All posts by Eric I

21Feb/17

Sedation in Pediatrics

During my time at CHLA, one of my out-rotations were in the NICU. My patient suffered from an extreme case of meconium aspiration and measures were taken for sedation while on a CPAP machine, versed in particular. The infusion rate was based on the infants weight and intensity of sedation. In order to determine the intensity of sedation the infant was experiencing, the primary nurse and I used the N-PASS. A link below will further explain this scale. In collaboration with the respiratory therapist, it’s important for the nurse to explain the current N-PASS score when treatment is to begin. With my patient, the RT needed to determine the level in which the infant would breathe on it’s own, a case that could cause distress. So it’s important for the infant to not be sedated at an intensity that could effect breathing.

References:

http://www.anestesiarianimazione.com/2004/06c.asp

14Feb/17

Interviewing peer

The terms “cardiopulmonary arrest”, “CPR”, and “MI” were known by my friends in the medical field but my family couldn’t guess what cardiopulmonary arrest and MI were.  At dinner, i asked my family if they knew what cardiopulmonary arrest is and got these responses “I have no idea,” “something with the heart (sister)”, and “when your heart stops i think?” When asked what an MI was none of my family members knew that term. The universal term everyone knew was CPR and collectively my family thought it was a procedure performed on people who have no pulse to start the heart back up. Although this may be a great guess for those with no medical knowledge, I explained to them that CPR is much more than that is allows us to act as the hearts pump when providing compression’s to continue to allow the blood to perfuse the body. I’m the only one in my family whose interest was to pursue a career in the medical field and understand that many people may not know these terms. I think it should be universal that everyone knows the importance and how to perform CPR because it can save a life one day.

04Feb/17

Homework Week 2 (Diet)

I apologize in advance because my diet isn’t the healthiest being in the medical profession. On 2/3/2017 :

Breakfast:

3 hardboiled eggs

1 cup oat meal

1 20oz glass of milk

Snack:

1 cup of pineapple

1 protein shake

Lunch:

1 turkey sandwich w/ half avocado, mustard, on wheat

1 bag of hot cheetos

1 mountain dew

Snack 2:

1 cup of salted almonds

Dinner:

3 hot dogs with mustard and ketchup

 

Conclusion:

The FDA recommends the average american consume at most 2300mgs of salt a day.  The average american consumes over 3000mg of salt per day. The amount of sodium that is in turkey, hotdogs, and hot cheetos, in addition to adding sodium to my eggs probably exceeded the 2300 mg limit. Hot dogs are packed with sodium. It’s hard for patients to adapt to a cardiac diet because salt is an addictive flavor and hard to reduce that amount. Many processed foods in the supermarket are packed with sodium but are cheaper than healthy foods. Consumers in a position to not afford healthy food can be eating excess amounts of sodium which could contribute to HTN later in life.

 

25Oct/15

Tech Disconnect

Personally, not having a home phone line, i couldn’t disconnect via my cell phone due to work responsibilities. My technology disconnect was via my work shift which was approx. 8 and a half hours. On countless occasions, customers had phones out in their hands or laying on their table. As i brought food, it seemed like they were so attached to being connected to social media that they would only acknowledge my presence if I spoke up that their food was here. Television wise, many people in the bar area were very into their football games. At a home setting, I have a very hard time disconnecting from technology. The interweb and social media is a big distraction in which i find myself attached too. Personally, I dont have a hard time disconnecting when i’m outside of the house because I enjoy and thrive for memorable experiences. Your cellphone can capture moments, but it is forever ingrained in your mind.

07Oct/15

Care for a patient with Cholecystectomy

Today I was fortunate to care for a patient who was post op laparoscopic cholecystectomy. Patient presented to the ED with sharp pains, ultrasound and ct presented gallstones, murphys sign present. Patient decided to go home and take pain meds to let it pass but pain became excruciating to point of limited function. Patient then had urgent surgery in which laparoscopic cholecystectomy was performed. One of the gallstones was the size of a golfball! Priority of care was pain management. Patient was tolerating clear liquids.

This website contains further information on the surgical procedure

http://www.surgery.usc.edu/divisions/tumor/pancreasdiseases/web%20pages/BILIARY%20SYSTEM/laparoscopic%20chole.html

27Aug/15

Hello There

Hi, my name is Eric. I’m a nursing student at CSU Channel Islands currently in my second year. Follow my journey through nursing school!