#and you don't need the temp probe
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#well if we don't have a three-way stat-lock#and you don't need the temp probe#we can make it work#right?#right??#nursing#nursing memes#nurse life#medical humor
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I can't grab the screenshots but maybe you can see Buck in 911 6x11 here? aceofwhump.tumblr.com/ post /711820413271982080/9-1-1-6x11-in-another-life
I'm not sure if this is the one you were referring to (it wouldn't let me follow the link even when I took out the spaces) but it's definitely one from that episode.
This is a monitor that we usually use for pulse oxygen monitoring when a patient pretty much only needs a pulse ox and not other things like heart or temp monitoring. Pulse oxygen monitoring measures the percentage of hemoglobin (the protein in red blood cells that transport oxygen throughout the body) that has oxygen attached to it. It works by shining two wavelengths of light through a body part like a finger, earlobe, or toe, and compares what light is bounced back. Considering there are 2 other things in this picture that are also monitoring for a pulse ox, I'm not sure it's hooked up.
This is a ventilator screen. This shows when breaths are being taken, what settings the ventilator is on, etc... A medically induced coma (like Buck is in in this episode) means that the person is being continuously given very high doses of a drug (usually propofol, and if that fails, pentobarbital) that minimize the activity in the brain and particularly the amount of oxygen it needs to use. These are usually considered when someone has very high pressure inside their skull that can't be treated any other way. Since the brain is effectively set to extremely low power mode, someone in a medically induced coma cannot initiate breaths for themself, so the machine is usually set at it's most supportive setting, called "assist control". In assist control mode the machine initiates and delivers all the breaths.
This is a machine that cycles cold water through a blanket under the patient. These are used when a person's core temperature needs to be lower than it is. This might be due to heat stroke, to decrease oxygen demand on the heart after a heart attack, or to decrease oxygen demand in the brain after a head injury. In this case, it is probably the last one- along with the medically induced coma, the blanket is making Buck hypothermic so his body and brain use less oxygen and decrease the pressure in his skull.
These are the ventilator hoses. They are connected to a tube that goes down Buck's throat and into his lungs. The ventilator forces air through one of these hoses and the exhaled air comes out the other. The thing on Buck's face is both holding the tube in place and preventing him from biting the tube if he were to wake up.
This is a screen that shows Buck's vitals. He has electrodes on his chest, a blood pressure cuff on his arm, a pulse oxygen probe on one of his fingers, and probably a temperature probe in either his rectum or his bladder. He might also have a blood pressure probe in one of his arteries, and/or a probe surgically implanted in his skull measuring the pressure his brain is under (though I don't see either of these in the picture). This is where the information those probes are collecting is displayed. If one of these vitals goes out of a range set by the nurse, the machine will alarm.
This one is hard to see because there are people in the way, but this is an IV pump. When someone gets IV medications or fluids, a nurse programs one of these pumps to deliver the fluids or medications at a certain rate (usually in milliliters per hour). Someone in a medically induced coma would have probably several of these all delivering medications through an IV.
This is a Workstation on Wheels (WOW). These are essentially computers that can be rolled from room to room. Some of them have drawers where meds are kept, and most have a small surface where a nurse can prep meds or write things.
Feel free to send other screenshots!
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*heavy sigh* I think I finally found the main issues with Louie's enclosure (there were several problems i found tearing it down. The temp gun I have is for measuring surface temperatures, but apparently, sometimes you also need to measure ambient air as well, which takes an entirely different kind of thermometer which i dont have. Currently as a substitute, I have temp probes pulled out of where they usually sit in the substrate and they're saying the ambient air of the tank is too cold, by at least 5 degrees
Well shit. It looks like I could have kept his enclosure a bioactive after all, I just needed to give him another heat source which, for now, is a small heater propped up on a box next to his enclosure. Im so frustrated. This is so much different than owning a cat or dog or something simple.
Hopefully now that I have all of my parameters quadruple fixed, I should see a change in Louie's behavior sometime this week. I'll keep an eye on him these next few days to see if my changes work 🥺 if he keeps roaming though even after all of this I'll seriously consider taking him back to the pet shop because him being under this much constant stress is really dangerous for his health and I don't want to accidentally kill this little baby danger noodle just because I'm a broke stupid impulsive fool 🥺
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