If you don’t mind this shameless plug, vote for Holly Dehnke! Also if you have any advice for a brand new RT that would awesome as well!
I would recommend reading how to win friends & influence people. Good people skills will always soften the blow & help people recieve better when they're wrong. Also, even as a new grad, you have the credentials & clinical expertise to know right from wrong; if you're worried about stepping on someone's ego, go to management. Your job & saving someone's life is far more valuable than a coworkers pride.
My mom got me this for my birthday about a month ago. I and everyone I work with loves it. Medical Sports Water Bottle Funny Nurse Respiratory Therapist (Stainless-Steel) https://www.amazon.com/dp/B085R7G5CY/ref=cm_sw_r_cp_api_glt_fabc_SQNXMETGRY0C9CT7D3TN?_encoding=UTF8&psc=1
This is kind of bare bones but I think it was free? It's mainly copd stuff but I used a bit when I first started earlier this year. I just took screen shots and saved them with a couple pages I used at work.
https://play.google.com/store/apps/details?id=org.copdfoundation.pocketconsultant
A few years ago for Christmas I got everyone in my department layrngoscope keychains that double as bottle openers. Everyone loved them. https://www.amazon.com/StatGear-Laryngoscope-Keychain-Novelty-Bottle/dp/B07BBR63DF/ref=mp_s_a_1_3?dchild=1&keywords=laryngoscope+bottle+opener&qid=1615426648&sprefix=layrngoscope&sr=8-3
Hi!
I'm a psychology student, not a respiratory therapist; but I sometimes hang out here anyway. I've also spent quite some time in /r/Asthma and /r/Masks4All.
I clicked on your username.
Please consider reading <u>Less medicine, more health</u> by H. Gilbert Welch, MD. This is one of my favorite books about health. Amazon has used copies for as little as US$5 including shipping. Alternatively, you can probably borrow it from a library near you.
Please try not to write "30/fm". This is confusing. "fm" sounds like you might be born female and trying to transition, or like you might be born intersex. Instead, please consider writing "30/f". Please consider editing your original post.
Vaccination might be a very good idea in your situation.
If I may ask:
A.) What are your thoughts on vaccination?
B.) Have you ever smoked cigarettes, vaped nicotine, or smoked cannabis?
C.) In the future, if we think of any suggestions for you, do you want to hear them?
Wow that was a long comment. Please try to break long comments up into multiple paragraphs, in the future, if possible.
I'm a psychology student, not a doctor, but I think that T3 and T4 tests are probably unnecessary; see this excellent book. The TSH test might be wise if and only if there's any pre-existing symptom of possible issues.
Diet modification and/or omeprazole might be wise if and only if /u/Ban-benzos has ever had any symptoms of GERD.
The pulse oximeter is an excellent idea.
I sometimes hang out in /r/Masks4All. An N95 mask or better (with headbands) is best; but a KN95 or KF94 mask (with ear loops) might also be okay. You can reuse a high-filtration mask for a long time, please never try to wash it.
Cloth masks and blue squares are of questionable value.
In my opinion, it's good to wear a mask even around friends, especially during cold and flu season. And even more so this year, now that the respiratory-virus season is so severe.
People somehow think that friends can't be asymptomatic carriers of influenza or COVID. I wonder why they think that.
Hi!
I'm a psychology student, not a respiratory therapist; but I sometimes hang out here anyway. I've also spent quite some time in /r/Asthma and /r/Masks4All.
I clicked on your username.
Please consider reading <u>Less medicine, more health</u> by H. Gilbert Welch, MD. This is one of my favorite books about health. Amazon has used copies for as little as US$5 including shipping. Alternatively, you can probably borrow it from a library near you.
Please try not to write "30/fm". This is confusing. "fm" sounds like you might be born female and trying to transition, or like you might be born intersex. Instead, please consider writing "30/f". Please consider editing your original post.
Vaccination might be a very good idea in your situation.
A.) When was your last flu shot, if any?
B.) How many COVID vaccines have you received, if any? When was the most recent?
C.) When was the last time you had COVID, if ever?
D.) If we think of any more suggestions for you, do you want to hear them?
E.) Have you, or anyone in your home, ever smoked cigarettes or vaped nicotine?
F.) Do you, or anyone in your home, sometimes smoke cannabis?
Hi!
I'm a psychology student, not a respiratory therapist; but I sometimes hang out here anyway. I've also spent quite some time in /r/Asthma and /r/Masks4All.
I clicked on your username.
Please consider reading <u>Less medicine, more health</u> by H. Gilbert Welch, MD. This is one of my favorite books about health. Amazon has used copies for as little as US$5 including shipping. Alternatively, you can probably [borrow it from a library near you]().
Please try not to write "30/fm". This is confusing. "fm" sounds like you might be born female and trying to transition, or like you might be born intersex. Instead, please consider writing "30/f". Please consider editing your original post.
Vaccination might be a very good idea in your situation.
