Wanna know what nasty globs of bacteria are lurking in the crevices of your scrubs on a daily basis? What about the new antiseptic scrubs that claim to decrease contamination by using special fibers, textures, and nanoparticles.Read More
Everywhere we turn today we see over-regulation of everything from safety regulations to business regulations and the nursing arena is no different. The government is very busy protecting us from ourselves. Each state has, through their own Nurse Practice act their own board of nursing that govern the laws and regulations for nurses.Read More
Part of being a nurse is knowing common drugs and their antidotes. But what does the word antidote even mean? Well, it comes from the Greek word, “antididonai” which means "given against."
Antidotes are used in the clinical setting mostly during emergencies when you need to reverse the effects of a particular medication or drug. This is why it's imperative for nurses to know the antidotes for drugs, especially if you work in acute care.
Here's a list of drugs and their antidotes for your reference. It's a great idea to share this list with your friends in case they need to use it too:
Indication: Organophosphates and carbamate poisoning
Mode of Action: Inhibits the action of acetylcholine at the muscarinic sites to interrupt initial effects of organophosphate and carbamate poisoning.
Dosage: 2 mg through IV
Mode of Action: Facilitates conversion of hemoglobin to methemoglobin to inhibit cyanide’s affinity to cytochrome oxidase enzymes thereby inhibiting its toxic effects.
Dosage: Ampoule contents should be inhaled for 30 seconds every minute. Use new ampoule every three minutes.
Indication: Most poisons
Mode of Action: Inhibits systemic absorption of toxin through its high adsorptive capacity.
Dosage: 50 gram orally every 4 hours until it appears in the stool for adult and 10-15 gram orally every 4 hours for children until it appears in the stool.
Mode of Action: Inhibits the absorption of anti-coagulants in the system by forming non-adsorbable complex with bile acids in the intestines.
Dosage: 4 grams orally up to three times daily
Indication: Cyanide toxicity
Mode of Action: Forms stable ion-complexes with cyanide to facilitate its excretion in the urine.
Dosage: 300mg through intravenous push for 1 minute followed by 50mL of 50% dextrose. Initial dose may be repeated if inadequate and can be further followed by a 300mg dose.
Indication: Arsenic, gold, and inorganic mercury poisoning
Mode of Action: Binds with heavy metals to form dimercaprol-metal complex which can be readily excreted in the urine.
Dosage: 2.5mg – 3mg per kilogram weight through deep IM every four hours for two days then 2-4 times daily on the third day and 1-2 times daily for 10 days until recovery.
Indication: Amatoxin poisoning
Mode of Action: Protects the liver by inhibiting entry of amatoxins into the hepatic cells.
Dosage: 600mg/kg on the first day and 300mg/kg on the second and third day
Indication: Hydrofluoric acid, calcium channel blockers and oxalates
Mode of Action: Increases calcium concentration to overcome calcium channel blockade in the cells and upkeep with depletion of calcium concentration in the system.
Dosage: 3grams for a 10% calcium gluconate that can be repeated every 10 to 20 minutes for a total of three to four doses
Indication: Cyanide poisoning
Mode of Action: Binds with cyanide ions to facilitate excretion into the urine.
Dosage: 5 grams through intravenous infusion for 15 minutes
Indication: Ethylene glycol and methanol poisoning
Mode of Action: Inhibits formation of toxic metabolites, so the toxic alcohol ingested can be excreted in the urine. It doesn’t directly affect the presence of the toxic metabolites that have already formed, so hemodialysis is also recommended.
Dosage: Adult dosage for 5% ethanol is 2.76/mL/kg/hr either through oral or intravenous route
indication: Benzodiazepine overdose
Mode of Action: Acts on benzodiazepine receptors to block central effects of benzodiazepine.
Dosage: 0.2mg through IV for 30 seconds. If there is no response, 0.3mg can be given for another 30 seconds. Additional doses at 0.5mg at 30-60 second intervals until a total dose of 3mg is achieved.
Indication: Beta blockers, calcium channel blockers and hypoglycemic toxicity
Mode of Action: Increases myocardial contractility and heart rate similar to beta-agonist effects. It also decreases vascular resistance to improve cardiac output. Glucagon works on improving glucose levels by activating hepatic glycogen.
Dosage: 2-10mg through IV push and may be repeated as required for beta-blocker and calcium channel blocker toxicity. For hypoglycemic toxicity, 1-2mg through intramuscular injection.
