Priincenene Posted May 20, 2014 Share #8576 Posted May 20, 2014 I've heard there's this disease spreading called "MERS". Does anyone have any idea? 0 Quote Link to comment Share on other sites More sharing options...
realizm Posted May 20, 2014 Share #8577 Posted May 20, 2014 MERS or Middle Eastern Respiratory Syndrome is a lower respiratory viral disease belonging to the family of coronaviruses. It attacks the lower lung parenchyma the same way as SARS but can also travel to other internal organs causing serious infection causing renal failure. It is originally endemic to camels but it is self limited in the sense that at this time it is not known to be able to be transmitted by human to human direct contact. Symptoms may include fever, pneumonia, acute bronchitis, shortness of breath, possible hypoxia in severe cases. In mild cases it simply manifests with flu like symptoms, in such cases simple oxygen therapy along with antivirals is all thats needed, in really bad cases the patient will have to be intubated, and put on mechanical ventilator life support. But it is not a serious threat in the US, only one case has been documented the last time I checked. Reciting from memory. 0 Quote Link to comment Share on other sites More sharing options...
ttcsubwayfan Posted May 20, 2014 Share #8578 Posted May 20, 2014 Best of luck with that, dude! Thanks! One last final today (Anatomy & Phys.) then I will never have to wear this ugly uniform anymore or take anymore HS tests. Thank you lord, finally!! Good luck! 0 Quote Link to comment Share on other sites More sharing options...
realizm Posted May 20, 2014 Share #8579 Posted May 20, 2014 (edited) One last final today *sweating bullets and panicking studying for the final* *chugs down coffee* Procedure for confirming operation of an oxygen blender 1)Confirm that inlet pressures of air and O2 are within manufacturers specs 2)test low air O@ by disconnecting each source; confirm safety bypass or crossover system 3)analyze O@ concentration at 100%, 21% room air and specified FiO2 Problem: The patient is rushed into the ICU with acute atelectasis of the lungs. To mix air and O2 manually to provide a patient with 50% O2 at a total flow of 60 LPM what %O2 and air flow would the respiratory care practioner set while kicking it to a hot female nurse in the process? Solution: O2 Flow = Total flow x (O2 -21)/79 Air Flow = Total flow - O2 flow = 60 x (50 -21)/79 ....OMG arithmetiric.... Cant use calculators fml.... 50 FiO2 Air flow = 60 -21 Room air -22 ----- ------ 29 38 LPM 29 x 60 = 1740/79 = 22 LPM O2. 38 LPM ROOM AIR Ans: To provide a patient with 50% O2 at a total flow of 60 LPM, (while kicking it to the hot nurse trying to get her number), blend 22 LPM O2 with 38 LPM air to ensure a constant FiO2 for the patients inspiratory/expiratory respiratory needs. =========================================================================== GUIDELINES FOR COUGH INDUCING AND AEROSOL GENERATED PROCEDURES Cough inducing procedures include endotracheal intubation and suctioning, diagnostic sputum induction, aerosol treatments (e.g pentamidine therapy) and bronchoscopy. Cough inducing procedures should not be performed on patients who may have infectious tuberculosis unless the procedures are essential and can be performed with appropriate precautions. All cough inducing procedures performed on patients with tuberculosis should be performed using booths, or special enclosures. if this is not feasible, a room that meets the ventilation requirements for al can be used. After completion of cough inducing procedures patients who may have tb should remain in their isolation rooms or enclosures until coughing subsides. they should be required to cover their mouths and noses with tissues while coughing. Before the enclosure or room is used for another patient, enough time should be allowed to pass for 99% of airborne contaminants to be removed. (this varies according to the efficiency of the mechanical ventilation life support system).Note: Ensure that the respiratory care paractioner asks the hot female nurse out for a date and get her number when or during respiratory care procedures.... Edited May 20, 2014 by realizm 1 Quote Link to comment Share on other sites More sharing options...
realizm Posted May 20, 2014 Share #8580 Posted May 20, 2014 Hypoxemia is defined as an arterial partial pressure of oxygen (PaO2) lower than the predicted value based on the patient’s age from the formula: PaO2 = 100.1 - (0.323 x age in years)Tissue hypoxia occurs when O2 delivery (DO2) is inadequate to meet tissue needs. Formula: DO2 = CaO2 x QQuestion: A hot nurse that he just got a lunch date with comes along after getting back on the clock (long story) informing the RCP that a 70 yr old WM with a complaints of tachypnea admitted in the ER. It is not indicated after ABG results that he may not be suffering from a respiratory disorder. Kussmaul's sign is absent, his RR is at 24 B/Min. Upon RCPs on the fly vital sign assessment he sees no evidence of pulsus paradoxus, cyanosis, or adominal paradox but diaphoresis is present. RCP hears normal S1/S2 rhythm upon heart auscultation. Upon lung auscultation, normal tracheal vesicular sounds can be heard with very minimal wheezing. RCP checks blood pressure, BP rate is 130/90.What is the PaO2 of the patient?Solution with this blasted math: PaO2 = 100.1 - (0.323 x age in years) = 100.1 -(.323 x 70).323x70----- 22.61 x 70 = 77.49 PaO2 (Normal range = 80-100 PAO2 Normal range of BP 120/80 Normal range of RR 16-24 breaths/min)Answer: PaCO2 = 77.79. These range are not critical for a person at that age range but suould be momtored. Since vital signs otherwise are normal even though his respiratory rate, his heart rate and BP may be high with slight bronchospasms indicative of dyspnea, this may not be a result of a cardiovascular or chronic pulmonary problem requiring intubation and mechanical ventilation. Pleural chest pain is absent ruling out a myocardial infaction (heart attack). The RCP must put the patient on >2 LPM on nasal cannula as a precaution and be given at least .5 to 1 mg of benzodiazepines via injection such as lorazepam or valium to alleviate the apparent anxiety attack from clinical diagnosis at a doctors order, as cardiograph is performed by EKG tech to rule out completely cardiopulmonary problems. RN will perform other minor procedures and follow up on medical delivery and vital sign checks as RCP continues gas therapy until situation is resolved. MRI may not be necessary. *Curls into a fetal position and sobs silently* 0 Quote Link to comment Share on other sites More sharing options...
