Author: A. Lyshapayne

This weekend I was able to disconnect for half the day. My brother who lives in San Diego came to town to visit so I decided this was the perfect time to disconnect! We were able to go out for a nice quiet breakfast and visit with my dad. It is always rejuvenating when you get to turn all social media off and just enjoy each others company. I have to say it was stressful to disconnect before a test because I kept thinking in the back of my head that this time should be spent on studying! However at the end of the day I always cherish the time I get to spend with my family and would rather do that over studying!

This weekend I was able to disconnect for half the day. My brother who lives in San Diego came to town to visit so I decided this was the perfect time to disconnect! We were able to go out for a nice quiet breakfast and visit with my dad. It is always rejuvenating when you get to turn all social media off and just enjoy each others company. I have to say it was stressful to disconnect before a test because I kept thinking in the back of my head that this time should be spent on studying! However at the end of the day I always cherish the time I get to spend with my family and would rather do that over studying!

BONE TUMORS

By: Alysha Payne

2. Assess:

            Pain

            S/S of weight loss, malaise, fever

            Spinal cord compression

            Neuro deficits

 

3. Limitations to mobility include gait abnormality, position changes can result in fractures; effected extremities must be supported, splints may be used, weight bearing restrictions must be followed

 

4. D/C teaching includes understanding the disease process, including potential complication of delayed wound healing and inadequate nutrition and hypercalcemia; importance of PT and OT; demonstration of using assistive devices

BONE TUMORS

By: Alysha Payne

2. Assess:

            Pain

            S/S of weight loss, malaise, fever

            Spinal cord compression

            Neuro deficits

 

3. Limitations to mobility include gait abnormality, position changes can result in fractures; effected extremities must be supported, splints may be used, weight bearing restrictions must be followed

 

4. D/C teaching includes understanding the disease process, including potential complication of delayed wound healing and inadequate nutrition and hypercalcemia; importance of PT and OT; demonstration of using assistive devices

Zosyn

(piperacillin/tazobactam)

Normal Dose: The usual total daily dose of Zosyn for adults is 3.375 g every six hours totaling 13.5 g

Renal Dose: According to the FDA,  Zosyn should be adjusted to the degree of actual renal function impairment. For patients who have a creatinine clearance below 40 mL/min, a dosage adjustment of Zosyn is recommended (See picture).

Metabolism/Excretion: Zosyn is eliminated by the kidney and excreted as an unchanged drug in the urine.

Half-life: Adults 0.7-1.2hr

Adverse Reaction: The GU adverse reaction we are worried about is interstitial nephritis.

Labs:Zosyn may increase BUN, creatinine, AST, ALT, serum bilirubin. In addition Zosyn can decrease hemoglobin and hematocrit. It may also cause proteinuria, hematuria and pyuria.

Nursing considerations:  drug-drug interactions and to monitor for abnormalities in sodium and potassium.

 

http://www.fda.gov/ohrms/dockets/dockets/06p0195/06P-0195-EC1-Attach-1.pdf

Zosyn

(piperacillin/tazobactam)

Normal Dose: The usual total daily dose of Zosyn for adults is 3.375 g every six hours totaling 13.5 g

Renal Dose: According to the FDA,  Zosyn should be adjusted to the degree of actual renal function impairment. For patients who have a creatinine clearance below 40 mL/min, a dosage adjustment of Zosyn is recommended (See picture).

Metabolism/Excretion: Zosyn is eliminated by the kidney and excreted as an unchanged drug in the urine.

Half-life: Adults 0.7-1.2hr

Adverse Reaction: The GU adverse reaction we are worried about is interstitial nephritis.

Labs:Zosyn may increase BUN, creatinine, AST, ALT, serum bilirubin. In addition Zosyn can decrease hemoglobin and hematocrit. It may also cause proteinuria, hematuria and pyuria.

Nursing considerations:  drug-drug interactions and to monitor for abnormalities in sodium and potassium.

 

http://www.fda.gov/ohrms/dockets/dockets/06p0195/06P-0195-EC1-Attach-1.pdf

As many of you know I love fishing and go quite often with my Grandpa and my boyfriend. I caught this Yellowtail before school started and had fresh sashimi on the boat! Can’t beat that freshness! Since I love fishing and being on the water I would have to say my favorite electrolyte is….Sodium! My least favorite electrolyte is Magnesium, even though fish can be a good source of magnesium, this particular lab value can never stick in my head!

As many of you know I love fishing and go quite often with my Grandpa and my boyfriend. I caught this Yellowtail before school started and had fresh sashimi on the boat! Can’t beat that freshness! Since I love fishing and being on the water I would have to say my favorite electrolyte is….Sodium! My least favorite electrolyte is Magnesium, even though fish can be a good source of magnesium, this particular lab value can never stick in my head!