Tuesday, June 29, 2004

Sticks, Triumphs and Failures

Yesterday I pumped myself full of saline via the following routes:

1 1cc of Saline Intramuscular injection (IM) to the vastus lateralis (outer thigh muscle).
2 .5cc Intradermal injections; one to the hairless part of the forearm and another to the top of my thigh.
2 .75 cc Subcutaneous injections of saline into my belly.
Total: 3.5 ccs (less than a teaspoon) in 4 limbs and ZERO mishaps! A triumph!

IM injections are the ones that go deep and are used for tetanus shots or demerol. When administering an IM, the good nurse must "aspirate," which involves pulling back on the plunger of the syringe to make sure you haven't hit a blood vessel. If you have hit a vessel, the barrel of the syringe will fill up with blood. I can't wait to explain that to a patient: "What blood? Oh, this blood? The red stuff filling up the needle I have jabbed deep into your muscles? That's perfectly normal. Let me just pull out of here and stick you somewhere else, shall I?" Intradermal injections are those little bubbles they put under your skin for allergy tests and are most commonly used for TB tests. They're surprisingly easy to perform. Subcutaneous shots are the easiest - the needles are small and sharp and go right in. The two shots on my belly didn't hurt a bit.

So the good news is that I am feeling fairly confident when it comes to giving injections. The bad news is that I blew my "sign off," where I was asked to identify breath sounds emanating from a plastic dummy. I am not good at identifying breath sounds emanating from plastic. I am very very bad at it. Luckily, the professor administering the sign-off was fairly patient and gently guided me to the correct answer. However, I felt extremely stupid. It was a Pass/Fail test but I can't help wondering if my name wasn't marked with a special little asterisk or something indicating I have severely limited capabilities. I suppose I will have to start riding the short bus to clinical placements.

On Thursday I will be at Johns Hopkins Hospital practicing taking complete health histories from patients admitted to the ER or a normal medical/surgical floor. It will be the first occasion where we have to deck ourselves our in full uniform: pants, shirt, lab coat AND the white shoes. V. exciting.

Thanks very much to Michael Green for linking me and the recommendation.


Blogger jon said...

cheap college textbook used are so expensive. I agree, We have been looking for cheap college textbook used all night for a new cheap college textbook used class but havent been able to track down used cheap college textbook used that I can afford. Anyway, I enjoyed looking at you cheap college textbook used blog...


12:33 AM  
Anonymous Anonymous said...

Hey nice info you posted.
I just browsing through some blogs and came across yours!

Excellent blog, good to see someone actually uses em for quality posts.

Your site kept me on for a few minutes unlike the rest :)

Keep up the good work!


1:12 AM  
Anonymous Anonymous said...

Rhodiola Rosea is the latest natural remedy to join the arsenal of natural anxiety and stress (heart stress test) reducers.

Rhodiola Rosea, also known as Golden Root, is a native plant of arctic Siberia. For centuries it has been used by eastern European and Asian cultures for physical endurance, work productivity, longevity, resistance to high altitude sickness, and to treat fatigue, depression, anemia, impotence, gastrointestinal ailments, infections, and nervous system disorders.

The first recorded medicinal applications of rodia riza (renamed Rhodiola Rosea) was made by the Greek physician, Dioscorides, in 77 C.E. in 'De Materia Medica'. Rhodiola Rosea has been included in official Russian medicine since 1969.

Despite its long history, the Western world has only recently become aware of the health benefits of Rhodiola Rosea. It has come to the attention of many natural health practitioners because of studies which tested its affects on combating anxiety and stress.

Rhodiola Rosea is considered an adaptogen. This means it has an overall stabilizing effect on the body without disrupting other functions. Its ability to normalize hormones may be effective for treating depression and anxiety.

Studies of Rhodiola Rosea show that it stimulates neurotransmitters and enhances their effects on the brain. This includes the ability for the brain to process serotonin which helps the body to adapt to stress.

