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Pharmkat's Latest Activity

  1. Depression caused by chemical imbalances can be treated by reducing the amount of (serotonin for example) reuptook by the synaptic bulb it was released from. This creates more availability (of serotonin) in the synaptic cleft to be used. This is one treatment rationale for the use of SSRI's to treat depression.
  2. Pharmkat

    Nurse killed in terrible accident.

    So very sad. Reminds us to live each day to the fullest. May she rest in peace.
  3. Pharmkat

    Purpose of Proton Pump Inhibitor in Colon CA

    One more assumption... PPI's and H2 blockers always confuse me. But in response to your question, I know that the stomach has a pretty narrow ph range at which it can absorb nutrients effectivey. Ulcers are a big concern, as well, like you said. :)
  4. Pharmkat

    Help!!! with studying for exam...

    I am in the same boat! I feel like when I go into an exam that I know what I am talking about... and then I get to the questions, and my approach or strategy is all wrong. It seems to me like the tests are written differently. For example: during the first three semester there was a little bit of a rhythm to the questions and answers. Like, if a question had a word in it or a phrase in it that was a little unfarmiliar, usually SOME knowledge would precipitate a correct answer. Now- it's like reading a foriegn language. Not only am I second guessing myself, due to the previous bad grades, but I feel like my rationale is quite shaky. Maybe my nerves are at play here and I am not aware of it? That's all I can think of, or possibly because the NCLEX has gotten harder and the teachers "want to prepare us for it". Right. You got me- thanks for posting. I don't even know if I have any hope of passing anymore... I have about a 63% ave. And I'm used to high B's.
  5. Pharmkat

    Can Addiction be "Cured"

    Hi there! In my experience with this topic, I feel that addiction is much related to wanting to control the feelings we have, to change them according to the way we want to feel. It seems like you asked yourself "Why am I doing this" (like when you mentioned that tonsil pain was gone, but you used anyway.) By the way, my drug of choice was ETOH, and although I suffered extreme health complications (no legals- thank God) I drank anyway. I was preoccupied with it 24-7 and enjoyed the feelings that you described using opiates. And those feelings are entirely real, wheather they came from the drug itself and it's direct effects or the feeling of control from being able to escape from what you are truly not wanting to feel. Sometimes to me, it was just that I'd rather not feel at all, then I could get out of myself and survive on that numbness and never get hurt. Trust me, this I understand. You have a family history of pain (abuse, addiction etc.) so yes, there is a good chance that your body was chemically set up to produce a high that may or may not be the same effects that others feel when taking certain drugs and drinking. Nonetheless, I think that if we are aware of these things and have been informed of certain predispositions, then we have a choice (like was stated in an earlier entry) as long as we are sober/ out of our addiction state (not using, or in a mental relapse or whatever). I personally had to do the 12 steps, make daily "gratitude lists" (even if they are just little notes to self in my head) and constantly remind myself to do the "next best right thing always". You'll be amazed how this takes the focus off of you and reminds you of how lucky you are to be you, which was something that I forgot during my addiction. The other thing I grabbed onto is something I read in one of the posts above... "once an addict, always an addict". It's true; I found other addictions, (although less destructive) that I engaged in. Saying this, I can guarantee that if I had allowed them to be, they could have become as destructive as my drinking was, and I luckily had the knowledge and the experience of my AA group (and God) to help me recognize them and halt them in their tracks. They say that our use is "but a symptom" of our disease, and I truly believe this. I heard one guy say at a meeting: "My problem is me, not the alcohol, I am addicted to self". I thought he was crazy at first, but it is entirely true. When I am focused on me and what I want constantly, or in a chronic state of the "poor me syndrome" I am unable to see the real issue. I am of little use to myself or anyone else. It's our way of self protecting, just like when we studied mental illness in school- (not that we are mentally ill) but we fall somewhere on that continuum of disease and when we are sober, we have the ability to beat it, or let it beat us. It sounds like you have taken a lot of positive steps in your recovery and are seeking out help, even by writing this post. Don't ever underestimate the power of God (higher power or whatever) and his ability to work through other people to help you. I believe addiction is a spiritual malidy, and a psychological state of ill health with physiological symptoms. So wheather of not that constitutes disease, I am grateful today that I can talk to others about my feelings, and that I have the choice to do the "next best right thing". Good luck to all who have come through this and chose to live life as well as those who still suffer.:)
  6. Pharmkat

    Case studies wanted for orthopedics

    I would appreciate these links also. I am going into ortho/ neuro clinicals next semester!!! Any tips???
  7. Pharmkat

    How can benzodiazepine do both?

