BFF went home on Thursday. Sad to see her go. I loved having her here. While she was here I got her to help dye my hair. I figured I would try out blonde again. I was one all childhood til I reached a teenager then got the brainheaded idea to dye my hair a dark brown. Well that was stupid because it never went back to the blonde. I completely regretted dying it then. I did enjoy my blonde hair. I thought it suited me. So I thought dying it back to blonde might jump start my follicles to grow my blonde hair again (wishful thinking!). Plus mama is still blonde and it suites her so I figured since we look so much alike that going blonde again would look alright. Well I seriously chose wrong! It looked AWFUL!!!!!!!!!!!! It made my acne (you would think I WAS a teen with the amount I have!) stand out more and I hated that.
So off went BFF and I to the store to choose a color that looked much better! I chose a box of a blonde with redish tones. MUCH better!!! Suites me MUCH MUCH more! I'll have to get a pic of it.
Sunday, March 23, 2014
Saturday, March 15, 2014
Lots to say
I'll squeeze a few things into this post....
I cut my hair last about 2 years ago - there were two wedding scheduled and so I was told in no amount of words that I was NOT allowed to cut my hair - one wedding was my BFF's and I was her maid of honour and she wanted us to get updo's and I love her so of course I gave into her desires. The other wedding was my BIL whom I detest (loathe actually) and my MIL told me that I was not allowed to cut it and threatened to disown me (essentially) if I cut it - BOY was THAT tempting!!! But hubby begged me and so for HIM and him alone I didn't cut it. Then I entered clinical time and it's usually preferred that the hair be tied back - so I delayed and delayed and delayed... so that takes me to my next point...
I passed clinical!!! Now some may say that that isn't much of an achievement, but this is the course in which I was failed for. THIS course is the bane of my existence! My preceptor said that I did great, and that I'll make an excellent nurse (already am one btw - wasn't about to say that to her though!)
So I went and chopped all my hair off (from the middle of my back to JUST below my ears) as a present - came home and hubby was awake (surprising since he worked nights yesterday) and he was shocked but loved it. MIL started complaining (in Urdu of course) about my haircut - oh well she's not the one I'm with so that doesn't matter much. Now today I'm going to dye it (a shocking color)...
and that leads to my third point - my BFF flies in today! YAY!!!!!!!! I'm super uber excited. Her and her 5 month old daughter are coming for 5 days. I can't wait to see them! i miss BFF like crazy - we haven't been talking much since the birth of her daughter cuz she's not working and because her daughter is a morning person (yuck!) and so she now goes to bed uber early - which means when I get off work and want to chat she's not available and when she wants to talk, I'm usually sleeping so I'm not available - it's like 2 ships passing in the night. We talk now about twice a month whereas we WERE talking about 2+ times a week. I miss it and I miss her. So I'm stoked that they're coming here. I'm also going to get her to dye my hair - easy to get her to do it than for me to struggle to make sure I get everything covered properly. I'll try to post a pic...
I cut my hair last about 2 years ago - there were two wedding scheduled and so I was told in no amount of words that I was NOT allowed to cut my hair - one wedding was my BFF's and I was her maid of honour and she wanted us to get updo's and I love her so of course I gave into her desires. The other wedding was my BIL whom I detest (loathe actually) and my MIL told me that I was not allowed to cut it and threatened to disown me (essentially) if I cut it - BOY was THAT tempting!!! But hubby begged me and so for HIM and him alone I didn't cut it. Then I entered clinical time and it's usually preferred that the hair be tied back - so I delayed and delayed and delayed... so that takes me to my next point...
I passed clinical!!! Now some may say that that isn't much of an achievement, but this is the course in which I was failed for. THIS course is the bane of my existence! My preceptor said that I did great, and that I'll make an excellent nurse (already am one btw - wasn't about to say that to her though!)
So I went and chopped all my hair off (from the middle of my back to JUST below my ears) as a present - came home and hubby was awake (surprising since he worked nights yesterday) and he was shocked but loved it. MIL started complaining (in Urdu of course) about my haircut - oh well she's not the one I'm with so that doesn't matter much. Now today I'm going to dye it (a shocking color)...
and that leads to my third point - my BFF flies in today! YAY!!!!!!!! I'm super uber excited. Her and her 5 month old daughter are coming for 5 days. I can't wait to see them! i miss BFF like crazy - we haven't been talking much since the birth of her daughter cuz she's not working and because her daughter is a morning person (yuck!) and so she now goes to bed uber early - which means when I get off work and want to chat she's not available and when she wants to talk, I'm usually sleeping so I'm not available - it's like 2 ships passing in the night. We talk now about twice a month whereas we WERE talking about 2+ times a week. I miss it and I miss her. So I'm stoked that they're coming here. I'm also going to get her to dye my hair - easy to get her to do it than for me to struggle to make sure I get everything covered properly. I'll try to post a pic...
