Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 Remember, Lou, oxygen can kill! What if this lady was a COPD? She might die immediately if more than 2 lpm was administered. I know this because a nursing instructor told me. GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 Rob, That's the nursing home dose. GG In a message dated 10/11/09 9:20:28 PM, rob.davis@... writes: > Â > > Can we start by slapping the Dentist for the 2 L NC? > > It beats 2lpm by NRB, which I've seen even more. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 I went there because no man has ever gone there before! GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 Can we start by slapping the Dentist for the 2 L NC? Pet peeve of mine. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > Thanks to Mr. Bledson for this scenario. > > A patient at an oral surgery clinic is experiencing difficulty > breathing. > Paramedics arrive to find a middle-aged female cyanotic and in > respiratory > distress. The dentist relates that the patient was prepped for a > dental > implant and to have some mucosal lesions removed by laser. Staff > had washed > her mouth with 30 mL of a 20% benzocaine solution to numb the mucosa > and the > dentist had injected 2% lidocaine for a mandibular nerve block. > > Shortly thereafter she complained of palpitations and dyspnea. Pulse > oxymetry showed SpO2 89%, pulse of 140 with sinus tach, and she > exhibited marked > cyanosis, anxiety, and some chest discomfort. > > Dental staff had her on 2 L of oxygen by nasal cannula. Paramedics > replace the NC with a NRB at 15 lpm but her cyanosis persists, as do > her other > signs and symptoms. The CO monitor shows 14% and the SpMet is > detected at > 43%. > > Patient denies any history of reactions to anesthetics. She is a > non-smoker, has a CO detector in her home, and reports no activities > that might lead > to CO exposure. > > What's wrong with her? > > What would you do for her enroute that you have not already done? > > How will she be treated in the hospital. > > Winner will receive a free trunk monkey named Bubbles. > > GG > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 > Can we start by slapping the Dentist for the 2 L NC? It beats 2lpm by NRB, which I've seen even more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 Actually a good point! If I had a penny for every time I said inflate the #%^*+*^ bag. Often followed by Officer. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... On Oct 11, 2009, at 23:20, " rob.davis@... " rob.davis@... > wrote: > > Can we start by slapping the Dentist for the 2 L NC? > > It beats 2lpm by NRB, which I've seen even more. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2009 Report Share Posted October 11, 2009 Oh Gene why oh why did you go there? Oh yea you're Gene. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > Remember, Lou, oxygen can kill! What if this lady was a COPD? She > might > die immediately if more than 2 lpm was administered. I know this > because > a nursing instructor told me. > > GG > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 12, 2009 Report Share Posted October 12, 2009 Ohhhhh, now THAT was wrong Gandy. As in WOMEN are the only ones who have???? Just wait old man. When I come to visit you are in dire need of the Therapeutic Slap therapy!!!!! LOLOL Jane Dinsmore To: texasems-l From: wegandy1938@... Date: Mon, 12 Oct 2009 01:38:23 -0400 Subject: Re: A change of pace I went there because no man has ever gone there before! GG Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2009 Report Share Posted October 13, 2009 Joe, You're correct but others got it first, so unfortunately you don't get Bubbles. I'll try to find you another trunk monkey. GG > Â > Methemoglobinemia? This condition can be severely exacerbated by > benzocaine > > Treatment would consist of oxygen and methylene blue 1 percent > solution at a dose of 1 to 2 mg / kg > > That's my stab > > Joe Percer LP > > > > Thanks to Mr. Bledson for this scenario. > > > > A patient at an oral surgery clinic is experiencing difficulty > breathing. > > Paramedics arrive to find a middle-aged female cyanotic and in > respiratory > > distress. The dentist relates that the patient was prepped for a dental > > implant and to have some mucosal lesions removed by laser. Staff had > > washed > > her mouth with 30 mL