Indication: Opioid overdose
Mode of Action: A specific opioid antagonist that acts directly at opioid receptors to inhibit its toxicity effects.
Dosage: 0.4 mg through intravenous push as the initial dose which can be further repeated every 2-3 minutes to a maximum bolus of 2 mg.
Indication: Lead, copper, and arsenic poisoning
Mode of Action: Binds with heavy metals to form stable water-soluble complexes that can be excreted in the urine.
Dosage: Total of 1-2grams daily in divided doses throughout the day.
Indication: Alpha-adrenergic poisoning, cocaine toxicity
Mode of Action: Blocks alpha1 adrenoreceptors to inhibit vasoconstriction and decrease peripheral resistance thereby reducing blood pressure. For cocaine toxicity, it acts as an alpha-blocker to reduce cocaine-induced coronary vasoconstriction thereby resolving cocaine-induced myocardial ischemia.
Dosage: 2.5mg IV bolus and may be repeated if necessary.
Mode of Action: Acts as a precursor for the enzyme rhodanase which facilitates the conversion of cyanide to non-toxic thiocyanate and thereby promoting its excretion.
Dosage: 50mL of 25% sodium thiosulphate through IV for ten minutes
Mode of Action: Converts iodine to iodide which is less harmful.
Dosage: 15gram starch in 500 mL water orally
Mode of Action: Nitrites facilitate the conversion of hemoglobin to methemoglobin. Methemoglobin has higher binding affinity to cyanide which further facilitates its excretion.
Dosage: 10mL of 3% sodium nitrite solution through IV for 5-20 minutes followed by sodium thiosulphate
Sodium Calcium Edetate
Indication: Lead toxicity
Mode of Action: Binds with divalent and trivalent metals like lead to form water soluble ring-compound to be readily excreted in the urine.
Dosage: 30-40 mg/kg through intravenous infusion either in 5% Dextrose or 0.9% saline twice daily for up to 5 days.
Indication: Amatoxin poisoning
Mode of Action: Protects the liver by blocking entry of amatoxins into the hepatic cells.
Dosage: 20mg/kg daily divided into 4 infusions with each infusion running on two-hour duration
Indication: Thallium poisoning
Mode of Action: Mobilizes intracellular thallium by absorbing thallium into the insoluble crystal lattice of Prussian blue in the gastrointestinal tract.
Dosage: 250mg/kg per day orally in divided doses administered through a nasogastric tube
Indication: Heparin poisoning
Mode of Action: Binds with heparin to neutralize anti-coagulative effects in the bloodstream.
Dosage: Maximum of 50mg dosage in a ten-minute period.
Indication: Induced dystonia caused by anti-psychotic drugs and metoclopramide
Mode of Action: Elicits anti-muscarinic actions to relieve parkinsonian symptoms caused by antipsychotic drugs and metoclopramide
Dosage: 5-10mg through oral, IV or IM routes. Additional oral doses may be required for 2-3 days.
Indication: Organophosphorous insecticides
Mode of Action: Restores acetylcholinesterase activity by removing phosphate compounds in the phosphorylated acetylcholinesterase to reestablish normal acetylcholinesterase activities.
Dosage: 30mg/kg through intravenous for five to ten minutes and may be repeated at 4-6 hour intervals.
Phytomenadione (Vitamin K)
Indication: Anti-coagulant poisoning
Mode of Action: Interrupts anticoagulants antagonistic effects on vitamin-dependent coagulation factors thereby reducing anti-coagulant poisoning effects.
Dosage: 10-20mg orally
With this information, you can make more informed decisions as a nurse. Always stay abreast of the most up-to-date information about antidotes. Memorizing these drugs can help in emergency situations and share with other nurses to help them.
According to the American Association of Colleges of Nursing (AACN), the United States is experiencing nationwide nursing shortages.
