Rx: Meridia

(ANTIOBESITY)
SIBUTRAMINE HCL
(ANTISIBU- ANTI SEBO :)
10 mg OD with or without food
Sideeffects:
...M igraine
E ar pain
R ash
I ncrease appetite
D yspepsia
I increase thirst
A norexia

Adverse effects: (Report to the doctor)
Seizure, ecchymosis and liver damage
Monitor LFT: ALT or SGPT (Hepatotoxic)

California Hospital bans hiring of Filipino Nurse

CALIFORNIA, United States—I love Filipino nurses.

Next to cheap garments at Wal-Mart and female impersonators, I’d have to put them on the top of the list as the Philippines’ leading export.

If the country had a team mascot, it would have to be the “Fighting Nurses.” (Notre Dame has the “Fighting Irish,” why not?)

So, of course, I’m alarmed by the news that a de facto ban against hiring Filipino nurses at the St. Luke’s Campus of Sutter Health’s California Pacific Medical Center (CPMC) appears to be policy in San Francisco.

No Filipinos, as blatant as that. Just like the old sign that the Filipino National Historical Society displays, the one from the 1920s that reads, “Positively No Filipinos Allowed.”

You can take that sign and stick it on the door at St. Luke’s, right now, says the California Nurses Association, the nurses union.

And now it wants to do something about it.

The union wants the San Francisco Human Rights Commission to investigate the hospital. But that’s just the opening shot. The union intends to file a class action grievance against Sutter and CPMC.

The union provided compelling evidence which included signed statements by former managers and current job stats to back up the claim that Filipinos are being unfairly discriminated at St. Luke’s.

From numbers provided by CPMC, the numbers don’t lie.

Before the take-over of the hospital in 2007 the Filipino RNs at St. Luke’s were 66 percent of the nursing population.

Between 2007 and 2008, just 48 percent of new hires were Filipino.

From February 2008, when the nurses union and the community organized to stop the closure of St. Luke’s, to the present, the percentage of new RN hires who were Filipino dropped dramatically to just 10 percent.

They didn’t all just give up their RN credentials and take jobs as Wal-Mart greeters.

Nato Green, the labor representative who works at St. Luke’s said it’s no coincidence. “I believe this reflects Sutter’s decision to use race to divide workers and stop collective bargaining activity,” Green told me. “Going from 66 percent to 10 percent (of new hires) is a fairly remarkable coincidence.”

It all comes after the union forced Sutter to keep St. Luke’s open. The nurses union expected some push back, but not this.

“CPMC and Sutter have chosen to retaliate by carrying out a punitive, illegal, and immoral campaign of discrimination,” said Zenei Cortz, the California Nurses Association president. “There is no excuse for racial or ethnic discrimination. A hospital should be a center of therapeutic healing for patients, not a model for bigotry.”

The union also produced affidavits signed under penalty of perjury. Ronald Rivera, a former nurse manager, who worked there from April 2006 to April 2010 when he resigned on good terms, provided his testimony.

“One day I spoke with Diana Karner (VP of nursing) on the phone about hiring new RNs,” he attested. “Diana said to me that we probably should not hire any more foreign graduate nurses. She explained that patients complain because ‘it is hard to understand them and be understood by them.’”

Another signed affidavit came from Ronald Villanueva, who actually was sitting in and overheard the conversation between Karner and Rivera. “I was shocked and I wondered if she knew I was a foreign graduate nurse,” he wrote.

A third declaration came from Chris Hanks, who was the Director of Critical Care from 2008 to 2009 and reported directly to Karner. Hanks was alarmed when told point blank “you are not to hire any Filipino nurses.” Hanks challenged Karner at their weekly meetings, until Karner told him, “The Filipinos are always related, or know each other, and that’s not good. You’re not to hire them.”

Karner the VP of nursing didn’t return my telephone call.

Kevin McCormack, of CPMC’s media relations said she was out of the office and unavailable. What did he think of a ban on hiring Filipino nurses? “That would be illegal,” he said. “You can’t ban hiring specific groups.”

