#Baseline

[macgyvermedical]

Okay so I have a really specific question. Baseline stats? Except my character is already pretty sick, he's got room to get much much worse but right now he ain't great. He's in a fair amount of pain because he keeps having adverse reactions to painkillers from previous drug abuse and yeah. So what would normal baseline be? And then what would a normal baseline for him bc since he's got this illness. It's idk what you call it but one of the illness that get worse with time... degenerative. Except in this world he can be fixed with enough treatment but he keeps refusing said treatment. Yeah I don't really understand vitals and things so I didn't wanna botch it but based on the info what would you assume would be good? Also what's like the worse someone's vitals could be with them still awake and alive although the mental state can be real messed up. (: thanks hon

So our understanding of normal adult vitals include:

BP: 100/60- 140/90 mmHg (a measurement of pressure)

Pulse: 60-100 beats per minute

Respirations: 12-20 breaths per minute

Temperature: 96-100.4F or 36-38C

SpO2: 95-100%

Level of Consciousness: Alert and Oriented times 4 (can answer 4 specific questions about themselves and their environment)

Now, all these "normals" pretty much assume a healthy, white, 20-something male who has a BMI of 18-25 and who has been sitting quietly for at least 5 minutes. So basically very few real humans.

It's very normal to vary from these somewhat if you are exerting yourself, in pain, sick, or otherwise different from the above demographic. So if we're taking vitals, we want to control what we can (generally asking the person to sit relatively quietly for 5 minutes). If we do this and you're out of range, but we have no other data to work with, we will try to get you back into this range. Because again, it's assumed that to get out of these ranges, you must have something going on medically that needs addressed.

For example, if your blood pressure is 160/90 with a heart rate of 110 because you're in a lot of pain, we can correct that by treating whatever is causing the pain.

Now, there's not always an identifiable (or fixable) reason why someone might be out of range, and sometimes we just correct the vitals themselves because chronically high or low vitals may cause problems. For example, as far as we know right now, living for a long time with a blood pressure in the 180s/100s will eventually cause heart failure, stroke, or heart attack, regardless of the reason. So if we can't get that person back into range by fixing something else, we'll give medications that directly lower blood pressure.

But let's say someone's heart rate is in the 40s because they're a runner. That's normal for them. It doesn't cause them any problems, it's not caused by a disease process, as far as we know won't cause them problems in the future, and their other vital signs are in normal range. They are said to have a "baseline heart rate of 40bpm". That tells other medical providers who are working with them that there's nothing to correct there- ignore that weird reading and just fix anything else that needs fixed.

Baseline can also be used if someone has a chronic illness that is as controlled as it can be, but it still has an impact on their vital signs. Say someone has a heart rhythm called atrial fibrillation with RVR and their heart rate without medications is in the 190s or 200s. This may cause symptoms, but if we medicate to control that rate to between 60-100, it may also cause symptoms.

So we might give enough medication to control the rate to 110s, which minimizes the symptoms they experience but still puts them technically out of range. Their baseline, then, is in the 110s. Again, nothing to correct there, it's just normal for them to be out of range on that vital.

Or, someone might have dementia and be unable to answer all the questions that would make them A+Ox4, but maybe can only consistently answer 2 of them. We wouldn't necessarily be worried about that because we know that it's normal for them to be A+Ox2- their baseline, but we would be worried if suddenly they were A+Ox0.

You can also have other measurements besides vitals that are considered baseline stats. Like pain, or blood sugar, BMI, electrolyte levels, or pretty much any other lab value.

As far as what you are describing I don't know that I can give you specific baselines, as I don't know what his symptoms are or how they relate to vital signs. With chronic pain generally vitals eventually go back to normal (say someone rates their pain at a 5/10 consistently, over time their body normalizes around that pain level and other vitals may only go out of range if they have an acute spike in pain).

What I can give you is a few of the following:

Pain: All vital signs go up

Dehydration/blood loss/shock: BP and LOC goes down, everything else goes up

Kidney problems: BP and HR can change but in what direction is due to the specific problem.

Opioid overdose: RR goes down.

Heart problems: Change in HR and BP but directions can change depending on specific problem.

Lung problems: Usually RR and HR go up

Throwing up: everything goes up

Drug abuse and withdrawal: depends on the drug

#whump reference #writing reference #treatment #vital signs #baseline

[laowrart]

Some titlecards I made in 2020 for a space station 13 server. The art features various IPC frames. If anyone wants to use them for their server, feel free.

