeeeeee --- |
Topic | Who's your main in Smash? |
joestarrr 10/07/18 6:23:09 PM #6 | |
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