Lurker > joestarrr

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Topictfw 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.


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

Was this an alcohol withdrawal patient? Any thoughts about a trial of Precedex or lorazepam drip?


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.

You've never seen an Ativan drip? That's interesting.

Precedex is good because it's probably the one option that closely simulates natural sleep compared to something like propofol. It also has some inherent analgesic properties. Nurses like to use propofol because it has that quick on/off effect - just don't run it too high or you might get PRIS.


Oh I definitely prefer precedex, especially because it doesnt effect respiratory status and can be used in the absence of a ventilator.
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Topictfw 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
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Topictfw 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

Medical talk like prn is so wanky I'd never use it outside of work


Trying to shorten it for the topic title
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Topictfw 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 :/
---
Topictfw 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.


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

Was this an alcohol withdrawal patient? Any thoughts about a trial of Precedex or lorazepam drip?


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.
---
Topictfw 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
---
Topictfw ur pt's fentanyl drip and prn gets d/c'd
joestarrr
10/08/18 6:54:46 PM
#4
Topic22 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


Do you even know what a fucking hospitalist is?

Protip: Not ER docs.

Also other Protip: Don't insert catheter if there's blood in the meatus, and don't give a beta blocker to a guy who smokes crack.


Phazon hates women. Its not just you
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Topictfw 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


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TopicI have a crush on a CEgal, how do i proceed?
joestarrr
10/08/18 6:24:46 PM
#3
TopicMy Vitamin D is very low. What are good sources of Vitamin D?
joestarrr
10/08/18 5:56:01 PM
#7
Topicwhy are females so angry about videogames?
joestarrr
10/08/18 5:51:47 PM
#14
Topicwhy 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

maybe find people that dont shit on ur hobbies regardless of gender

Cool story, Joe


shut the fuck up
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TopicNice 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.


don't talk about the person that gave you life that way


oof rekt
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Topicwhy 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
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TopicSelfie topix (the remake) owo
joestarrr
10/08/18 5:42:20 PM
#85
TopicI 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
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TopicEmoji topic: explain your situation/feelings using emojis
joestarrr
10/08/18 4:00:13 PM
#9
TopicWhat 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.
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TopicWhat 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
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TopicCE: Are you single or in a relationship?
joestarrr
10/08/18 2:54:43 PM
#14
TopicDid 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
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TopicWho 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!
---
TopicHave you ever deeded twice in one day
joestarrr
10/08/18 4:00:19 AM
#23
TopicWhatever 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?

@ImCallingYouOut

something about how Ian fell in love with joe star or something and thought they were dating after having like one chat on skype once but before you know it joestar was actually dating smolske all along cucking Ian and i heard he cried about it to his friends lol like literal tears crying

@REMercsChamp
@Muffinz0rz


Except none of that fucking happened
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TopicWhat are you looking forward to, CE?
joestarrr
10/07/18 9:03:38 PM
#29
TopicThere really are like 2 types of girls on tinder
joestarrr
10/07/18 7:15:09 PM
#4
TopicBoogie2988'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 ?
---
TopicWhat 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!

Gonna paint it this week


moving is the best

other than the tedious stuff
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TopicWhat 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
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TopicWhy 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"

---
TopicIf 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.

---
TopicTch, women.
joestarrr
10/07/18 7:08:31 PM
#3
TopicWhy 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
---
TopicWhite women benefit from patriarchy
joestarrr
10/07/18 7:07:22 PM
#3
TopicAnyone 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

it helps when your husband beats you until your spirit is broken too!


LMAO
and it's usually for jeebus
---
TopicWhat 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
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TopicAnyone 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.
---
Topicsourceforge finally updated their UI
joestarrr
10/07/18 6:58:01 PM
#9
smoliske posted...
joestarrr posted...
smoliske posted...
joestarrr posted...
@smoliske


github is where it's at


duh

but i tagged u for reasons

because GameFAQs is trapped in the 90s?


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
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TopicWhat 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
---
Topicsourceforge finally updated their UI
joestarrr
10/07/18 6:55:18 PM
#6
smoliske posted...
joestarrr posted...
@smoliske


github is where it's at


duh

but i tagged u for reasons
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TopicI can't be here anymore
joestarrr
10/07/18 6:54:44 PM
#4
TopicWho 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.
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TopicWho else is workin' night shift?
joestarrr
10/07/18 6:23:39 PM
#9
TopicWho's your main in Smash?
joestarrr
10/07/18 6:23:09 PM
#6
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