Author: K. Endylegizi

I must say it was hard to stay disconnected from technology. I did last quite a few hours without any tv, emails, internet, social media etc. but with the amount of dependence we have on technology today it made in very hard. I wish I could have lasted most of the 24 hours without any but with the amount of studying, work and personal business it was difficult to really disconnect for a whole entire day. It also made it difficult because others around me were constantly engaged in their laptops, phones and tv. I will definitely be disconnecting and enjoy the people around me come December 16th!! finally being able to pay attention to the amazing humans around me and really get to enjoy real human connection. I thought this was a really neat concept, it was just difficult to fully accomplish with the amount of work & business that goes on in a typical week!

I must say it was hard to stay disconnected from technology. I did last quite a few hours without any tv, emails, internet, social media etc. but with the amount of dependence we have on technology today it made in very hard. I wish I could have lasted most of the 24 hours without any but with the amount of studying, work and personal business it was difficult to really disconnect for a whole entire day. It also made it difficult because others around me were constantly engaged in their laptops, phones and tv. I will definitely be disconnecting and enjoy the people around me come December 16th!! finally being able to pay attention to the amazing humans around me and really get to enjoy real human connection. I thought this was a really neat concept, it was just difficult to fully accomplish with the amount of work & business that goes on in a typical week!

I must say it was hard to stay disconnected from technology. I did last quite a few hours without any tv, emails, internet, social media etc. but with the amount of dependence we have on technology today it made in very hard. I wish I could have lasted most of the 24 hours without any but with the amount of studying, work and personal business it was difficult to really disconnect for a whole entire day. It also made it difficult because others around me were constantly engaged in their laptops, phones and tv. I will definitely be disconnecting and enjoy the people around me come December 16th!! finally being able to pay attention to the amazing humans around me and really get to enjoy real human connection. I thought this was a really neat concept, it was just difficult to fully accomplish with the amount of work & business that goes on in a typical week!

I must say it was hard to stay disconnected from technology. I did last quite a few hours without any tv, emails, internet, social media etc. but with the amount of dependence we have on technology today it made in very hard. I wish I could have lasted most of the 24 hours without any but with the amount of studying, work and personal business it was difficult to really disconnect for a whole entire day. It also made it difficult because others around me were constantly engaged in their laptops, phones and tv. I will definitely be disconnecting and enjoy the people around me come December 16th!! finally being able to pay attention to the amazing humans around me and really get to enjoy real human connection. I thought this was a really neat concept, it was just difficult to fully accomplish with the amount of work & business that goes on in a typical week!

What do you assess: focused hx & physical exam; neurologic testing, discomfort/pain (OLDCART), previous successful pain control methods, work/recreational activities, environmental variables, posture, position changes, gait, spinal curve, leg length, pelvic crest & shoulder symmetry, paraspinal muscles, nerves (DTR’s, sensations, muscle strength).

Limitations in mobility: not to remain on bed rest (result in deconditioning), avoid prone positioning, avoid twisting, lifting above waste level, lumbar strain and forward flexion position. As comfort is achieved, an exercise program is gradually initiated.

D/C teaching: good body mechanics & posture; teach how to sit, stand, lie, lift properly; provide list of suggestions to make long term changes; role-related responsibility modifications; weight reduction if obese; *chart 42-2

What do you assess: focused hx & physical exam; neurologic testing, discomfort/pain (OLDCART), previous successful pain control methods, work/recreational activities, environmental variables, posture, position changes, gait, spinal curve, leg length, pelvic crest & shoulder symmetry, paraspinal muscles, nerves (DTR’s, sensations, muscle strength).

Limitations in mobility: not to remain on bed rest (result in deconditioning), avoid prone positioning, avoid twisting, lifting above waste level, lumbar strain and forward flexion position. As comfort is achieved, an exercise program is gradually initiated.

D/C teaching: good body mechanics & posture; teach how to sit, stand, lie, lift properly; provide list of suggestions to make long term changes; role-related responsibility modifications; weight reduction if obese; *chart 42-2

What do you assess: focused hx & physical exam; neurologic testing, discomfort/pain (OLDCART), previous successful pain control methods, work/recreational activities, environmental variables, posture, position changes, gait, spinal curve, leg length, pelvic crest & shoulder symmetry, paraspinal muscles, nerves (DTR’s, sensations, muscle strength).

Limitations in mobility: not to remain on bed rest (result in deconditioning), avoid prone positioning, avoid twisting, lifting above waste level, lumbar strain and forward flexion position. As comfort is achieved, an exercise program is gradually initiated.

D/C teaching: good body mechanics & posture; teach how to sit, stand, lie, lift properly; provide list of suggestions to make long term changes; role-related responsibility modifications; weight reduction if obese; *chart 42-2

What do you assess: focused hx & physical exam; neurologic testing, discomfort/pain (OLDCART), previous successful pain control methods, work/recreational activities, environmental variables, posture, position changes, gait, spinal curve, leg length, pelvic crest & shoulder symmetry, paraspinal muscles, nerves (DTR’s, sensations, muscle strength).

Limitations in mobility: not to remain on bed rest (result in deconditioning), avoid prone positioning, avoid twisting, lifting above waste level, lumbar strain and forward flexion position. As comfort is achieved, an exercise program is gradually initiated.

D/C teaching: good body mechanics & posture; teach how to sit, stand, lie, lift properly; provide list of suggestions to make long term changes; role-related responsibility modifications; weight reduction if obese; *chart 42-2

• How does it affect the kidneys?
  • Eliminated primarily by the kidneys. In patients with renal impairment, halve-lives of the drug increase dramatically
  • It can injure cells of the proximal renal tubules
  • High trough levels increase toxicity
  • It can induced nephrotoxicity that manifest as acute tubular necrosis
  • Symptoms: proteinuria, casts in urine, dilute urine, increased creatinine and BUN
• Where is it absorbed?
  • Crosses membranes poorly, very little of oral dose is absorbed.
  • Well absorbed after IM and IV administration and distributed to the ECF
• Nursing considerations for renal patients?
  • Dosage adjustment is necessary for renal impairment
  • Increase dosage interval in patients with kidney disease
  • Monitor blood levels, serum creatinine & BUN to prevent nephrotoxicity
  • Do not combine with other nephrotoxic drugs

• How does it affect the kidneys?
  • Eliminated primarily by the kidneys. In patients with renal impairment, halve-lives of the drug increase dramatically
  • It can injure cells of the proximal renal tubules
  • High trough levels increase toxicity
  • It can induced nephrotoxicity that manifest as acute tubular necrosis
  • Symptoms: proteinuria, casts in urine, dilute urine, increased creatinine and BUN
• Where is it absorbed?
  • Crosses membranes poorly, very little of oral dose is absorbed.
  • Well absorbed after IM and IV administration and distributed to the ECF
• Nursing considerations for renal patients?
  • Dosage adjustment is necessary for renal impairment
  • Increase dosage interval in patients with kidney disease
  • Monitor blood levels, serum creatinine & BUN to prevent nephrotoxicity
  • Do not combine with other nephrotoxic drugs