#ss13 #space station 13 #IPC #robot #synthetic #android #baseline #tv head #title card

[kentaroranda]

BASELINE ⋆ a tennis novel

During the early nineties, Andrew Reed was everything. A beautiful, fierce, and determined player, when Andrew Reed was on the tennis court, the entire world watched. He played all across the world, rose fast in the ranks and became one of the most accomplished players in the world. More than that, he became the most talked-about tennis player of all time. All that attention, though, comes with a price. Obsession for the sport and temptation by outside forces lead to rumors, accusations, and the untimely downfall of a sports legend. This is the true history of the rise and fall of Andrew Reed, or at least the truest version you will ever see. It is the version of him that David Byrne, his former coach, is willing to share, anyway. David, who was once himself an accomplished tennis player, and who could have been just as great as Andrew if he hadn’t thrown it all away. David, who was forced to watch history repeat itself. David, who loved Andrew more than he should have.

taglist; @kendelias @chlobenet @bravelittleflower @eddiemunscns @purpleyearning @eddysocs @heavenlysurf @arrthurpendragon @villanele @nolanhollogay @stanshollaand @lovehermioneforever @raith-way @kiara-carrera @decennia @luucypevensie @waterloou @ginger-grimm @hiddenqveendom @foxesandmagic @jvstjewels @dragonsbone @endless-oc-creations @ginevrastilinski @sunlitscribe @dyhlanobrien @partiallypearl @witchofinterest @fleetwoodmcs @daughter-of-melpomene

#ocappreciation #original fiction #age gap tw #baseline #my edits #ch: andrew #ch: david #so. heres this thing!

[redinkquill]

Happiness and How to Keep It

I want happiness

But no matter what

How much I achieve

I can never keep it

I keep trying

To believe

That I can reach it

But it is fleeting

I fall back down

To normalcy or depression

That wide valley

That deep impression

That is my baseline expression

Same with sadness

And despair

They don’t hold me for long

It’s not that I am

Particularly strong

It’s just my human trait

My baseline fate

To never be wholly happy

To never be wholly sad

I suppose I’m kind of glad

That with a little time

No matter how much I climb

In either direction

I will always experience a correction

And fall back to normal

To experience lasting happiness

One must always be doing

What makes one happy

It’s not what you buy

Or how much you earn

It’s what you actually do

You got to learn

That it’s a constant process

The upkeep is what you enjoy

Try to find

The kind of joy

That doesn’t deprive you or others

Build yourself up

Or pick others up

Provide the kind of life

You always wanted

To yourself or someone else

You will not always be happy

But in little steps

You will climb

The mountain of joy

You’re always falling

So keep climbing

Keep achieving

That happiness for you

For me it is reading

Writing and talking

With others that engage me

Communicating with people

And listening to what they express

Nothing else does impress

Although I admit

I love to eat

I cheat too much

To have that lasting happiness

But when I eat

Something that’s sweet

It brings me a bit of joy

Give it a shot

Don’t be coy

Try to find

What brings you joy

Keep at it

Find something in small steps

So if the feeling ever ebbs

You can achieve it again

With just a bit of effort

Your road to happiness

May it never be severed

#poetry #poems on tumblr #original poem #poem #poems #writing #poets on tumblr #poems and poetry #spilled ink #redinkquill #happiness #achieve joy #baseline #climb the mountain of joy #no matter how much you fall

[chaos-and-ink]

I'm coming to terms with the fact that my baseline is still sad. I can never escape this sadness. Even when I'm not in a depressive episode I'm still sad.

It's been like a month since my last episode and while the depression isn't constantly soul crushing, suffocating, I cannot survive this without treatment, I cannot even breathe anymore, it's still... well, painful.

It's not as bad but it still hurts :/

I wish that counted for something

#chaos #bipolar #bipolar disorder #actually bipolar #depression #actually depressed #baseline #bipolar baseline #mental health #mental illness #actually mentally ill

[eliserzilber]

ABC PLEASE

Use this guide to help you develop emotional resilience and decrease suffering from difficult emotions.

A - Accumulate Positive Emotions:

- Short Term: Be mindful of pleasant events such as listening to music, watching tv, drawing knitting, etc.

-Long Term: Avoid avoiding, identify values, take steps toward goals.

B - Build Mastery:

-Plan on doing something to build a sense of accomplishment.

-Plan for success rather than failure.

-Look for a challenge and gradually increase difficulty over time.