Monday, March 10, 2014
Called it!!!
Went onto shift - mister blood everywhere FINALLY stopped bleeding from his nose - my tampons did their job thankfully!
His Hgb dropped to 77 - so he ended up needing 2 units of PRBCs - which I think it stupid because his platelets are still majorly low - so why didn't the Dr order WHOLE blood, that would have made more sense holistically. And the day nurse should have clarified the order with the Dr as well.
Day shift hung the first unit and I ended up finishing it and having to hang a second unit.
My guy slept almost my entire shift - making up for the lack of sleep he got yesterday. I felt bad for him the poor guy. He came in for something COMPLETELY unrelated and then simply falls apart at the seams. Now we're doing the job of sewing him back up - hopefully we make the seams flawless so he can go home sometime soon!
His hematuria is also improving so that was good. Less blood loss is ALWAYS a good thing!
Now I have two weeks off - my BFF is flying in Saturday and we get to be together for 5 days - YAY!!! I just have to make sure that I get enough school work accomplished so I do'nt have to worry about that while she's here.
His Hgb dropped to 77 - so he ended up needing 2 units of PRBCs - which I think it stupid because his platelets are still majorly low - so why didn't the Dr order WHOLE blood, that would have made more sense holistically. And the day nurse should have clarified the order with the Dr as well.
Day shift hung the first unit and I ended up finishing it and having to hang a second unit.
My guy slept almost my entire shift - making up for the lack of sleep he got yesterday. I felt bad for him the poor guy. He came in for something COMPLETELY unrelated and then simply falls apart at the seams. Now we're doing the job of sewing him back up - hopefully we make the seams flawless so he can go home sometime soon!
His hematuria is also improving so that was good. Less blood loss is ALWAYS a good thing!
Now I have two weeks off - my BFF is flying in Saturday and we get to be together for 5 days - YAY!!! I just have to make sure that I get enough school work accomplished so I do'nt have to worry about that while she's here.
Sunday, March 9, 2014
A side of blood plz
Came onto shift today and this is what I found:
CBI (continuous bladder infusion) that is seriously dark pink and running almost wide open
Epistaxis (bloody nose)
Leukocytosis (UBER high WBC) - as in 22 (norm = 3.5-11) - WAS at like 70!
Anemia (seriously low RBC) - as in sitting at 91 (norm= >124)
Platelets - were seriously low but I don't remember the value
Now I can handle all this - so long as my pt isn't symptomatic....
HA as if that's possible with me!
Vitals looked like this...
T - 36.3
P - 67
R - 20 & non labored
BP - 156/87
O2 - 100% on room air
Ok well all is good except that BP - so off I go to the Dr and let her know it and ask her for an antihypertensive, and get an order for a one time dose of it. I'm ok with that since I realize that his BP is elevated because his body's TRYING to compensate for the blood loss that's occuring. Give that to him at dinner time and when I do I notice that he's huffing and puffing. Off I go to get my trusty machine to find out his O2 has dropped to 94% in just 2 hours! (During that time as I was going in and out of his room he was pulling saturated kleenex packing out of his nare and blood clots to boot) Well when I saw that value I was a bit peeked - off I go to call the on-call Doc and got an order for a CBC (complete blood count) to find out what his Hgb (hemaglobin/RBC) is. Let him know I'll keep him informed....
ENT comes to the floor and puts a piece of material on the spot he thinks is causing the bleeding (personally disagreed with him because he was bleeding down the back on his throat and pulling clots out his mouth so I thought that it would be pretty high up) and he thought that that would do the trick. Well it did for about 1 hour - then it started POURING out his nose!!! Like a bloody seive! I freaked a bit inside because there wasn't anything I could do to help really.
Get the CBC result back and it's the same as in the morning so I heaved a HUGE sigh of relief because at least I wasn't giving blood on MY shift. But I called the on-call again to let him know the value but that it was POURING blood out his nose and saturating packings like crazy. He came to assess him again and this time suggested a TAMPON packing.
