All posts by Marissa C


Watching Sodium & Fat Intake

I usually track my food and water intake on my MyFitnessPal app so it was very easy to look at my sodium and fat intake. For my day I had 61 grams of fat and 2,352 grams of sodium.
The American Heart Association recommends no more than 2,300 milligrams  a day and an ideal limit of no more than 1,500 mg per day for most adults. I did not exceed the amount of recommended daily sodium intake by much, but it was a lot more than the ideal amount. Things I could have done to decrease my sodium intake include using no salt seasonings for chicken and veggies, as well as choosing sauces with less sodium.

The American Heart Association recommends aiming for a dietary pattern that achieves 5% to 6% of calories from saturated fat. For example, if you need about 2,000 calories a day, no more than 120 of them should come from saturated fats. That’s about 13 grams of saturated fats a day. Looking at my day, I ate 61 grams of fat, but only 13.1 grams were saturated fat. I was expecting the amount to be higher so I am glad I am about level with the guidelines for saturated fat, because “eating foods that contain saturated fats raise the level of cholesterol in your blood, and high levels of LDL cholesterol in your blood increase your risk of heart disease and stroke.”

I believe I could adjust to a heart healthy diet, but that is because I am really watching what I eat and am trying to eat healthier. If I wasn’t consciously trying to eat healthy, I’m sure my intake of fat and sodium would be much higher, making it more difficult to reduce my intake. I believe the easiest way to get patients to comply to the heart healthy diet is educating them on what things like sodium and bad fats do to the heart, and the rest of the body. Another important step is providing healthier substitutions to common foods they eat currently, which will make their transition to a healthier diet and lifestyle easier to maintain.


Final Semester!

I am so excited for this class and this semester! I am a little bit nervous to take care of complex patients in the ICU, but I am ready to learn the content and learn how to take care of these kinds of patients in the clinical setting. I am also really excited about the offsite rotations at West Hills this semester, specifically the burn units. I am really interested in becoming a wound care nurse and I hope I get the opportunity to experience those units!


Disconnecting from Technology

I am the first to admit that I use my phone and social media more than I should. I was excited about this assignment to take a day (or as much of the day as possible) to disconnect from technology and social media. I unfortunately could not go an entire day without technology, because I have things to check for school and work that require the use of a computer.  However, I was able to disconnect while spending time with others throughout the day, like at meal times. It was really nice to just enjoy the presence of the people around me that I love and have meaningful conversations instead of checking Facebook and Instagram all day. It really showed me how much time is wasted on social media and how much time I have that I could be spending more wisely.

Marissa Cuomo


Patient Education

Patient education is a vital role of nurses in any healthcare setting. Patients need to know various things about the medications they are prescribed, as well as other forms of treatment and follow up appointments. There are numerous ways to educate a patient, from paper to electronics to visual demonstration. A survey that I researched compared written instructions and iPads as forms of patient education. Paper instructions and pamphlets can be boring to read and may contain multiple pages, so the study showed that iPads were more effective. This is also due to the fact that the iPads directly engage the patient, therefore allowing the patient to retain more information and becoming more involved in their care.


Flomax – What You Need to Know

Generic Name: Tamsulosin

Classification: anti-adrenergic

Action: decreases contractions in smooth muscle of the prostatic capsule by preferentially binding to alpha1 adrenergic receptors

Indication: management of outflow obstruction in male patients with benign prostatic hyperplasia

Dosing: 0.4 mg PO once daily after meals (at the same time every day)

This medication can be taken at home.

Side effects: dizziness, headaches, orthostatic hypotension, priapism

Cautions: hypersensitivity, sulfa allergy, cataract surgery,  and patients at risk for prostate cancer

Marissa Cuomo & Marcia Rocha





First Post!

I can’t believe we are all starting our second year of the nursing program! It is amazing to think how far I’ve come from the first day, and that we will all be nurses in less than two years. I have gone from being extremely nervous to be in the hospital, to being excited about getting my own patients to care for! I felt a little skeptical about the technology aspect of this course, but after the first day I can’t wait to see how much I can accomplish throughout this semester in Med Surg II.