February, 2006 Archive

June 30, 2016, 1:01 pm

Viagra In Mexico

Viagra in mexico My chances against pneumonia are great!

Viagra in mexico This guy might have a good chance against pneumonia, viagra in mexico if that was his problem.

Viagra in mexico He looks like he’s having a massive anterior MI.

Viagra in mexico Or his wife’s meatloaf keeps repeating on him.

Viagra in mexico I think he’s having an acute anaphylactic reaction to the decor.

Viagra in mexico Who puts an ass (pardon me, viagra in mexico I meant donkey), viagra in mexico complete with a saddle, viagra in mexico on their end table as a decoration?

Viagra in mexico The child will need theraputic counseling for years after this traumatic attempt at fever assessment.

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Viagra in mexico Do you know, viagra in mexico when a patient tells me they think they are running a fever, viagra in mexico I instinctively feel their forehead and then I take their temp?

Viagra in mexico I have no doubt that the first humans did the same thing. Viagra in mexico I imagine this scene, viagra in mexico set in a pre-historic cave:

Viagra in mexico Caveman: “Feel hot!”

Viagra in mexico Cavewoman: “No. Viagra in mexico Have pain in head.”

Viagra in mexico Caveman: “Not that. Viagra in mexico Skin hot!”

Viagra in mexico Cavewoman: “Me feel face.” (Puts hand on forehead.) “Skin hot. Viagra in mexico Eat two of berries. Viagra in mexico Call giver of health when light comes.”

Viagra in mexico Caveman: “Me sick. Viagra in mexico No care for self. Viagra in mexico Must have all things done.”

Viagra in mexico Sorry guys, viagra in mexico but some things never change.

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And now it’s time for an Emergi-disclaimer: the following is not intended to be medical advice (1) because I’m not a doctor and (2) you should always check with your child’s pediatrician for any illness or concern. Viagra in mexico There, viagra in mexico now that that is out of the way:

Do you run into your emergency department in a state of panic because your child has an “extremely high” fever of 101 degrees?

Viagra in mexico Do you take your child’s temperature under their arm because, viagra in mexico well, viagra in mexico who wants to do a rectal temperature?

Viagra in mexico Do you get nauseated at the thought of taking a rectal temp?

Viagra in mexico Do you become faint when the triage nurse takes your child’s temperature and tells you that the number 40.6 centigrade is actually 105 degrees?

Viagra in mexico Are you concerned when your child’s temperature does not “break” after a dose of Tylenol?

Viagra in mexico Are you amazed when the temperature comes back to its pre-Tylenol level approximately four hours after the last dose?

Viagra in mexico What, viagra in mexico you say? You can give ibuprofen for fever?

Viagra in mexico Does the fact that your child even has a fever cause your pulse to race, viagra in mexico your breathing to become labored and your anxiety level to skyrocket?

Viagra in mexico You, viagra in mexico my friend, viagra in mexico are suffering from acute fear of fever, viagra in mexico or, viagra in mexico as it has been coined in the literature I’m familiar with, viagra in mexico “Fever Phobia”.

Viagra in mexico You are not alone.

Viagra in mexico Here are some things to keep in mind. Viagra in mexico These are things I’ve picked up regarding pediatric fevers in the ER and during my stint as an advice nurse in a pediatric clinic.

  • Fevers are not dangerous.
    • They are the body’s way of fighting off an infection, viagra in mexico either viral or bacterial.
    • Fevers are more likely to be bacterial and should definitely be evaluated if
      • They last longer than three days.
      • They go over 105 degrees.
    • The exception to the rule: fevers in any child under 8 weeks old should be evaluated immediately by a physician.
  • The height of the fever is not as important as how the child is acting/looking.
  • Febrile seizures are the scariest things you will ever see as a parent.
    • They are also harmless.
    • Usually it is related to how fast the fever rises or drops.
    • They will stop on their own. Viagra in mexico
      • Turn your child on their side to allow any secretions to drain.
      • Protect them from injuring themselves on surrounding items.
    • The child should be evaluated immediately after the first febrile seizure.
      • The doctor will need to confirm that the seizure was truly due to the fever and not an underlying medical condition.
      • Discuss with your pediatrician what steps you should take if your child has repeated febrile seizures.
  • Both acetaminophen (Tylenol) and ibuprofen (Motrin, viagra in mexico Advil) can be used for fever.
    • There is some difference of opinion on whether or not both medications can be used together, viagra in mexico i.e. Viagra in mexico alternated. Viagra in mexico Ask your pediatrician what they prefer you to use.
    • Pediatric dosages are based on weight. Viagra in mexico The dose your child took six months ago will not be the correct dose today. Viagra in mexico If your child’s weight is not listed on the bottle, viagra in mexico call your pediatrician or an advice line to get the correct dosage for the weight.
    • Ask your pediatrician at what age they suggest using Motrin. Viagra in mexico It has been my experience that ibuprofen is not used under six months old.
    • Expect the fever to return as the medication wears off. Viagra in mexico It will.
  • Do not wrap your child up if they have a fever.
    • Right: a diaper and light covering – just enough so they do not shiver.
    • Wrong: a diaper, viagra in mexico two onesies, viagra in mexico a terry-cloth one-piece with “footsies”, viagra in mexico a sweater, viagra in mexico a blanket-sleeper with “footsies”, viagra in mexico a coat, viagra in mexico a hat and a fifty pound afghan hand- crocheted by grandma. Viagra in mexico At the same time.
  • Most children with fever will not want to eat, viagra in mexico but they will be thirsty. Viagra in mexico Fluids are important.
    • Encourage them to drink as much as they want of whatever they want.
    • Make sure the fluid has calories in it. Viagra in mexico That sounds silly to mention, viagra in mexico but offering diet sodas will not contribute calories or nutrition.
hhhhhhhhhhhhhhhhhh

Viagra in mexico When I worked in pediatric triage, viagra in mexico my facility used protocols written by pediatrician Barton Schmitt, viagra in mexico MD. Viagra in mexico I have to recommend this book as one of the best books on child health that I have ever read. Viagra in mexico It is based on the same protocols we used at the clinic. Viagra in mexico I have given it as a gift at at least six baby showers. Viagra in mexico Apparently it has been updated in 2005. Viagra in mexico Here is the amazon.com link for those who are interested:

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June 30, 2016, 4:25 pm

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Speaking of rock, heart & cholesterol tricor 200mg pills (generic) $259.00 we made it to the room just in time to catch the last 45 minutes of “American Idol” and while my daughter slept the sleep of the narcotized, heart & cholesterol tricor 200mg pills (generic) $259.00 I voted my fingers raw for both Ace and the grey-haired guy. Heart & cholesterol tricor 200mg pills (generic) $259.00 Thank god for cell phones.

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June 30, 2016, 10:21 pm

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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