Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for May, 2010

Mental Case

Posted by Laura on May 31, 2010

I am inputting new flashcards for these modules we have studied in Chronic (Med Surg 2nd semester). I have not gone over spelling errors yet, but I will work on this 🙂

Now the cool thing is…. if you down load Mental Case from itunes, you can use your iphone/itouch to download questions from flashcard exchange. You can set up your own account and create your questions – just like 3×5 flash cards manually.

http://www.macflashcards.com/

Then on your itouch, under ‘exchange’ you can input your flashcardexchange username, select which flashcards you want on your Mental Case. It is awesome!

I promise to start this soon next semester!!!! 

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Aortic Aneurysm

Posted by Laura on May 31, 2010

 

This amazing image is from: http://biomed.brown.edu/Courses/BI108/BI108_2007_Groups/group05/pages/guidant_stent.html

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Open Wide!

Posted by Laura on May 27, 2010

Assessing Oral and Esophageal Cancers

Are we almost done yet?!! I am sooo tired of studying!

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Posted by Laura on May 27, 2010

Men in nursing rock!

 

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Hematology

Posted by Laura on May 27, 2010

A few disease processes are broken down on review sheets. This information is all derived from Brunner’s.

DIC

GVHD

Hemophilia

Hodgkin’s Disease

Leukemia

Multiple Myeloma

Sickle Cell Crisis

Thrombocytopenia

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Hematology Cards

Posted by Laura on May 26, 2010

  4×6 Module 12 drug cards Updated 5/27/10

I’m still working these note cards of mine. If I repost – I’ll put the date up. Please note all drug cards are just my notes from Davis Drug Guide and Mosby’s Pharmacology.

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Pearls before Swine, ADD… oh shiney!

Posted by Laura on May 23, 2010

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a special thank you to my special friends….

Posted by Laura on May 22, 2010

to brandi, diane, kendra, lisa, marcelo, & vicki
I am very humbled in your presence. Your leadership abilities, professionalism, care and generosity are what makes things happen. To quote our past president –

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Some images worth reviewing

Posted by Laura on May 22, 2010

Tulane University School of Medicine http://tulane.edu/som/index.cfm

Pericarditis – here you can see and imagine the pain a person would have. S/S of Pericarditis: pain, pericardial friction rub, pain aggravated by breathing, Dyspnea, Fever (it looks hot!), Decreased cardiac output (you wouldn’t want it to move!) Treatment: Antibiotics  Diagnosis: see below  Leads to:  See the pericardial effusion

Echocardiogram to confirm pericarditis or pericardial effusion

Myxoma  – what does “oma” mean?      not “coma” so …. “oma” means it is benign, this is more a cancer item, but I had to throw it in. Luckily this can be removed. Benign.

Rheumatic Mitral Valve            – when you see the obstruction of the blood flow here due to the thickening or inflammation, you can see how rhematic endocarditis can cause Mitral Stenosis.                   

Ventricular Hypertrophy  – caused by increased work of the left ventricle – increased afterload (resistance) will make the heart over work.

Infective Endocarditis – s/s: malaise, wT loss, cough, back and joint pain w/fever. Leads to deformity of the leaflets. Treatment: Antibiotics – prophylaxis (esp before dental procedures). Leads to: CHF, CVA

Aortic Valve: destructive endocarditis caused by staph aureus, with abscess cavity under the pulmonary artery (aortic valve removed)
(RCA – right coronary artery, LCA – left coronary artery, MV – mitral valve) 

http://my.clevelandclinic.org/heart/disorders/valve/sbesurgerypics.aspx

Valve Disease Chart

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Some Cardiac Visuals – click the ♥

Posted by Laura on May 22, 2010

Aortic Stenosis & Mitral Regurgitation   

Mitral Valve Prolapse      

Endocarditis   

Cardiac catheterization

Cholesterol    

MI   

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Heart Sounds

Posted by Laura on May 22, 2010

 

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Cancer Contemplations

Posted by Laura on May 22, 2010

 Cancer Contemplations

 When reviewing my oncology notes, there were a couple things I needed to clarify for myself. I decided to post them in case anyone else wanted another way to look at the same info.     

Chemotherapy kills normal cells as well as neoplastic cells, whereas Radiation Therapy destroys cancer cells, but very minimal to normal cells.

      Radiation

      Radiation goes to the tumor. It damages the DNA. Tumor cells have a diminished ability to repair themselves, so radiation causes them to die or reproduce more slowly.