He called it “ridiculous” and implied it was a stunt by CNA to fan the ongoing dispute with CPMC.

But the numbers don’t lie.

The Filipino nursing staff at St. Luke’s is shrinking and it isn’t by accident.

If you’re a Filipino nurse wanting to get to San Francisco, the climate is getting ugly.


http://globalnation.inquirer.net/viewpoints/viewpoints/view/20100822-288174/California-hospital-bans-hiring-of-Filipino-nurses

Highly Active Antiretroviral Therapy

HAART is the name given to aggressive treatment regimens used to suppress HIV viral replication and the progression of HIV disease. The regimen combines t 3 or more different drugs ...such as 2 nucleoside reverse transcriptase inhibitors (NRTIs) & a protease inhibitor (PI), two NRTIs and a non-nucleoside reverse transcriptase inhibitor (NNRTI)

Advisory - PRC Filing

TO ALL CONCERNED: In accordance with Board of
Nursing Resolution No. 2010-17 of July 27, 2010 - the NURSE LICENSURE
EXAMINATION for December 2010 has been "re-scheduled" from Dec. 12
& 13 to Dec. 19 & 20, 2010. The NEW DEADLINE FOR FILING OF
REPEATERS is now from Sept. 8 - 29, 2010. Regular examinees will follow
same schedule as set by PRC and is now on-going.

HERBAL MEDS

Chamomile

Uses: Chamomile is often used in the form of a tea as a sedative.

Reactions: Allergic reactions can occur, particularly in persons allergic to ragweed. Reported reactions include abdominal cramps, tongue thickness, tightness in the throat, swelling of the lips, throat and eyes, itching all over the body, hives, and blockage of the breathing passages. Close monitoring is recommended for patients who are taking medications to prevent blood clotting (anticoagulants) such as warfarin.

Echinacea

Uses: Largely because white blood cells in the laboratory can be stimulated to eat particles, Echinacea has been touted to be able to boost the body's ability to fight off infection.
Reactions: The most common side effect is an unpleasant taste. Echinacea can cause liver toxicity. It should be avoided in combination with other medications that can affect the liver (such as ketaconazole, leflunomide (Arava), methotrexate (Rheumatrex), isoniazide (Nizoral).

St. John's Wort

Uses: St. John's Wort is popularly used as an herbal treatment for depression, anxiety, and sleep disorders. It is technically known as Hypericum perforatum. C

Free Downloads - NCLEX RN

Hi everyone. I found this cool reviewers online and I want to share to you. Hope you will use this accordingly. Just bear with the sponsor adds through this they will generate income.

NCLEX-RN

***Note: Disclaimer: This files/softwares are gathered from the internet. No copyright infringement intended. Owners who claim to own this files/softwares may request to have this remove on my blog.

Benign Prostatic Hyperplasia

( As the age of man progresses, the prostate gland enlarges (Age 50=%50% - Age 75=75% will developed BPH)

S/S: FRIENDS
F requency of urination
R esidual urine volume >50mL
I rritability
E valuation thru urodynamic flow is decrease
N octuria
D iscomfort and hesitancy
S mall urinary stream

Addisons Disease

A utoimmune
D ecrease adrenal hormones
D ecrease fluids and sodium
I ncrease pigmentation... See More
S evere weakness
O ral intake of corticosteroids for life
N eed to increase salt and fluids (potato chips)

Highly Active Antiretroviral Therapy

HAART is the name given to aggressive treatment regimens used to suppress HIV viral replication and the progression of HIV disease. The regimen combines t 3 or more different drugs such as 2 nucleoside reverse transcriptase inhibitors (NRTIs) & a protease inhibitor (PI), two NRTIs and a non-nucleoside reverse transcriptase inhibitor (NNRTI)

SIDE EFFECTS: HAART
H eadache
A bdominal pain
A nemia
R ash
T even's Johnson Syndrome

OLANZIPINE

OLANZAPINE - is a medication that is used to treat schizophrenia and acute manic episodes associated with bipolar I disorder. Side effects seen with olanzapine include akathisia (an inability to sit still), constipation, dizziness, drowsiness, insomnia, dry mouth, orthostatic hypotension ♥ ♥ ♥

Nclex-RN notes

NCLEX-RN NOTES

NCLEX SAMPLER Compiled exam

Hey guys. I think it's time to share my NCLEX reviewers.. I am busy so keep on visiting my site to check up what is new here ok?