So that's exactly what I did. I called ER and had them send me the tampon packing and I shoved that sucker up his nose. It expanded and made his eyes water - felt bad for that part. It hurts having things shoved up your nose! Gave him some hydromorphone, let it sink in and shoved ANOTHER one up there since he was still getting clots out the back of his throat - figured that one more wouldn't hurt and might clog up enough to stop the clots going down his throat from his nose.
I'm back tomorrow, I bet he gets blood tomorrow - either on days or on my shift. Hopefully they'll do something more with his bleeding. Oh and they have NO clue why he's bleeding in his bladder and haven't scheduled any sort of test for it.
His leukocytosis bit they believe has to do with an infection of his spine so he's in an aspen collar (neck brace) which means I can't even roll this guy onto his side (sort of in the recovery position) and let the blood drain into his mouth sort of thing. Totally anxious about aspiration - had to put him in high fowlers - don't know how he's going to sleep tonight if this bleeding doesn't stop! I guess we'll see tomorrow!
Of course this isn't the only thing going on - I also had an admission, another pt was confused to the point that he forgot about his IV and got out of bed to urinate (into a urinal!) and pulled out his IV - so I had to take the time to resite that and his veins are shot so it took me even longer! Ya I didn't leave until 1:30am! ARG, oh to be back to work!!!!!!!
CBI (continuous bladder infusion) that is seriously dark pink and running almost wide open
Epistaxis (bloody nose)
Leukocytosis (UBER high WBC) - as in 22 (norm = 3.5-11) - WAS at like 70!
Anemia (seriously low RBC) - as in sitting at 91 (norm= >124)
Platelets - were seriously low but I don't remember the value
Now I can handle all this - so long as my pt isn't symptomatic....
HA as if that's possible with me!
Vitals looked like this...
T - 36.3
P - 67
R - 20 & non labored
BP - 156/87
O2 - 100% on room air
Ok well all is good except that BP - so off I go to the Dr and let her know it and ask her for an antihypertensive, and get an order for a one time dose of it. I'm ok with that since I realize that his BP is elevated because his body's TRYING to compensate for the blood loss that's occuring. Give that to him at dinner time and when I do I notice that he's huffing and puffing. Off I go to get my trusty machine to find out his O2 has dropped to 94% in just 2 hours! (During that time as I was going in and out of his room he was pulling saturated kleenex packing out of his nare and blood clots to boot) Well when I saw that value I was a bit peeked - off I go to call the on-call Doc and got an order for a CBC (complete blood count) to find out what his Hgb (hemaglobin/RBC) is. Let him know I'll keep him informed....
ENT comes to the floor and puts a piece of material on the spot he thinks is causing the bleeding (personally disagreed with him because he was bleeding down the back on his throat and pulling clots out his mouth so I thought that it would be pretty high up) and he thought that that would do the trick. Well it did for about 1 hour - then it started POURING out his nose!!! Like a bloody seive! I freaked a bit inside because there wasn't anything I could do to help really.
Get the CBC result back and it's the same as in the morning so I heaved a HUGE sigh of relief because at least I wasn't giving blood on MY shift. But I called the on-call again to let him know the value but that it was POURING blood out his nose and saturating packings like crazy. He came to assess him again and this time suggested a TAMPON packing.
So that's exactly what I did. I called ER and had them send me the tampon packing and I shoved that sucker up his nose. It expanded and made his eyes water - felt bad for that part. It hurts having things shoved up your nose! Gave him some hydromorphone, let it sink in and shoved ANOTHER one up there since he was still getting clots out the back of his throat - figured that one more wouldn't hurt and might clog up enough to stop the clots going down his throat from his nose.
I'm back tomorrow, I bet he gets blood tomorrow - either on days or on my shift. Hopefully they'll do something more with his bleeding. Oh and they have NO clue why he's bleeding in his bladder and haven't scheduled any sort of test for it.
His leukocytosis bit they believe has to do with an infection of his spine so he's in an aspen collar (neck brace) which means I can't even roll this guy onto his side (sort of in the recovery position) and let the blood drain into his mouth sort of thing. Totally anxious about aspiration - had to put him in high fowlers - don't know how he's going to sleep tonight if this bleeding doesn't stop! I guess we'll see tomorrow!
