http://gruntdoc.com/2006/04/word-to-the-wise-iv.html Ramblings of an Emergency Physician in Texas Fri, 10 Feb 2012 00:40:33 +0000 hourly 1 http://wordpress.org/?v=3.3.1 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3815 Kim Thu, 04 May 2006 05:11:35 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3815 Ummmm....and you would paralyze someone who was NOT intubated, why? Meaning, wouldn't someone question that order on an extubated patient? Hopefully? Ummmm….and you would paralyze someone who was NOT intubated, why?
Meaning, wouldn’t someone question that order on an extubated patient? Hopefully?

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3814 Judy Thu, 27 Apr 2006 17:23:17 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3814 The NICU order was "Contact HO before giving." The nurse did. Doc said OK without thinking. I think we may have gone to a "double-check before giving" all Pavulon orders after that. The NICU order was “Contact HO before giving.” The nurse did. Doc said OK without thinking. I think we may have gone to a “double-check before giving” all Pavulon orders after that.

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3813 GruntDoc Thu, 27 Apr 2006 06:36:41 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3813 I wish I was kidding. Good news it was recognized immediately, but the bad news was a crash reintubation. I wish I was kidding. Good news it was recognized immediately, but the bad news was a crash reintubation.

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3812 Ged Thu, 27 Apr 2006 04:07:49 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3812 Please tell me you're kidding. I mean, we cancel pancuronium orders as routine but... jeez. Please tell me you’re kidding. I mean, we cancel pancuronium orders as routine but… jeez.

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3811 EJ Wed, 26 Apr 2006 16:41:46 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3811 HAHAHAHAHAHAHA. Seriously? HAHAHAHAHAHAHA. Seriously?

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3810 Judy Tue, 25 Apr 2006 20:35:19 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3810 No kidding on the paralytic. We don't use Pavulon in the NICU any more, but a combination of (Thank God ET) CPAP, a new RN and a first year resident made for one really dicey couple of minutes. At least all we had to do was turn the IMV back on. I think the resident eventually went into another specialty. I know the RN didn't last long in the NICU. No kidding on the paralytic. We don’t use Pavulon in the NICU any more, but a combination of (Thank God ET) CPAP, a new RN and a first year resident made for one really dicey couple of minutes. At least all we had to do was turn the IMV back on. I think the resident eventually went into another specialty. I know the RN didn’t last long in the NICU.

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3809 Nicole Tue, 25 Apr 2006 15:50:08 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3809 Another helpful tip. When you take someone off sedation for a weaning trial and they fail, don't forget to turn the sedation back on. I can't tell you the number of times I've been called to re-intubate someone (at 2am) who took it upon themselves to remove their ET tube a little early. Then the ICU team tells me "we turned off sedation this morning but they failed the trial and we didn't put sedation back on." Another helpful tip. When you take someone off sedation for a weaning trial and they fail, don’t forget to turn the sedation back on. I can’t tell you the number of times I’ve been called to re-intubate someone (at 2am) who took it upon themselves to remove their ET tube a little early. Then the ICU team tells me “we turned off sedation this morning but they failed the trial and we didn’t put sedation back on.”

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3808 beajerry Tue, 25 Apr 2006 14:55:27 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3808 That depends on the 'niceness' of the patient. That depends on the ‘niceness’ of the patient.

]]> http://gruntdoc.com/2006/04/word-to-the-wise-iv.html/comment-page-1#comment-3807 Moof Tue, 25 Apr 2006 14:11:43 +0000 http://gruntdoc.com/2006/04/word-to-the-wise-iv.html#comment-3807 ... voice of experience? *blink* … voice of experience? *blink*

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