  • Problem getting to some tumor cells is they may become hypoxic (in a low state of O2). This makes them 2-3 times more resistant to radiation as radiation uses O2 as a radio-sensitizer.
  • External (teletherapy) does not emit radiation
  • Internal (bradytherapy) does emit radiation (sealed or unsealed) most is out within 48 hrs.

      What is Staging? Staging establishes the size of the tumor. Remember in situ?

      What is Grading? Grading is classification of how closely they resemble the tissue of origin. “Differentiated”

      What is Differentiated?

  • Normal cells will differentiate to become specialized for their tissue. Differentiated is good. Like from elementary to HS, to college – we have differentiated.
  • Cancer cells will not differentiate, because they want to become “cancer” cells not those special tissue cells you need. They are known as “undifferentiated.”
  • You can think of “differentiated” as meaning “normal.”
  •       Chemotherapy attacks rapidly growing and dividing cells. Doesn’t target normal body cells. It will destroy normal body cells that grow and divide fast such as ovarian tissue.

          Interferons are biologic response modifiers with antiviral and antitumor properties. They stimulate immune response to eradicate malignant growths. 

    Posted in Day-to-Day, NS 122 - Med/Surg, Semester II | Tagged: , , | Comments Off on Cancer Contemplations

    ECGs

    Posted by Laura on May 21, 2010

    I want to recommend a book on learning how to interpret EKGs. It is called Rapid Interpretation of EKG’s by Dr. Dale Dubin.

    It is a bright orange book  – you can’t miss it!  This book is set up the same way our Fluids and Electrolytes book is. This format makes it easy to understand and you get to check your understanding along the way.

    Click here for the ISBN #

    Posted in Day-to-Day, NS 122 - Med/Surg, Semester II | Comments Off on ECGs

    After a busy day on the floor

    Posted by Laura on May 20, 2010

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    Headers & Page numbers in APA

    Posted by Laura on May 16, 2010

    Does anyone else have this problem? I think I have it figured out for Word 2007, so I wanted to share it. When you must have your title flushed to the left, and your page number flushed to the right, this is how you do it so the type doesn’t move around. Select insert Header with the type flushed to left and type in your title. Then tab over to the far left and under the tab for ‘Page Number’ select ‘current position’ and then ‘Plain Number’.  You can follow the link below for more info on microsoft.com. New Office Link  You will have to add a different header to your  Title Page. On this page click on your header. Now select ‘Different First Page’ in your Options Tap. Type in your new header. Now all your pages should be numbered through, and you will have a different header on your title page compared to the rest of the pages.

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    Fluid & Electrolyte Notes on Heart Failure

    Posted by Laura on May 16, 2010

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    Tropics ♥

    Posted by Laura on May 15, 2010

     

    Greek Meanings

    •  Tropikos  – turning or influence

    • Dromos – a course

    • Inos – fiber

    • Chronos – time

     cardiac drugs         4×6 cardiac drugs

    Digoxin:

    •   + Inotropic reaction
    •    –  Chronotropic reaction 
    •    –  Dromotropic reaction.

    Posted in Day-to-Day, Drugs, NS 122 - Med/Surg, Semester II | Tagged: , , | Comments Off on Tropics ♥

    RN to BSN Programs

    Posted by Laura on May 15, 2010

    RN to BSN

    If you are interested in the RN to BSN program offered at Bakersfield, there will be a meeting this Monday.

    CSU, Bakersfield Department of Nursing representatives from the main campus and the CSUB-AV Center will provide information about the program and its requirements.

    Date: Monday, May 17, 2010

    Time:   3:30pm – 5:00pm

    Place:   CSUB-AV Room #117

    RSVP:   661-722-6300 x 6340

                or jeaton@avc.edu

    If you choose to email, please provide your name, AVC ID# and a phone number where you can be reached.

    http://www.csub.edu/nursing/rnbsnAVCAdvising.shtml  This link will get you to more information of their one-year on-line program.

    Dominguez Hills School of Nursing also has a program you can find information on this program at http://www.csudh.edu/cps/son/ and more here http://www.csudh.edu/bsn/

    Posted in Day-to-Day | 1 Comment »

    Oncology Drugs

    Posted by Laura on May 14, 2010

    mod 10 drugs sheet

    4×6 cancer drugs

    Posted in Day-to-Day, Drugs, NS 122 - Med/Surg, Semester II | Comments Off on Oncology Drugs

    Week 6 & 7 Reading Cards

    Posted by Laura on May 14, 2010

    Week 6 Reading

    Week 7 Reading

    Posted in Day-to-Day, NS 122 - Med/Surg, Reading Schedule, Semester II | Comments Off on Week 6 & 7 Reading Cards