All posts by Layne G

04Mar/17

Beyond the Classroom: Pharmaceuticals

For this blog I interviewed my dad about the medications that he takes and about any home remedies he uses. I learned that my dad only takes a daily vitamin and isn’t very consistent with it. He currently is on an antibiotic for an upper respiratory infection, but he didn’t know the name of it. I asked him if he knew any side effects, which he didn’t. I have to say I am not surprised. My mom is the one who knows all about the medications she takes and is an avid “google-doc”. She knows all about everything! My dad on the other hand doesn’t take it upon himself to learn about medications. I got the paperwork for his medication out of the drawer and went over some side effects with him and told him he should drink while taking the antibiotic. He didn’t seem too interested in learning about it but he let me education him for the entertainment I am sure.

 

04Mar/17

Aerosol Distribution During Open Suctioning

Patients, families, and healthcare workers all bring potential harmful aerosols into the hospital environment. A study by Fen-Fang et al., researched the air quality in respiratory care centers. They looked at “temperature, relative humidity, concentrations of CO2, TVOCs, PM, bacteria, and fungi” (Fen-Fang et al., 2015). They then conducted air sampling during open suctioning. What they found was that although the indoor air quality met the standards in Taiwan, the alcohol from hand sanitizer and the chemicals used to clean the floors had an impact on some of the results of the study. They found that during suctioning when the ventilator was disconnected, the particles were aerosolized and thus contaminated the room. This is important to consider when performing suctioning. Also, any items that are placed on the bed sheet during suctioning have a chance to become contaminated. Best practice is for healthcare professionals to wear suitable personal protective equipment to decrease the biological exposure of health- care personnel in hospitals.

Fen-Fang, C., Hui-Ling, L., Hsueh-Erh, L., Shin-Yu Lien, A., Hsiu-Feng, H., Lan-Ti, C., & Gwo-Hwa, W. (2015). Aerosol Distribution During Open Suctioning and Long-Term Surveillance of Air Quality in a Respiratory Care Center Within a Medical Center. Respiratory Care60(1), 30-37. doi:10.4187/respcare.03310

13Feb/17

Lay Person Interpretation of: Cardiopulmonary Arrest, MI, and CPR

My dad and I were talking about some of my experiences working on a Med Surg Unit as a student nurse and he began asking me questions about CPR and what happens to the body during a code. I thought this would be a good opportunity to ask him what he thinks a cardiopulmonary arrest in, his idea of an “MI”, and what he thinks occurs during CPR. He was mostly concerned about what happens to the body during CPR and what he should do if he needs to provide CPR. He recently renewed his CPR card and was asking me about giving rescue breaths. We talked about the idea behind rescue breathing and what the purpose is. I explained how oxygen stays in the bloodstream for some time even though a person may not be breathing and how high quality compressions are more important to maintain circulation and percussion to vital organs. He knew what an MI was and we talked about the importance of going to the ER if you feel like you have a crushing pain in your chest, have difficulty breathing, feel light headed or dizzy, or have lower back pain and numbness down your arm. I commend him for getting his CPR certification as a lay person and told him how important it is so give quality CPR and know the actions to initiate the emergency response system. Having people in our community who know CPR can greatly impact people and we can strive to save as many lives as possible!

 

05Feb/17

Limiting Sodium and Fat Intake

I tracked my food for one day using “myfitnesspal” and learned I had a sodium intake of 1,586 grams. According to the American Heart Association, the recommended intake of sodium for a cardiac patient is 1500 grams per day. This makes me very happy to learn that my diet is in line with the daily target goal set out by the American Heart Association. I think it is reasonable for me to be able to maintain this intake of sodium. 

27Jan/17

Last First Day of Nursing School!

This is my last semester of nursing school and I couldn’t be happier. I am so proud of my entire cohort and myself that we have made it this far. Our group is amazing and not only do we do great in school, but we have a great group of people that also do so much for our community that we live in. This to me is so important and it is something that I will continue after I graduate. I couldn’t be happier for all of us and I hope we all have a successful semester!

08Oct/15

Coloring Books for Kids

Children pay attention more when they are entertained and are doing something they enjoy… As a matter of fact, who doesn’t?! To enhance patient teaching in the young pediatric populating, coloring books will be used to enhance their learning about their disease.  Coloring pages can be provided and explained by the nurse or the parents to tell the child about their condition.  In this way, the patient will be more open to learning and hearing about their condition and will have a better understanding of what is going on.

09Sep/15

Simvastatin (Zocor)

What? Simvastatin is a lipid lowering agent, a reductase inhibitor (statin).  It inhibits HMG-CoA reductase, which is responsible for catalyzing an early step in the synthesis of cholesterol.

Who? This drug is used for patients with hypercholesterolemia and dislipidemia.  It is also indicated for patients with history or risk of MI, prevention of coronary revascularization, stroke, and cardiovascular mortality in patients with coronary heart disease.

Why? It inhibits the synthesis of cholesterol, which lowers the total, LDL, and triglycerides.  It also slightly increases HDL.  Lastly, it slows the progression of coronary atherosclerosis, resulting in a decrease of coronary heart disease related events.

When? Administer PO, once daily, only in the evening before natural cholesterol synthesis occurs during the night.

Where? Treatment usually continues for life.  Treatment occurs on outpatient and inpatient basis.

How? Dosage ranges from 5-40 mg/day.  Onset is within days and peaks within 2-4 weeks.  Only PO.  Do NOT double up or skip doses.  Inform provider immediately of muscle pain or weakness, especially when combined with fever or malaise.  Wear sunscreen and protective clothing.  Notify provider if pregnancy occurs.

Research by: Layne Gallimore, Rachel Alan, Barbie Christianson

Source: Skyscape: Davis’ Drug Guide

 

27Aug/15

Day One, Year Two, 1/3 Done!

NRS240_Summer'15_2

 

Day One, Year Two, 1/3 Done!

I am very excited to have a class that incorporates technology into our curriculum.  I usually avoid technology whenever possible so in many ways this will be uncharted territory for me.  I am eager to learn valuable skills to incorporate technology into the way we communicate with patients, each other, and our community.  Becoming comfortable and familiar with working online is going to be incredibly useful in the future.  It may make us anxious and probably is a novelty to many of us, but there is no time like the present to break out of our bubble!