💕💕 It's that time again where I want to see what your workspaces are in search of some inspiration for my own! This sweet fuzzy corner is where @hellohydrangea makes her macrame work. 😍
See more of her actual pieces by heading to the link in my bio!
Ventilators are often a source of anxiety and stress for new graduates or those new to critical care, ER or ICU, but in fact once you understand how they work, the modes and how easy they actually are to troubleshoot you'll learn to love your vented patients. 💉
First off, remember that as long as you have a BVM within reach, IT IS NO BIG DEAL if your ventilator tubing connection (called a circuit) is lost. Just like you can hold your breath for a few seconds, so can a patient and although it isn't ideal, they aren't going to die if they miss a few respirations. In fact in many hospitals, patients on ventilators are transferred from ER to ICU via BVM and then placed back on the vent since pushing a large circuit around is nothing short of cumbersome. 💊
If the connection is lost...stay calm, and either reconnect the circuit, or grab your BVM, attach, and squeeze every 5 seconds until you can correct the problem...or RT saves your butt. 💉
The second source of anxiety are the alarms a vent produces. There are many but most can be categorized into two types, high and low pressure alarms. 💊
It is important to know the causes of these alarms so you can troubleshoot the problem and fix the vent or yout patient. 💉
High pressure alarms arise from the vent struggling to overcome some resistance and thus inhibit adequate oxygen delivery to the patient. Common causes include (in order of most common to not): patient coughing, a kink in the circuit, a gunky patient patient (suction!!), stepping on the circuit, patient biting the ET tube, increased airway resistance, & reduced lung compliance (ARDS & Pneumothorax)! 💊
Low pressure alarms indicate there is little to no resistance in within the circuit, which should be physiologically impossible in the case of a fully sealed set-up and chest cavity. Common causes include: patient disconnected from the ventilator (commonly at the site of the tube), leaky circuit, airway leaks (check balloon inflation!), chest tube leaks or dislodgement, and hypovolemia.
A good mnemonic for identifying vent alarm causes that I learned when starting critical care was D.O.P.E (Dislodgement, Obstruction, Pneumothorax, Equipment)!
Pro tip: When making this Delicata Squash Paella, make sure to scrape up the crunchy rice that sticks to the pan—also known as socarrat. It adds incredible flavor to this colorful #TB12 meal. 😉
Tap the link in our profile. We’re sharing the full recipe with you tonight. Buon appetito!
Did you miss the video I posted 4 days ago regarding 11/11/18 (11:11:11) which is the most powerful manifesting day of the decade? Don’t worry, the incredibly rare 11:11:11 and the most powerful manifesting portal is still open and will carry us through until the end of the year. Your transformation is only just beginning. Today, I pulled 2 cards to see what the energy is for ALL the zodiac signs for the month of December 2018. The first card is the Knight of Swords: As an event, the energy brought by this knight is so swiftly moving that it may feel chaotic, due to the speed at which events unfold and the feelings of confusion this could create. Sometimes his swift-moving action is NECESSARY requirement, as it brings about better circumstances. There is a great deal of strength offered by this knight, which can be ADVANTAGEOUS, so you need to be ready to ride with the changes he brings. The second card is The Chariot which is a card of a GREAT victory, though it informs you that hard work & self-discipline will be required, but if you can master this victory can be achieved. It signifies the qualities required to succeed over any obstacles that lie ahead. Self-discipline is a key word here, together with FOCUS and PERSEVERANCE. The Chariot can also indicate travel. To book a reading session with me, see the link in my bio. Tag friends who might need to see this. 💕
Ya la #alfombra roja está lista! Solo faltan las estrellas y tu! Mañana te esperamos en la gran noche de la música latina !! @latingrammys 🎤🎼🎼 #nochedeestrellas //. The # red carpet is ready! Only the stars are missing and you! Tomorrow we are waiting for you in the great night of Latin music !! @latingrammys #rehearsal
Yesterday’s session of one million snatches at body weight (ok I’m lying by a few lbs 🤣) was powered by metcon pre workout and candy corn😋 I just wanna get back to what I was snatching at cal strength 😆🏋🏽♀️
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The way that they interact with fans 😭😭
Tag them if ya want: @emiliovmartinez @ivanmartinez .
Dt: @mxrtincz @moaninemilio @blondemilio @katcastellanofan @emisgurl @valentinczxx @xemivan @emilioshawn @martineztwinspassion @emisprincessa
Cranberries & Turkey...💭🧐🦃 Mmmmm....this cozy top has me thinking about that big meal next week. Everybody got their cutest stretchy pants picked out yet? 🍽😋 http://liketk.it/2yfPj @liketoknow.it pc: @alyssafisherphoto