of a 20% benzocaine solution to numb the mucosa and > the > > dentist had injected 2% lidocaine for a mandibular nerve block. > > > > Shortly thereafter she complained of palpitations and dyspnea. Pulse > > oxymetry showed SpO2 89%, pulse of 140 with sinus tach, and she > exhibited > > marked > > cyanosis, anxiety, and some chest discomfort. > > > > Dental staff had her on 2 L of oxygen by nasal cannula. Paramedics > > replace the NC with a NRB at 15 lpm but her cyanosis persists, as do her > > other > > signs and symptoms. The CO monitor shows 14% and the SpMet is detected > at > > 43%. > > > > Patient denies any history of reactions to anesthetics. She is a > > non-smoker, has a CO detector in her home, and reports no activities > that > > might lead > > to CO exposure. > > > > What's wrong with her? > > > > What would you do for her enroute that you have not already done? > > > > How will she be treated in the hospital. > > > > Winner will receive a free trunk monkey named Bubbles. > > > > GG > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2009 Report Share Posted October 13, 2009 Methemoglobinemia? This condition can be severely exacerbated by benzocaine Treatment would consist of oxygen and methylene blue 1 percent solution at a dose of 1 to 2 mg / kg That's my stab Joe Percer LP > Thanks to Mr. Bledson for this scenario. > > A patient at an oral surgery clinic is experiencing difficulty breathing. > Paramedics arrive to find a middle-aged female cyanotic and in respiratory > distress. The dentist relates that the patient was prepped for a dental > implant and to have some mucosal lesions removed by laser. Staff had > washed > her mouth with 30 mL of a 20% benzocaine solution to numb the mucosa and the > dentist had injected 2% lidocaine for a mandibular nerve block. > > Shortly thereafter she complained of palpitations and dyspnea. Pulse > oxymetry showed SpO2 89%, pulse of 140 with sinus tach, and she exhibited > marked > cyanosis, anxiety, and some chest discomfort. > > Dental staff had her on 2 L of oxygen by nasal cannula. Paramedics > replace the NC with a NRB at 15 lpm but her cyanosis persists, as do her > other > signs and symptoms. The CO monitor shows 14% and the SpMet is detected at > 43%. > > Patient denies any history of reactions to anesthetics. She is a > non-smoker, has a CO detector in her home, and reports no activities that > might lead > to CO exposure. > > What's wrong with her? > > What would you do for her enroute that you have not already done? > > How will she be treated in the hospital. > > Winner will receive a free trunk monkey named Bubbles. > > GG > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2009 Report Share Posted October 13, 2009 Methemoglobinemia? This condition can be severely exacerbated by benzocaine Treatment would consist of oxygen and methylene blue 1 percent solution at a dose of 1 to 2 mg / kg That's my stab Joe Percer LP > Thanks to Mr. Bledson for this scenario. > > A patient at an oral surgery clinic is experiencing difficulty breathing. > Paramedics arrive to find a middle-aged female cyanotic and in respiratory > distress. The dentist relates that the patient was prepped for a dental > implant and to have some mucosal lesions removed by laser. Staff had > washed > her mouth with 30 mL of a 20% benzocaine solution to numb the mucosa and the > dentist had injected 2% lidocaine for a mandibular nerve block. > > Shortly thereafter she complained of palpitations and dyspnea. Pulse > oxymetry showed SpO2 89%, pulse of 140 with sinus tach, and she exhibited > marked > cyanosis, anxiety, and some chest discomfort. > > Dental staff had her on 2 L of oxygen by nasal cannula. Paramedics > replace the NC with a NRB at 15 lpm but her cyanosis persists, as do her > other > signs and symptoms. The CO monitor shows 14% and the SpMet is detected at > 43%. > > Patient denies any history of reactions to anesthetics. She is a > non-smoker, has a CO detector in her home, and reports no activities that > might lead > to CO exposure. > > What's wrong with her? > > What would you do for her enroute that you have not already done? > > How will she be treated in the hospital. > > Winner will receive a free trunk monkey named Bubbles. > > GG > > > Quote Link to comment Share on other sites More sharing options...
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