CenSin Posted May 21, 2014 Share #8581 Posted May 21, 2014 The Onion is sometimes—ironically—true. 0 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted May 21, 2014 Share #8582 Posted May 21, 2014 Hark, it is an omen! As hymns resound, thou shalt be offered as a sacrifice upon the feast of madness! CARNAGE ANTHEM! 0 Quote Link to comment Share on other sites More sharing options...
realizm Posted May 21, 2014 Share #8583 Posted May 21, 2014 My final got posponed one day. I was studying all night worried atbout a test that was moved foward one day. Ididnt know because the day that was announced I was absent. Thank goodness, one more day then to study. *whew* I'm one lucky bastard. 0 Quote Link to comment Share on other sites More sharing options...
DJ MC Posted May 23, 2014 Share #8584 Posted May 23, 2014 http://youtu.be/0Cv0NCaKB7A 0 Quote Link to comment Share on other sites More sharing options...
ttcsubwayfan Posted May 25, 2014 Share #8585 Posted May 25, 2014 Since I don't know where to post this, I'll put it here. Does anyone know where I might find more pictograms for digital signs, like the ones seen on this page? http://www.rollsigngallery.com/esigns/lumfontgraphics.html Very interesting for me. Thanks. 0 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted May 26, 2014 Share #8586 Posted May 26, 2014 I am the terror that flaps in the night. [to Morgana - Stand back you might get some blood on you] I am the single career man all women want to date... I am... really really hungry 0 Quote Link to comment Share on other sites More sharing options...
XcelsiorBoii4888 Posted May 28, 2014 Share #8587 Posted May 28, 2014 Finals...Finals...Finals..... 0 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted May 29, 2014 Share #8588 Posted May 29, 2014 (edited) OUR EXPERT DEFENSE RENDERED THEIR PUNY ATTEMPTS AT ASSAULT FUTILE!! EXCELLENT YOU ARE PROMOTED TO RANK: 36!!! Edited May 29, 2014 by Missabassi 0 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted May 30, 2014 Share #8589 Posted May 30, 2014 Our slipgate is rendered incapable of use by the human food... The Makron, is PLEASED!!! 0 Quote Link to comment Share on other sites More sharing options...
Quill Depot Posted May 31, 2014 Share #8590 Posted May 31, 2014 post 0 Quote Link to comment Share on other sites More sharing options...
Fresh Pond Posted June 1, 2014 Share #8591 Posted June 1, 2014 Tree 0 Quote Link to comment Share on other sites More sharing options...
ttcsubwayfan Posted June 3, 2014 Share #8592 Posted June 3, 2014 Stick. OK, this post isn't completely pointless. Interesting article for those who yearn for the pre-Disneyfication 42nd Street and other such locales (scroll down to point #1): http://www.cracked.com/blog/5-things-we-need-to-stop-feeling-nostalgic-for_p2/ 0 Quote Link to comment Share on other sites More sharing options...
Kamen Rider Posted June 6, 2014 Share #8593 Posted June 6, 2014 What happens when you let two Power Rangers, Two Doctors and some guy from 24 loose in NASA's mission control..? This... 0 Quote Link to comment Share on other sites More sharing options...
Pakenhamtrain Posted June 6, 2014 Share #8594 Posted June 6, 2014 15 years ago today the Aussie rules goal kicking record was broken. 0 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted June 7, 2014 Share #8595 Posted June 7, 2014 All right cow-boy, I'll see you in moo-nicipal court! Wiggum u suuck 0 Quote Link to comment Share on other sites More sharing options...
RollOver Posted June 9, 2014 Share #8596 Posted June 9, 2014 Wish I can transport to the 70s, 80s and 90s with all the good shows/movies. 1 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted June 17, 2014 Share #8597 Posted June 17, 2014 "There's a train at 4:04," said Miss Jenny. "Four tickets I'll take; have you any?" Said the man at the door, "Not four for 4:04, For four for 4:04 is too many." 0 Quote Link to comment Share on other sites More sharing options...
CenSin Posted June 30, 2014 Share #8598 Posted June 30, 2014 When 20% live up to a stereotype, they ruin it for the 80% who don't. Or are the percentages the other way around? 0 Quote Link to comment Share on other sites More sharing options...
Missabassie Posted July 1, 2014 Share #8599 Posted July 1, 2014 Aiiight crumbs, where the hell are my rainbow cookie cupcakes!?! Outt AGAIN!?! BUMBOCLAAD............... 1 Quote Link to comment Share on other sites More sharing options...
realizm Posted July 17, 2014 Share #8600 Posted July 17, 2014 Full moon this early Thursday morning: 0 Quote Link to comment Share on other sites More sharing options...
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