A.) When was your last flu shot, if any?
B.) How many COVID vaccines have you received, if any? When was the most recent?
> I ... have a ton of anxiety. ... I feel so defeated and I can’t understand why I feel so uncomfortable. I feel like ... everyone is making fun of me behind my back because I don’t know what I am doing.
Please consider reading <u>The Feeling Good Handbook</u> by Dr. David Burns. The book is old but good. If you speak with the staff at your local public library, they can almost surely have a copy delivered to your local branch at no charge. The book will likely help you much more if you fill in all the worksheets.
If you work at a hospital which is on a university campus, the university library might have their own copy as well.
If the book doesn't help, or if you struggle to bring yourself to read it: Consider talking with a therapist who has experience dealing with anxiety. It's best if the therapist has at least a master's degree. Your insurance might cover the cost of therapy.
You're worth it.
Some IV meds are incompatible when given together, for whatever reason (decreased effectiveness, side effects, toxicity….). Some nebulized medications can not or should not be given together for similar reasons. https://www.semanticscholar.org/paper/Mixing-and-compatibility-guide-for-commonly-used-Burchett-Darko/20953ddb90a3e1167c76a90efda1e5eeea61f9ab/figure/0
This is true, our practice council decided that if your facility doesn't have nivo nebulizers available that your neb must go in front of the whisper valve
for pharma go with Anki. Intelligent flashcards- the cards you struggle with the program tracks and shows you more, the ones you ace you'll see less. Make your own cards, do not rely on someone else's deck. Add in images on cards you struggle with that have some meaning or trigger for you that sparks your memory- example of what I'm talking about. The act of making the dumb image will help cement the information in your brain as will the act of creating the cards. If Anki feels overwhelming seek tutorials online, the time you will save is absolutely worth it. I spent about 20 minutes a day on my 200 card pharma deck and aced pharma easy (Average for days studied: 23.0 minutes/day according to Anki).
There's an app for android (and maybe iOS, I dunno) so you can review on your phone as well. I used several extensions: Review Heatmap (for motivation) Night mode (for eyes), Load Balancer (for even more efficient review) Button Colours Good, Again (for colored buttons). If you want to make anatomy cards use Image Occlusion Enhanced for anatomy images.
I ended up loving how efficient Anki was at study I started using it for everything.
Limited-time deal: Smart Watch, Popglory Smartwatch with Blood Pressure, Blood Oxygen Monitor, Fitness Tracker with Heart Rate Monitor, Full Touch Fitness Watch for Android & iOS for Men Women (Black) https://www.amazon.com/dp/B08DXQSVDC/ref=cm_sw_r_cp_api_glt_fabc_dl_Z1FW3V61BC1TYXVP0839
As another user pointed out they’re available pretty cheaply on Amazon. this one would be a good choice because it includes the necessary adapter to convert from small bore from the concentrator O2 tubing to the hospital-standard O2 flowmeter interface, and then back to small bore tubing. Others available do not have that. And yes, distilled water is appropriate for this. Otherwise you can contact your oxygen company. They honestly should have provided you with a bubble. humidifier already. In-hospital 4 liters is considered to be the flow rate at which humidification becomes always necessary. Less than that it’s as needed.
GERD is definitely a possible cause for symptoms, a complete explanation for those that dont know, “stomach acids rise up through the esophagus due to a weakened lower esophagealsphincter. The stomach acids then irritate the patient’s airways, causing cough, bronchospasm,bronchoconstriction, wheeze, and chest pain.”
Excerpt below is another possibility i learned via my asthma educator study book
“Although diet has not been directly linked to the development of asthma, it is an importantcomponent in the control of asthma symptoms. Some foods can be asthma triggers, including foodscontaining sulfites or foods to which the patient is allergic. Sulfites are found in dried fruits, curedmeats, some alcoholic beverages, shellfish, and pickled products. If a patient has food allergies,those foods must be completely avoided as exposure may cause a life-threatening allergic reactionin addition to general asthma symptoms. Diet can also indirectly affect a patient’s asthma bycausing a patient to be overweight. Overweight or obese patients often complain of more severeand frequent asthma symptoms. Patients with asthma may also have low levels of vitamin D, whichcan be determined via a simple blood test ordered by a physician. Patients lacking vitamin D mayneed to take supplements as low vitamin D levels are linked to more severe asthma symptoms.”
My intensivist recommends The Ventilator Book for all new residents and resp. students. vent book
I really benefited from the textbook Essentials of Respiratory Care. It is somewhat old, being published in 2005, but the majority of content is relevant and in point form. Can often be found used for fair prices. Either amazon or abe.com have used books for cheap.
The book that I found helpful in preparing for the boards was this one Comprehensive Respiratory Therapy Exam Preparation Guide. It has many practice scenarios for TMCE and CSE and I recommend it. If you are interested in my copy, I can give you a good deal on it. Still in great condition. Good Luck!