Student Nurse Laura

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

Archive for October, 2010

Hepatitis

Posted by Laura on October 31, 2010

Hepatitis

Hepatitis

Hepatitis A Virus: HAV is spread by the fecal-oral route & from person-person by ingestion of contaminated food or water and rarely by blood transfusion. Most common form of hepatitis in children. (infected stool can be present on doorknobs or diapers) Can be so mild, many are unaware they have the illness. Typically a short lived virus and does NOT cause chronic liver disease. 

 

Hepatitis B Virus: HBV is spread by blood or body fluids. Also called serum hepatitis. Important because HBV infections that occur in childhood can lead to fatal consequences. 

  • Up to 90% of infants infected prenatally from HBV-infected mothers.
  • 25-50% infected children before age 5 yrs old.
  • Vaccine should be given in the “vastus lateralis” muscle (infants) deltoid (toddlers & children)

 

Hepatitis C Virus: HCV is spread by direct contact with infected person’s blood. Can lead to chronic liver disease and is leading reason for liver transplant in US. 

  • Blood transfusions
  • From mother to newborn.

 

Signs and Symptoms

Hepatitis, in its early stages, may cause flu-like symptoms, including: 

  • malaise (a general ill feeling)
  • fever
  • muscle aches
  • loss of appetite
  • nausea
  • vomiting
  • diarrhea
  • jaundice (a yellowing of the skin and whites of the eyes)

 

If hepatitis progresses, its symptoms begin to point to the liver as the source of illness. Chemicals normally secreted by the liver begin to build up in the blood, which causes: 

  • jaundice
  • foul breath
  • a bitter taste in the mouth
  • dark or “tea-colored” urine
  • white, light, or “clay-colored” stools

 

There can also be abdominal pain, which may be centered below the right ribs (over a tender, swollen liver) or below the left ribs (over a tender spleen).

Vaccines

A hepatitis A vaccine is available to kids 12 months and older. In the past, the vaccine was only recommended to those at high risk for the disease (such as those who lived in or traveled to locations with high rates of HAV), but now the vaccine is available to anyone who desires immunity to hepatitis A. There’s also a hepatitis B vaccine, which should be given to both children and adults as part of routine immunization. Unfortunately, there’s no vaccine for hepatitis C — animal studies indicate that it may not be possible because the virus doesn’t cause the kind of response that would be needed for a vaccine to be successful.

more can be found at: Kidshealth.org

Posted in Day-to-Day, NS 231 - Peds, Semester III | Comments Off on Hepatitis

Medication Administration

Posted by Laura on October 29, 2010

Posted in NS 231 - Peds, Semester III | Comments Off on Medication Administration

Week 3 Reading

Posted by Laura on October 27, 2010

Week 3 Reading 231

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Recommended Immunizations

Posted by Laura on October 26, 2010

More can be found at the CDC link. Since we are currently on Birth to Toddler, I thought I would post this one. This one is cute for parents. Get the pdf here

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Week 2 Reading

Posted by Laura on October 22, 2010

Week 2 Reading 231

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Pain Scale in English and Spanish

Posted by Laura on October 19, 2010

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Dose Equivalence of commonly used Steroids

Posted by Laura on October 17, 2010

4 x 6 card of:

Dose Equivalence of Commonly used Steroids

&

Body Surface Area Nomogram and Equation

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CNSA Convention

Posted by Laura on October 17, 2010

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Mental Health Medications

Posted by Laura on October 14, 2010

As I am leaving Psych, I keep running across good sites and information I want to share.

HERE is a pdf on Mental Health Medications we have studied. This is provided by the National Institute on Mental Health and is available at the web site listed under my Links / Psych.

Posted in Drugs, NS 232 - Psych, Ger, CH, Semester III | 3 Comments »

Narcotic Withdrawal

Posted by Laura on October 14, 2010

Narcotic Withdrawal

(6-12 hrs after last dose, peak 2-3 days

subsides gradually over 7-10 days)

 

  • Anxiety
  • Irritability
  • Craving for the drug
  • Increased respiratory rate (rapid breathing)
  • Yawning
  • Runny nose
  • Salivation
  • Gooseflesh
  • Nasal stuffiness
  • Muscle aches
  • Nausea or vomiting
  • Abdominal cramping
  • Diarrhea
  • Sweating
  • Confusion
  • Enlarged pupils
  • Tremors
  • Lack of appetite

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Narcotic Withdrawal

Alcohol Withdrawal

Posted by Laura on October 13, 2010

Alcohol Withdrawal

(4-12 hours)

  • Coarse tremors of the hands (also tongue/eyelids)
  • N & V
  • Weakness and/or malaise
  • ↑ HR
  • ↑ BP
  • Sweating
  • Anxiety
  • Depressed mood
  • Irritability
  • Transient hallucinations
  • H/A
  • Insomnia

 

Progression to Alcohol Withdrawal Delirium

(2nd – 3rd day)

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Top Hat Making

Posted by Laura on October 12, 2010

This slideshow requires JavaScript.

