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Welcome to my blog about health, nursing, caring, kindness and positive change. Our world is full of such negative influences and bad choices, today is the day to make a positive change both physically and mentally in your life.
ERNursesCare is a blog incorporating my nearly 30 years of experience in the healthcare field with my passion for helping others, I want it to encourage others with injury prevention, healthy living, hard hitting choices, hot topics and various ramblings from my unique sense of humor. Come along and enjoy your journey......

Thursday, November 30, 2017

My Baby Is Sick... What is RSV?



When children are sick our mommy (and grandma) senses are on high alert, especially if the child is small. You take your baby to the doctor or the ER and he/she tests positive for something called "RSV"... what the heck is RSV? 

Respiratory syncytial virus (RSV)
Respiratory syncytial virus (RSV) is a very common virus that leads to mild, cold-like symptoms in adults and older healthy children. It can be more serious in young babies, especially those in certain high-risk groups, such as premature infants, very young infants, or a child with health conditions that affect the lungs, heart or immune system. 


Respiratory syncytial virus (RSV) causes mild, cold-like symptoms in adults and older healthy children. It can cause serious problems in young babies, including pneumonia and severe breathing problems. Premature babies and those with other health problems have the highest risk. A child with RSV may have a fever, stuffy nose, cough, and trouble breathing. Lab tests can tell if your child has the virus. There is no specific treatment. You should give your child fluids to prevent dehydration. If needed, you can also give a pain reliever (not aspirin) for fever and headache.
RSV easily spreads from person to person. You can get it from direct contact with someone who has it or it by touching infected objects such as toys or surfaces such as countertops. Washing your hands often and not sharing eating and drinking utensils are simple ways to help prevent the spread of RSV infection. There is currently no vaccine for RSV.
(Centers for Disease Control and Prevention)


Quick Facts
  • RSV typically causes cold-like symptoms such as a runny nose, cough, and congestion. Fevers are common. The infection can progress to the lower respiratory tract to cause more severe illness such as bronchiolitis (inflammation of the small airways in the lung) or pneumonia in otherwise healthy infants and young children.
  • RSV is highly contagious through close contact with infected people, and it can live on toys and other surfaces for several hours.
  • Most children will have an RSV infection by the time they are 2 years old, and most will get better on their own within 8 to 15 days.
  • Every year, 75,000 to 125,000 children in the United States are admitted to the hospital for RSV infections.
  • For most children, fluids are the best treatment. Bronchodilators, medicines prescribed to help reduce airway resistance, may ease breathing in some cases. Antibiotics do not work against RSV, but a healthcare provider may prescribe them for complications that develop because of RSV.
  • Although deaths are relatively rare, RSV can be life-threatening for immune-compromised people, including premature infants, young children with heart and lung problems, and the elderly.
  • Researchers are working toward a vaccine, but none currently exists.
What can I do, I feel helpless.
Having a small child that is sick can leave you feeling helpless, they are so pitiful and feel so bad.
Here are some things you can do to help them feel better:
  • Give plenty of fluids. Avoid dairy - tends to thicken secretions and from my experience it will come back up a lot faster (yuck) If you breastfeed, continue to nurse.. breast-milk is healing and hydrating for little ones. 
  • Use a cool-mist humidifier/vaporizer during the winter months to keep the air moist. (Be sure to clean the vaporizer regularly.) Cool mist, not warm (warm mist grows more bacteria faster)
  • Blow little noses frequently (or use a nasal aspirator for infants). You need a really good nasal aspirator or "booger sucker", as the nurse at the pediatricians office or the ER for a good one. Keeping nasal passages clear will make small children feel much better, if they can't suck, they will be very unhappy. 
  • Give non-aspirin pain reliever, such as acetaminophen. Aspirin should not be used because it has been linked to Reye syndrome, a disease that affects the brain and liver.
  • Home remedies such as essential oils may help ease the symptoms, make sure to dilute these for small children and ask your homeopathic dr or pediatrician for recommendations. Use a diffuser at night and rub essential oil on child's feet to aid absorption (a little goes a long way with infants)  
  • Plenty of cuddling with mommy and daddy will make them feel safe and soothe their fears. 
When to Call the Doctor or Visit the ER
Children may need treatment if they show any of the following symptoms:

  • Great difficulty or fast breathing
  • Excessive wheezing or high pitched noises
  • Retractions, sucking in of chest wall or under sternum
  • Gray or blue skin color
  • High fever - greater than 101 or number your pediatrician has given you
  • Thick nasal discharge that is yellow, green, or gray
  • Worsening cough
  • Extreme tiredness (especially during times they are normally active)
  • No wet diapers in 8 hours or more
  • Anything you think is abnormal, you are the best judge of your child
I hope this helps you as a parent, grandparent or nurse. Education can empower us and make us feel more in control of scary situations. 


