Current Events > tfw ur pt's fentanyl drip and prn gets d/c'd

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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 --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910192625] in tfw ur pt&... [t:77079954]...</cite> <quote>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 </quote> ... Copied to Clipboard!
Duncanwii 10/08/18 6:50:36 PM #2:	??? --- King K. Rool supporter for Super Smash Brothers Ultimate. <cite>Duncanwii posted [p:910192975] in tfw ur pt&... [t:77079954]...</cite> <quote>???</quote> ... Copied to Clipboard!
GucciGang 10/08/18 6:52:50 PM #3:	rip manfan prn gets d/c'd <cite>GucciGang posted [p:910193096] in tfw ur pt&... [t:77079954]...</cite> <quote>rip manfan prn gets d/c'd</quote> ... Copied to Clipboard!
joestarrr 10/08/18 6:54:46 PM #4:	Duncanwii posted... ??? tl;dr: my patient needed more sedation --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910193196] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Duncanwii posted...</cite> <quote>???</quote> tl;dr: my patient needed more sedation</quote> ... Copied to Clipboard!
Super Saiyan 3 Goku 10/08/18 6:55:46 PM #5:	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. --- When it is obvious that the goals cannot be reached, don't adjust the goals, adjust the action steps. - Confucius <cite>Super Saiyan 3 Goku posted [p:910193258] in tfw ur pt&... [t:77079954]...</cite> <quote>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.</quote> ... Copied to Clipboard!
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 --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910193488] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote>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.</quote> 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 </quote> ... Copied to Clipboard!
EliteLevel 10/08/18 7:01:38 PM #7:	The fuck? Arent you supposed to be a nurse? Does anybody understand any of that? --- Judge not, lest ye be judged and get butthurt. <cite>EliteLevel posted [p:910193565] in tfw ur pt&... [t:77079954]...</cite> <quote>The fuck? Arent you supposed to be a nurse? Does anybody understand any of that?</quote> ... Copied to Clipboard!
ImTheMacheteGuy 10/08/18 7:02:42 PM #8:	I want to understand what you're talking about but I'm failing :/ --- Place-holder sig because new phone and old sigs not saved :/ <cite>ImTheMacheteGuy posted [p:910193629] in tfw ur pt&... [t:77079954]...</cite> <quote>I want to understand what you're talking about but I'm failing :/</quote> ... Copied to Clipboard!
Super Saiyan 3 Goku 10/08/18 7:04:18 PM #9:	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? --- When it is obvious that the goals cannot be reached, don't adjust the goals, adjust the action steps. - Confucius <cite>Super Saiyan 3 Goku posted [p:910193724] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote>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.</quote> 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 </quote> Was this an alcohol withdrawal patient? Any thoughts about a trial of Precedex or lorazepam drip?</quote> ... Copied to Clipboard!
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. --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910194079] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote>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.</quote> 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 </quote> Was this an alcohol withdrawal patient? Any thoughts about a trial of Precedex or lorazepam drip?</quote> 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.</quote> ... Copied to Clipboard!
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 :/ --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910194096] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>ImTheMacheteGuy posted...</cite> <quote>I want to understand what you're talking about but I'm failing :/</quote> Just sedation stuffs. My patient was miserable tbh :/</quote> ... Copied to Clipboard!
Dark_SilverX 10/08/18 7:12:09 PM #12:	GucciGang posted... rip manfan prn gets d/c'd shot up to 103 painted easter eggs --- I support Sony, Microsoft and Nintendo. <cite>Dark_SilverX posted [p:910194116] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>GucciGang posted...</cite> <quote>rip manfan prn gets d/c'd</quote> shot up to 103 painted easter eggs</quote> ... Copied to Clipboard!
haloiscoolisbak 10/08/18 7:13:20 PM #13:	As a nurse this is lame Medical talk like prn is so wanky I'd never use it outside of work --- Started from the bottom now we here <cite>haloiscoolisbak posted [p:910194193] in tfw ur pt&... [t:77079954]...</cite> <quote>As a nurse this is lame Medical talk like prn is so wanky I'd never use it outside of work</quote> ... Copied to Clipboard!
nicklebro 10/08/18 7:13:52 PM #14:	They can cancel your porn? Fucking monsters! --- Now you can't call me a sigless user. <cite>nicklebro posted [p:910194225] in tfw ur pt&... [t:77079954]...</cite> <quote>They can cancel your porn? Fucking monsters!</quote> ... Copied to Clipboard!
