D. Uannguyen – Class Talk Fall 2016

About me

I am currently a nursing student at California State University Channel Islands in the class of 2018! My goals are to graduate from nursing school, pass the NCLEX, and to find an area of nursing I’m passionate about along the way. What makes me stand out from others is the trait of perseverance that allows me to overcome adversity. I have completed my AA in Natural Sciences at Oxnard College and have completed my minors in Biology and Psychology at CSU Channel Islands. I have prior experience working as a CNA and am currently working as a sub-Health-Technician for the Pleasant Valley School District here in Camarillo.

About me

Clinical Experience

September – November, Fall 2014 NRS 201: Introduction to Professional Nursing/Fundamentals St. Johns Regional Medical Center, Oxnard Units: Rehabilitation Unit January – April, Spring 2015 NRS 221: Nursing Care of the Adult With Acute & Chronic Illnesses I Ventura County Medical Center, Ventura Units: Medical-Surgical Unit, Operating Room, Telemetry Unit May – June, …

September – November, Fall 2014

NRS 201: Introduction to Professional Nursing/Fundamentals

St. Johns Regional Medical Center, Oxnard

Units: Rehabilitation Unit

January – April, Spring 2015

NRS 221: Nursing Care of the Adult With Acute & Chronic Illnesses I

Ventura County Medical Center, Ventura

Units: Medical-Surgical Unit, Operating Room, Telemetry Unit

May – June, Summer 2015

NRS 241: Psychiatric and Mental Health Nursing

Vista Del Mar Behavioral Healthcare Hospital, Ventura

Units: Adolescent Unit, Adult Unit

August – October, Fall 2015

NRS 222: Nursing Care of the Adult With Acute & Chronic Illnesses II

West Hills Hospital, Woodland Hills

Units: Medical-Surgical Unit

August – December, Fall 2016

NRS 222: Nursing Care of the Adult With Acute & Chronic Illnesses II

St. Johns Pleasant Valley Hospital, Camarillo

Units: Medical-Surgical Unit, Wound Care, Subacute Unit, Emergency Unit

Unplugged

I spent a good amount of time on Saturday disconnecting from technology and the class as well. Since you assigned us this assignment, I decided it would be a good time to disconnect from school as well, as it almost goes hand in hand with technology. On my hike, I saw a variety of people and how they interacted with other people and technology. I went on a hike as a therapeutic release from everything. I saw people challenging themselves and racing through the trail, and I also saw the opposite, people strolling through the trail stopping to look at every interesting little thing. And then there were also photographers, both landscape photographers and selfie takers. I noticed generally that people who rushed through the trail were generally less disconnected than individuals who stopped to look at things. Also, people in groups were more likely to talk amongst themselves and were generally less likely to use their phone aside from pictures. Overall, I noticed that people on the trail were less likely to be on their phones than people out and about such as the mall. This could partly be due to the lack of reception out on hiking trails which prevent people from communicating with other people through their phones so that they tend to use their phones less. Overall, it was interesting observing people on hiking trails and how they interact with one another and technology as it was different than how people are at a mall.

Portal Hypertension

Group: Duan Nguyen, Jose Perez, Hanna Persin, Kenyn Castaneda, Audrey Guila Who? People who have liver dysfunction, more commonly people who have hepatic cirrhosis. What? It is the increase in pressure throughout the portal venous system. When? It happens when obstruction of blood flow into and through the damaged liver. Common signs and symptoms are ascites which […]

Group: Duan Nguyen, Jose Perez, Hanna Persin, Kenyn Castaneda, Audrey Guila

Who? People who have liver dysfunction, more commonly people who have hepatic cirrhosis.

What? It is the increase in pressure throughout the portal venous system.

When? It happens when obstruction of blood flow into and through the damaged liver. Common signs and symptoms are ascites which can cause fluid imbalances, distended veins, shortness of breath, umbilical hernias. Also it can lead to esophageal varices, which can cause GI hemorrhage if they ruptured, and also encephalopathy. Portal hypertension should be suspected if dilated abdominal veins hemorrhoids are detected.

Where? The organs affected are the Liver, blood vessels, and kidneys.

Why? It occurs due to obstruction of blood flow into and through the damaged liver. Risk factors include alcohol use and malnutrition, gallstones blood clots blocking the blood flow.

Ciprofloxacin

Cyclosporine, also known as Gengraf, Neoral, or SandIMMUNE, is an immunosuppressant that is used for Prevention and treatment of rejection in renal transplants. It also has an unlabeled use of treating steroid-resistant nephrotic syndrome. It performs this by inhibiting normal immune responses, both cellular and humoral, by inhibiting interleukin-, which initiates T-cell activity. It is available through PO and IV and is metabolized by the liver and excreted in bile with only a small amount is excreted unchanged in urine. Cyclosporine is contraindicated and should cautiously be used in renal impairment. Some major adverse effects regarding the kidneys is diarrhea, vomiting, hyperkalemia, hypomagnesemia, and nephrotoxicity.

Nursing considerations would be to educate patients that some common side effects are nephrotoxicity, increased blood pressure, hand tremors, increased facial and body hair, gingival hyperplasia. Also, it is important instruct the patient to notify their healthcare provider if they experience hematuria, cloudy urine, decrease output, increased frequency, fever, sore throat, tiredness, or abnormal bruising.

Electrolytes

My favorite electrolyte is sodium. In my opinion, it is the easiest to remember as it is frequently thought of when thinking about diet. Out of all the other electrolytes, changes in sodium is most likely to occur as people generally have a tendency to eat too much of it, thus it is highly considered when choosing foods that we eat. Also, the indications of sodium are easy to remember to as you think back to a time when you’ve eaten too much sodium and have experienced dehydration, thirst, increase in temperature and heart rate. Since I can incorporate and think of situations that would affect myself currently (on the milder side), makes sodium my favorite electrolyte.

My least favorite electrolyte is chloride. This is due to if chloride levels are low, then also sodium or potassium levels would be low which is just more that you must deal with. Also, chloride deals quite a bit with arterial blood gases, for example, in hyperchloremia, the signs and symptoms are similar to that of metabolic acidosis which adds a much more confusing aspect. With all of these considerations and my unfamiliarity of this electrolyte, makes it my least favorite electrolyte.

Hello world!

Welcome to WordPress. This is your first post. Edit or delete it, then start blogging!