#vagal

[qcomicsy]

Honestly I'm starting to hate big villains and events on cannon (yes I mean the court of owls) every shit that happens is because of this mf

[brain-wyrm]

Also btw vasovagal syncope is so funny

Because your brain body literal is just like NOPE and drops your blood pressure.

Literally:

[gay-impressionist]

qui c'est qui est parti faire l'état de son ancien appart, à 1h en transport du nouveau, sans prendre les clés ? 🙃

[queeringpsychology]

Somatic Series Unit 2, Ch.10: The Body Scan

Welcome back to Unit 2 of the Somatic series! This series is where I’m using somatic psych theory to help people learn and map out their autonomic nervous system, develop a healthier relationship with themselves, and eventually build stronger communities. Unit 2 focuses on explaining and demonstrating how to use 3 somatic exercises (Grounding, Body Scanning, and the Notice and Name Exercise) to…

[jjeremysstash]

Anyway

Today was a mess on here

But I did learn how to do a créneau, which is nice

I did learn that not having eating for 12 hours wasn't a great state in which you should do an injection, even if it's just 0.3ml

BUT I also learn how to inject properly

[skyloftian-nutcase]

So I had to get 10 vials of blood taken for testing, now I’m feeling kinda light headed and tired, any advice?

Dang lovely they must be running a lot of tests 🥲 standard labs are usually 2-4 vials lol

Eat and drink. Lab vials are pretty small so you shouldn’t have lost too much blood, but getting poked and prodded and all that jazz can also make you feel faint anyway so sit back, prop your feet up, and get something in your system. 👍🏻

[cat-eye-nebula]

Dorsal Vagal Shutdown and low motivation - nervous system dysregulation from a toxic (parental) environment. (Video source)

[tenth-sentence]

We can speak of trauma when that system fails: when you beg for your life, but the assailant ignores your pleas; when you are a terrified child lying in bed, hearing your mother scream as her boyfriend beats her up; when you see your buddy trapped under a piece of metal that you're not strong enough to lift; when you want to push away the priest who is abusing you, but you're afraid you'll be punished.

"The Body Keeps the Score: Mind, brain and body in the transformation of trauma" - Bessel van der Kolk

[something2believe]

Feeling pissed off but it's okay bc i'm learning how to experience my emotions agains

[helenwhiteart-blog]

Freeze response: the intersection of autism, trauma and chronic illness

Freeze response: the intersection of autism, trauma and chronic illness

Peter Levine, psychologist and creator of Somatic Experiencing, has spent well over 25 years studying the immobility or freeze response to trauma. “It is one of the three primary responses available to reptiles and mammals when faced with an overwhelming threat. The other two, fight and flight, are much more familiar to most of us. Less is known about the immobility response” (from “Waking the…

[whats-in-a-sentence]

The social-engagement system depends on nerves that have their origin in the brain stem regulatory centers, primarily in the vagus – also known as the tenth cranial nerve – together with adjoining nerves that activate the muscles of the face, throat, middle ear, and voice box or larynx.

"The Body Keeps the Score: Mind, brain and body in the transformation of trauma" - Bessel van der Kolk

[ophelia-network]

"Your mind is in every cell of your body." —Candace Pert

collage by Ele Perbacco

[brain-wyrm]

My internal verbiage is so fucked, so burdened with forbidden knowledge (my degree) and arcane tomes (additional reading on very niche topics) that I speak tongues (impulsively reference things that make no sense in a normal context/audience)

[mcatmemoranda]

Narrow-Complex Supraventricular Tachycardia/No Hemodynamic Compromise

If the QRS complex is narrow and the rhythm is regular, attempt vagal maneuvers to break the tachyarrhythmia.

Valsalva maneuver - instruct the patient to exhale forcefully against a closed airway or blow through an occluded straw.

Cold stimulus - apply a cold stimulus (e.g., an ice pack or a washcloth soaked in cold water) to the patient’s nose and mouth for 10 seconds. I didn't know cold stimulus can be used to break a tachyarrhythmia.

Gagging - touch a tongue depressor to the back of the patient’s throat to stimulate the gag reflex. Lol I should try this next time!

Carotid massage - with the patient’s neck extended and the head turned away, apply pressure underneath the angle of the jaw in a circular motion for 10 seconds. Carotid massage is not recommended for patients with carotid artery stenosis or a history of smoking. I know that one already.

Consider adenosine (6 mg via rapid IV push followed by a 10- to 20-mL normal saline flush) if the rhythm is regular. One more 12-mg dose of adenosine may be given if the rhythm does not convert. Consider a calcium channel blocker or β-blocker if the rhythm is not regular, adenosine is ineffective or the tachyarrhythmia recurs. Consider expert consultation.

Wide-Complex Ventricular Tachycardia/No Hemodynamic Compromise

If the rhythm is wide (QRS complex ≥ 0.12 second), regular and monomorphic and the patient does not have signs of hemodynamic compromise, the rhythm may be supraventricular tachycardia with aberrant conduction. In this case, consider adenosine (6 mg via rapid IV push followed by a 10- to 20-mL normal saline flush). For a patient without signs of hemodynamic compromise and a wide rhythm, consider an antiarrhythmic medication (procainamide, amiodarone, or sotalol):

Procainamide: Avoid in patients with known prolonged QT intervals or congestive heart failure. Administer 20 to 50 mg/min until the arrhythmia is suppressed, hypotension develops, the QRS duration increases by more than 50% or a maximum dose of 17 mg/kg is given. The maintenance infusion is 1 to 4 mg/min.

Amiodarone: Administer 150 mg over 10 minutes. Repeat as needed if the tachyarrhythmia recurs. The maintenance infusion is 1 mg/min for the first 6 hours.

Sotalol: Avoid in patients with known prolonged QT intervals. Administer 100 mg (1.5 mg/kg) over 5 minutes.

If the tachyarrhthmia is refractory, consider the underlying cause, cardioversion, a change to the antiarrhythmic medication (e.g., adjustment of the dose, a change to a different antiarrhythmic medication or the addition of another antiarrhythmic medication) and expert consultation.

Heart rates of 150 bpm or less are likely sinus tachycardia. Heart rates higher than 150 bpm are more likely to be an arrhythmia, such as supraventricular tachycardia or ventricular tachycardia with a pulse.

For a patient with no signs of hemodynamic compromise and a wide-complex ventricular tachycardia, consider an antiarrhythmic medication. Adenosine should only be considered for the management of a wide-complex tachyarrhythmia in a patient without signs of hemodynamic compromise if the rhythm is regular and monomorphic.

[saintkevorkian]

 i have been near asphyxiation laughing over this for six years

[sawthefuture]

It's a shitty time because I've overslept, again. And I'm dissociating and just being numb and apathetic when I actually have so many stuff to do, these days. I just feel like I can't get anything done and in turn I verbally abuse myself, telling me how useless I am because at this point, I fear I will never be able to hold a job or do my task properly. God why can't I be everyone else