 

Top Hat for CNSA – featuring Student Nurse Flo

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Personality Disorders Chart

Posted by Laura on October 12, 2010

Personality Disorders Chart pdf

Posted in NS 232 - Psych, Ger, CH, Semester III | 2 Comments »

Personality Disorders

Posted by Laura on October 9, 2010

clusters personality do

by Brandi W.

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Personality Disorders

Week 1 Reading – NS231

Posted by Laura on October 9, 2010

Week 1 Reading 231

Posted in NS 231 - Peds, Reading Schedule 231, Semester III | Comments Off on Week 1 Reading – NS231

CNSA Convention Badges

Posted by Laura on October 5, 2010

Having a hard time studying for this next exam! So I made badges to wear at the convention.

Side note: I use to have a resizer for images on my other windows xp system. When I installed windows 7, I no longer had that wonderful right click capability. Well – I found one to do it again! Yea! So I am using ImageResizer and am happy again. Totally recommend it!

Okay….. 1 more hr studying…..:[

Posted in Day-to-Day, NSNA - CNSA - ANA/C | Tagged: , | 2 Comments »

Terms – Mod 7

Posted by Laura on October 5, 2010

From Townsend, glossary

Cognition

  • mental operations relating to logic, intellect, language, awareness, memory and reasoning powers.

Delirium

  • a state of mental confusion and excitement characterized by disorientation for time and place, often with hallucinations, incoherent speech, and a continual state of aimless physical activity.

Dementia

  • global impairment of cognitive functioning that is progressive and interferes with social and occupational abilities.

Confabulation

Catastrophic Reactions

  • Disorganized behavior due to a severe shock or threatening situation with which the person cannot cope.

Confusion

  • Impaired orientation with respect to time, place, or person; a disturbed mental state.

Gerontology

  • study of the aging process

Geriatrics

  • branch of clinical medicine specializing in problems of the elderly

Geropsychiatry

  • branch of clinical medicine specializing in the psychopathology of the elderly population. What is elderly? 65-74

Sundowning

  • a phenomenon in dementia in which symptoms seem to worsen in the late afternoon and evening.

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Terms – Mod 7

Alogia

Posted by Laura on October 5, 2010

From Wikipedia:

In psychology, alogia (Greek α-, “without”, and λόγος, “speech”[1]), or poverty of speech, is a general lack of additional, unprompted content seen in normal speech. As a symptom, it is commonly seen in patients suffering from schizophrenia, and is considered as a negative symptom. It can complicate psychotherapy severely because of the considerable difficulty in holding a fluent conversation.

People can revert to alogia as a way of reverse psychology, or avoiding questions.

– I love this example!

Example of alogia
Alogia Normal speech
Q: Do you have any children?
A: Yes.
Q: How many?
A: Two.
Q: How old are they?
A: Six and sixteen.
Q: Are they boys or girls?
A: One of each.
Q: Who is the sixteen year old?
A: The boy.
Q: What is his name?
A: Edmond.
Q: And the girl’s?
A: Alice.
Q: Do you have any children?
A: Yes, a boy and a girl.
Q: How old are they?
A: Edmond is sixteen and Alice is six.

Posted in NS 232 - Psych, Ger, CH, Semester III | Tagged: , | Comments Off on Alogia

Personality Disorders

Posted by Laura on October 5, 2010

some nice charts on personality disorders here

(Histrio – from latin = actor)

Kathi’s Mental Health Review

GENDER BIASES IN DIAGNOSIS
Ford & Widiger -Provided clinical descriptions of clear (DSM criteria) cases of:    Antisocial; Histrionic
-Half of each set described the person as male, the other half as female
PERSONALITY DISORDERS
Prevalence Gender
Cluster A
Paranoid
Schizoid
Schizotypal
2%
<1%
4%
More males
More males
More males
Cluster B
Antisocial
Borderline
Histrionic
Narcissistic
3% males; <1% females
2.5%
2%
<1%
Far more males
Far more females
Equal
More males
Cluster C
Avoidant
Dependent
Obsessive/
compulsive
<1%
2%
4%
Equal
Equal
More males

Posted in NS 232 - Psych, Ger, CH, Semester III | Comments Off on Personality Disorders

Updated the S & S

Posted by Laura on October 3, 2010

10/03/10

added:

Hypertensive Crisis, Cholinergic Crisis, Dopaminergic Medications, Agranulocytosis, & Alcohol Withdrawal

Posted in Day-to-Day | Comments Off on Updated the S & S