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Mateo_1387 last won the day on April 6 2013

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About Mateo_1387

  • Birthday February 13

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  1. Another update... http://www.latimes.com/local/lanow/la-me-ln-live-verdict-in-kelly-thomas-police-murder-case-20140113,0,5661959.story#axzz2qKI9CuI2
  2. Seems like they need to go after the hospital for discharging him in an altered state. I really don't see how they security is to blame. And whoever the hospital staff is that expressed concerns.... they weren't advocating enough... I'm gonna see if I can get anymore info on this.... it happened fairly close by...
  3. By chance is there a copy of the EKG that can be posted?
  4. That was certainly an unkind thing for your friend to do. From reading your response, you seem to have a good grasp of how you want to handle the situation, by approaching her. It seems at the time of the original posting you were a bit emotional from the experience (which is expected, not to be taken as a fault). Sometimes it is okay to handle things while being emotional, as it certainly can add to whatever message you are trying to make (though should be reserved for certain circumstances probably). Otherwise, taking a step back and waiting until the brunt of the hard feelings passes gi
  5. I have asked this question to a few people and I think I have two interesting answers, possibly worth using... 1st answer I liked was to just not ask, but bait the hospital staff to ask, cuz you know they will... haha 2nd answer from a friend of mine who is transgender states he don not know the best way to approach this situation. No help huh... Though he seemed to relay that just being polite and asking ought to be okay. Something along the lines of "no disrespect, are you male or female, I only ask to take your biology into consideration for a proper treatment plan". - As a
  6. Checking the NC procedures, pressure points are not specifically listed. That being said, it does not specifically prohibit it either. It uses language such as "control bleeding with standard technique" (saw this one on the tourniquet procedure page). Congratulations on passing the exam !
  7. Levophed continued, support BP. For sedation probably just give Versed in small doses, 2 mg as needed for sedation. Probably hold off on the paralytic. As far as steroid, Methylprednisolone 125 mg to start with.
  8. Welcome to the City from Eastern NC
  9. With the patient's altered mental status and hypotension, I do not think CPAP would be the best intervention to perform. I know I mentioned pressure support on the ventilator, but thats with RSI and hypotension control. In her current state CPAP wouldn't be advised. I thought we would try a higher dose of Dopamine, or move on to Levophed? I think RSI would be warranted. Using Midazolam 2 mg, Succinylcholine 100 mg, pass the ET Tube and confirm. Its going to be important to control the blood pressure though. Looking at the labs (I'll be honest I had to look up a few values
  10. Thanks for the share, I like it !
  11. I am thinking this patient may also have sepsis, possibly due to a pneumonia. The patient presents with Coarse left lung sounds along with diminished right lung sounds. If she is overdosed on narcotics, she is likely sedentary, breathing slowly, which I think would allow for bacterial growth and/or an aspiration pneumonia. After Naloxone is given thus reversing the effects of CNS depression, we see that she becomes tachycadic and has a slight raise in temperature. I think by this point it may also be prudent to start administering Dopamine. With her low perfusion status, end organ
  12. There have been LVAD patients in multiple districts I have been positioned in. I have never had the pleasure of interacting with one of these patients though. It was required for me to take a class about the LVAD, which consisted of a representative from the manufacturer, an RN I think, to give a lecture to us. It was quite informative. I will endeavor to relay that information to you, though suggest you confirm the information, as I really do not have a source for the information. Anyways here goes... When trouble shooting a problems, as others have echoed, and as the link Mike share
  13. I am interested in knowing its significance too. Also, my interpretation of the EKG would depend if it is electrical alternans or not. I'm leaning between sinus tachycardia with electrical alternans, or sinus tachycardia with premature escape complexes, and I a few others. A-fib is one on the list, though this EKG sample has a pattern, every other complex group has the same R-R wave distance, leading me to think its not A-fib. So, what was the answer given with the sample?
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