Here's the first.. Enjoy.. And Goodluck future USRN!

Compiled exam

California's new memo on NCLEX expiration

As of April 26, 2010, the California Board of Registered Nursing (BRN) no longer accepts applications that do not contain a valid U.S. Social Security Number (SSN). The California Nursing Practice Act provides for a unified examination and licensing application. Once an applicant passes the examination, a license is automatically issued. Under these circumstances, the BRN cannot accept applications for the examination and licensure, without a valid U.S. Social Security Number.

Prior to April 26, 2010, once an applicant passed the NCLEX-RN examination, the applicant was allowed a three-year time period to submit a valid SSN. After that time period had elapsed, the file was considered abandoned and the file was destroyed. Additionally, an applicant was also allowed to request an extension on the file Abandonment Date. This was done as a courtesy to the applicant. As of April 26, 2010, the BRN will no longer grant an extension on the file abandonment date.

An applicant, who has passed the NCLEX-RN exam and is affected by file abandonment and file destruction, still has the following options:

· Once the valid U.S. Social Security Number is obtained, the applicant may re-apply to the BRN. The applicant will not have to retest, because even though the file is abandoned and destroyed, the NCLEX-RN test result is still valid. Applicants do need to submit a new Application Fee Schedule for Examination; a transcript and the fingerprint card. When the Board receives all the requirements (a new application; transcript from school; the fingerprint clearance and a valid U.S. SSN) we needed; the CA RN license will be issued.

· An applicant may request that the California NCLEX-RN test result (NCLEX-RN CANDIDATE REPORT with your picture) be provided to any U.S. jurisdiction; if the applicant wishes to apply to a jurisdiction that does not require the SSN for licensure (There is a $10 fee that must be included with a test result (NCLEX-RN CANDIDATE REPORT with your picture) request). The applicant must contact other U.S. jurisdictions to inquire as to each jurisdiction’s licensure requirements. For a list of U.S. jurisdictions, please visit the National Council of State Boards of Nursing (NCSBN) official Web site.

· To assist an applicant who is requesting a VisaScreen® certificate from the International Commission on Healthcare Professions (ICHP), the BRN will certify the applicant’s California NCLEX-RN test results (there is a $60 fee that must be included with the certification request). Information related to the VisaScreen® certificate requirements may be found on the International Commission on Healthcare Professions official Web site

SOMA

SOMA (CARISOPRODOL)
for muscle pain and spasm :)

S keletaL muscle relaxant
O ral intake with a full glass of water
M edications that causes CNS down must be avoided
A void drinking alcohol

AORTIC DISSECTION

AORTIC DISSECTION
Aortic dissection is a potentially life-threatening condition in which there is bleeding into and along the wall of the aorta, the major artery leaving the heart.

HFQ CONCEPTS
A - frican American
A - therosclerosis
A - n increase of BP
A - rteritis and syphillis
A - ortic repair and
A - ntihypertensive are the management
A - rroyo is a risk person

CRETINISM

CRETINISM-CONGENITAL HYPOTHYROIDISM
C - onstipation
R - est and sleeps a lot
E - dematous face
T - ongue and belly enlargement
I - nfertility
N - o or stunted growth
I - ncreasing jaundice
S - hort stature
M - ental retardation (DOC:SYNTHROID)

FOSCARNET

FOSCARNET (foscaVIR IV ) - Foscarnet is used to treat the symptoms of cytomegalovirus (CMV) infection of the eyes in patients with AIDS. Foscarnet will not cure this eye infection, but it may help to control worsening of the symptoms. It is also used to treat herpes simplex virus (HSV) infections of the skin and mucous membranes ♥ ♥ ♥

