Disconnecting

I took the majority of last night from about 7pm, until about 5pm today to “disconnect” from TV, email, text, and internet. At first it was a little difficult to not have the urge to check emails or go online, yet when I truly let go and simply focused on my daily interactions with my… Read more Disconnecting

I took the majority of last night from about 7pm, until about 5pm today to “disconnect” from TV, email, text, and internet. At first it was a little difficult to not have the urge to check emails or go online, yet when I truly let go and simply focused on my daily interactions with my family and those round me, it was a great chance to get to connect with other people and put a smile on their face. As a society, we can be so blind to emotions and feelings of those around us due to media and distractions; genuinely taking the opportunity to say “thank you” or “how are you” to someone can go a long way ? not only for our career, but in any occupation as well! This activity was very eye opening, and could benefit many people I think!

Hip Fracture Open reduction and internal fixation (ORIF) by Jessica Dorthalina & Ansley Knipper

Jessica Dorthalina and Ansley Knipper What is ORIF? Surgery to fix a fracture (broken bone) in your hip by putting the broken parts of the femur bone back together using special metal hardware. What do you assess? (priority) Airway- postoperative Pulses (pedal), extremity temperature Neurovascular assessment on regular basis Numbness or burning in extremities Pain… Read more Hip Fracture Open reduction and internal fixation (ORIF) by Jessica Dorthalina & Ansley Knipper

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Jessica Dorthalina and Ansley Knipper

  • What is ORIF?
    • Surgery to fix a fracture (broken bone) in your hip by putting the broken parts of the femur bone back together using special metal hardware.
  • What do you assess? (priority)
    • Airway- postoperative
    • Pulses (pedal), extremity temperature
    • Neurovascular assessment on regular basis
    • Numbness or burning in extremities
    • Pain
    • Vitals
    • Diagnostic tests: CBC, blood chemistry, X-ray studies of the hip and pelvis
    • Assess post-op site for drainage, infection
  • Are there any limitations to mobility? 
    • Yes, physical therapy is often needed to improve mobility, decrease pain, improve strength, and to decrease the risk of loss of function.
  • What would your D/C teaching include?
    • Prevent falls by wearing fitted shoes, removing furniture or throw rugs in the home that can be a potential fall risk
    • Possible home health nurse referral. Elevated toilet seat, elevated cushions for chair, teach patients to use assistive devices (walker, crutches) safely
    • Continue taking blood thinners and pain medications as needed
    • Pain medication management, self care management, monitoring for potential complications

Naproxen, and its affect on the kidneys!

Naproxen, also known better as Aleve, is an over the counter NSAID. It is used most commonly for disorders of mild to moderate pain, such as rheumatoid arthritis and osteoarthritis. Since several chronic health conditions require continued use of Naproxen as an analgesic, its continued use could cause severe kidney damage. Naproxen can affect the kidneys… Read more Naproxen, and its affect on the kidneys!

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Naproxen, also known better as Aleve, is an over the counter NSAID. It is used most commonly for disorders of mild to moderate pain, such as rheumatoid arthritis and osteoarthritis. Since several chronic health conditions require continued use of Naproxen as an analgesic, its continued use could cause severe kidney damage.

Naproxen can affect the kidneys by causing acute renal failure, as well as cystitis and hematuria.

Naproxen is absorbed from the GI tract, and excreted through the urine.

Nursing considerations: we need to keep in mind other drugs, such as antibiotics or other pain killers, that are nephrotoxic as well while administering Naproxen. In renal patients, we must be extremely cautious of its use, due to the kidneys extra time needed to process the drug. Naproxen can also cause an increase BUN, serum creatinine, and serum K due in decreased kidney function. Adequate hydration is recommended for patients taking Naproxen with impaired renal function.

Week 2 Welcome Blog

  Hi! I’m Jess. I love Cinderella and sleep; this video is how I feel sometimes waking up for school.  My favorite lab value: Sodium! 135-145. I remembered this lab value right off the bat. Plus I love pretzels.. chips.. anything salty! My least favorite lab value: Phosphorus 2.5-4.5 I need to brush up on my… Read more Week 2 Welcome Blog

 

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Hi! I’m Jess. I love Cinderella and sleep; this video is how I feel sometimes waking up for school. 

My favorite lab value: Sodium! 135-145. I remembered this lab value right off the bat. Plus I love pretzels.. chips.. anything salty!

My least favorite lab value: Phosphorus 2.5-4.5 I need to brush up on my knowledge of this one.