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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......

Saturday, May 26, 2012

FAST for Stroke

Is it a Stroke, Check these signs FAST! any of them? Call 911, Time is Brain!


Saturday, May 19, 2012

Sun Safety with your ABC's

The ABCs of Sun Safety

Always use sunscreen!
Be careful between 10AM and 4PM, the sun’s strongest hours.
Cover your head and ears with a wide-brimmed hat.
Don’t forget to take breaks from the hot sun.
Eyes are especially sensitive to the sun — protect
them too!
Factor in the right sun protection — use SPF as
your guide.
Go inside when you feel too hot.
Have fun in the sun!
Injuries can result from not drinking enough
water when it's hot outside.
Just because it’s cloudy doesn’t mean you can’t get sunburn.
Knock out sun damage — use sunscreen every day!
Long shirts and pants will help protect your skin from the sun.
Many people don’t realize the importance of wearing sunglasses.
Notice what time you apply sunscreen so you know when it’s time to reapply.
Only you can protect your skin — practice sun safety!
Pay attention to your skin — if you plan to be in the sun, cover up.
Question family members and friends who say they don’t need to use sunscreen.
Remember: too much sun can cause long-term damage to your skin.
Sun that reflects off water and snow can still give you sunburn.
Take time to apply sunscreen 30 minutes before you go outside.
Urge family members to practice sun safety.
Vitamin D comes from sunlight.
Waterproof sunscreen helps when you sweat, but you still need to reapply it.
EXtra effort to protect your skin from sunburn is worth it.
You can still get sunburn, no matter what your skin type is.
Zounds! That’s a lot to remember about sun safety!

Have fun this summer, just stay safe and protect yourself and your family

Friday, May 18, 2012

Friday Funny: Momma visits the doctor

What's so funny when momma goes to the doctor? And do you think that nurses ever take their kids to the doctor? If you ask my kids, they will tell you the same thing in the funny below.
                                                            Source: lynnclancy.minervaplace.com via Lynn on Pinterest
 


                                                            Source: static.someecards.com via Jessica on Pinterest

Tripping over a Rainbow with Skittles in my hand?

Tripping or Skipping over any rainbow with these drugs in your hand is playing with a hand of deadly cards. Robotripping or Skittling is real, and real close to home!


DXM or Dextromethorphan 

Street names
CCC, Dex, DXM, Poor Man's PCP, Robo, Rojo, Skittles, Triple C, Velvet

 
 Not Skittles
Looks like
DXM can come in the form of: cough syrup, tablets, capsules, or powder.

DXM is a cough suppressor found in more than 120 over the counter
(OTC) cold medications, either alone or in
combination with other drugs such as analgesics (e.g.,
acetaminophen), antihistamines (e.g., chlorpheniramine),
decongestants (e.g., pseudoephedrine), and/or expectorants
(e.g., guaifenesin). The typical adult dose for cough is 15 or 30
mg taken three to four times daily. The cough-suppressing effects
of DXM persist for 5 to 6 hours after ingestion. When taken as
directed, side-effects are rarely observed.


Methods of abuse
DXM is abused in high doses to experience euphoria and visual and auditory hallucinations. Abusers take various
amounts depending on their body weight and the effect they are attempting to achieve. Some abusers ingest 250 to
1,500 milligrams in a single dosage, far more than the recommended therapeutic dosages described above. Illicit use of
DXM is referred to on the street as “Robotripping,” “skittling,” or “dexing.” The first two terms are derived from the
products that are most commonly abused, Robitussin and Coricidin HBP. DXM abuse has traditionally involved drinking
large volumes of the OTC liquid cough preparations. More recently, however, abuse of tablet and gel capsule
preparations has increased. These newer, high-dose DXM products have particular appeal for abusers. They are much
easier to consume, eliminate the need to drink large volumes of unpleasant-tasting syrup, and are easily portable and
concealed, allowing an abuser to continue to abuse DXM throughout the day, whether at school or work. DXM powder,
sold over the Internet, is also a source of DXM for abuse. (The powdered form of DXM poses additional risks to the
abuser due to the uncertainty of composition and dose.) DXM is also distributed in illicitly manufactured tablets
containing only DXM or mixed with other drugs such as pseudoephedrine and/ or methamphetamine. DXM is abused by
individuals of all ages, but its abuse by teenagers and young adults is of particular concern. This abuse is fueled by
DXM’s OTC availability and extensive “how to" abuse information on various web sites.