NITROPRUSSIDE

NITROPRUSSIDE (HFQ)

1. Indicated for patients with hypertensive crisis
2. Also for patients with CHF
3. Dilution: 50 mg of NITROPRESS must be further diluted in 250-1000 mL of sterile 5% dextrose injection.
4 . The diluted solution should be protected from light, using the supplied opaque sleeve, aluminum foil, or other opaque material ♥ ♥ ♥

SINUSITIS

SINUSITIS
Sinusitis is a condition consisting of inflammation of the paranasal sinuses, which may or may not be as a result of infection, from bacterial, fungal, viral, allergic or autoimmune

HFQ: DIET FOR SINUSITIS
Patients should take a balanced diet. Most persons with sinus trouble also suffer from acidity. Their diet should, therefore; veer to the alkaline side. The intake of salt should be reduced to the minimum as salt leads to accumulation of water in the tissues and expels calcium from the body.

In the acute stage of the disease, when fever is pre¬sent, the patient should abstain from all solid foods and only drink fresh fruit and vegetable juices diluted with water in the proportion of 50:50. After the fever subsides, he may adopt a low-calorie raw fruit and vegetable diet with plenty of raw juices.

After the acute symptoms are over, the patient may gradually embark upon a well-balanced diet of three basic food groups, namely seeds, nuts and grains; vegetables and fruits. In persistent chronic conditions, repeated short juice fasts may be undertaken for a week or so at intervals of two months.

Phlegm, Phlegm and more Phlegm

Just a precaution guys..

It's flu season again, people: people are hacking and coughing everywhere we go. We all have a friend or coworker who's sick. So what do YOU do?

There's no cure for most of the bugs that are going around, so it's important to keep from catching 'em. Don't inhale other people's sneezes. Don't kiss folks who are ill. But most important, wash your hands frequently, especially before eating. Most people pick up germs with their hands, and then touch their mouth, nose, or eyes: instant infection. When you touch your face before washing your hands, it's like licking every doorknob you've touched since you last washed.

Yuch.

Many viral syndromes start with a sore throat or cold symptoms, often followed by a cough. It's not technically "flu," or influenza. True influenza is caused by influenza viruses. Certain drugs will make it less severe or may prevent your getting it. However, doctors see so many viral infections that aren't influenza that true influenza may be hard to spot.

Smokers have more trouble than non-smokers, since their lungs have lost their natural cleaning capabilities. Normal lungs are lined with tiny hair cells that sweep up the watery mucus layer inside your bronchial tree. This is how lungs clean out the dirt, air pollution, dust, and germs you breathe. One minute of cigarette smoke will paralyze your lungs for 24 hours: all the dirt, smoke, and grime in the air stays in.

What to do when you're definitely sick? The first thing is to beware overuse of cough and cold remedies! Most contain strong drying agents which make your nose drip less, by drying it out. Unfortunately, that dries your lungs out, too. You end up with dried phlegm plugging up your chest. This tickles and irritates your bronchial tubes, making you cough. It blocks off small sections of your lungs and your bronchial tubes get infected with bacteria. This is called bronchitis.

Once you've got a chest full of dried phlegm, how do you get it out? The key word here is "dry." Ever notice how a steamy shower makes you cough? That's because water vapor moistens and loosens the dried phlegm, which then starts to slide down the bronchial tubes. It tickles a new area and makes you cough. However, you want the phlegm to go up and out.

How do you get phlegm up? Easy: steam up your lungs. 5 or 10 minutes in a closed bathroom full of steam works fine. Then, lie face down on a bed or couch with your head, shoulders, and back hanging downward over the edge, and have somebody pound your back with cupped hands while you're breathing as deep as you can and coughing hard. Do the chest percussion twice a day if possible. This may help you get some phlegm up and out, which is where you want it. Chest percussion should last about 5 minutes. Have a cup nearby for the phlegm.

