Alright for all you RTs , SRTS, and anybody who wishes to have a laugh watch the youtube video.I was looking around youtube and it shows that there is a lot of funny videos. I came across this one and it is funny. Anyone having knowledge of the medical field will laugh..
I like it when he tries to use an AED (automated external defibrillator) on the man haha
Besides the class yesterday and the clinical tomorrow , I have no class!. Basically I can have fun this whole week unless I study which I don’t feel like it. So today I didn’t even bother studying and I cleaned my room a bit. It was interesting because for about months I barely cleaned it since I had no time. I went and cleaned my closet and I saw a box marked ” N64″.
I opened it and saw that it had all my old nintendo 64 games and console. I played for about a few hours and then I got bored. I realized that I just wasted my time. I guess thats what it means when you are getting older.
Besides that random moment I feel like im slacking off. However these types of holidays don’t come often so I’m enjoying every moment of it.
Alright so Back to this word problem. I fully understand how to do this now and I shall explain.
Most problems you will encounter might be in ATPS. Most likely in ATPS since that is how you will get the value.
I have found that remembering where stuff goes where is the fastest way to learn it. Don’t forget that in order to get this value you will be using the
Combined Gas LAW
P1v1 / T1 = P2V2 / T2
So both P1,V1, P2,V2 over T1,T2
So let me give a sample problem. The Barometric Pressure is 720mm HG, the patient exhales 4L and the temperature is 25 Celsius, what is the volume at BTPS?
1) Get all of your Values together.
(For ATPS, given)
P1 = 720mm Hg
V1= 4 L
T1= 25 Celsius
———————————————–
(For BTPS)
P2 = 720mm Hg
V2= ???? YOU WANT THIS.. IT IS NOT 6L because that would cancel out the problem
T2= 37 Celsius ( Body Temp is ALWAYS 37)
MOST COMMON MISTAKE PEOPLE DO including me.
What is wrong with this values?
First of all you have to Minus Water Vapor. For 37C = 47 mmHg. For 25Celsius it is 23mmHg. (given in a water vapor saturation chart) This number is important and should be memorized. Now all the temperature values has to be in Kelvin. To convert from Celsius to Kelvin just simple add +273.
Now we are good to go
(For ATPS, given)
P1 = 720mm Hg-23mm Hg
V1= 4 L
T1= 25 Celsius +273K
———————————————–
(For BTPS)
P2 = 720mm Hg - 47mmhg
V2= ???? YOU WANT THIS.. IT IS NOT 6L because that would cancel out the problem
T2= 37 Celsius+273 ( Body Temp is ALWAYS 37)
Now you have all the values and its all multiplying from here.
If you guys have any questions just feel free to ask me .
The IS is a RTs favorite toy just like how RNs love the IV. In class we were taught so many steps that it would take about 10mins per patient. Do we have time for that in a hospital setting? Over course not! I found that this video goes over the basics of teaching a patient IS. However it does not go over pre- assessment, post assessment..etc..etc.. So once I got into the hospital the IS took no longer than 5mins.
1. verify patient.
2. teach IS
3. say goodbye
Its seems that #2 teaching the patient. I had a hard time explain while I was being checked off in lab. The video on youtube shows exactly how to do it correctly. I would take a notecard and write it down to help you understand better and recite the lines over and over. Tell the same exact line to all the patients. We can say the exact lines because its a procedure and nothing changes except how much the patient can take a deep breath.
Difference between lab?
We had to check vital signs before and after and do palpation, auscultation. I never did that in the hospital because of the time it would take.
My last advice to students like myself is to :
*explain the procedure without any medical terms unless you have to.
* don’t scare the patient that if they don’t do it they have a risk of getting a disease and dying
*when you tell them to breath copy exactly how to do it in front of them. (it helps them visualize)
*it is not a breathing treament its a breathing exercise. (sounds better right?)
Anyone else wants to comment and add some advice feel free and I will update this because I want to know some advice too!
(a funny advertisement I found, this does not make any sense in medical)
I did clinicals today (day 3) and it was just a normal day. Not much but a few IS and SVNs (small volume nebulizers). Btw it is also called HHD( handheld neb) in this hospital. So I was with this therapist and he was really good with patients. Well obviously I havn’t seen how RTs really work but he was great. He told us to go on a break so we went. I picked up a cookie and some chips because I was feeling hungry. Next thing you know he goes outside and lights up a cigarette? So in my head I’m thinking.. alright you are working in a hospital where you should NOT smell like anything, the liquid oxygen tank is like around the corner (50 ft away), and last but not least you are a Respiratory Therapist.