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 --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910194236] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>haloiscoolisbak posted...</cite> <quote>As a nurse this is lame Medical talk like prn is so wanky I'd never use it outside of work</quote> Trying to shorten it for the topic title</quote> ... Copied to Clipboard!
ImTheMacheteGuy 10/08/18 7:14:40 PM #16:	joestarrr posted... ImTheMacheteGuy posted... I want to understand what you're talking about but I'm failing :/ Just sedation stuffs. My patient was miserable tbh :/ What's he in for? --- Place-holder sig because new phone and old sigs not saved :/ <cite>ImTheMacheteGuy posted [p:910194267] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>ImTheMacheteGuy posted...</cite> <quote>I want to understand what you're talking about but I'm failing :/</quote> Just sedation stuffs. My patient was miserable tbh :/</quote> What's he in for?</quote> ... Copied to Clipboard!
Super Saiyan 3 Goku 10/08/18 7:15:49 PM #17:	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. --- When it is obvious that the goals cannot be reached, don't adjust the goals, adjust the action steps. - Confucius <cite>Super Saiyan 3 Goku posted [p:910194322] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote>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.</quote> 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 </quote> Was this an alcohol withdrawal patient? Any thoughts about a trial of Precedex or lorazepam drip?</quote> 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.</quote> 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.</quote> ... Copied to Clipboard!
#18	Post #18 was unavailable or deleted.
Coffeebeanz 10/08/18 7:18:17 PM #19:	tfw the Family Medicine intern orders propofol for the patient with pancreatitis. --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910194432] in tfw ur pt&... [t:77079954]...</cite> <quote>tfw the Family Medicine intern orders propofol for the patient with pancreatitis.</quote> ... Copied to Clipboard!
Alpha218 10/08/18 7:19:29 PM #20:	Who here can actually understand what you're saying besides like 1 or 2 other people on this board lol No offense I'm not usually the guy who calls out blogfaqs --- I'm Commander Shepard, and this is my favorite user on the Citadel. https://gamefaqs.gamespot.com/boards/1349-mario Now Playing: nothing :( <cite>Alpha218 posted [p:910194483] in tfw ur pt&... [t:77079954]...</cite> <quote>Who here can actually understand what you're saying besides like 1 or 2 other people on this board lol No offense I'm not usually the guy who calls out blogfaqs</quote> ... Copied to Clipboard!
EliteLevel 10/08/18 7:20:39 PM #21:	Goats posted... EliteLevel posted... The fuck? Arent you supposed to be a nurse? Does anybody understand any of that? Essentially she was looking after someone on a ventilator and someone thought it was a good idea to disconnect his sedation despite the nurse on call saying it was a pretty shit idea. He then had a bad reaction and the nurse was vindicated that it was a shit idea. At least that's what I got from it. I don't understand half the stuff she's saying rn either, honestly snubbul So shes as useless as a nurse as she is on CE? --- Judge not, lest ye be judged and get butthurt. <cite>EliteLevel posted [p:910194541] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Goats posted...</cite> <quote><cite>EliteLevel posted...</cite> <quote>The fuck? Arent you supposed to be a nurse? Does anybody understand any of that?</quote> Essentially she was looking after someone on a ventilator and someone thought it was a good idea to disconnect his sedation despite the nurse on call saying it was a pretty shit idea. He then had a bad reaction and the nurse was vindicated that it was a shit idea. At least that's what I got from it. I don't understand half the stuff she's saying rn either, honestly snubbul</quote> So shes as useless as a nurse as she is on CE?</quote> ... Copied to Clipboard!
Coffeebeanz 10/08/18 7:20:54 PM #22:	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. --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910194553] in tfw ur pt&... [t:77079954]...</cite> <quote>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.</quote> ... Copied to Clipboard!