Always check the phlegm color. If it's clear, white, or pale, the infection may still be viral, and antibiotics may not be necessary. If it's yellow, green, brown, or bloody, or if you are having fevers, chills, chest pains, or have other health problems, you might need antibiotics. Contact your health care delivery person.

Very important: get plenty of fluids. If you're dry, the phlegm will be thicker and harder to get up. Drink enough so that when you urinate, it comes out clear. (Remember that B-vitamins will turn your urine darker). Don't use alcohol as a primary fluid source: it dries you out. Coffee and tea do the same thing, to a lesser extent, but the caffeine can help wheezing.

A humidifier is very helpful, especially with a heating system that dries out the air. Since you're often breathing through your mouth when sleeping with a stuffy nose, your lungs get even drier. Use the humidifier in your bedroom at night. If you're sensitive to molds, be careful: they grow better when it's damp. Turn the humidifier off during the day and air out the room.

Watch for high fevers not responsive to aspirin, ibuprofen, or acetominophen; shortness of breath; coughing up blood; or painful breathing. If you get any of those symptoms, get in touch with your health-care delivery person. Actually, "health-care delivery" isn't the right term anymore. How often do you get health care delivered to you? Not very often. You have to come get it!

courtesy of docflash

MI AND ANESTHESIA

THE most common complication of client with MI is cardiac Arrhythmia-PVC. The drug of choice is lidocaine. It is neurotoxic - monitor for signs of toxicity such as confusion, tremors and ataxia :)

Remember ice chips after anesthesia if the patient is nauseated. Extremes will not stimulate the vomiting center. (CHildren cold soda-adults hot or cold ginger ale)

PERSANTIN STRESS TEST

PERSANTIN STRESS TEST
is a test where pictures are taken of your heart muscle.

This test helps to diagnose a CAD. This test helps caregivers see areas of the heart muscle that do not get enough blood supply. The test can also show areas that have been damaged after a heart attack (PERSANTIN)

P regnancy is a contraindication to this procedure
E ating is restricted 6H PTP
R efrain from caffein
S smoking must be avoided
A ssess allergy to persantin
N o to sports drinks
T hallium is a a radioisotope that will also be injected
I V line must be patent
N uclear medicine department - location of the procedure

IMPETIGO

IMPETIGO (SATA)

I mpetigo contagiosa (highly contagious)
M outh and face - most common site
P ustules & vesicles - appearance of lesion progressing to an
E xudative and crusting stage
T reatment - ABT - antibiotic therapy
I solation precaution is CONTACT (GGG)
G ABHS or staph auresus - agent
O ral ABT, ointment and PHISOHEX are included in the Tx

ZETIA

ZETIA (EZETIMIBE)
♥ ♥ ♥

Z...etia is an anticholesterol drug
E...zetimibe is the generic name
T...ime of effectiveness (2 weeks)
I... nstruct to report muscle pain
....Zetia increases skeletal muscle break down
A...void during pregnancy, kidney failure and allergy to Zetia

report myalgia since zetia increases skeletal muscle breakdown

MECHABICAL VENTILATOR

MECHANICAL VENTILATOR
Mechanical ventilation is a method to mechanically assist or replace spontaneous breathing.

This may involve a machine called a ventilator or the breathing may be assisted by a physician or other suitable person compressing an ambu bag. Traditionally divided into negative-pressure ventilation, where air is essentially sucked into the lungs, or positive pressure ventilation, where air (or another gas mix) is pushed into the trachea.

HFQ: Low pressure alarm-leak-check connections

HFQ: High pressure alarm-obstruction or client is biting the tube - suction prn or insert oral airway

Laryngitis

L aryngeal inflammation which causes hoarseness of voice
A lcohol, viruses, bacteria (SY) are the causes
R esults from overuse of the vocal cords
Y in (cold) drinks must be avoided
N o alcohol and smoking
G ive warm, soothing liquids
I hale steam from a bowl of hot water
T hroat lozenges and nonprescription pain reliever
I instruct to complete ANTIBIOTIC therapy
S peaking in public must be avoided during recovery ♥