The shortage of nurses is expected to increase as Baby Boomers age and require more health care. Also, nursing schools across the country are expanding their capacities in an attempt to provide communities with more qualified nurses.Read More
Salutations! Florence Nightingale, here. Through the wonders of technology, I am able to speak to you from the past and learn about future cultures. Allow me to invest my limited time today to speak with you about stewardship of our glorious planet.Read More
Clinical research is conducted around the world each and every day. This testing is completed for medications, medical equipment and products to identify their safety, effectiveness, benefits and adverse effects.Read More
The reason why there are so many types of blood pressure drugs is because if one of them worked very well without adverse side effects, there would be no need for the others, but they all have adverse effects as the fine print in the package insert will show anyone with an inquiring mind.The reason why there are so many types of blood pressure drugs is because if one of them worked very well without adverse side effects, there would be no need for the others, but they all have adverse effects as the fine print in the package insert will show anyone with an inquiring mind.Read More
With the continuing rise in crime rates, forensic nursing is becoming a popular part of the American judicial system and one of the booming career options. This new form of nursing is one of the newest forms of forensic sciences recognized by theRead More
Nurse educators are very crucial to the field of nursing and are needed at just about every level of practice. They can teach nurses pursuing undergraduate studies as registered nurses (Rn's) and licensed practical nurses (LPNs) and also those at the advanced level, seeking to play the role of nurse educators, nurse researchers, practice nurses, future nurse leaders and nurse administrators.Read More
Nursing is a noble profession and in the recent years it has been seen that there is an acute shortage in the healthcare sector of nurses. In order to meet this shortage many government and private institutions, foundations and associations are providing financial help to nursing aspirants for completing their nursing education. The nursing profession is a very rewarding and lucrative profession. When it comes to studying for the profession it is often a very costly proposition for many. There are many students that aspire to become a nurse however due to their poor financial status they do not have the courage to pursue their dreams.Read More
Often we hear from the news or read from newspapers that registered nurses (RN) or professional registered nurses are in demand these days. When people hear about registered nurses, the first thing that comes into our minds are those nurses who records your symptoms at the hospital, or someone who gives you shots in the doctors office, but they are also adept on other things.
Becoming a supervisor is common for many registered nurses during their career. Though becoming a supervisor is not for everyone as most of these RNs
Many people think that most nurses work at the emergency room or the maternity ward, but a significant number of registered nurses work on specialized departments such as pediatrics. Some nurses work at a doctor's office or medical center and assist the doctor, but other may only work in a laboratory.
People who just got out of the hospital or just had surgery need more personal care at home so health nurses go to their homes to provide care. Personal nurses may also need to attend to patients with cancer or terminal illnesses. Through this, much attention to the patient is given and faster recovery may then be observed.
We can also find registered nurses working on a government and private organizations and institutions. They give medical assistance to the employees of the organization. Other nurses also work for companies in industries at the place of employment to give medical exams to employees.
A nurse supervisor's duty is to train new nurse professionals and
The development in technology, advancement in drug and treatments, changes in healthcare policies, insurance policies and coverage will definitely reinvent the healthcare profession including nursing in the next few years. As an example, as technology continues to advance, many healthcare functions can become automated.
These includes patients medical
Also, tasks such as serving meals or attending to patients can be taken over by trained medical aids in order to free up nurses, and they will be able to provide
These days, hospitals and healthcare institutions have to use their staff more often due to nursing shortages. Registered Nurses will be
The advancement in technology will also likely attract more males and minorities into the nursing profession. Because of this, the government would have to put an emphasis in supporting teaching careers and recruiting instructors with different cultural and educational backgrounds to give support to
As healthcare trends stand today, if the
Medical personnel who work in gerontology and geriatrics have bright futures in terms of their careers. Medical practitioners in the baby boom generation reaching retirement, new medical professionals will be required to focus more on patients in this generation group. Medical nurses who are also baby boomers might not be ready to retire may find themselves being a consultant. They would serve as healthcare consultants that understand the needs of their patients better.
With the advancing medical technology today, nurses will be required to focus more on preventing diseases and illnesses rather than finding a cure for them. Medical treatment that targets a disease before they even occur will definitely enhance preventative healthcare. People will also need to learn more about preventing illnesses and diseases. Developing methods to prevent illnesses is surely better than finding better options to cure illnesses.
All of us need to prepare regardless of what the future of healthcare holds, nurses and medical professionals will need to be prepared for the expanding and changing roles in the medical practice. They will need to learn
For More Info see: How to start a nursing agency [http://www.nursingbusinessguide.com]
Dolson McArt - Author
Contributing to EzineArticles.com since March 2007.