Some of the many psychoactive effects associated with high-dose DXM include: confusion, inappropriate laughter,
agitation, paranoia, and hallucinations. Other sensory changes, including the feeling of floating and changes in hearing
and touch. Long-term abuse of DXM is associated with severe psychological dependence. Abusers of DXM describe
the following four dose-dependent “plateaus”: Plateau Dose (mg) Behavioral Effects 1st 100-200 Mild stimulation 2nd
200-400 Euphoria and hallucinations 3rd 300-600 Distorted visual perceptions Loss of motor coordination 4th 500-1500
Out-of-body sensations


DXM intoxication involves: over-excitability, lethargy, loss of coordination, slurred speech, sweating, hypertension, and
involuntary spasmodic movement of the eyeballs. The use of high doses of DXM in combination with alcohol or other
drugs is particularly dangerous, and deaths have been reported. Approximately 5-10% of Caucasians are poor DXM
metabolizers and at increased risk for overdoses and deaths. DXM taken with antidepressants can be life threatening.
OTC products that contain DXM often contain other ingredients such as acetaminophen, chlorpheniramine, and
guaifenesin that have their own effects, such as: liver damage, rapid heart rate, lack of coordination, vomiting, seizures,
and coma. To circumvent the many side effects associated with these other ingredients, a simple chemical extraction
procedure has been developed and published on the Internet that removes most of these other ingredients in cough
syrup.


Overdose effects
DXM overdose can be treated in an emergency room setting and generally does not result in severe medical
consequences or death. Most DXM-related deaths are caused by ingesting the drug in combination with other drugs.
DXM-related deaths also occur from impairment of the senses, which can lead to accidents. In 2003, a 14-year-old boy
in Colorado who abused DXM died when he was hit by two cars as he attempted to cross a highway. State law
enforcement investigators suspect that the drug affected the boy’s depth perception and caused him to misjudge the
distance and speed of the oncoming vehicles.

credit to : Drug Enforcement Administration • For more information, visit www.dea.gov

Don't believe that cough syrup can kill, bet these parents can tell you different
http://www.andymaxfield.com/ 

More links and resources : 
Facts about Dextromethorphan
Walgreens becomes drug dealers
Medicine Abuse DXM
Home to Homeroom
Stop Medicine Abuse
Parent Resources
Join Together Resources







Previously posted by myself on blog Ed4Ed4all "Deadly Games" thought it was worth a repeat here on my own blog. Stay Safe this weekend!!

Tuesday, May 8, 2012

Happy Nurses Week~ Nurse On!

Nurses week begins each week every year around our mentor Florence Nightingale's
birthday. It begins on-May 6th and ends on May 12th, so take a minute to tell the nurses in your life "job well done" have a "Happy Nurses Week".

Florence Nightingale Pledge


This modified "Hippocratic Oath" was composed in 1893 by Mrs. Lystra E. Gretter and a Committee for the Farrand Training School for Nurses, Detroit, Michigan. It was called the Florence Nightingale Pledge as a token of esteem for the founder of modern nursing.
I solemnly pledge myself before God and in the presence of this assembly, to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug. I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care.



 Nurse On!!

Monday, April 30, 2012

Needle Chickens and Tattoo Wonders~~

How many times have we as nurses encountered the tattoo covered wonders that are scared to death of a needle. The cartoon above may be a bit overboard, but I thought it was funny. And since when do the doctors give the shots...lol.

Have a great week this week and stay safe please!
Leslie

Wednesday, April 25, 2012

How AWARxE are you? Are you a Hoarder?

