anyone ever have a job with a ruptured breast implant ?

[crazycajun]

Who?

The OP

 

[lampnyter]

I dont see how even knowing what carpospasms would help you decide whether you give o2 or not.

 

[rwik123]

Who?

Op

 

[HotelCo]

In testing purposes you would bag her.

HUH?:unsure:

 

[crazycajun]

Sure why not. In testing purposes you would bag her.

Are you planing on making her pass out faster? Remember 100% O2 sat. RR 34

 

[lampnyter]

HUH?:unsure:

Test/proctor would say that RR is too abnormal for a female pt. It also depends on the quality of breathing.

 

[fast65]

oh oh oh i know i know. Pick me pick me!!!!!!!!

Alright, take a shot at it kiddo

I dont see how even knowing what carpospasms would help you decide whether you give o2 or not.

oh, it's relevant

 

[lampnyter]

Alright, take a shot at it kiddo



oh, it's relevant

You can tell the patient is hyperventilating without the spasms.

 

[HotelCo]

Test/proctor would say that RR is too abnormal for a female pt. It also depends on the quality of breathing.

I would ask the proctor if there is any evidence of hypoxia.

 

[fast65]

In testing purposes you would bag her.

Ah, but this is not for testing purposes, what would you ACTUALLY do?

 

[fast65]

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...

 

[lampnyter]

Ah, but this is not for testing purposes, what would you ACTUALLY do?

Oxygen isnt exactly ideal because of the amount of co2 the patient already has but in extreme cases it can help.

 

[fast65]

Oxygen isnt exactly ideal because of the amount of co2 the patient already has but in extreme cases it can help.

Thank you

 

[lampnyter]

Thank you

90% of basics will give o2 anyways because there is a "breathing problem"

 

[fast65]

90% of basics will give o2 anyways because there is a "breathing problem"

Yes, I realize that, unfortunately

 

[crazycajun]

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]

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

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

 

[crazycajun]

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

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

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.

 

[mycrofft]

Geez this post got a lot of hits already!

Woohoo!

 

[nemedic]

don't feed teh troll

Woohoo!

Since I am dumb-founded that nobody has done this already:
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