Of course this isn't the only thing going on - I also had an admission, another pt was confused to the point that he forgot about his IV and got out of bed to urinate (into a urinal!) and pulled out his IV - so I had to take the time to resite that and his veins are shot so it took me even longer! Ya I didn't leave until 1:30am! ARG, oh to be back to work!!!!!!!
Wednesday, March 5, 2014
Oooops I did it again - 2 yrs running
Forgot to call Dad on his birthday. Ooops!
I remembered yesterday at 2am - obviously WAAAAY too early to wish him a happy bday.... and I was up all night doing my readings so I slept all day, which meant I didn't get up til it was too late to call - damn!
I called him this morning - caught him before he started work. Explained what I had done. He was pretty forgiving. Made a joke about it being 2 yrs in a row. Erg. I know, my bad!
Next year I'm going to have to set an alarm or something!
I remembered yesterday at 2am - obviously WAAAAY too early to wish him a happy bday.... and I was up all night doing my readings so I slept all day, which meant I didn't get up til it was too late to call - damn!
I called him this morning - caught him before he started work. Explained what I had done. He was pretty forgiving. Made a joke about it being 2 yrs in a row. Erg. I know, my bad!
Next year I'm going to have to set an alarm or something!
Tuesday, March 4, 2014
Lack of motivation to read
I've been trying all evening (at least the last 6 hours) to get my reading done - I have to take a quiz and if I don't do the reading I'll get zero - not exactly what I want.... but holy moly is the motivation crap. Normally I can put a TV show on and away I go. Ya I know I'm weird, most cannot study unless it's quiet... I'm the opposite, there must be a show on or no studying happens.
Plus the reading I have to get done is technical and boring so that decreases the motivation to complete. why must it be so dry???!!!!
I seriously need to get my butt in gear!
I'll leave you with a thing I found on facebook.... It's exactly what I feel like I do these days - not much room for much more (aside from clinical and work)
Plus the reading I have to get done is technical and boring so that decreases the motivation to complete. why must it be so dry???!!!!
I seriously need to get my butt in gear!
I'll leave you with a thing I found on facebook.... It's exactly what I feel like I do these days - not much room for much more (aside from clinical and work)
Friday, February 28, 2014
Seemingly I worry for nothing
Just got back one of my marks for an assignment for my mental health course. I was so incredibly worried about it. I completely felt like I bullshitted my way through it. Well evidently my teacher likes my Bshit because he gave me 98%!!!
I have a medication assignment due for Sunday, I'm only 50% done it. It's not a difficult assignment, just time labourous.
I have a major paper due for my ethics course tomorrow. It was supposed to be due today but I ended up with a stomach bug or something and was heaving for a good 24 hours and couldn't get enough energy to even lay on the couch let alone get onto the computer and finish a paper.
I have all the quotes done, now I just have to arrange them and fill in the blank areas to tie everything together. There was sooooo much research to do for this stupid paper. My topic was: should it be legal to buy organs. IMO I think there should be a system in which you can. You pay for your medical care in the US so I don't see why you can't purchase something you need in order to live. It benefits the donor as well who would be able to donate something and receive payment for it. I think it can be regulated and can be safe guarded to ensure that there's no coercion or manipulation. I doubt, however, that it will ever come to fruition because people don't care that you can prevent people from dying, it's all a money game - those who earn the most control everything and so they'll keep the system the way it is right now.
I have a medication assignment due for Sunday, I'm only 50% done it. It's not a difficult assignment, just time labourous.
I have a major paper due for my ethics course tomorrow. It was supposed to be due today but I ended up with a stomach bug or something and was heaving for a good 24 hours and couldn't get enough energy to even lay on the couch let alone get onto the computer and finish a paper.
I have all the quotes done, now I just have to arrange them and fill in the blank areas to tie everything together. There was sooooo much research to do for this stupid paper. My topic was: should it be legal to buy organs. IMO I think there should be a system in which you can. You pay for your medical care in the US so I don't see why you can't purchase something you need in order to live. It benefits the donor as well who would be able to donate something and receive payment for it. I think it can be regulated and can be safe guarded to ensure that there's no coercion or manipulation. I doubt, however, that it will ever come to fruition because people don't care that you can prevent people from dying, it's all a money game - those who earn the most control everything and so they'll keep the system the way it is right now.
Subscribe to:
Posts (Atom)