Rearview Mirror: Still haven't dropped and still not gettin lucky

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no whammy!

16candles
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EM2BE said:
totally understand that one...do you know the way to figure fluid deficit?
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It is clinical and is like less output (minimal) --> thick output (mild) --> no output (mod) --> dying/distress (severe). Not sure of a good way to memorize the percentages, but maybe 1% --> 3% --> 9% --->12%?
 
EM2BE said:
totally understand that one...do you know the way to figure fluid deficit?
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fluid deficit (L) = weight (kg) × % dehydration, i think
 
Hard24Get said:
It is clinical and is like less output (minimal) --> thick output (mild) --> no output (mod) --> dying/distress (severe). Not sure of a good way to memorize the percentages, but maybe 1% --> 3% --> 9% --->12%?
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So in any of these types of problems, they'd pretty much have to give percentages or at least clinical symptoms?
 
So does %weight loss = %dehydration? Then you assume g=mL replacement?
 
Hard24Get said:
It is clinical and is like less output (minimal) --> thick output (mild) --> no output (mod) --> dying/distress (severe). Not sure of a good way to memorize the percentages, but maybe 1% --> 3% --> 9% --->12%?
Click to expand...

yep, i think* of tachycardia ~5, orthostatic ~10%, hypotension >10%

(*minimal clinical experience at work here, but works ok for exam purposes)
 
hyperbaric said:
yep, i think* of tachycardia ~5, orthostatic ~10%, hypotension >10%

(*minimal clinical experience at here, but works ok for exam purposes)
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true, but in practice it's like less wet diapers --> thick mucous --> no tears --> lethargy because the thought is that kids often compensate without tachycardia/hypotension until just before they crash :)
 
Hard24Get said:
true, but in practice it's like less wet diapers --> thick mucous --> no tears --> lethargy because the thought is that kids often compensate without tachycardia/hypotension until just before they crash :)
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You guys are a great help! I should have asked all this stuff the first time we got this lecture (back in January/Feb sometime).
 
Hard24Get said:
true, but in practice it's like less wet diapers --> thick mucous --> no tears --> lethargy because the thought is that kids often compensate without tachycardia/hypotension until just before they crash :)
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Hence my for-exam-purposes warning. :p
 
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I ended up getting this lecture to scribe. Probably a good thing so that I actually learn it this time (or at least try).
 
hyperbaric said:
Hence my for-exam-purposes warning. :p
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I know. That's how I learned it, too, thus you are more useful for her purposes :laugh:. It is sometimes used for adults, still, although they are big enough that if you think they look dry, you can just bolus 'em without actually calculating anything (generally you end up titrating to urine output or lactate normalization, anyway).
 
EM2BE said:
You guys are a great help! I should have asked all this stuff the first time we got this lecture (back in January/Feb sometime).
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it's fun to talk about but don't forget to check up on what we say using legitimate sources. For all you know we might not even be medical students. :eek:
 
Hard24Get said:
it's fun to talk about but don't forget to check up on what we say using legitimate sources. For all you know we might not even be medical students. :eek:
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ha. I am double checking and referencing the notes to make sure it matches up. If it doesn't, I put it in the back of my mind for a time I might be in a pinch and can't do what I understood.
 
I don't think a person can fake being stressed about matching as well as you do :)
 
EM2BE said:
I don't think a person can fake being stressed about matching as well as you do :)
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and seeing this probably made you compulsively check your emails :smuggrin:
 
Hard24Get said:
% dehydration = fraction, you mean (ie not for 10% not 10 but 0.1) :)
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No, I meant it to read as it is typed. Although, you could easily subsitute the fraction for the percentage. The math is the same.

10% = .1

40 x 10% = 4
40 x .1 = 4


Perhaps I am misunderstanding your point?
 
Hard24Get said:
it's fun to talk about but don't forget to check up on what we say using legitimate sources. For all you know we might not even be medical students. :eek:
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I'm pre-law. :D
 
Hard24Get said:
You totally caught me - I didn't even realize you triggered it! :laugh::laugh::laugh::laugh:
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I'm assuming that since it's past 5, you probably won't get any more emails until tomorrow...maybe it doesn't work that way though.
 
hyperbaric said:
Perhaps I am misunderstanding your point?
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Yes, thanks for the benefit of the doubt. I was pointing out that when you say % dehydration, the literal interpretation is that 10% dehydration = 10 in the formula. If you say dehydration expressed in terms of percent or fraction, it is clear that 0.1 or 10%, not 10, is meant to be used. So that in your example people do this:

40 x 10% = 4
40 x .1 = 4

instead of this:

40 x 10 = 400
 
EM2BE said:
I'm assuming that since it's past 5, you probably won't get any more emails until tomorrow...maybe it doesn't work that way though.
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there is always the West Coast and industrious administrators to hope for :smuggrin:
 
Hard24Get said:
Yes, thanks for the benefit of the doubt. I was pointing out that when you say % dehydration, the literal interpretation is that 10% dehydration = 10 in the formula. If you say dehydration expressed in terms of percent or fraction, it is clear that 0.1 or 10%, not 10, is meant to be used. So that in your example people do this:

40 x 10% = 4
40 x .1 = 4

instead of this:

40 x 10 = 400
Click to expand...

I am forced to lend that benefit as I am sometimes slow to catch on. :) But, now, I'm with you.
 
Hard24Get said:
there is always the West Coast and industrious administrators to hope for :smuggrin:
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good luck with that one...past 4 there. Doesn't that mean they are done for the day too??? :laugh:
 
What's so bad about it is that when I checked my email just now I had a message from a faculty member at my home program, and earlier when I insisted on checking my email before lunching with a friend I got a NY interview - I know the more I am rewarded for this behavior, the more it will persist! :laugh:
 
what class are you taking now, hyperbaric?
 
EM2BE said:
Oh...didn't realize pre-law's learned all this science stuff. Must want to do malpractice. ;)
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You know it. I troll SDN, spreading misinformation so that I might set the stage for future claims.
 
hyperbaric said:
You know it. I troll SDN, spreading misinformation so that I might set the stage for future claims.
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hahahaha...would be funny for a malpractice lawyer to state his site of info was sdn.
 
Hard24Get said:
What's so bad about it is that when I checked my email just now I had a message from a faculty member at my home program, and earlier when I insisted on checking my email before lunching with a friend I got a NY interview - I know the more I am rewarded for this behavior, the more it will persist! :laugh:
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very true. I'll email your programs for you and tell them to stop rewarding you if you want me to. :smuggrin:
 
Gotta go. Buenos noches.
 
ok, who wants to learn ENT?
 
we have been quite busy today!
 
I shall force myself to stay up until 8 or so, then I'm hitting the hay
 
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