Monday, April 24, 2017

Why should you have more tomatoes on your diet


Tomatoes has many health benefits that can help maintain the wellness of a person. One serving of tomato-containing foods will have beneficial effect on your health.

Tomatoes contain vitamin A, vitamin C and vitamin K. Vitamin A helps to maintain good vision. Vitamin C aids in immune system and Vitamin K helps maintain the blood coagulation of the body by preventing excessive bleeding.   

Tomatoes contain antioxidants called lycopene. It is also rich in potassium which is usually found in bananas. Potassium aids in muscle function, especially in heart muscles.

For breastfeeding moms, when eaten, it should be cooked. It is known to increase the lycopene concentration into their breastmilk.

Other people doesn't like the taste of tomatoes for its sour-sweety taste. Try to cook for a better taste. But once you knew its beneficial effect in our body you need to love this fruit/vegie.
Fruit "slash" vegie since it has a debate if it is a fruit or a vegetable, nevertheless, it is very healthy to start your diet with tomato.

Have a fun and enjoyable meals with tomatoes!

Thursday, April 20, 2017

Hyponatremia, our Nursing Responsibilities


I had a patient with severe electrolyte imbalance. Hyponatremia is not as simple as it is. Close observations and monitoring should be done for patients with this case. We usually think, hyponatremia is easy to correct, yes, but not all. It is very fatal if not treated well. 

This may cause demyelination leading to paralysis of the patient due to rapid correction of hyponatremia. Demyelination is neurological disease caused by severe damage of the myelin sheath of nerve cells in the brainstem.

For a patient, Mr. X with these laboratory results:


One might think, is this patient still alive? yes he is, thank God, He was found unconscious on his car and now needs critical management. This laboratory results usually represents Acute Kidney Injury if not Chronic Kidney Injury/ESRD since no known history for this patient upon admission.

On nursing side, i will be focusing on hyponatremia. Yes, the patient has a lot of imbalances that needs to be corrected but i will emphasize more on nursing responsibilities for severe hyponatremia.

These includes:

1. Electrolytes monitoring every 3-4hours.

2. Gradual increase of sodium level of at least 14-16mmol/L within 48hours, is the target goal.

3. When starting continuous renal replacement therapy, strict monitoring and reporting of laboratory
    results should be done, since CRRT may cause rapid correction of electrolytes which is not good
    for the patient. CRRT may be done for 6-12hours on strict reassessment as ordered by the
    Physician.

4. Proper IVF along with the right amount of free water should be followed as ordered by the
    Physician to avoid rapid correction of sodium.

5. Level of consciousness should be strictly evaluated.

With proper management, gradually, patient has improved, electrolytes, BUN and creatinine were corrected. He has gained consciousness and was extubated.

;-)



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Operating Room Nurse

A bladder stone was removed from patient.
                           

One of the things i missed and loved in nursing career was working in Operating Room as OR nurse. As an Operating Room Nurse you are expected to be always on the go. It has always emergencies any time. Successful operations were the only thing we could pray for, in an event that serious complications may arise if no immediate intervention will be done.  

Harmonious team in OR vastly affect the work flow. As a nurse, nursing skills, knowledge and attitude is important in achieving a good work flow inside the theatre.

There were on calls during the night, calls even in the middle of the night. But it is a satisfying job once you were able to help a patient survive during emergencies.


Monday, April 10, 2017

A Heart-Touching Letter of a Patient's Daughter to the Nurse


Not in a day Nurses were usually appreciated. But a simple thank you will bring comfort to our exhausted hearts during toxic days. I would like to share a heartfelt letter written by a patient's daughter who loves his father so much towards my colleague.

It was written on a piece of paper and it says,



Good evening, Dear nurse. I am sorry I don't know your name, it is not like me to not know. I am not myself recently as my father is my life, and light and strength.

He is a very kind and funny man, if he was awake you would become friends. 
He would ask about your family, your life and wellbeing every day. 

Thank you for taking care of him. I will not forget every effort you made
the precious nurse with the glassess too. I trust you very much and I am grateful that you two are so kind and gentle with my father. 

When he wakes up, I will have you two meet him and laugh with him. 

Thank you for taking care of my soul. He is everything.

Love, Leena. 



Thank you also for appreciating the Nurses' efforts.



An inspiring story for Nurses. Share the love.
Credits to the two nurses, Leonil and Arlene.:)