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The info for statins and what is commonly practiced still leaves me a bit speechless.

Think you got your answer on whether or not your care was appropriate. Dropping that BP would go a long way towards relieving symptoms. Nitro is easily titrated as a drip. If you're confident in your skills to set it up and manage it (seems like you were) then excellent.

What was the reasoning of doing one over the other first? I'm calling bogus (without literature to back this up, don't judge). Two different drugs, two different MOAs acting on two different aspects of the disease process, there's no reason that one would need to be given first. If anything...

Isn't it 110 by palpitation? Because it's been stated like that before.

http://www.youtube.com/watch?v=bdJkd9kfZdo

I can see it now. "They got a polio-like disease, which means they got polio, but they were vaccinated against polio, so they don't work, so down with vaccinations!!!" :rolleyes: In other news, it looked like a couple of the children got a virus known to cause polio like symptoms but other...

Obviously. It's named after someone, ergo, important. :rolleyes:

Right up there with the renal cell carinoma triad. Hematuria, abd pain, palpable mass that you'll find in less than 10% of cases. "Classic" presentation.

After I graduated, I was under the impression I had learned what I needed to in school, and thus, was as qualified as someone working for 10 years because we had the same certs, passed the same tests, etc. I was wrong and I try to keep that in mind as I continue my education. Hopefully...

Curious as to what the rationale is for not monitoring in lead II. I personally hadn't heard anything about how we shouldn't be doing that.

The theory (from what my teachers said the other week) is that due to the block in the prostaglandin production pathway, there is increased leukotriene production.. LTC4 D4 and E4 aren't really helpful to those with reactive airways.

Blood letting (unless they have hemochromatosis), leeches, and of course bicarb.

These. Check your ego at the door and accept criticism/feedback/help in all forms, otherwise you'll end up killing someone. You don't have to like the delivery, but take the help. If he's as bad as you say and "about to get fired", suck it up and stick it out. You'll have a new partner in no...

I'd treat him per assessment. Heard several vitals and a mental status yet not really any physical exam. Some more history too. Get a history, an exam, the tests (BGL, XII lead, etc) then I'll tell ya how I'd treat him. Per "protocol", would probably be defined as an ALS call to answer the...

Here's a place to start with to do some digging and answer your questions. http://www.nottingham.ac.uk/nursing/practice/resources/cardiology/acs/changes.php Another to look at to start with and expand upon. http://emedicine.medscape.com/article/155919-workup#aw2aab6b5b1aa

Due to their intrinsic mechanism of action on the ribosomes, they can cause a read-through phenomenon. Useful in the particular subset of CF where their disease is caused by a premature stop codon in the CFTR gene.

Talking about a delta wave? ("Slurred" upstroke on the QRS) I personally haven't heard of different "types" of WPW... But of course that doesn't mean they don't exist. My questions is the use of aminoglycosides in cystic fibrosis for reasons other than infection.

Wise sage is wise.

Not sure Chase. I'll keep an eye out. Based on another thread, why might one use gentamicin in cystic fibrosis for reasons other than an infection?