anyone ever have a job with a ruptured breast implant ?

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fast65

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fast65

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fast65

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You can tell the patient is hyperventilating without the spasms.

I never said you needed to have the spasms to determine that. They point to a specific syndrome...
 

fast65

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fast65

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crazycajun

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Alright, take a shot at it kiddo



oh, it's relevant

Kiddo!!! That's funny

OK. No I would not give oxygen given the assessment. The patient is hyperventilating due to the extreme stress of her husband leaving. She is 100% sat. Adding more oxygen will only advance hyperventilation. I would ask if she has any thyroid problems as Hypocalcaemia can also cause carpopedal spasms. If she has I would admin 2 amps IV calcium gluconate at 10% slow drip over 10 minutes. If not you could use BVM to control breathing w/o O2 but I have found simply talking to a patient and explaining to them what will happen if they do not regulate breathing usually works.
 

fast65

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Kiddo!!! That's funny

OK. No I would not give oxygen given the assessment. The patient is hyperventilating due to the extreme stress of her husband leaving. She is 100% sat. Adding more oxygen will only advance hyperventilation. I would ask if she has any thyroid problems as Hypocalcaemia can also cause carpopedal spasms. If she has I would admin 2 amps IV calcium gluconate at 10% slow drip over 10 minutes. If not you could use BVM to control breathing w/o O2 but I have found simply talking to a patient and explaining to them what will happen if they do not regulate breathing usually works.

Well, considering that I look like I'm 12, calling others kiddo makes me feel older :p

More complex than I was looking for, but the more the merrier, thanks! :D
 

crazycajun

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Well, considering that I look like I'm 12, calling others kiddo makes me feel older :p

More complex than I was looking for, but the more the merrier, thanks! :D

Hey I was trained old school. If we had a patient back in the 80's that was hyperventilating we would tell them to control breathing. If they didn't listen we would simply cover the mouth and nose to ummmm (stabilize the head) but this usually caused them to just pass out.:eek:
 

mycrofft

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Geez this post got a lot of hits already!

Woohoo!
 

nemedic

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don't feed teh troll


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