Anand Swaminathan
Region: US
Monday 01 December 2025 15:01:56 GMT
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blueberrybuilder :
Insulin Iv and strap on a bipap with 1:1 RN before she gets tired. In a few hours I bet she would turn around and prevent intubation. We only allow bipap on ams if in direct icu care
2025-12-02 01:14:42
220
Ellie :
when I had metabolic acidosis I remember breathing like that totally involuntarily. crazy sensation. Our brains are so cool.
2025-12-06 09:46:38
34
jesk1401 :
Compensatory respiratory alkalosis for metabolic acidosis?
2025-12-02 04:55:11
38
pafo :
the decision to tube the patient shall solely depend on the ABG
2025-12-02 04:53:25
40
Grilled Cheese :
Never had to intubate a dka patient
2025-12-28 18:58:22
4
vikkihowarth :
the analogy I always use with my students is you don't cover a bad smell with air freshner... you get rid of the source of the stink!!! treat the cause not just the symptoms.
2026-01-04 11:05:20
5
TheBoredBoys29 :
Why go through all that? For insurance ? That’s why all doctors are getting so rich? What’s the correct intervention for DKA or HHNS?
2025-12-02 16:28:01
0
Alexander Guevara :
But we can adjust the ventilator parameters to mimic the body’s response to a severe acidosis, if you don’t intubate that patient is gonna get tired and respiratory failure would be imminent.
2025-12-02 00:47:52
4
Macatha :
If we were to increase the RR after intubation and give some sodium bicarb. Would that sufficiently compensare?
2025-12-02 07:43:08
0
Michael Was ok :
Why not just give oxygen
2025-12-02 19:53:08
1
Bims :
If your concern is to mimic pre-intubation respiratory parameters- then set your RR high and VT to 8 mls/kg
2025-12-06 09:48:52
0
Pachycephalus❌ :
DYM Compensatory respiratory alkalosis?
2026-01-29 22:37:24
0
N :
Our protocol in pre hospital is 500ML NS
2025-12-02 01:18:48
11
user7479871 :
I mean you could still intubate as long as you give the patient a high enough minute ventilation
2025-12-03 14:36:04
2
tikkytakky9514 :
People need to say hyperpnea more
2025-12-02 01:32:10
9
Leeya Rose :
But it's okay to agree to disagree.
2025-12-04 21:05:54
1
Everything is fine :
Match rate ventilation if you have to tube. Monitor abgs and etco2 adjusting as needed. fluids, insulin drip, monitor lytes especially k. Serial glucose and lytes. Close the gap.
2025-12-02 02:17:44
7
clpbaby53 :
Correct the acidosis then it’s gonna even out
2025-12-05 06:35:35
1
Rn Aman Khan🩺 :
give insulin support with bibap
2026-01-11 18:38:51
1
Peace Froggy :
Who’s telling the nursing supervisor that this or is a 1:1? Not going to happen
2025-12-22 20:45:11
1
Johnny_ACNP :
Preach it, brother
2025-12-03 18:41:10
2
ill_Will_MD :
I almost didnt recognize Swami's voice without the speed at at least 1.5x 😅
2025-12-02 08:53:21
1
Cvb :
so what should do ? if patient still hyperpnea will leads to respa muscle fatigue then to respiratory arrest ?
2025-12-01 23:13:13
0
Kinder Medicine Fan Club :
thank u this is crucial knowledge
2025-12-03 17:50:35
1
Edward Bennett :
Let me ask a question when you say NIV do you mean BiPAP also is the purpose of using BiPAP to avoid respiratory failure due to muscle fatigue? Since the patient is not having a respiratory issue, I assume that is what you’re using it for?
2025-12-02 03:09:51
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