Best hemorrhoids treatment tips, check out our hemorrhoids treatment tips and learn how to remove hemorrhoids, with treatments that can be done at home.

Things you don't want to hear in a hospital

The following are things you don't want to hear in a hospital:
  1. How do you do that again
  2. Where do I poke
  3. Oh Shit!!!
  4. I can't find a pulse
  5. Oops
  6. I could swear I could feel a pulse when the patient arrived
  7. Ooops!  I didn't know you were on the pot
  8. I can't get a blood pressure
  9. His blood pressure is dropping
  10. Well I've never done that before
  11. Well that ain't good
Facebook
Twitter
read more...

You can smoke, eat and drink and still be a good RT

I notice a lot of hospitals are going smoke free.  The idea is that hospital administrators believe medical professionals should be setting a positive example for the community.  This is fine.  I don't have a problem with it.

What I do have a problem with is hospitals not hiring working because they smoke.  I think what a person does on his own time is no one else's business.  However, hospitals do have a right to hire and fire at will so long as they don't violate race and sex codes.

On a similar note, some people say that respiratory therapists shouldn't smoke just because they are respiratory therapists.  I read one column recently where the columnists -- a young RT -- was shown by her preceptor a very effective means of encouraging patients how to quit smoking. 

Yet the columnist later saw that same preceptor smoking.  He smiled and said, "I never said it was easy to quit."  She wrote that this was hypocritical.  Here he was encouraging people to quit when he himself had a problem.  He should quit.

I disagree.  Say you have a baseball player who never hits over .100 his entire career.  Do you think that person will never make a good manager.  If that were the case Sparky Anderson and Jim Leyland never would have amounted to anything.

My point is that what you do in your life does not correlate to how good of a teacher you are.  You can lead a life of misery, you can smoke, you can eat terribly, you could be 500 pounds overweight, yet that doesn't effect your ability to teach.  In fact, it might make  you an even better teacher.

You can use yourself as an example of why it's important to quit, or never to start in the first place.

In the same way that many in the medical field have learned from the bad choices of patients who are obese and smoke and are now suffering the consequences of their bad habits, our own patients can learn from our experiences.

Just because you're an RT or an RN or a doctor doesn't mean you have to be perfect.  Just because you're an RT doesn't mean you have to eat a boring diet, do exercises you hate, and never smoke or drink anything fun.  This is America for God sake. 

Being responsible is a choice.  Being stupid is a choice too.  You are free to choose no matter if you are a teacher or not. 



Facebook
Twitter
read more...

Functions of the lungs

The lungs serve three functions.  Can you name them?  If not don't worry because I will name them here.

1.  Respiration:  Oxygen inhaled and carbon dioxide exhaled
2.  Reservoir for the left ventricle:  Pulmonary circulation is a blood reservoir for the left ventricle.  Even when cardiac output changes this reservoir volume remains constant (about 600 ml)
3.  Filter for systemic circulation:  Pulmonary circulation filters particles and prevents them from getting to the systemic circulation and causing blockages, particularly blockages in capillaries in the heart and brain.  Filtered particles include:

  • Fibrin
  • Blood clots
  • Fat cells
  • Platelet aggregates
  • Debris found stored blood
  • Debris found in IV fluids
4.  Metabolism:  Mainly of bioactive substances
5.  Storage and synthezising:  Of Heparin, histamine, bradykinin, serotonin and certain prostaglandins 
6.  Conversion:  Angiotensin converted to its active form by the lungs
7.  Inactivation:  Adenosine Triphosphate (ATP) adn norepinephrine are partially removed from blood and inactivated by the lungs.

The later two functions are particularly important to maintaining homeostasis.

Source:  Egan: Fundamentals of Respiratory Care

Facebook
Twitter
read more...

What is short of breath?

I ask people all day long "Are you short of breath?"  Yet every once in a while someone asks, "What's that?"

Most of your chronic lungers know what it is.  Yet we RTs give breathing treatments to people all day long that you know are not short of breath, and never have been.  They have no lung disease and never have.  These are your folks who might ask:  What is shortness of breath?

Shortness of breath (SOB):  It's a subjective measure.  It's how your breathing feels to you.  Do you feel winded?  Do you feel you can't get air in?  Do you feel dypneic.

Dyspneic:  A feeling that you can't catch your breath.  It's the medical description of shortness of breath.  Prior to modern times dyspnea was defined as breathing with a conscious effort. 

I've been an asthmatic and RT for so long I guess I just assume people know what it is.  Yet, understandably so, some people have no reason to know the definition.