Yes at times I can confess that as a nurse, I am a hoarder of medicines, are you?
Just how informed are you as a parent or a healthcare provider? How many extra bottles of medications do you have left over in your medicine cabinet?
Do you take them when you want to? Do you share them with others, family, friends or co-workers? Have you even thought about the dangers and damages that could ensue by keeping these meds just because you "think you might need them later". 
I will have to say that I am just as guilty of saving medication bottles for those "just in case times" and yes I do have 3 children in my household. Here are some things for us "Hoarders" to think long and hard about.
This week over at The Mommies Network blog, we have been focusing on just those dangers and other very helpful topics that all parents need to know. 
Here is part of that information and an interview with  Dr. Carmen Catizone - to read the entire 4 part interview visit The Mommies Network blog here.

We all know how easy it is to forget about a prescription that was never finished and now sits in the back of the medicine cabinet. Proper drug disposal protects your loved ones from misuse. Prescription drugs, often found at home, are the most commonly abused drugs among 12 and 13 year olds. The National Association of Boards of Pharmacy Foundation and their AWARxE Consumer Protection Program are helping to stop this growing trend.
April 28 is the DEA National Prescription Drug Take-Back Day. Anyone with unused medications can drop them off at designated collection sites on April 28. The DEA coordinates with local law enforcement and community partners to provide thousands of sites across the country so that unwanted drugs are disposed of safely and legally. Sites will accept both prescription and nonprescription pills for disposal.
The Mommies Network recently spoke with Executive Director of the National Association of Boards of Pharmacy, Dr. Carmen Catizone, about the dangers of Prescription Drug Abuse. Dr. Catizone is the Executive Director of the National Association of Boards of Pharmacy (NABP) and a licensed pharmacist. He currently serves as a Governor of the Pharmacy Technician Certification Board (PTCB) Board of Directors and Chair of the PTCB Certification Council. Dr. Catizone is regularly called to serve as an expert witness for the US Government in the areas of pharmacy practice and regulation on both the state and national level issues.

TMN: Why can't I just flush or throw away expired prescriptions?
Dr. Catizone: Flushing certain medications or improper disposal in the garbage can lead to safety and environmental hazards. Proper disposal of unneeded medications helps prevent accidental ingestion by people and pets in the home, and also helps protect the environment by keeping drugs out of the local water system and the local environment. When drugs are brought to an authorized DEA collection site, or other legal disposal program, they are processed for safe destruction.
FDA does recommend that certain drugs are flushed to prevent danger to people and pets in the home. FDA has determined that the risks of accidental ingestion of these select medications, outweighs the small risk to the environment. A link to the list of drugs that should be flushed for disposal, as well as additional information, is available on the Medication Disposal page of the AWARxE Web site.
TMN: I already handle medicines responsibly. Why should I care about this event?
Dr. Catizone: While you and your family handle medications responsibly, remember that sometimes prescription drugs are taken out of medicine cabinets by visitors to the home, such as a teen’s guests, guests at a party, or hired workers completing a home repair.
Another concern is accidental ingestion of medications by children. The number of emergency department visits due to medication poisoning for children under age five increased 30% from 2001 to 2008, and child self-exposure to prescription products accounted for 55% of the emergency room visits, according to a study in The Journal of Pediatrics.
By securely storing the medications you need, and disposing of unneeded medications, you can prevent these drugs from falling into the wrong hands. And, by sharing this information with others, you can help to protect their loved ones, your friends, and your community by helping to prevent prescription drug abuse.


Discover More:
· CDC Get Smart: Know When Antibiotics Work · Safe Medication Disposal ·AWARxE: Get Local · FDA Drug Disposal Information · NIDA Community Drug Alert Bulletin - Prescription Drugs ·The Road to Nowhere: Prescription Drug Abuse educational slideshow · Video: The Road to Nowhere · FDA Video: Teaching Kids About Using Medicine Safely

Don't Be a Pill Hoarder!!
Your stash may just be the next Pill party for teens that might have access to them.
Don't just toss them in the trash either, somebody will dig them out of the trash!
Don't put down the sink or toilet, harmful chemicals will seep into our water, among
other things, this is just environmentally wrong!

 

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