“A what?” YES he is a RESPIRATORY THERAPIST.
You know the person who should be giving a good example to patients not to start smoking?. Anyways not putting him on the spot because I would be a hypocrite. NO i don’t smoke thought but is Hookah is considered the same thing then yea but I don’t do it all the time. When this happened, I just remembered what a COPD (Chronic Obstructive Pulmonary Disease) patient told me a few hours before. He said “you know what young man…this is the best example why you should not smoke”. I agreed and for a moment there I saw myself alone. I see smokers around me and what if this exact same thing happens to a friend of mine? Or worst, I smoke hookah once in a while if I ever get the time (not much of a smoker just do it for fun) what if that happens to me (knock on wood). It scares me you know? Sometimes patients can be a mentor to you too. Since it happened to them, most likley they will warn you of what not to do.
We tell patients to do this and that but we never realize… what if I end up being the Patient? It is just something to think about. I’m sure everyone in health care probably thought about this once in their career but to me this is all new. Its all about respecting each other being Patient or playing GOD.
I will post one of these every week if I can.
Remember that this is strictly for losing that weight! Not considered just healthy but a low fat diet.
BUT SRT..we don’t have time. YES YOU do.
Spend about <10mins on the night before to prepare the breakfast. DO NOT make your sandwich because it will get soggy. Put all ingredients together in your fridge. Wake up an extra 10mins and using the speed of light, make your sandwich. Make sure to bag all foods that don’t perish before the night. (nutrient bar, fruit)
YOUR I/O (intake / output.
No i will not blog your OUTPUT lol… I’m a SRT.. waist up!
Times of Meal (average times)
Morning (0730) -Drink lots of h20 80z, A bowl of oatmeal, banana , yogurt (or choice of dairy)
Prep Time : <3mins (for you people who rush in the morning)
–(( ANYTHING UNDER HERE IS BAGGED LUNCH))–
Snack(0900)- Choice of fruit and/or nutrient bar with low fat, low carb.
Lunch(1100 /1200)- 4 Slices of wheat bread, w/ a few slices of ham, tomato, a hint of mayo, a slice of cheese, maybe lettuce,. Choice of 2 fruits (apple or strawberry). A VERY SMALL BAG of “chips” which should be under 100calories.
Mid afternoon Snack (1400)- Optional but don’t get hungrey
Late afternoon Snack (1600)- Sandwich (maybe the same one has your lunch)
Dinner!! (1800) - mashed potatoes w/ ham, or choice of high carb food(brown rice, french bread..etc..etc..).
Note : I know high carb + sleep in a few hours isn’t good but if you manage a good metabolism it will not do a huge effect in losing weight.
After Dinner(2000) - I call the after dinner meal the faster food. Eat food that is <120 calories. For best results just eat fruit or vegetable. YES I want you to eat like a rabbit.
Basically that sums this up. Due to different races that everyone has this is basically your american diet with a few mods.
12 hours shifts?, 8 hour shifts? My son?, 10mins to get to work? 5 mins to get to clinicals?, Midterm Tomorrow!?, Party? I can’t make it!
The most common things I hear around a Respiratory Therapist or any med student. Even our best friends, the RNs say the same thing. We have no life for the next 2 years. So I realized that for most college students or even college mothers, fathers, student they have no time. So they sacrifice health for time for the time being. So lets say you have a class from 1000-1230. Then you have another one at 1300-1430. Then work at 1530-2200. How will you manage your diet? At situations like this all you do is go to mcdonalds buy a damn big mac and call it a lunch. Some people act like they should go to “subway” for a healthy meal. Good for you.
But can you actually go to subway everyday? ( I done it for 2 months straight 4x a week) I don’t think so. Even though its been done by uhh.. what’s that guys name? I doubt 100% of the population can do it too.
As some people know… I’m sure anyone reading this will not know (if you can find my workout blog) but I lost 30lbs over the course of 3-4 months. I would link it but that would show my identity. But thats not what this blog post is about.
I just want everyone to be aware that in all the studying, you can gain weight (except u skinny people!! LOL j/p) I gained 10-15lbs in a span of 6months because of studying (or maybe cuz im just fat?).