Short of breath should have been described on day #1 of this blog.  Yet here I am well into year #4 of doing this, and here is your definition.

Facebook
Twitter
read more...

What if... A Post-Penn State Fantasy About the Prevention of Child Sexual Abuse

Here is the second article written by Dr. Steve Brown


by Steve Brown, Traumatic Stress Institute

Roxanne is a fictitious 27-year-old mother of six-year-old Sarah. A single mom since Sarah’s birth, Roxanne has finally found the “love of her life”-– 35-year-old Justin. He’s got a steady job, only drinks on weekends, and seems to just adore Sarah. He loves playing with her and even has been willing to babysit whenever Roxanne needs a girls’ night out. Quite frankly, Justin almost seems too good to be true.

Six months ago, Roxanne and Justin were ready to take their relationship to the next level so they moved in together. Justin pays most of the rent and gas so things are looking up financially for Roxanne. They have even talked about marriage, prompting lots of chatter between Roxanne and her girlfriends about when Justin was going to “pop the question.”

Sarah was SO happy when Justin moved in. She’s never really known her father and always felt jealous seeing her best friend playing with her dad in their front yard. She secretly hoped her mom and Justin would get married.

Three weeks ago, Roxanne grew concerned when Sarah started to wet her bed, something she had not done for years. Sarah also seemed especially clingy at bedtime, not wanting to say goodnight or to go into her bedroom alone. Roxanne needed to lay down with her at night in order to get her to go to sleep.

Once, when Roxanne went to lay down with Sarah, Sarah’s bed smelled like cigarette smoke. She didn’t smoke, only Justin did. In the morning she asked Justin if he had been in Sarah’s room and he shook his head, looking at her as if she was crazy. Another night, Justin came home late and Roxanne happened to wake up and hear the door to Sarah’s room creak. She thought it was strange because Sarah almost never gets up to go to the bathroom in the middle of the night. A third time, Roxanne found Justin’s shoes underneath Sarah’s bed -- “That’s strange," Roxanne thought, “well, maybe Sarah was just playing her make-believe games and used Justin’s shoes.”

In a post-Penn State sex scandal world, maybe, just maybe, the following would transpire.

Like millions of other Americans, Roxanne has been riveted by the news about the alleged sex abuse by Jerry Sandusky at Penn State. On CNN’s Late Night with Anderson Cooper, she sees an expert talk about how most people think of sex abusers as creepy perverts, lurking around playgrounds, but in fact over 70 percent of sexual abusers are known, and often loved, by the children they abuse. They point out that true prevention of sex abuse will only happen when mothers, grandmothers, neighbors are alert to the possible signs of troubling behavior by their boyfriends, uncles, the next door neighbors. They need to pay attention to their gut feelings when they think something isn’t right about the sexual behavior of the person they know. It’s hard to face the possibility that someone you’ve trusted may be hurting a child, even harder to speak up.

Suddenly, Roxanne flashed to the smell of cigarette smoke in Sarah’s bed – “why on earth would Justin be in Sarah’s bedroom without me knowing about it. There must be an explanation. Maybe he was just tucking her in that night and I didn’t know about it. Maybe I’ll ask Sarah.”

When Roxanne asks Sarah, Sarah looks away and doesn’t say anything. When Roxanne asks her again, “Has Justin ever come into your room at night?” she quietly says, “no.”

“This isn’t possible,” Roxanne thinks, “Justin is SO good with Sarah. He adores her and she seems to like spending time with him. There’s no way. Finally, I’ve found the man of my dreams. Everything is working out. I might even get married. I love Justin. But, I can’t stop thinking about this.”

The next night Anderson Cooper reports:

“One of the most disturbing parts of the Penn State sex abuse scandal is how many people likely either had direct information or suspected Mr. Sandusky of abuse and failed to come forward and speak up on behalf of the victims. They were passive bystanders, not active ones. Think how many victims could have been spared if JUST one of those adults had come forward and had the courage to not let it rest.”

Roxanne suddenly feels like she’s been kicked in the stomach. “How many times now have I had this yucky feeling about Justin. I keep wanting to put it out of my mind. WHY does it keep nagging at me? All those people at Penn State, they looked the other way. Am I looking the other way? It CAN’T be possible, but maybe…I have to talk with someone.”

