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Tammy
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NEED YOUR BRAINS....

Replied Nov. 14, 2009

Bag or Not To Bag that is the question

Replied Feb. 6, 2009

 

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Latest Activity

Ahmad Alhoshki.BHSRT.RCP.RRT left a comment for Tammy
January 23
Dawn Lansinger left a comment for Tammy
January 23
Andrew B. Philippi commented on Tammy's blog post 'INCENTIVE SPIROMETRY'
Understanding the physiological effects is pretty much straight forward. The body in a febrile state needs to release the excess CO2 produced during this process. The incentive spirometer, as we already know, inflates the lungs and gives more surfac…
December 21, 2009
I RECENTLY ORDERED THE KETTERING BOOKS FOR NEONATAL/PEDIATRIC SPECIALTY, WISH ME LUCK. KNOWLEDGE IS POWER.
December 18, 2009
EM commented on Tammy's blog post 'INCENTIVE SPIROMETRY'
....or maybe the docs may have something else in mind for ordering IS... we need to find out. Have a nice day everybody.
November 29, 2009
EM commented on Tammy's blog post 'INCENTIVE SPIROMETRY'
Hmmm... they might be ordering lung expansion therapy for those patients not because they have fever per se... post op patients(thoracic/ upper abdominal) tend to breath at lower volumes that might cause atelectasis...then pneumonia..then fever..If…
November 29, 2009
Nazir Burki commented on Tammy's blog post 'INCENTIVE SPIROMETRY'
I agree with Dawn, According to research 42 % of IS and CPT are orerd inapropriately. I have never ben convinces with Md orders for CPT and IS do you do chest percusions on open thoracotomy. our thorasic surgeon orders it specifically
November 26, 2009
Dawn Lansinger commented on Tammy's blog post 'INCENTIVE SPIROMETRY'
I always learned that when a pt. starts running a fever after surg. the MD starts thinking they have an infection. And one the most common things that happen in hospital after surg. is pneumonia. Which some of the reasons they think pneumonia is due…
November 15, 2009

Profile Information

School, College or University Graduated From
SWIC
Year of Graduation
July 21, 1997
Degree Type
Associate in Science - AS
Qualifications
Registered Respiratory Therapist (RRT)
Current Job Title
Charge Therapist
Hospital, Center or Institution Name
Memorial Hospital

Tammy's Blog

Tammy

INCENTIVE SPIROMETRY

I HAVE A QUESTION THAT MANY OF YOU MIGHT THINK STUPID; I THINK I KNOW THE ANSWER; I WOULD JUST LIKE INPUT ON THEORY OR DIAGNOSTICS. OK HERE IT IS... SEVERAL OF THE DR'S ARE ORDERING INCENTIVE SPIROMETERS FOR FEVERS, I WANT TO KNOW WHAT EXACTLY HAPPENS PHYSILOGICALLY TO OUR SYSTEM TO HELP REDUCE THE FEVER? I UNDERSTAND THE CONCEPT THAT WE BREATH FASTER WHEN WE HAVE FEVER, BUT HOW DOES THE I.S. HELP REDUCE THE FEVER. ALSO, SOME GYNECOLOGIST ARE ORDERING I.S. FOR BMI OVER 30, THE PT AUTOMATICALLY G… Continue

Posted on November 14, 2009 at 2:25am — 5 Comments

Tammy

Spiriva and atrovent use

I truely understand the concept of how the receptors in the lung are saturated with Spiriva , and therefore atrovent is ineffective. I had a Pulmonoligist specifically order Spiriva and Atrovent together. Either He does not understand the concept of Both meds being similar in structure, or there is another benefit ? Is anyone familiar or has ran across this scenerio ? If so please tell me the benefit, if one drug blocks the receptors and is already on board for 24 hrs, and atrovent a 6hr med is… Continue

Posted on April 12, 2009 at 6:44am — 6 Comments

Tammy

Arterial Blood Gases and Dialysis

I was wondering if anyone knew exactly how long after a patient has had dialysis, would drawing a blood gases be sufficient. I figure since Dialysis filters the blood, that it could possibly change the pH, Pao2, PaCo2, but how significantly? One Pulmonoligist said 2 hrs, and the other said it would not matter. Has anyone ran across info in this subject, or studies ?

Posted on April 10, 2009 at 9:24pm — 2 Comments

Comment Wall (3 comments)

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At 8:28am on January 23, 2010, Ahmad Alhoshki.BHSRT.RCP.RRT said…
just do it, you can do it
At 7:10am on January 23, 2010, Dawn Lansinger said…
Good luck with your NPS studying. I started studying that a couple of yrs. ago, but never finished with taking the test. Maybe you'll inspire me to finish what I started?
At 7:56am on February 6, 2009, ric mandanas said…
welcome to rt space. keep in touch.
 
 

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