Archive for April, 2018

When you decided to release your years of guilt, like an cutting your hair, you would feel lighter. I thought that was the case.

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Sickle Cell

A jolly 7 year old boy, of Arab descent, was brought to the Pedia Departmment for consultation. His mother verbalized that he was diagnosed to have sickle cell disease.

What is sickle cell disease? How does a nurse, wandering in an Arab soil, help patients or clients with sickle cells?

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Fractured Foot

As a floater in the Emergency Department today, I got a chance to care for patients with fractured limbs.

How did I, a nurse, manage a patient with fractured bones?

We got two teenagers with broken lower extremities following outdoor football games and an adult with fractured shoulder blade. I was assigned to the boy with comminuted fifth metatarsals, close type.

  • Obtain patient history prior to visit in the Emergency Department.
  • Assess the site for signs and symptoms of infection and edema.
  • Ask level of pain from patient.
  • Obtain result of x- ray from radiology department and confirm diagnosis with the doctor, or orthopedic surgeon.
  • Elevate site of fracture to prevent edema and other complications.
  • Place crepe bandage and splint as ordered.
  • Administer prescribed analgesics and other medicines.
  • Teach patient not to exert more force on affected area to prevent complications.
  • Prepare patient for possible surgery.

Because of the nature of our patient’s fractured left fifth metatarsal, we referred him to our orthopedic surgeon for further management.

That’s it for the fractured bones, nurses. I pray that all our patients with broken bones recover fast and well. Ciao!

Cardiopulmonary Resuscitation (CPR) is a basic skill that save lives and is required for nurses around the world. A nurse, beforehand, must acknowledge the different factors in giving CPR, especially age.

How will you give CPR to an adult a pediatric patient?

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Sepsis in Newborn

We have a case of 28 days old baby boy suspected for sepsis. He’s cradled by his mother, who verbalizes that her son has fever and difficulty of breathing and less urine output within 12hours. Clinical examination of the baby revealed temperature of 38.2° C, weight of 5.5kg, difficulty in breathing, bulging fontanelle, and infected umbilical area. Pediatrician’s initial diagnosis was sepsis.

What is sepsis? How can a nurse manage neonatal sepsis?

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I submitted 5ml of my blood to our laboratory and the result is overwhelming that I bowed my head and uttered a prayer.

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Pneumonia Nursing Diagnosis and Management

It’s been two days that I was shifted temporarily to Pediatrics Department, and patients came with almost the same complaints and symptoms at this time of the year. Seasonal flu, fever and abdominal pain are common reasons why parents send their youngs for consultation with the Pediatrician. But I will share to you the nursing diagnosis of pneumonia in children.

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