C - Cope Ahead:

-Describe possibly triggering situations.

-Plan coping or problem solving strategies.

-Practice coping effectively.

-Practice relaxation after coping practice.

P - Treat Physical Illness:

-Take care of your body.

-See a doctor when necessary

-Take prescribed medications as directed.

L - List Resources and Barriers:

-List tools and practices that will help with vulnerabilities.

-List issues and situations that will hinder healthy practices.

E - Balanced Eating:

-Don’t eat too much or too little.

-Eat regularly and mindfully throughout the day.

-Stay away from food that makes you feel overly emotional.

A - Avoid Mood-Altering Substances: Stay off drugs and alcohol.

S - Balanced Sleep:

-Try to get 8-9 hours of sleep daily.

-Keep a consistent bedtime and wake time.

E - Regular Exercise:

-Do some sort of exercise daily.

-Aim for 20-30 minutes of physical activity.

-Build flexibility and love your body.

*More DBT guides here*

#BPD #borderline personality disorder #bpd thoughts #bpd problems #DBT #dbt skills #dialectical behavior therapy #ABC PLEASE #skills #emotional resilience #emotional #rage #urges #self care #self h@rm #depression #borderline #personality #disorder #baseline #mindfulness #mindful #mindfully #Graphic #word graphic #adobe fresco #resource #resources

[dreamingdarklyblog]

"Well, assuming you have or will discuss what's in and out of bounds, and it sounds like you've discussed that at least to some extent, would it make sense to start out by elaborating on what "everything's still normal" means? Plus normal 'baseline' info-- did you get enough sleep? how's your mood been? Did you try a new recipe (etc.)? I guess that's just "blog stuff", but... that's probably a good (or good-enough) place to start?"

Fair enough.

I mean it sounds pretty boring to me, but if that's what you guys want I suppose it's okay.

Let's see... Haven't been sleeping well, mostly due to some pulled muscles that aren't getting better. Think it might be my new bed. Working on fixing that. I started ADD meds a few weeks ago and that's going really well. Sort of kicking myself I didn't try to address the issue years ago. I guess I didn't realize there WAS an issue.

Been hiding from the smoke so not doing much. Playing a lot of video games and hiding inside.

Have been doing well exercising up until a few months ago when the muscle issue started. Been losing weight.

Hrm, not sure what else. Any questions?

#baseline

[galvan710]

Boulder Night Hike

#boulder colorado #flagstaff #baseline

[lyricallymnded]

grudge // baseline

#lyrics #baseline #artist: baseline #album: for the sake of clarity #song: grudge

[shtufffy]

I can’t tell you how I knew - but I did know that I had crossed The border. Everything I loved was lost But no aorta could report regret. A sun of rubber was convulsed and set; And blood-black nothingness began to spin A system of cells interlinked within Cells interlinked within cells interlinked Within one stem. And dreadfully distinct Against the dark, a tall white fountain played.

#vladimir nabokov #pale fire #poem #blade runner 2049 #blade runner #baseline #voight-kampf test #voight-kampf #within cells interlinked #interlinked #poetry #poet #nobokov #dropping in #ryan gosling #1960 #1961 #metafiction #poioumenon #shakespeare #timon of athens

[nctrnm]

Baseline By Nctrnm From the album BASELINE Listen on Spotify https://open.spotify.com/track/00pO651cfAP0yOB2AHILVl site: nctrnm.com

#Beats #Spotify #glitch #IDM #downtempo #Nctrnm #Baseline #BASELINE #This Is Nctrnm #lo-fi #chillout #atmospheric #chill #cinematic #experimental electronic #producer #soundscapes #sound design experimentation #unconventional #rewarding #instrumental #ambient electronic #minimal techno #experimental #trip hop #Nowplaying #new

[smalltofedsblog]

CONTRACT BASELINE MANAGEMENT- Sound technical, cost and schedule integration and control via an iterative process with the government.

https://rosecoveredglasses.wordpress.com/2023/11/15/contract-baseline-management-in-government-contracting/

#government contracting #government contractors #baseline

[saddie-to-baddie]

January 15, 2023

Before I start my little A.I.P. experiment, I need to be honest about what my starting point is, otherwise I KNOW I'm not going to think there's any progress and quit.

For anyone stumbling across this and cares for a little background info, I have Multiple Sclerosis (Dx 12.2019) and have now been off medication since 11.2022 (thanks to an insurance hiccup/moving) and I'm eager to resume treatments because things have been ROUGH.

