Disconnecting

I tried to be disconnected for 24 hrs on 11/06/16. I found it quite difficult to accomplish after 5 hrs. I was unable to do it because I receive my work schedule through my email and I needed to take a look at it. Not only that, I had to work on assignments that required … Continue reading “Disconnecting”

I tried to be disconnected for 24 hrs on 11/06/16. I found it quite difficult to accomplish after 5 hrs. I was unable to do it because I receive my work schedule through my email and I needed to take a look at it. Not only that, I had to work on assignments that required me to navigate the web to find information. I was able to stay away from social media; it has never been a priority for me and I can go days without looking at social media. But when it comes to other stuff such as work, school, family, etc it is quite difficult. Communication using technology has become part of life and it is almost impossible to communicate without it. I think this was an interesting assignment that taught me of the importance of technology, but also the importance of having to disconnect from technology to be able to appreciate the beauty of life. I still believe that it is possibel to go a few days disconnected from everything and I would like to give it another try.

JosePerez 2016-10-27 17:23:56

ACUTE LOW BACK PAIN by Jamaica Amurao, Audrey Guila, & Jose Perez What do you assess for? For acute low back pain, we would assess by using OLD CART, ask if the patient has had acute low back pain before, I’d also take the patient’s vital signs, ask if there are other parts of the … Continue reading “”

ACUTE LOW BACK PAIN

back hurt
back hurt

by Jamaica Amurao, Audrey Guila, & Jose Perez

  1. What do you assess for?

For acute low back pain, we would assess by using OLD CART, ask if the patient has had acute low back pain before, I’d also take the patient’s vital signs, ask if there are other parts of the body that are in pain alongside the lower back, and review the patient’s history to see if other diseases may be the cause. I’d ask the patient if they’ve participated in any activities recently, and if they are physically active. I’d ask the patient where they work and for how many hours a week.

  1. Are there any limitations related to mobility?

Most patients need to alter their activity patterns to avoid aggravating the pain. They should avoid twisting, bending, lifting, and reaching, which stresses the back. Sitting should be limited to 20 – 50 minutes or as tolerated. ADLs are to be continued and bed rest is no recommended because extended periods of bed rest and inactivity are not effective and results in deconditioning. One of the goals is to improve physical mobility; this can be achieved through an exercise program with low-stress aerobic exercises such as walking and swimming.

  1. What would your discharge teaching include?
  • Encourage the patient to adhere to prescribed exercise program
  • Avoid activities that cause lumbar strain or twisting, such as horseback riding and weight lifting.
  • Use good body mechanics and good posture to avoid recurrence of back pain
  • Provide the patient with lists of suggestions on how to stand, sit, lie, and lift
  • Instruct patient to avoid lifting more than one-third of body weight.
  • Avoid sitting on chairs that do not provide firm back support.

Amikacin

Pharmacologic Classification: Aminoglycoside. IV or IM treatment of serious infections. Acts by inhibiting protein synthesis in bacteria. Excretion is mainly renal (>90%) and minimal amounts are metabolized by the liver, making it very toxic to the kidneys when in high toxic levels. Half-life increases with renal impairment. (dosage adjustment is necessary with any kind of … Continue reading “Amikacin”

  • amikacin-instrukcija-po-primeneniju-otzyvy-analogiPharmacologic Classification: Aminoglycoside.
  • IV or IM treatment of serious infections. Acts by inhibiting protein synthesis in bacteria.
  • Excretion is mainly renal (>90%) and minimal amounts are metabolized by the liver, making it very toxic to the kidneys when in high toxic levels.
  • Half-life increases with renal impairment. (dosage adjustment is necessary with any kind of renal impairment).
  • Assessment includes continuously monitoring I&O and daily weight to assess hydration status and renal function.
  • Monitor renal function by UA, SG, BUN, and Creatinine.

More info at : https://www.drugs.com/cdi/amikacin.html

Lab Value

I like Potassium (K+)! It is a dangerous electrolyte when out of normal range; yet it is essential for life, which makes it quite important and special. I don’t like Magnesium (Mg+) because I can’t remember the values and what it does. Maybe the more I dislike it the more I will have to remember … Continue reading “Lab Value”

img_1019I like Potassium (K+)! It is a dangerous electrolyte when out of normal range; yet it is essential for life, which makes it quite important and special.

I don’t like Magnesium (Mg+) because I can’t remember the values and what it does. Maybe the more I dislike it the more I will have to remember it. 

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