Genocet_10-325 10/08/18 7:21:27 PM #23:	Fentanyl is some scary shit dawg --- No one triggers the Trumpanzees quite like you do - Bullet_Wing Conservatism is a plague on society. Formerly known as The_Great_Geno. <cite>Genocet_10-325 posted [p:910194587] in tfw ur pt&... [t:77079954]...</cite> <quote>Fentanyl is some scary shit dawg</quote> ... Copied to Clipboard!
Coffeebeanz 10/08/18 7:22:07 PM #24:	Genocet_10-325 posted... Fentanyl is some scary shit dawg Try being consciously intubated. --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910194621] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Genocet_10-325 posted...</cite> <quote>Fentanyl is some scary shit dawg</quote> Try being consciously intubated.</quote> ... Copied to Clipboard!
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 --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910194732] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Coffeebeanz posted...</cite> <quote>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.</quote> Yuuuup. A tale as old as time in the ICU. <cite>Coffeebeanz posted...</cite> <quote>tfw the Family Medicine intern orders propofol for the patient with pancreatitis.</quote> LMAO OH GOD one of ours asked if the lipids in propofol would be enough for nutritional needs</quote> ... Copied to Clipboard!
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. --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910194805] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Super Saiyan 3 Goku posted...</cite> <quote>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.</quote> 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 </quote> Was this an alcohol withdrawal patient? Any thoughts about a trial of Precedex or lorazepam drip?</quote> 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.</quote> 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.</quote> Oh I definitely prefer precedex, especially because it doesnt effect respiratory status and can be used in the absence of a ventilator.</quote> ... Copied to Clipboard!
treewojima 10/08/18 7:26:05 PM #27:	joestarrr posted... one of ours asked if the lipids in propofol would be enough for nutritional needs dot dot dot <cite>treewojima posted [p:910194815] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>joestarrr posted...</cite> <quote>one of ours asked if the lipids in propofol would be enough for nutritional needs</quote> dot dot dot</quote> ... Copied to Clipboard!
joestarrr 10/08/18 7:27:54 PM #28:	EliteLevel posted... Goats posted... EliteLevel posted... The fuck? Arent you supposed to be a nurse? Does anybody understand any of that? Essentially she was looking after someone on a ventilator and someone thought it was a good idea to disconnect his sedation despite the nurse on call saying it was a pretty shit idea. He then had a bad reaction and the nurse was vindicated that it was a shit idea. At least that's what I got from it. I don't understand half the stuff she's saying rn either, honestly snubbul So shes as useless as a nurse as she is on CE? How the fuck does appropriately assessing my patients need for additional sedation make me useless? Like maybe you shouldnt comment if you dont know anything about the subject. --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910194932] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>EliteLevel posted...</cite> <quote><cite>Goats posted...</cite> <quote><cite>EliteLevel posted...</cite> <quote>The fuck? Arent you supposed to be a nurse? Does anybody understand any of that?</quote> Essentially she was looking after someone on a ventilator and someone thought it was a good idea to disconnect his sedation despite the nurse on call saying it was a pretty shit idea. He then had a bad reaction and the nurse was vindicated that it was a shit idea. At least that's what I got from it. I don't understand half the stuff she's saying rn either, honestly snubbul</quote> So shes as useless as a nurse as she is on CE?</quote> How the fuck does appropriately assessing my patients need for additional sedation make me useless? Like maybe you shouldnt comment if you dont know anything about the subject.</quote> ... Copied to Clipboard!
Reis 10/08/18 7:28:27 PM #29:	Alpha218 posted... Who here can actually understand what you're saying besides like 1 or 2 other people on this board lol There's like around 20ish people I can think of off the top of my head that can <cite>Reis posted [p:910194965] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Alpha218 posted...</cite> <quote>Who here can actually understand what you're saying besides like 1 or 2 other people on this board lol</quote> There's like around 20ish people I can think of off the top of my head that can</quote> ... Copied to Clipboard!
inloveanddeath0 10/08/18 7:29:13 PM #30:	You're ultra defensive --- http://www.last.fm/user/PolarPolaroids <cite>inloveanddeath0 posted [p:910195004] in tfw ur pt&... [t:77079954]...</cite> <quote>You're ultra defensive</quote> ... Copied to Clipboard!
joestarrr 10/08/18 7:29:56 PM #31:	inloveanddeath0 posted... You're ultra defensive Maybe if people didnt constantly attack me I wouldnt be? Food for thought. --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910195037] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>inloveanddeath0 posted...</cite> <quote>You're ultra defensive</quote> Maybe if people didnt constantly attack me I wouldnt be? Food for thought.</quote> ... Copied to Clipboard!