    Think CNS depression for benzos, (anxiolytics, anticonvulsants and anti- seizure) Good question though- I think teachers need to teach more on classifications and why certain drugs are prescribed for certain conditions. With time, you'll see these drugs used in certain situations and you'll start to associate them with these conditions. A nursing pal just went through a convo like this with my clinical teacher. She had "administer librium" as a nursing intervention under cardiovascular system in her Nursing Care Plan- she was like "It lowers BP and prevents alcohol withdrawl!!! So since it lowers BP, it has to be under cardiovascular"!
  8. Pharmkat

    skills check-offs are killing me!

    I HATED skills class. Sounds alot like mine from a year ago. I finally ended up following around kids in my class and asking them if they wanted to practice sometime... this was actually the hardest part! I made friends, and even though I started off as the one who needed the MOST help (literally!!!!!) every one was super nice to me and were glad to feel better about themselves when they helped. I was sick this year a lot and had to miss a few classes (3rd semester advanced skills)... so I ended up making really good friends with the girls (MSN's hired by the college to run the labs for practice) and just stuck it out. They gave me tips about what the teachers were really looking for us to be able to do when presented with a situation, and about how the testing would be run. Good luck girl, and exhaust those resources!!!!! -I understand how frusterating it is- I feel your pain. Good luck to all.
  9. Pharmkat

    Ineffective Airway Clearance

    Impaired Spontaneous Ventilation????????
  10. Pharmkat


    Respiratory diagnoses are tricky... I have really tried this semester to get these straight. My clinical instructor says that when you pick the right one, she can tell that you really know your pathophysiology. :) How about Impaired Spontaneous Ventilation? Maybe daytonite has a r/t that would fit... how about r/t inefficient metabolic regulatory mechanisms secondary to diabetes? I didn't get that from NANDA- I just made it up- just so that's clear. (Our teacher made us do these ourselves for awhile and then check NANDA and use the actual phrases they use.) I can't wait to get to ICU!!! I'm just a 3rd semester- (med/ peds unit. :))
  11. Pharmkat

    LA Times: Loose reins on nurses in CA drug abuse program

    Hey everybody! This is a great one for ethics class... I know a little bit about addiction, and for starters, 59% is a huge chunk of nurses (let alone americans) to be addicted to anything. That graduation rate is just indicative of ambition of the people who got caught for using drugs at work. (Pretty average, across the board of professions). The stats say 1 in 4 of us is touched by someone either in our famliy or immediate circle of friends that suffers from a substance abuse problem. I think where the article is lacking is in the definition of addiction and the definition of abuse. People who are addicted(you can use "tolerance turned into dependence" if this makes more sense to you) have a very slim chance of recovery (10%), but it is entirely possible. Abusers, however have not become physiologically dependent and thus have a much better chance of recovery- they do not have the intense preoccupation and complusive actions that define someone who is addicted. Their behavior may be erratic, however. A bystander may not be able to differentiate the two. Addicts and abusers alike are put into these programs simply because abusers have a potential to become addicts. They all have the potential to arrest the problem and turn thier life around- we are taught not to judge them but to be supportive as nurses. As long as we keep this the focus, we can do our jobs. It's definately a disturbing thought though isn't it? Having our loved ones taken care of by an impaired nurse? One more thought- these so called addicts may be less obvious than we think. I knew a nurse addicted to benzodiazipines and she operated under the influence all of the time (we didn't know this). She finally got help and she acted SO OFF when she returned to work... we all thought she was using again! As it turns out, she actually had to re-train her mind and body to function OFF of the drugs because her body was dependent upon them for everything... even simple decision making!!! Pretty scary!!!
  12. Pharmkat

    Hypo/Hyperglycemia,in relation to BP

    Hypocaf- You are a genius!!!!! Thanks!
  13. Pharmkat

    Hypo/Hyperglycemia,in relation to BP

    Yeah, high BP is SO influenced by genes... how old was the patient? I have a question, too. Has anyone heard of LADA (late onset adult diabetes)? My doctors were looking into this for me b/c I was running high blood sugars for awhile and getting chronic yeast infections and thrush. (I was also getting little sleep at the time and stressed beyond belief.) After I started taking better care of myself, the sugars came down to ALMOST normal and I haven't had any more trouble with the infections. BUT they worried about this (LADA) b/c I have bad circulation in the extremities (genetic) :) and trouble with my pancreas. Any thoughts would be appreciated!
  14. Pharmkat

    Hypo/Hyperglycemia,in relation to BP

    Question for you all.... Is there any reason for you to think the patient might have an eating disorder? Vomiting= low blood sugar/ electrolytes = alkilosis (also, cold extremities/ poor perfusion) as well as elevated BP- both manifestations (hypoglycemia and high BP) could be complications of bulemia. Also, anxiety can precipitate an elevation in BP, an alkilosis (hyperventilation) and increase in metabolism= leads to lower blood sugar b/c of increased glucose consumption. What were her other vitals? Electrolytes? Was she on any drugs? You sparked my curiosity!!!!!
  15. "Pharmacology Success" saved me!!! Look into that whole series... good stuff.:)