I-goes-to-eleven

I-goes-to-eleven t1_j1olbvm wrote

Reply to comment by DoctorStrangeMD in TIL Why Dog Paws Smell Like Fritos. Even the cleanest, healthiest pooch has trillions of bacteria and fungi living on their skin. That yeasty, corn chip smell is actually a normal byproduct of harmless bacteria, usually Proteus or Pseudomonas, both of which are naturally present in our environment. by Rossknight65

Pseudomonas can be a bitch to get rid of once it’s in the wrong spot. It’s a tough bug and can take a longer than normal course of antibiotics. Definitely not harmless.

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I-goes-to-eleven t1_iuhpbxw wrote

Reply to comment by NoMalarkyZone in TIL: Asthmador was an asthma treatment in the US in the 1950s. It was made up of 3 toxic/hallucinogenic compounds belladonna (atropine), stramonium (nightshade/jimson weed), and potassium perchlorate (oxidant commonly used in fireworks). One common delivery method for Asthmador - cigarettes! by Geek_Nan

Epinephrine. See how I linked this to the algorithm? Atropine is for reducing respiratory secretions and also given with initial dose only of epinephrine to sustain a recoverable rhythm at the discretion of the provider. This is how I do it most of the time, unless something tells me it’s unnecessary. And with most of my codes and rapid responses, there is a respiratory component that initial dose of atropine will benefit from. I forgot how many “internet doctors” are on Reddit. I typically do not engage for this very reason. Thanks for reminding me.

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I-goes-to-eleven t1_iuhecec wrote

Reply to comment by Gewt92 in TIL: Asthmador was an asthma treatment in the US in the 1950s. It was made up of 3 toxic/hallucinogenic compounds belladonna (atropine), stramonium (nightshade/jimson weed), and potassium perchlorate (oxidant commonly used in fireworks). One common delivery method for Asthmador - cigarettes! by Geek_Nan

ACLS says otherwise. Current standards instruct epi every 3-5 min. Any provider over 40 gives atropine also to start for the reasons I gave above.

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I-goes-to-eleven t1_iugoa2u wrote

Reply to comment by Gewt92 in TIL: Asthmador was an asthma treatment in the US in the 1950s. It was made up of 3 toxic/hallucinogenic compounds belladonna (atropine), stramonium (nightshade/jimson weed), and potassium perchlorate (oxidant commonly used in fireworks). One common delivery method for Asthmador - cigarettes! by Geek_Nan

We give it initially with epi because it helps with secretions and intubation. After that its just epi. By that time pacing pads are in place.

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I-goes-to-eleven t1_iugbrwo wrote

Reply to comment by Kandron_of_Onlo in TIL This palliative care paper determined that a stream of air from a bedside fan relieves dying patients of dyspnoea (breathlessness/ shortness of breath) as equally as supplemental O2. by No_Cauliflower_5489

Are you getting wobbly only when changing positions (lying to sitting, sitting to standing), or does it happen randomly? This might be orthostatic hypotension. You may want to invest in some compression stockings.

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I-goes-to-eleven t1_iugb8uq wrote

Reply to comment by Gewt92 in TIL: Asthmador was an asthma treatment in the US in the 1950s. It was made up of 3 toxic/hallucinogenic compounds belladonna (atropine), stramonium (nightshade/jimson weed), and potassium perchlorate (oxidant commonly used in fireworks). One common delivery method for Asthmador - cigarettes! by Geek_Nan

In about 99% of code situations, a mg of epi and an amp of atropine will be given within a minute of beginning compressions in the hospital setting, and will continue to be given to reach stability or until a continuous pressor has been started.

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I-goes-to-eleven t1_iug2j1b wrote

Reply to comment by Gewt92 in TIL: Asthmador was an asthma treatment in the US in the 1950s. It was made up of 3 toxic/hallucinogenic compounds belladonna (atropine), stramonium (nightshade/jimson weed), and potassium perchlorate (oxidant commonly used in fireworks). One common delivery method for Asthmador - cigarettes! by Geek_Nan

Severe bradycardia usually. I feel like you should know this if you have access to it.

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I-goes-to-eleven t1_iug1jrr wrote

Reply to comment by Gewt92 in TIL: Asthmador was an asthma treatment in the US in the 1950s. It was made up of 3 toxic/hallucinogenic compounds belladonna (atropine), stramonium (nightshade/jimson weed), and potassium perchlorate (oxidant commonly used in fireworks). One common delivery method for Asthmador - cigarettes! by Geek_Nan

I use it regularly for chemical stress echos to get patients to target heart rate along with dobutamine. Occasionally in a code situation.

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