Nurblrs, assemble! New tag idea.

So I have an idea.
I’m not saying I’m the first one to have it, perhaps not. But I haven’t seen it so far, so I’ll claim it, if you don’t mind.

Idea is for a new tag, something like “bedside tips” or something. Under this tag, all nurblrs should post any helpful findings and experiences or ways to do things they’ve discovered that they’ve not been taught in nursing school. Some unobvious use of drugs that really helps, ways to organize time, helpful tips on interpreting test results, clinical warning signs, navigating through system and the like that may not be strictly protocol, but checked, used, safe and non outright forbidden.
After enough posts are made, I’ll make a master post or something.
This is not supposed to be nursing textbook. Quite the opposite, actually. It’s the way around textbooks.

What do you think?


P. S. If someone can come up with a better tag, I’ll be eternally grateful.


so today I had a patient who had their knee replaced. They happened to have the same surgeon as I did when I had my hip fixed. So! He was saying saying something about how he was glad that he couldn’t feel anything yet and that he was scared for when he could. I responded by saying yeah I remember that initial pain after I came out of surgery a few hours after and so naturally he asked me what I had surgery on, to which I replied my hip. He then asked me if his doctor did my surgery and I said yes. This dude looks me straight in the eyes and said that surgeon was one lucky guy to be working on the tail end/ backside of me. Then when I walked out of his room he was staring at my butt and whispered ‘one hell of a lucky surgeon.’


Human Brain!


Video: Removing the Cerebral Hydatid Cyst!

Brain involvement with hydatid disease occurs in 1-2% of all Echinococcus granulosus infections (tapeworm infection). Cerebral hydatid cysts are usually supratentorial, whereas infratentorial lesions are quite rare.

5 Types of Abnormal Respiratory Patterns

Recognition of a pt’s respiratory pattern should be as key as knowing what happened to them. It’s part of any medical assessment really when you are doing you’re A-B-C’s correctly. At this point, I am writing with the knowledge that you understand the regular anatomy of the respiratory system and how it works.

Cheyne-Stokes Respirations

Gradually increasing rate and depth of respirations followed by a gradual decreas or respirations with intermittent periods of apnea

Commonly associated with brainstem insults

Kussmaul Respirations

Deep, rapid respirations

Commonly associated with DKA; Caused by metabolic acidosis as a way to remove CO2 and increase the pH of the body.

Biot (ataxic) Respirations

Irregular pattern, rate, and depth of breathing with intermittent periods of apnea

Commonly seen in ICP pt’s, since there is pressure on the pons and medulla, you are causing issues with respiration control.

Apneustic Respirations

Prolonged, gasping inhalation followed by extremely short, ineffective exhalation

Commonly seen with brainstem insult

Agonal Gasps

Slow, shallow, irregular, or occasional gasping breaths

Seen as a result from cerebral anoxia. Agonal gasps may be seen when the heart has stopped but the brain continues to send signals to the muscles of respiration. Not really a respiration.

Just Keep Breathing EMT - (until Oct. 12th)

Just Keep Breathing RN - (Until Oct. 15th)

Written by: Meddaily