All posts by Alex B

05Mar/17

Who knows about Meds?

Not many people my age take meds. However, together, my parents take plenty of meds. My mother only takes metformin at the moment. Being that she’s a veterinarian, she’s familiar with medications and knew exactly all of the information related to the drug (both names, dose, indication, side effects). My dad has no medical background at all but is also still fairly knowledgeable about his meds. He has significantly more medications as he has type 2 diabetes, neuropathy, and CHF. He can name the doses for some of the medications, but isn’t able to identify hardly any of the generic names. He knows about some of the possible side effects, mostly just the ones he experiences, and knows the indications of all of them. Most people my age that I’ve spoken to aren’t taking medication regularly but I found their knowledge on OTC medications is very limited. For example, none of my friends knew that Tylenol was the same as acetaminophen. They also didn’t know that benadryl was also used as a sleep aid but marketed differently. To give them some credit, before I began studying nursing, my knowledge on medications was very limited as well. I never really experienced headaches so I never took anything for pain. I also found that female friends were more likely to use natural remedies while my male friends hadn’t used any. I tried to provide education as tolerated by my friends. Overall, this was a fun learning experience.

01Mar/17

Trach care being provided by nursing staff vs RT

The study I read about was published in October of 2016 and was related to whether outcomes improved when all trach care in the ICU was delegated to RT’s instead of the nursing staff. There were 112 patients with 56 receiving the continued practice of having the nurses perform the trach care in addition to their normal duties and there were 56 that had their trach care taken over by RT’s. The results found clinical significance related to “ICU days, hospital days, days till suture removal, rehab days, days till down-size, days till speech consult, and days till first ambulation” which suggests that the patients whose trach care was performed by the RT’s had better outcomes than those who were care for strictly by their primary nurse.

 

http://eds.b.ebscohost.com.summit.csuci.edu:2048/ehost/detail/detail?vid=5&sid=8052856b-1886-4312-903c-a9369c970cc5%40sessionmgr120&hid=119&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=118570356

13Feb/17

Interviewing people about MI and CPR

To start the assignment, I asked multiple people if they knew what MI was since everyone knows what CPR is. Of the 6 people I asked, 2 of them knew what an MI was with two others knowing it had to do the heart. I explained that it stood for myocardial infarction, or heart attack, which were both terms they appeared to be familiar with.  All six of them knew what CPR was and that it involved the motion of pumping the heart for the body but couldn’t explain further than that. I educated them that the point of performing CPR is to keep perfusion going long enough in the chance that the person can be revived.

06Feb/17

First Week of Classes Repost

First time got deleted so I’m trying again. I’m excited for my first week of classes. I’m so thrilled that this journey towards becoming a nurse is almost complete. I’m ready for the next step in my life.

04Feb/17

Heart Healthy Question

I think that normally, I eat reasonably healthy but I probably just eat too often or I will spend the day at my desk not being as active. As far as eating a cardiac diet, one low in sodium and fat, I would have to make some significant changes to my diet. I usually don’t eat foods that are too high in fat; I eat ground turkey instead of beef, don’t eat any dairy, and stay away from sweets in general. If my health were to deteriorate to the point of requiring a low-fat diet, I wouldn’t have any problems living that lifestyle. However, my diet is likely pretty high in sodium. I evaluated the foods I ate yesterday and I found I tend to eat a lot of processed foods because they are cheaper and they take a long time to spoil. Because I live alone, in order to add variety, I will buy a lot of foods that take several weeks to spoil instead of buying fresh foods and eating the same meal for multiple days in a row. I do eat frozen foods that are low in fat and sodium like chicken breast or fish but often when I’m studying or I’m rushing out the door, I don’t want to spend 30 minutes defrosting and frying or baking chicken breasts. My go-to source of protein is usually canned tuna which also is one of the larger sources of sodium in my diet. After some research, I found that if I were to just rinse the tuna before eating it, I would be able to rinse off a sizable amount of the sodium which would equate to less sodium in my diet. For someone on a limited budget and with less time to go grocery shopping, its harder to live on a low-sodium diet. At the moment, I’m only going shopping once every two weeks. If I had the opportunity to go twice a week a well as a schedule that allowed for cooking every night, I think i would see the sodium in my diet drop significantly.

25Jan/17

Buying Bone-In Chicken Breasts

I thought, “Hey I’ll save a few bucks and buy chicken breasts that haven’t been deboned. How hard is it to debone a chicken? They have like half the bones that we have.” Boy was I wrong. First of all, it requires a special boning knife which I luckily had. I had no idea why boning knives looked the the way they did but I guess it makes sense now. I had to load up a YouTube video just so I could figure out where to get started. You have to rip off the skin and cut in all of these weird places with this skinny knife just to fully remove it from the bone without leaving too much meat behind. Then I also had to make sure to remove this one tendon connected to what I now know is the tenderloin otherwise whoever is eating the meat might eat that tendon and be in for a chewy surprise. Cleanup was definitely more intense as I had to sweep all of the breast shavings into my trash can because my apartment doesn’t have a garbage disposal. I finally completed deboning 5lbs of breasts and realized I had spent the better part of an hour doing so. The only bonus to doing this was that I saved a couple dollars and that I also felt like Gordon Ramsey for a little bit. Was it worth it? No…definitely not.