Katers*

Hey there, If you go to Notes on ICU Nursing and click on Arryhthmia Review, there is a really good, detailed attachment on all the different arrhythmia's. Hope this helps.

I was taught to administer any and all medications that have been ordered IM using the z-track technique.

ER!! :nuke:

I found this procedure outline online... hopefully it helps! - Check Dr.'s order/MAR for frequency - Draw up 2cc saline (or use a pre-filled syringe) - Check patient's armband/ID - Check site for: swelling, redness, pain, temperature - Note: gloves do not have to be worn unless there is potential for blood contact - Connect syringe to adaptor - Aspirate back gently (if you get blood return, then try to inject the saline gently. If it flows easily, continue. Make sure to watch the site for swelling and assess for any pain) - If you meet resistance, stop and reassess. It is recommended that you reposition arm and gently manipulate site before attempting to aspirate again. If you get blood return when attempting to aspirate a second time, then continue with the procedure. If there is still no blood return, attempt to inject the saline. BUT, do not try to push against resistance. If you meet any resistance, you'll likely have to restart the site. - It is important not to give any IV meds though a saline lock without checking the patency first - Patency should be checked at least once a shift For more information: http://74.125.45.132/searchq=cache:QkfgG17aplIJ:www.western.cc.ok.us/nursing/NURS%25201129/powerpoints/peds%2520pwrpoints/IV%2520Therapy,%2520IVPB,%2520IVP.ppt+saline+lock+flush&hl=en&ct=clnk&cd=6&gl=ca

From what I've learned in nursing school, childhood vaccinations are safe. However, this is definitely a controversial topic and it seems like there are a lot of myths out there about the safety of childhood vaccinations. See this link for some examples: http://www.gov.ns.ca/ohp/ocmoh/immunization_myths_facts.pdf It seems like one of the biggest concerns that parents have is that their child will develop autism as a result of the MMR vaccine. From my understanding, this controversy originated in 1998 after a British medical journal published a link between the vaccine and autism. The media got ahold of this story and parents started to become concerned. In Britain vaccination rates dropped from 95% to 75%. As a result of this, there have been outbreaks of all three diseases. The findings of the study were later retracted and the study has sincebeen widely discredited. I think it is important to note that to date, there is no scientific evidence that proves that a connection between the vaccine and autism exists. However, many still have their doubts and you hear about this controversy everywhere (i.e. online, the media, and now celebrities like Jenny McCarthy are speaking out about this issue too). I think some really important points to consider are that: - There is a lot of speculation about the potential link between vaccines and autism, but not enough attention on the fact that diseases like measles can be fatal for children who are not immunized - Delaying or withholding vaccines only increases the time during which children are at unnecessary risk for severe and occasionally fatal infections. http://dalnews.dal.ca/2008/10/31/autism.html As a health care professional, I do not think it is right to tell patients that they 'should not' have their child vaccinated without providing any additional information. Instead, I think it is important to give honest, unedited information which includes a discussion about the potential risks/benefits. Parents need this information in order to make an informed decision.

I came across this "chest pain" mneumonic while working on an assignment and thought I'd share... C - commenced when? H - history/risk factors E - extra symptoms (i.e. anxiety, diaphoresis, SOB, etc) S - stays/radiates T - timing (how long does the pain last? continuous or intermittent?) P - place (where is the pain?) A - alleviates (what makes the pain better?) I - intensity (rate from 0 to 10) N - nature (sharp, stabbing, crushing, dull, etc)