8/13 this week, I've learned the connection between AN desktop, insurance, and HR

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by ixchel ixchel Member Nurse

Specializes in critical care.

You are reading page 2 of 8/13 this week, I've learned the connection between AN desktop, insurance, and HR. If you want to start from the beginning Go to First Page.

Cricket183

Cricket183, BSN, RN

Specializes in Oncology (OCN). Has 19 years experience. 1 Article; 236 Posts

Hugs, Cricket. I was thinking of you the other day, actually, because I had a patient with a weird fall and we were ruling TPF out.

I hope for their sake, it was ruled out!

WKShadowNP, DNP, APRN

Specializes in Hospital medicine; NP precepting; staff education. Has 21 years experience. 1 Article; 2,077 Posts

Yes, ma'am, it was. But her patella was cracked.

Meeshie

Meeshie

304 Posts

1. I learned that I lack patience in the job hunting department. I've never needed patience before. However, as a new grad with a shiny RN license that is less than a month old living in an area with almost no internships, lots of new grads, and a lot of hospitals that won't hire new grads (sunny south florida)... I must learn some patience.

.. Or I could move. Moving is better than patience, yes? ;)

nutella

nutella, MSN, RN

1 Article; 1,509 Posts

I learned a lot about the relationship between acid reflux / GERD and vocal cord dysfunction.

My daughter had an episode of sudden shortness of breath not that long ago in which she felt her throat was closing up. Understandably, she got into a panic and tried hard to breath, which made it worse. She was not able to speak for a minute or so. Once it stopped and she was able to breath again, she felt her throat was 'swollen' and 'irritated' - her high pitch voice lasted for some hours. She had a cold with a hacking cough and had been taking some cough blocker but her throat was already irritated from coughing.

Initially I though she was choking since she came out of the kitchen with a inspiratory stridor and inability to breath. But after the 'event' and the way she described it, it sounded more like some form of a vocal cord dysfunction to me.

My daughter thought she was having an allergic reaction or asthma but I was not convinced. She also has been asking for tums lately but not complaining about acid reflux. She continued to have some of those 'events' and especially at night and today the ENT physician stuck a camera down her nose to look at her vocal cords and throat - sure enough right above the vocal cord it is very red and swollen.

The doctor is treating her acid reflux with medication and gave my daughter instructions about lifestyle changes (eating, not eating for 2 hours before bedtime). Also, she reiterated what we have been doing : Wenn a person with vocal cord dysfunction feels the vocal cords/throat 'closing up' it is important to stay calm and breath slowly through the nose. That can stop the "attack" so it does not lead to a full blown closing of the vocal cords.

I also found some information by a specialist who recommends to try breathing through a cut off straw when the vocal cords close down or to do a 'sniffing breathing' , which can end the 'event'.

Go figure - there seem to be quite some people who are misdiagnosed with asthma , exercise induced asthma, or other forms of respiratory illness when in fact they have vocal cord dysfunction. The reason I thought about it and bypassed the pediatrician was that I have worked in ENT years ago and the presentation of shortness of breath just did not end up with anything else. I was not aware that a teenager can have this problem related to acid reflux and my daughter has not complained much of acid reflux.

Here is a link that talks a little bit about vocal cord dysfunction:

https://my.clevelandclinic.org/ccf/media/Files/Head_Neck/head_neck_testimonial.pdf?la=en

Also, this article is interesting:

Paradoxical Vocal-Cord Dysfunction: Management in Athletes

Another interesting piece of information is related to nose piercings. Different countries handle the whole nose piercing and aftercare somewhat differently it seems. While in Europe the piercer gives a bottle with a disinfectant solution that contains alcohol and asks to clean the outside with a cotton bush, the piercer in the USA recommends a salt solution and to move the nose piercing by pushing against the plate/backing from the inside of the nose so it sticks out. The idea is to move it slightly so that the person who got the piercing can clean with a q-tip between skin and piercing. Also, nose piercings can sink into the skin when the inside of the nose gets swollen.

I found some interesting information about how to care for body piercings here:

Body Piercings: Cleaning and Healing | University Health Services

AspiringNurseMW

AspiringNurseMW

1 Article; 942 Posts

I am RARELY on here now that there is no App. I miss it, but I find being on the desktop version, whether on mobile or my computer to be so disappointing. I mean, seeing as to how school starts in 11 days it's better to NOT have something else to distract me, but still.

My daughter starts kindergarten in 9 days. I am not ready for this! And my stupid school district just changed kindergarten to half days, and orientation isn't until next week! So I have to figure out scheduling and busses in less than a week.

I am both excited to be entering my final year of my ADN program and terrified. And also disappointed that I didn't get to do half of what I wanted this summer.

I think I have made a connection at my local hospital. I went for an interview for a scholarship sponsored by my local chamber of commerce. One of the panel interviewers works for the hospital and was kind of recruiting me during my interview! Now to find that paper with her email to keep in touch. While I didn't get the scholarship (I didn't need it because I have 2 others) the networking was great.

Cricket183

Cricket183, BSN, RN

Specializes in Oncology (OCN). Has 19 years experience. 1 Article; 236 Posts

Update on previous post: EGD results-moderately severe gastritis throughout the body & antrum of the stomach. Three ulcers in the antrum, one with evidence of bleeding. H&H is slightly low but nothing to be concerned about. Biopsies taken. Go back Friday for results and then will treat accordingly (Abx if positive for H. Pylori, Carafate if negative.) Low acid diet & PPI for now.

aeris99

aeris99

490 Posts

Is there a new thread going or should I just post here? Not that I've learned too much lately but I do have a brief update.

NotAllWhoWandeRN, ASN, RN

Has 10 years experience. 791 Posts

Is there a new thread going or should I just post here? Not that I've learned too much lately but I do have a brief update.

Nothing new that I've seen yet.

LadyFree28, BSN, RN

Specializes in Pediatrics, Rehab, Trauma. Has 10 years experience. 8,427 Posts

Let's post away until a new one pops up!!! :up:

Cheyenne RN,BSHS

Specializes in Med Surg, ICU, Infection, Home Health, and LTC. Has 35 years experience. 285 Posts

Is AN even considering having a new app created? It seems that many posters were using it.

Farawyn

Has 25 years experience. 12,646 Posts

Hey all!

The app being gone is a huge loss, IMO. I think they said it was not cost effective. Since I actually pay for AN, this decision to stop the app will probably influence me on shelling out my hard earned dough again.

What have I learned? Hmmm... not much. It's been a mellow time off.

Hope you all are well! I've missed ya!

Lauraingalls, BSN, RN

Specializes in OB. Has 6 years experience. 169 Posts

I agree with those that are not visiting as much due to no app. It is definitely more slow here.

I learned that Nubain is the best medicine for a post csection patient who has severe itching but most docs just say to give Benadryl. The itching is t an allergic histamine response therefore Benadryl only sedated the patient therefore reducing the itching.