Greg

Gastro-Esophageal Reflux Disease  (GERD) Case

I know it has been a while since I last posted an ICU case but today I have an exciting one about GERD. I am sure most of you already know what Gastro Esophageal […]

There are several ugly things that once you see them, you pray to never see anything like it ever. Some things are so “disturbing” to look at that you might find yourself having nightmares about them. Recently, I happened to take care of a patient who had herpes related to HIV disease. This patient had […]

Newborn infants may sometimes need a urinary catheter and as sensitive as it may sound, you might need to insert a urinary catheter to an newborn. Infants with an indwelling catheter shall have catheter care performed daily by licensed nursing personnel. Purpose 1.     To obtain a urine specimen for diagnostics purposes. 2.     To relieve urinary […]

Urinary Catheterization in a Newborn Newborn infants may sometimes need a urinary catheter and as sensitive as it may sound, you might need to insert a urinary catheter to an newborn. Infants with an indwelling catheter shall have catheter care performed daily by licensed nursing personnel. Purpose 1.     To obtain a urine specimen for diagnostics purposes. […]

How to conceive a baby girl   Millions of parents from all over the world wishes they had a chance to control the gender of their baby before conception in order to balance their families. Millions more have conceived baby genders they never wanted and continue to live with a wish for a baby girl. […]

A TRACHEOSTOMY is an opening in the anterior wall of the trachea inferior to the cricoid process. Made surgically or percutaneously, it provides tracheal access for airway management via a temporary or permanent […]

Reusable inner cannulas require careful cleaning.   1.      Perform hand hygiene with soap and water for 15 seconds. 2.       Don a face shield and sterile gloves, and maintain aseptic technique during the procedure. 3.      Unlock (by pressing the flanges) and remove the inner cannula and place it in a solution of equal parts hydrogen peroxide and 0.9% […]

Team Roles and Dynamics     Roles Team Leader – organizes the group, monitors individual performance of team members, models excellent team behavior, trains and coaches, facilitates understanding and focuses on comprehensive patient care.   Team Member – must be proficient to perform skills within their scope of practice. They are clear about their role assignment, prepared to fulfill the role […]

Today I took care of a patient with angioedema as a result of allergic reaction to ace inhibitors. You have not seen anything like this yet as it is very scary. The first staff to see this patient almost ran away yet the patient needed immediate help The patient walked to ER with his tongue swollen so […]

Pregnancy causes many changes in your body, and you might notice some of them very soon after you become pregnant. Signs of pregnancy are:   You may have some bloody spotting several days after conception, when the embryo attaches to the wall of your uterus. This is called implantation bleeding. You may also have some cramping at this time. […]

What is gestational age? Gestational age is the age of an unborn baby, or fetus in the uterus. It is measured in weeks and days and is based on the date of your last menstrual period. Your healthcare provider will talk about your pregnancy in terms of weeks, not months. There are 3 stages of each pregnancy, […]

Body mass index (BMI) is a calculation that evaluates the ratio of your weight to height to determine if you are at a healthy body weight.  BMI is often used to predict a person’s risk of diseases associated with obesity, including diabetes, high blood pressure, heart disease and other conditions.  A BMI of 18.5 to […]

What is Cocaine Addiction & dependence?
Dependence on cocaine means that you have a strong emotional, psychological, and physical need to take the drug. You might take more of the drug over longer periods […]

What is sexual addiction? Sexual addiction is a pattern of sexual behaviors acted out even though it is harmful to self or others.  How does sexual addiction occur? The exact cause of sexual addiction is not known. Experts think it may be caused by physical differences in the brain or nervous system. It might also be related to things […]

Barriers to a Diagnosis: Even when people with alcoholism experience withdrawal symptoms, they nearly always deny the problem, leaving it up to coworkers, friends, or relatives to recognize the symptoms and to take the first steps toward encouraging treatment. Denial, in fact, may be an important warning signal for alcoholism.   Family members cannot always rely on a […]

Nail Psoriasis

Psoriasis can affect the nails in up to 50 percent of patients, and this number can be higher if psoriatic arthritis is present. Some people might have only nail psoriasis with no […]

Scalp Psoriasis  The scalp is one of the most common and persistent areas affected by psoriasis (occurring in about 50 percent of all patients) and can be one of the most difficult places to treat. The scales on the scalp can be thick and silvery-white, and can stick together tightly to form dense crusts that can […]

Plaque Type Psoriasis  The most common form of psoriasis is known as plaque-type psoriasis (or psoriasis vulgaris). As previously explained, the term “plaque” is used to describe a raised area of skin that is greater than 1 cm in diameter. By definition, many of the areas affected are greater than 1.0 cm in diameter, although smaller […]

ICU and other critical care areas requires critical charting where every dimension of care and safety is fully and well documented. As a critical care nurse, I always start my note with the first thing that happened right at report. Since my title is about how to start an ICU nursing note, I will document […]

Q. Does this sound like hydrocephalus to anyone? I have a bulge in the lower rear of my skull, it feels like a bone. I have constant headaches in that spot, leg pains, some earaches, leg pains, my neuro doc first said it was hydrocephalus, now its Chiari Malformation, which is it? I’m going to the […]