Coffeebeanz 10/08/18 7:30:11 PM #32:	joestarrr posted... 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 Oh, Family Medicine. It's so cute when they're on inpatient rotations. The hospitalist I replaced was Family Medicine and the entire floor staff keeps saying "wow you actually know how to treat that?" --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910195049] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>Coffeebeanz posted...</cite> <quote>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.</quote> Yuuuup. A tale as old as time in the ICU. <cite>Coffeebeanz posted...</cite> <quote>tfw the Family Medicine intern orders propofol for the patient with pancreatitis.</quote> LMAO OH GOD one of ours asked if the lipids in propofol would be enough for nutritional needs</quote> Oh, Family Medicine. It's so cute when they're on inpatient rotations. The hospitalist I replaced was Family Medicine and the entire floor staff keeps saying "wow you actually know how to treat that?"</quote> ... Copied to Clipboard!
EliteLevel 10/08/18 7:31:33 PM #33:	joestarrr posted... EliteLevel posted... Goats posted... EliteLevel posted... The fuck? Arent you supposed to be a nurse? Does anybody understand any of that? Essentially she was looking after someone on a ventilator and someone thought it was a good idea to disconnect his sedation despite the nurse on call saying it was a pretty shit idea. He then had a bad reaction and the nurse was vindicated that it was a shit idea. At least that's what I got from it. I don't understand half the stuff she's saying rn either, honestly snubbul So shes as useless as a nurse as she is on CE? How the fuck does appropriately assessing my patients need for additional sedation make me useless? Like maybe you shouldnt comment if you dont know anything about the subject. Of course I dont know the bollocks you posted. Thats why I asked. Goats seemed to imply you made a shit decision hence my comment. If Ive misunderstood what he wrote then you have my sincerest apologies and Ill punch myself in the knackers for being so stupid. --- Judge not, lest ye be judged and get butthurt. <cite>EliteLevel posted [p:910195117] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>EliteLevel posted...</cite> <quote><cite>Goats posted...</cite> <quote><cite>EliteLevel posted...</cite> <quote>The fuck? Arent you supposed to be a nurse? Does anybody understand any of that?</quote> Essentially she was looking after someone on a ventilator and someone thought it was a good idea to disconnect his sedation despite the nurse on call saying it was a pretty shit idea. He then had a bad reaction and the nurse was vindicated that it was a shit idea. At least that's what I got from it. I don't understand half the stuff she's saying rn either, honestly snubbul</quote> So shes as useless as a nurse as she is on CE?</quote> How the fuck does appropriately assessing my patients need for additional sedation make me useless? Like maybe you shouldnt comment if you dont know anything about the subject.</quote> Of course I dont know the bollocks you posted. Thats why I asked. Goats seemed to imply you made a shit decision hence my comment. If Ive misunderstood what he wrote then you have my sincerest apologies and Ill punch myself in the knackers for being so stupid.</quote> ... Copied to Clipboard!
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joestarrr 10/08/18 7:32:13 PM #35:	Goats didnt imply that at all, are you physically able to read? --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910195142] in tfw ur pt&... [t:77079954]...</cite> <quote>Goats didnt imply that at all, are you physically able to read?</quote> ... Copied to Clipboard!
