Epicondylitis

 

5 possible methods of treatment:
1. NSAIDs or acetaminophen for pain
2. RICE (rest, ice, compression, and elevation)
3. Elbow braces
4. Surgery: release of the flexor origin and excision of the pathologic tissue
5. Possible corticosteroid injec…

 

Medial Epicondylitis (Golfer's Elbow). Pronator teres, Flexor carpi radialis, Radius, Ulna, Flexor carpi ulnaris, Palmaris longus, Medial epicondyle. MendMeShop¨Ê ©2011

5 possible methods of treatment:

1. NSAIDs or acetaminophen for pain
2. RICE (rest, ice, compression, and elevation)
3. Elbow braces
4. Surgery: release of the flexor origin and excision of the pathologic tissue
5. Possible corticosteroid injection

Disconnecting

This past Friday, I devoted myself to limiting the usage of my cell phone or computer. Usually whenever I go for a run, I will always plug in my headphones and listen to a playlist that I have compiled on my phone. However, this time I chose to exercise without my phone in my hand. […]

This past Friday, I devoted myself to limiting the usage of my cell phone or computer. Usually whenever I go for a run, I will always plug in my headphones and listen to a playlist that I have compiled on my phone. However, this time I chose to exercise without my phone in my hand. The experience was extremely different in that I focused more on how my body felt while running rather than which song to listen to next. However, focusing on my actual breathing and every step I took made the run feel longer and harder on my body. On the other hand, I was able to hear the sounds of numerous cars passing by and actually pay attention to crossing different streets. I even said hello to a few neighbors that I passed by, whom I would typically ignore if I had my headphones in my ears. In a sense, I felt a lot more connected to my neighborhood and to my own body. I actually felt like I breathed in more fresh air than usual and was more sensitive to my own senses. Being away from my phone gave me the chance to meditate on my day and plan different assignments that need to be completed in the upcoming days or weeks. I made plans to take a shower and make a spa day for myself before finishing the night off with studying for my upcoming Medical-Surgical exam.

On a normal basis, I will always have my phone on hand because that is the only way I can fully maintain my relationship with others. I am currently in a long-distance relationship where texting and calling are the only forms of communication, which makes it extremely difficult to detach myself from my phone. In addition, most of my close friends and family are based in Los Angeles, so I am always receiving text messages from them. Although I would like to limit my electronic usage for the sake of my mental and physical health, it seems almost impossible in today’s society to do so without losing relationships to people.

It’s definitely hard to change your lifestyle overnight, but minor changes will do wonders. I am only now starting to change my habits with my phone and computer use. A good mentality to keep, for me personally, is the question centered around “How long do you want to live?” If looking at the grand scheme of things, life is pretty short and if there are a lot of goals and dreams that you want to accomplish, you need more time. The best way to secure more time is to secure yourself, body and health. It might feel almost painful, but at the end of the day, I keep reminding myself that my life and well-being deserves better.

Compartment Syndrome

The nurse’s priority involves frequent assessment of the neurovascular function. This is done by looking at the “five P’s.” these include assessing pain, pallor, pulselessness, paresthesias, and paralysis. Pallor may suggest a decrease in arterial perfusion, pulselessness (a late sign) may suggest lack of distal tissue perfusion, paresthesias suggests nerve involvement, and paralysis, also a […]

  1. 5psofcirculation
  2. The nurse’s priority involves frequent assessment of the neurovascular function. This is done by looking at the “five P’s.” these include assessing pain, pallor, pulselessness, paresthesias, and paralysis. Pallor may suggest a decrease in arterial perfusion, pulselessness (a late sign) may suggest lack of distal tissue perfusion, paresthesias suggests nerve involvement, and paralysis, also a late sign, indicates nerve damage.
  3. If compartment syndrome occurs in the legs, limitations in movement may occur such as walking. Cramping or aching may develop as the symptoms worsen over time.
  4. Discharge would include educating patients on signs and symptoms (if wound is draining/pus/smells abnormal). Instructing patients of things such as if pain or swelling does not go away, if color of injured arm or leg turns blue or white and/or feels cold or numb, and if there is blood soaking through the cast/bandage. If there is a fever, excessive swelling, rash/itch, etc., contact or seek care immediately. Take medicine as prescribed and directed. Elevate arm or leg at the level of heart for as long as doctor recommends, decreases swelling and pain. Do not raise it higher than heart. Elevate with pillows or blankets. Check that brace/bandage fits by checking if 2 fingers can fit between skin/brace/bandage. Never poke or scratch under bandage.

Spironolactone (Aldactone)

Spironolactone is a class of potassium-sparing diuretics that is mainly used to manage primary hyperaldosteronism and edema that is associated with heart failure. It may also be administered for the treatment of hypokalemia, in that it counteracts potassium loss that may be caused by other diuretics. Spironolactone is a potassium-sparing diuretic, meaning it acts to […]

Spironolactone is a class of potassium-sparing diuretics that is mainly used to manage primary hyperaldosteronism and edema that is associated with heart failure. It may also be administered for the treatment of hypokalemia, in that it counteracts potassium loss that may be caused by other diuretics. Spironolactone is a potassium-sparing diuretic, meaning it acts to conserve the amount of sodium within the body. Therefore, it is highly contraindicated in patients with renal insufficiency, renal impairment, hyperkalemia, or Addison’s disease.

It’s highly advised for nurses to assess their patients frequently for development of hyperkalemia, and to watch for symptoms such as fatigue, muscle weakness, paresthesia, confusion, dyspnea, or cardiac arrythmias. In addition, skin rashes may frequently occur during treatment therapy and should be discontinued at the first sign of rashes. Serum potassium levels should routinely be evaluated, as well as BUN, serum creatinine, and electrolytes, as these are important ways to measure proper kidney functioning.

Most (and least) favorite lab value

When it comes down to memorizing all the numerous lab values presented in the textbook, one could say that it is difficult to choose a favorite. However, I have chosen SODIUM as my preferred lab value. Sodium, or Na+, is known to be paired with our most crucial fluid, water! Therefore wherever water is, sodium […]

When it comes down to memorizing all the numerous lab values presented in the textbook, one could say that it is difficult to choose a favorite. However, I have chosen SODIUM as my preferred lab value. Sodium, or Na+, is known to be paired with our most crucial fluid, water! Therefore wherever water is, sodium follows, and vice versa. Normal values are actually simple to memorize because if one knows the normal ranges of our body’s pH levels (7.35-7.45), he/she would also realize that sodium’s normal values fall between 135-145 mEq/L, in which the numbers are relatively similar to that of our pH.

My least favorite lab value would have to be CALCIUM. Calcium’s normal values range between 8.6-10.2 mg/dL. It is difficult to form similarities of Calcium to the other lab values that are listed in the textbook and the numeric values are not the least bit similar to one another. CA++ is just one of those names and numbers that students will have to memorize and remember for future references.

An image that describes you

As a second-year nursing student, there isn’t anything more that I desire than to get more sleep. However, we all know that the best things take time and hard work never comes easy. I remember my prerequisite days at Moorpark College, when I actually had time to cuddle in bed with my two-year-old puppy and […]

sweet-dreams

As a second-year nursing student, there isn’t anything more that I desire than to get more sleep. However, we all know that the best things take time and hard work never comes easy. I remember my prerequisite days at Moorpark College, when I actually had time to cuddle in bed with my two-year-old puppy and get that good-night’s rest that I can only dream of getting now. Having sweet dreams is not only about snoozing into your imagination but also about turning those dreams into a reality. Nursing school will never be an easy task, but I guess it is all those long nights of studying that make the journey so sweet!