The next day Roxanne has lunch with her girlfriend. “Can I talk to you about something? This is going to sound so strange, but I just can’t get it out of my head…” and she goes on to tell her friend about what she has observed ending with “I’m sure it’s nothing, right?” Her friend looks stunned, “I CAN’T believe you’re saying this. Justin has always struck me as a little creepy. I never told you this, but I saw him sort of hitting on a 13 year-old girl. I didn’t think anything of it, but it was WEIRD. Once, when I was at your house, I heard him tell Sarah that her butt was cute in her tight jeans. I didn’t think it was anything so I didn’t tell you. But, it did seem really inappropriate. ”

Two days later, Justin came home again in the middle of the night. Roxanne stayed awake this time. Again, that creak of Sarah’s door. When Roxanne burst into the room, she saw Justin lying next to Sarah on her bed. He immediately stood up and yelled, “What the hell are you doing here? I was just tucking Sarah in.” Justin had clearly been drinking. Roxanne threatened to call the police unless Justin left immediately.

When she talked to Sarah about what had happened, Sarah said that Justin had been coming into her room numerous days in the past month. He always woke her up, lay down next to her, and talked about how she was so special. He always had alcohol on his breathe. He’d kiss her face and rub her back. When Roxanne asked if he had touched her on her private parts, she said “no”, but she hated when he came in. She couldn’t fall asleep at night thinking it might happen again. Roxanne said, “Sweetie, I’m so sorry this happened. He will never do that again to you. I promise. I swear.”

As Roxanne sat awake in bed that night, she could barely contain her rage. "But, at least I caught it before anything really bad happened. It could have been like those boys at Penn State. Thank God I trusted my gut. Thank God I talked with someone. Thank God I spoke up!!!”

Now THEN we’d be making progress on preventing sexual abuse of children.
read more...

Things only an RT would say

I just finished giving the lady's mom a breathing treatment when she said, smiling, "So you just gave that so my mom meets criteria, right?"

I said, "You have GOT to be a respiratory therapist."

"I am," she confirmed.

Some things only an RT would say, and that's one of them. Here are some other things only an RT would say:
  1. I have the ABGies
  2. That breathing treatment's not needed
  3. Now that the patient has allbetterol in his system he's good to go
  4. The hypoxic drive theory is a hoax
  5. Xopenex is the same as Albuterol
  6. Bronchodilator abuse
  7. All that wheezes is not asthma
  8. All shortness (dyspnea) of breath is not asthma
  9. The only reason the treatment helped that patient with dyspnea was the oxygen boost
  10. I only work so I can have days off
  11. I'm not smart enough to be an RT (or maybe I'm smart enough not to be an RN)
  12. I love being an RT
  13. I hate being an RT
  14. That patient does not need suctioning
  15. Suctioning an awake and alert patient is unethical
  16. Most of what we do is a waste of time or delays time
  17. You don't intubate a number
  18. Q4ever treatments
  19. Doctors don't wean on weekends or after office hours
  20. Oxygen does not treat anemia
  21. Breathing treatments do not cure rickets
  22. Ventolin is like scrubbin bubble therapy.  Doctors think it gets deep into the lung and scrubs them clear of all lung ailments.
  23. Doctors think Ventolin prevents everything from asthma to rickets, from atelectasis to pneumonia
  24. Ventolin does not even get deep enough in the lungs to treat pneumonia
  25. There's no smooth muscle and no beta receptors in the alveoli
  26. Are you short of breath?
  27. Let me listen to your lungsounds
  28. Let me get you a stool, a fan and a table to lean on
  29. I walked 20 miles at work today
  30. You want a what...!!!
  31. The patient had no history of short of breath, has no lung disease, doesn't smoke, has clear lungsounds, a normal x-ray, and yet I had to give a treatment anyway
  32. I can't find (feel) a pulse
  33. Take in a deep breath... and blow, blow, blow, blow.....
  34. This EKG will be quick and easy.... unless you're a hairy man, then it'll be painful
  35. If you need me I'll be in the waiting room watching TV
Facebook
Twitter
read more...

dnr vs full code

I often get asked what the difference is between full code and DNR.  So I'm going to take a moment to define these two terms.

Full Code:  You do everything possible and necessary to save the life of the person.  This means if the patient stops breathing you'll intubate and put the patient on a ventilator, and if his heart stops you'll do chest compressions with ventilations.  You will also provide medications necessary to try to save that person.  Any patient who does not have a DNR order is considered full code.  If you don't know if the patient is a DNR, then you consider the person a full code.

DNR:  This stands for do not resuscitate.  This means if the patient's heart and breathing stops you do not perform any heroic efforts.  You do not intubate or ventilate.  However, you will still care for the patient and do whatever is necessary to help the patient get better.  The only things you don't do is heroic activity.

Facebook
Twitter
read more...
 
© Copyright New Treatment Ways 2011 - All rights reserved.