Coffeebeanz 10/08/18 7:32:24 PM #36:	Sounds like SOMEone's a fecal encephalopath. --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910195155] in tfw ur pt&... [t:77079954]...</cite> <quote>Sounds like SOMEone's a fecal encephalopath.</quote> ... Copied to Clipboard!
snowman9267 10/08/18 7:32:31 PM #37:	LMAO @ letting some non intensivist manage your sedation orders --- plays the Grismal flute <cite>snowman9267 posted [p:910195157] in tfw ur pt&... [t:77079954]...</cite> <quote>LMAO @ letting some non intensivist manage your sedation orders</quote> ... Copied to Clipboard!
joestarrr 10/08/18 7:32:51 PM #38:	JustMyOpinion posted... joestarrr posted... inloveanddeath0 posted... You're ultra defensive Maybe if people didnt constantly attack me I wouldnt be? Food for thought. Calm down. It's a dying online message board. No need to get worked up. Ok butterfly Why dont you post on your alt where you attack me for having boobs --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910195176] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>JustMyOpinion posted...</cite> <quote><cite>joestarrr posted...</cite> <quote><cite>inloveanddeath0 posted...</cite> <quote>You're ultra defensive</quote> Maybe if people didnt constantly attack me I wouldnt be? Food for thought.</quote> Calm down. It's a dying online message board. No need to get worked up.</quote> Ok butterfly Why dont you post on your alt where you attack me for having boobs</quote> ... Copied to Clipboard!
Devil_Katt_II 10/08/18 7:33:04 PM #39:	his prn got d/c'd? no wonder he's cranky <cite>Devil_Katt_II posted [p:910195196] in tfw ur pt&... [t:77079954]...</cite> <quote>his prn got d/c'd? no wonder he's cranky</quote> ... Copied to Clipboard!
joestarrr 10/08/18 7:34:59 PM #40:	snowman9267 posted... LMAO @ letting some non intensivist manage your sedation orders It was an intensivist tho --- https://i.kym-cdn.com/photos/images/original/000/080/451/13401452_m.jpg https://imgtc.com/i/YiQW0ia.png https://discord.gg/qytwSXD <cite>joestarrr posted [p:910195287] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>snowman9267 posted...</cite> <quote>LMAO @ letting some non intensivist manage your sedation orders</quote> It was an intensivist tho</quote> ... Copied to Clipboard!
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Coffeebeanz 10/08/18 7:35:10 PM #42:	snowman9267 posted... LMAO @ letting some non intensivist manage your sedation orders ICU Usefulness Chart: Intensivist >>> Pulmonologist > Nephrologist > Internist >>>>>>>>>>>>>>>>> Barney Rubble >>>>>>>>>>>>> Family Medicine >>>>>>>>>>> Psychiatry >>>>>>>>>>>> Orthopod --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910195299] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>snowman9267 posted...</cite> <quote>LMAO @ letting some non intensivist manage your sedation orders</quote> ICU Usefulness Chart: Intensivist >>> Pulmonologist > Nephrologist > Internist >>>>>>>>>>>>>>>>> Barney Rubble >>>>>>>>>>>>> Family Medicine >>>>>>>>>>> Psychiatry >>>>>>>>>>>> Orthopod</quote> ... Copied to Clipboard!
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EliteLevel 10/08/18 7:36:39 PM #44:	7Goats posted... I spent a lot of time in hospital over the past three years so I picked up Nurse as an official language through osmosis lol. I was in no way placing any of the blame on joe zangoose Ok then. --- Judge not, lest ye be judged and get butthurt. <cite>EliteLevel posted [p:910195370] in tfw ur pt&... [t:77079954]...</cite> <quote>7<cite>Goats posted...</cite> <quote>I spent a lot of time in hospital over the past three years so I picked up Nurse as an official language through osmosis lol. I was in no way placing any of the blame on joe zangoose</quote> Ok then.</quote> ... Copied to Clipboard!