Well I have this huge midterm coming up and its all about the medical gas therapy. It consists of ATPS, BTPS, STPD. I don’t think we will ever use this because the ventilators do it automatically but its also good to know. If anything happens then you can always come back and calculate it. For ATPS it is the Ambient Temperature Pressure Saturated. This is bascially room temperature and you will need to use the Combined Gas Law. 3 LAws into one. which is Boyle’s Law, Gay Lussac law, and Charles Law. Bascially it is
p1 v1 / t1 = p2,v2 / t2
Remember that ATPS is the outside temperature, pressure , volume. So this will be around room temperature which is 20-25C. First you will need to get P1 which is in mmHg units. V1 would be in Liters. T1 would be in Celsius. For T1 you will need to add 273K because we need Kelvin units instead of Celsius. Then water vapor would be the temperature and there is a chart. For example if it was 37 C there will be a chart saying how much water vapor. In this gas 37 = 47mmHg. You will take the p1 ( - 41mmHg). That is how you get the ATPS. This will alwyas be given to you. It is so hard to type it and explain it but this is the best I can. I will update this more if I ever get the chance. I am in a studying situation so this is only a short post.
This has nothing to do with respiratory therapy but this might be a nice pasttime for all you RT people who want a little excitement. Recently I purchased a Nintendo Wii and the first game I bought was Trauma Center.
The game is great for med students because it focuses on being a Surgeon and operating. Everything in the game is wayyy too fake to be on real life. I don’t want to spoil the game but at some point you have to operate on an airplane and the room is suppose to be “sterile”. How fake is that? There is another point where you operate in the middle of a dark highway. It is way to fake but the game itself isn’t too bad. Just think about how hollywood makes people with gunshot wounds walk around for about half the time in the movie. Not even a regular person can do that.
Lets talk about the game play. There is a lot of medical terminology and some Charting. The chart is just the patients age and weight etc..etc. Nothing much and you get objectives to do. Like perform a lobectomy . There is a mission where you have to take care of a patients lung and it becomes interesting. There is also a mission where you have to inject some vasoconstriction drug to do a kidney transplant. Intersting isn’t it?
There is also pulse rate on evey patient and basically like in real life it determines life and death. If you reach 0 then you lose and unlike real life you have a reset button haha. There is also a drug that you can inject to make pulse higher. The game itself sounds really fun because it is, if you’re into the medical terminology.
Controls are great and you use the Wiimote to make the incision or put a bandage. 8/10
Sound : The only sound is the pulse rate LOL. I would rate sound 1/10
Gameplay : 8/10
Replay value : 7/10 ( you can always go back and get a higher score)
Worth Buying? YES if you actually have time haha….
All i have to say is “wow” this is what I will be doing. Due to Privacy of patients I can not say anything. Sucks doesn’t it? Well maybe I can at least say the work I did.
At first I’m thinking what am I suppose to do? I have less than 3 months of experience in the medical field and I’m suppose to touch a patient? Are you crazy? Well thats what I did and i survived. I had to listen to Breath sounds and it was even harder than I thought. What if the patient keeps talking? Well I guess thats exactly what happened and I hard a hard time listening. However all my listening gained me some experience. I seem to get how to do pulse rate pretty well. I managed to get the same as the pulseoximeter. (spelling?). But it was great and i learned a lot today. I also saw some treatments done through a nebulizer. In a perfect setting like in class, a patient will NEVER take off the mask. But in a hospital setting… you walk away for 5 mins and you come back and the patient took it off. As crazy as it seems that is exactly what can happen.
I am not trained to do an EKG (electro cardio gram) or ECG. They are basically the same thing but one is like german or something. Anyways I was able to put the leds in the patients arm and chest. At first I’m thinking.. what if i put it on the wrong side or wrong led. It seems that it would not do anything but give a wrong reading. In my head I thought it would shock the patient but I guess not. Worst scenario is doing it wrong and giving the wrong readings to the lab.
Now the hard part was Charting. HOW THE HELL CAN A PERSON READ THAT?! SERIOUSLY!. Is it really that hard to write in a legible way? I was told to look for the medication and I’m like ?????? The only thing I can make up was Albuterol and I think it was QID not sure but something like that. Basically I read the physicians order and read pages of pages. Charts are crazy!!.
I also did Standard Precautions and all I have to say is “that is the most wasteful thing ever”. It is worth it because you can catch a disease. But within a few hour span I probably used up 10+ pairs of gloves and average time of using it was like <5mins. I guess thats healthcare.
I have some studying to do and well I will leave you guys with some advice.
“If you don’t know the answer, just simply say “I don’t know”".
No one expects a student to know everything.