Posts

Who Knows About Drugs?

Who knows about drugs? Interestingly enough, not many people! I informally surveyed ten people, which included family members, friends, and classmates. The people who knew the most: moms. The least: classmates from other disciplines. This piece of knowledge seems intuitive given the fact that moms typically have a greater understanding with medication administration given their age and experience with raising children. Moreover, most college students are relatively healthy and only consume tylenol, aspirin, or various cold remedies when needed. My questions for each person were as follows: Do you know what acetaminophen is? Do you know the generic name of Tylenol? What is the difference between Ibuprofen, Motrin, and Advil? Do you know what a NSAID is? Do you ever consume cold/flu remedies and can you list any side effects associated with them? Are you aware of safe doses or even maximum doses of Tylenol or any other drugs? Are you familiar with any homeopathic remedies and if so, for what purpose(s) do you utilize them? Do you take any medications daily and if so, do you know the dose, side effects, and indication(s) of the drug(s)? Do you always finish taking your antibiotics in full?

Eight out of ten people did not know what acetaminophen is and similarly, only two people could tell me the generic name of Tylenol. Nobody knew the difference between Ibuprofen, Motrin, and Advil. Only three people claimed they have only heard of the word “NSAID;” nobody knew the meaning and that it was an acronym. With cold remedies, some claimed they have briefly read the side effects but admitted to only focusing on the front of the box, which lists the indications for using the drug; they then follow the directions for how frequently they can consume the drug. Four moms knew that the maximum dose for tylenol was 4 grams/day! Likewise, about half of the people I interviewed said they prefer to use homeopathic remedies mostly for stress, sleep aids, ADHD, and energy. The people that consume daily medications knew the basic reason for taking it such as “for my high blood pressure,” “for my heart,” and “for my anxiety and/or pain.” They were not aware of particular side effects but instead claimed they “feel fine” consuming these medications, but if something changed, would contact their medical provider. Only half of those who consume medications daily were aware of the actual dose. Many people admitted that they stop taking their antibiotics once they feel better so they can “save them for the next time they do not feel well and experience the same symptoms.”

I found that people were more aware of the names of illicit drugs rather than OTC drugs. When I originally asked them about “drugs” they immediately said, “do you mean heroin, Adderall, marijuana, speed and Vicodin?” But instead of just asking them questions, I printed out the questions for each person, folded the paper in half, and answered the questions for them to reference. Education is a priority in the nursing profession. If I was not at their house for the interview, I encouraged each of them to go home and look at the medication(s) they consume or the ones sitting in their medicine cabinet. I asked them to look at the daily dose, maximum dose, indication for use, side effects, expiration date, and generic versus trade name. Additionally I asked them to share the information I provided for them with at least one other person. Education is the key to awareness and as nurses, we need to expand the knowledge of others! 

Week 7 Hw

Since I worked today and work was probably going to be the most exposure to people that I was going to have, I decided to question co-workers; I asked a total of three co-workers.

Co-worker One: She is taking Accutane for acne. When asked what she knew about her medication she informed me that is it is for acne, she needs to stay out of the sun, she always needs to wear sunscreen, and she is on birth control because the medication can cause severe birth defects if she gets pregnant.

Co-worker two: She is taking Aspirin and blood pressure medications. When asked about what she knew about the Aspirin, she stated that she is taking it because of the stroke heart attack she had last year and the side effect she stated was bleeding.

Co-worker three: He uses the Nicoderm patch. When asked what he knew about the Nicoderm patch, he stated that he is using it to help him stop smoking, he cleans the area before putting it on or else “it won’t stick”, he changes a new patch every morning, and he applies them in a sequential order on his arms. With respect to side effects, all he stated was that he can become addicted to the patch.

In response to my co-workers’ answer I used my medication app and I just told them some basic information regarding their medications. Two of my co-workers seemed to really appreciate me educating them a little and the other didn’t seem very interested Pills

Protected: The white pill or… the green pill?

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Countdown to the Nursing Pinning Ceremony

65 days left……

…Keep breathing…

Protected: Adrenal Crisis!!!

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Diabetes Insipidus

Once upon a time there was a 40-year-old Caucasian homeless male who had signs of dehydration including dry skin, dry mucous membranes, confusion, sunken eyes, and muscle weakness with BP 80/65, T 99.4F, HR 120, RR 22, SpO2 97%, Na 152, absence of pain, and complaints of dizziness and unquenchable thirst and was leaving a trail of urine all over town. The nurse assesses the patient and determines he has diabetes insipidus and begins to administer vasopressin and monitor hydration and electrolyte status, strict I&O’s per doctor’s orders. As a result of the actions the patient was discharged seaside to Ventura with his friends after BP 125/82, T 98.6F, HR 82, RR 20, SpO2 99%, Na 144, absence of pain and no complaints.

Team: Jenna, Nikki, Jennifer, and Allie

Jenna Fordis 2015-02-28 00:22:01

Protected: Pod 3

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Heart healthy or hype?

Heart Health or Hype? Exploring the effect of diet trends on cardiovascular disease

This article looks at diet trends for cardiovascular health, mainly foods that are supposedly “especially good for the heart,” and find out whether they are heart healthy or hyped. I already knew that omega-3 fatty acids were heart healthy, but was surprised to hear about how the others affected cardiovascular health.

Cranberries – Heart healthy! Cranberries are rich in flavonoids which help reduce the oxidation of LDLs (bad one) which usually make up atherosclerotic plaques. They also help improve lipid profiles by increasing HDL and lowering LDL levels in the blood. Only a small amount is needed to get their good effects, so an occasional cranberry snack is good enough to be cardioprotective! Just make sure to get the fresh version.

Dark chocolate and cocoa – Heart healthy! Chocolate has a lot of catechins (which are flavanoid compounds) and procyanidins (another type of flavonoid). Like the same mechanism as mentioned above, they reduce the oxidation of LDLs and accumulation of plaque. Good to note though: you can’t just gorge on chocolate on top of your normal diet! If adding chocolate, there needs to be an elimination of an equivalent source of calories and maintenance of proper nutrition. Like the commercials say: EAT DARK CHOCOLATE! (part of a balanced, nutritional diet—shows a million vegetables and fruits)

Milk – Heart healthy! Although dairy contains CVD promoting fat and cholesterol, higher milk intake decreased incidence of diabetes mellitus, insulin resistance, and weight gain (especially abdominal fat). Dairy foods regulate energy metabolism and have antihypertensive effects (peptides from lactic acid bacteria in milk inhibits ACE enzymes and endothelin release). Low fat, skim milk, and yogurt are good options for people who want to increase dairy consumption.

Omega-3 fatty acids – Heart healthy! Omega-3 fatty caids have antiatherogenic, antithrombotic, and antiarrhythmic effects – all contribute to prevention of cardiovascular disease.

Diet plays a huge role in cardiovascular health, and some foods do have more benefits than others. It’s important to remember that food alone cannot prevent heart disease but it does have the power to heal. Regular exercise on top of a balanced diet with some of these heart healthy foods can help maintain a healthy heart.