BlameAnesthesia 10/08/18 7:42:39 PM #45:	Alpha218 posted... Who here can actually understand what you're saying besides like 1 or 2 other people on this board lol No offense I'm not usually the guy who calls out blogfaqs There are at least 6-8 residents and/or attending physicians who post here. Include the nurses and pharmacists and usually medical topics here do just fine. Sorry you feel left out Coffeebeanz posted... > Orthopod https://www.youtube.com/watch?v=3rTsvb2ef5k" data-time=" --- https://imgs.xkcd.com/comics/watson_medical_algorithm.png <cite>BlameAnesthesia posted [p:910195662] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Alpha218 posted...</cite> <quote>Who here can actually understand what you're saying besides like 1 or 2 other people on this board lol No offense I'm not usually the guy who calls out blogfaqs</quote> There are at least 6-8 residents and/or attending physicians who post here. Include the nurses and pharmacists and usually medical topics here do just fine. Sorry you feel left out <cite>Coffeebeanz posted...</cite> <quote>> Orthopod</quote> https://www.youtube.com/watch?v=3rTsvb2ef5k" data-time="</quote> ... Copied to Clipboard!
Coffeebeanz 10/08/18 7:46:45 PM #46:	Lost it at "asystole" --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910195863] in tfw ur pt&... [t:77079954]...</cite> <quote>Lost it at "asystole"</quote> ... Copied to Clipboard!
Alpha218 10/08/18 7:50:10 PM #47:	I only knew of a few, no need to be so hostile over nothing. Maybe I got the number wrong (because most of them don't post that often here because they're actually busy professionals) but that doesn't change that most people here just won't get what she's talking about (to the point where people are trying to come up with reasons for why she's bad at her job) I mean I got a physics degree but was interested in chem at one point so if i'd gone down that path in school I'd probably have a better idea of what she's talking about --- I'm Commander Shepard, and this is my favorite user on the Citadel. https://gamefaqs.gamespot.com/boards/1349-mario Now Playing: nothing :( <cite>Alpha218 posted [p:910196033] in tfw ur pt&... [t:77079954]...</cite> <quote>I only knew of a few, no need to be so hostile over nothing. Maybe I got the number wrong (because most of them don't post that often here because they're actually busy professionals) but that doesn't change that most people here just won't get what she's talking about (to the point where people are trying to come up with reasons for why she's bad at her job) I mean I got a physics degree but was interested in chem at one point so if i'd gone down that path in school I'd probably have a better idea of what she's talking about</quote> ... Copied to Clipboard!
Reis 10/08/18 7:55:29 PM #48:	Alpha218 posted... to the point where people are trying to come up with reasons for why she's bad at her job people would do this regardless because CE is full of bitter people you need only look at the amount of times Coffeebeanz gets accused of being a fake doctor to see that, let alone that topic that tote_all made a while back that got derailed because dumbasses thought that everyone who comes to the ER is doing so for an actual legitimate emergency <cite>Reis posted [p:910196283] in tfw ur pt&... [t:77079954]...</cite> <quote><cite>Alpha218 posted...</cite> <quote>to the point where people are trying to come up with reasons for why she's bad at her job</quote> people would do this regardless because CE is full of bitter people you need only look at the amount of times Coffeebeanz gets accused of being a fake doctor to see that, let alone that topic that tote_all made a while back that got derailed because dumbasses thought that everyone who comes to the ER is doing so for an actual legitimate emergency</quote> ... Copied to Clipboard!
Coffeebeanz 10/08/18 7:56:34 PM #49:	Surgeon: Hey (first name), we need to consult you for medical management. Me: Ok, Jim. Surgeon: It's Dr. (Last name) --- Physician [Internal Medicine] <cite>Coffeebeanz posted [p:910196329] in tfw ur pt&... [t:77079954]...</cite> <quote>Surgeon: Hey (first name), we need to consult you for medical management. Me: Ok, Jim. Surgeon: It's Dr. (Last name)</quote> ... Copied to Clipboard!
snowman9267 10/08/18 8:01:22 PM #50:	Also to actually respond, you have to wean sedation and give them a chance to fail otherwise they'll never get extubated. Worst case they fail a few times and get a trach, then go to an LTACH. Easy --- plays the Grismal flute <cite>snowman9267 posted [p:910196557] in tfw ur pt&... [t:77079954]...</cite> <quote>Also to actually respond, you have to wean sedation and give them a chance to fail otherwise they'll never get extubated. Worst case they fail a few times and get a trach, then go to an LTACH. Easy</quote> ... Copied to Clipboard!
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