Tuesday, November 14, 2017

High Blood Pressure (Hypertension) and You




1 in 3 Americans have high blood pressure or hypertension and don't know it, are you one of those people? 

High blood pressure is a common health condition. The long term force of blood against the walls of your arteries can be high enough that is causes heart problems and heart disease. 

Blood pressure is determined by 2 things: the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries.
The more blood your heart pumps and the narrower your arteries, the higher your blood pressure.

Can you have high blood pressure without symptoms? Yes you can, some people have high blood pressure for years and don't know it. But, the damage to your health and body still occurs even if you don't have any symptoms. Scary huh?

Make sure you know your numbers! 

How do we manage high blood pressure?
Understanding the numbers: Helpful information in this cool infographic.


So you have high blood pressure and the doctor just put you on medication...not the end of the world, I take mediation for blood pressure too.... many common medicine classes are listed below. It takes time for your medicine and lifestyle changes to work, be patient. 





Risk Factors via the Mayo Clinic
High blood pressure has many risk factors, including:
Age. The risk of high blood pressure increases as you age. Through early middle age, or about age 45, high blood pressure is more common in men. Women are more likely to develop high blood pressure after age 65.
Race. High blood pressure is particularly common among blacks, often developing at an earlier age than it does in whites. Serious complications, such as stroke, heart attack and kidney failure, also are more common in blacks.
Family history. High blood pressure tends to run in families.
Being overweight or obese. The more you weigh the more blood you need to supply oxygen and nutrients to your tissues. As the volume of blood circulated through your blood vessels increases, so does the pressure on your artery walls.
Not being physically active. People who are inactive tend to have higher heart rates. The higher your heart rate, the harder your heart must work with each contraction and the stronger the force on your arteries. Lack of physical activity also increases the risk of being overweight.
Using tobacco. Not only does smoking or chewing tobacco immediately raise your blood pressure temporarily, but the chemicals in tobacco can damage the lining of your artery walls. This can cause your arteries to narrow, increasing your blood pressure. Secondhand smoke also can increase your blood pressure.
Too much salt (sodium) in your diet. Too much sodium in your diet can cause your body to retain fluid, which increases blood pressure.
Too little potassium in your diet. Potassium helps balance the amount of sodium in your cells. If you don't get enough potassium in your diet or retain enough potassium, you may accumulate too much sodium in your blood.
Too little vitamin D in your diet. It's uncertain if having too little vitamin D in your diet can lead to high blood pressure. Vitamin D may affect an enzyme produced by your kidneys that affects your blood pressure.
Drinking too much alcohol. Over time, heavy drinking can damage your heart. Having more than two drinks a day for men and more than one drink a day for women may affect your blood pressure.
If you drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger. One drink equals 12 ounces of beer, 5 ounces of wine or 1.5 ounces of 80-proof liquor.
Stress. High levels of stress can lead to a temporary increase in blood pressure. If you try to relax by eating more, using tobacco or drinking alcohol, you may only increase problems with high blood pressure.
Certain chronic conditions. Certain chronic conditions also may increase your risk of high blood pressure, such as kidney disease, diabetes and sleep apnea.

Sometimes pregnancy contributes to high blood pressure, as well.


Changing your lifestyle can go a long way toward controlling high blood pressure. Your doctor may recommend you eat a healthy diet with less salt, exercise regularly, quit smoking and maintain a healthy weight. But sometimes lifestyle changes aren't enough.

Medications are commonly prescribed for those with hypertension. No matter what medications you are put on, lifestyle changes have to be made to lower your blood pressure.

Important lifestyle changes include:

  • Diet changes : lower salt intake, heart healthy choices
  • Stop Smoking, a very important health change
  • Exercise daily, get off the couch and move 
  • Limit your alcohol intake 
  • Maintain a healthy weight for your age, loose weight if you are obese
Lifestyle changes are hard, but they are very important to your health and happiness going forward.






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