But being off meds has reminded me that I can and still need to take steps to keep myself under control as much as I can. So I decided to try out the Anti Inflammatory Protocol elimination diet again. 😅

So here's my baseline check-in:

1. I'm absolutely tired. I'm sleeping like trash, sometimes my own fault (energy drinks, going out, scrolling on the phone) and sometimes I just wake up in the middle of the night and that's it, I'm up. Right now I've been up since 530am after going to sleep around 1am.

Fatigue: 7/10.

Quality of Sleep: 4/10.

2. Physically I don't feel as symptomatic in terms of loss of sensation and balance, but I feel SO bloated all the time, very 'crunchy' and constantly cracking and popping my back, fingers and more often than usual, my left hip. The hip is always unintentional but is loud and takes me by surprise. My skins been a dumpster fire and was breaking out all over, especially jaw/neck (most painful and persistent), back, side and shoulders and especially my hairline.

My left tonsil has been swollen and painful and producing a LOT of tonsil stones, body constantly aches, feet hurt, seems to be a permanent headache at play.

Bloating: 8/10 (Definitely look pregnant, but not very painful).

Pain: 6/10. Only occasionally using ibuprofen.

Weight: 191 lbs /pant size~16

I really am considering tracking body measurements but I feel like I'm going to lose my focus on feeling better if I don't end up losing weight so I'm going to try not to focus on these areas as much. Weightloss would be a welcome side affect of the diet since I've been struggling there, but my overall goal is to find the foods that make me feel so bad.

3. I've been trying to increase my water intake by using teas and Mio to flavor it but I have not really felt any improvement. My mouth is always dry, and I feel like no matter how much I take care of my teeth right now, my breath smells.

Hydration: 4/10

4. My mental health feels like a JOKE. There's not been a lot of time for just me, to be able to breathe. Between work, momming, struggling to square out my medical needs, and just life, I feel like I'm constantly in a state of panic and on the verge of bubbling over. I either cry or shut down completely mentally. Still have to be mom and take care of the dog, and get work done. But I don't even have the energy to stay up after the little one goes to sleep. I'm pretty confident that I'm asleep before she is lately. My patience is soooo thin.

I've been considering trying to get back on antidepressants but the idea of that scares me because I know it's a guessing game until we figure out the right dosage and med. The last time I tried antidepressants certain thoughts were at an all time high so I completely quit cold turkey.

Happiness: 4/10

Anxiety: 6/10

Depression: 7/10

Mental Clarity: 3/10

Ability to Focus/Understand: 4/10

Overall I feel like a trash bag of a person, mentally and physically. I don't feel like me, so let's see how much of that improves. 😬

#what's the plan #baseline #checking in #me #1.15.23 #january check-in #let's get started #spoonie #aip diet #elimination diet #no new flares #autoimmine disease #multiple sclerosis #get well soon #autoimmune protocol #paleo #self care #spooniesquad #saddie to baddie

[kentaroranda]

Andrew Reed ⋆ the art of obsession

david foster wallace // black swan (2010) // cassie steele // roger federer // david foster wallace // yves olade // chuck phalaniuk //1st look ed. 217 // sylvia plath // rainer maria rilke // black swan (2010)

taglist: @kendelias @chlobenet @bravelittleflower @eddiemunscns @purpleyearning @eddysocs @heavenlysurf @arrthurpendragon @villanele @nolanhollogay @stanshollaand @lovehermioneforever @raith-way @kiara-carrera @decennia @luucypevensie @waterloou @ginger-grimm @hiddenqveendom @foxesandmagic @jvstjewels @dragonsbone @endless-oc-creations @ginevrastilinski @sunlitscribe @dyhlanobrien @partiallypearl @witchofinterest @fleetwoodmcs @daughter-of-melpomene

#ocappreciation #queerocs #ocapp #is there an original story tag #i feel like ive used it before #baseline #ch: andrew #my edits #been reading david foster wallace can you tell

[ambientbruh]

Azu Tiwaline & Al Wootton - Nine Points [LIVITY052]

#azu tiwaline #allen wootton #techno #baseline

[marthashlyn]

When walking into your own light, by age 26, all boxes must be checked. Every T must be crossed and every I must be dotted in the lord.

November will be a month of weight checks.

#special note #special message #flow on #alignment #mindbodyspirit #awareness #www #JourneywithFlipJG #development #developmental psych #Knight #habd #hrrr #November #primary #baseline