Since adaptogens improve the body's overall ability to handle stress, it has been studied to identify it's effects on biological, chemical and physical stress.

A study was performed to test the effects of Rhodiola Rosea when stress or heart stress test is caused by intense mental work (such as final exams). Such tests concluded that using Rhodiola Rosea improved the amount and quality of work, increasing mental clarity and reducing the effects of fatigue.

The effects of Rhodiola Rosea have also been tested on stress and anxiety from both physical and emotional sources. A report by the American Botanical Council states that "Most users find that it improves their mood, energy level, and mental clarity." They also report on a study that indicated Rhodiola Rosea could increase stress tolerance while at the same time protecting the brain and heart from the physical affects of stress.

This report included details of studies which highlight the overall health benefits of Rhodiola Rosea.

The generally recommended dose is 200-600mg/day. The active properties should be a minimum 0.8 percent salidroside and 3 percent rosavin.

It is important for consumers to know that Rhodiola may be sold using other species that do not share the properties of Rhodiola Rosea, heart stress test, or at ineffective strengths for treatment. Anyone with depression or anxiety should also check with a health professional when treating these symptoms.

heart stress test

4:33 AM  
Anonymous Anonymous said...

I just came across your blog about iowa board of nursing and wanted to drop you a note telling you how impressed I was with the information you have posted here. I also have a web site about iowa board of nursing so I know what I'm talking about when I say your site is top-notch! Keep up the great work, you are providing a great resource on the Internet here! If you get a chance, please stop by iowa board of nursing

8:55 PM  
Anonymous Anonymous said...

Hi :)

You have a great blog! Keep up the great work, and I'll be sure to visit regularly.

I have a online master degree related site, check it out if you get some time!

Look forward to reading more of your insightful post!

6:58 PM  
Blogger 性爱 said...

I am totally nude come see me. Take a bit for all pics and movies to load.

Why do I do this I like to make men blow their jiz in their pants.

Visit me.性爱

8:35 AM  
Anonymous Anonymous said...

Sports injuries, cardiovascular diseases so prevalent in our society need more publicity; so when I read your Sticks, Triumphs and Failures, EmJC I had to post you. foot injury sports, foot injury sports, foot injury sports, foot injury sports AND foot injury sports are other similar health issues that Americans and the world audience should learn about and we try at http://strokescans.blogspot.com to help. Thanks for writing your subject matter EmJC and I will refer others to your blog.

1:33 PM  
Anonymous Anonymous said...

Sports injuries. Health issues. Your Sticks, Triumphs and Failures is central to health issues and other related subjects and EmJC I want to thank you for the insight. peripheral arterial disease, and peripheral arterial disease are subjects of our http://strokescans.blogspot.com and while blogging this morning I came on yours. Keep up the great articles.

5:57 PM  
Anonymous Anonymous said...

If you would just take your time to know your way around, you could discover

9:57 PM  
Anonymous Anonymous said...

Hey, you have a great blog here! I'm definitely going to bookmark you!

I have a anxiety attacking depression site/blog. It pretty much covers ##KEYWORD## related stuff.

Come and check it out if you get time :-)

3:10 AM  
Anonymous Anonymous said...

Hey, you have a great blog here! I'm definitely going to bookmark you!

I have a t shirt transfermerchant site called Holden Tees. We're a small company and we sell shirts and stuff.

Come and check it out if you get time

-Holden Tees

7:11 PM  
Anonymous Anonymous said...

I think EmJC has a great blog! I've been surfing around everywhere and just love to read all this stuff. My blog is below if you want to take a look. Keep up the good work! early childhood education online degree I love Blogger!!!

2:31 AM  
Blogger Make Money Home Based Business said...

I took pleasure in the site and I will go back!
Surfing online for blogs like this one is worth my
time. Sensational blog.
Stop by and look at my start your own online home based business blog site.

1:37 PM  

Post a Comment

<< Home

« Blog Baltimore »