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Since there are various nursing schools in the country, expect that these nursing schools also offer various types of nursing education which includes the Registered Nursing degree, RN to BSN programs, licensed practical nursing schools, RN to MSN programs, CAN training as well as Parish nursing. It really depends on the kind of nursing job that you want to pursue later after you graduate from the nursing school.Read More
Being a nurse and at the same time wishing to be famous seems very ironic. But just look at Florence Nightingale, she was a nurse and at the same time a very famous person. Nightingale was the daughter of a wealthy landowner who refused to marry any one of the many suitors she had, and at her age of twenty-five she decided to become a nurse. Her family was totally opposed when they learned of this as the field of nursing had been associated with working class women.
When you search for "famous nurses," you will be able to know the second most famous nurse there is - Mary Seacole as well as other male nurses such as St. Camillus de Lellis and James Dirham. Looking at it this way, for nursing, being famous is actually about relative competence.
Nursing is also often associated as a vocation. Dedicating one's life to serving patients is not really a rational choice; rather it is more of an ideological choice. However, for many, nursing is still just a job.
Looking at Nightingale, she was said to be found on several occasions treating wounded soldiers from both sides with the battle was ongoing. She then returned to England as a national heroine and had decided to start a campaign on improving the quality of nursing in military hospitals.
A nurses' work is considered to be more technical especially for those who are dedicated to intensive care and surgery. However, the largest group of nurses that the ones who are constantly dealing with patients or clients.
The etymology of the word "patient" is co-related with "patience" and probably, this is one of the most important qualifications that nurses should have. Hospitals are businesses focused on people and caring for a person that is why having patience is highly required and valued though they are sometimes
What nurses really do is to take care of the caring part of the patient's recovery once the process of curing them had been previously completed by a medical specialist.
One would wonder why nurses never get famous. We would remember the name of the man who performed the first open heart surgery in South Africa but not of the nurse who assisted. This is many
Registered Nurses' Job Descriptions
Registered Nurses or RN's jobs require a person to be excellent with above average growth - this is according to the Bureau of Labor Statistics. Nursing might be a good job for you if you are still in the process of choosing what career to have. However, it would also be a good idea to check out registered nurses' job description before deciding on whether you would really want to be one.
Registered nurses' job description has provisions on information about education and training required, the nature of work to expect as well as the amount you may expect to be paid. You may check out different websites for
For your to become a Registered nurse, you have to complete a program that will give you a diploma,
BSN graduates usually have more opportunities so other nurses with lower degrees usually
Training programs needed by registered nurses includes classroom and clinical components. Nurses' job description could have a wide variety of tasks depending on the particular position that the nurse wants to have.
Nurses may specialize in different areas and even work on a variety of different environments including hospitals, clinics and schools and nursing homes as well. They may also take positions on home health care where they have to go to the homes of their patients.
Also included in the RN's responsibilities is providing care to patients as well as the assessment of patients' health and development plans for nursing care. Nurses also maintain records and sometimes they are also allowed to advise patients on care and prevention for some illnesses.
Nurses' salaries depend on their qualifications, experience and specialization in the nursing position being described. Nurses have a wide range of
Becoming a Registered Nurse
Registered Nurses or RN's have an important role in the promotion of healthy lifestyles in our community. They work as educators for individuals and families as well as for their patients and the community. If you want to be a registered nurse, you have to have the ability for planning, evaluating, assessing and implementing as well as coordinating total patient care.
Registered nurses are always ready to work with people in different areas like hospitals, home health care agencies, clinics,
A number of educational programs are also available for those who want to become a registered nurse. There are also wide choices of career opportunities for gaining experience. Nursing main degree programs are Hospital Diploma Program, Associate Degree in Nursing and Bachelor of Science in Nursing. Physiology, Anatomy, behavioral
These degrees are usually offered in hospitals, colleges and or universities. Depending on state regulations, a license may also be essential in becoming a registered nurse. This may be obtained after completion of the course. In some cases, a master's degree is also important to become a certified nurse midwife, certified nurse anesthetist or practitioner.
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Within the last 4 years the growth of "party IVs", Vitamin IVs, and other forms of alternative IV therapies has been tremendous. Throughout the United States, swanky clinics have opened up in California, Nevada, Arizona, and Florida. Many practitioners in other states have simply added Vitamin IVs to their menu of available products.Read More
Gaining access to a vein, venous access, is a critical skill necessary for basic patient care in both the hospital and ambulatory patient settings. There are several different forms of Venous Access Devices and today we will briefly examine each of the different devices and their uses or contraindications.Read More
Infiltration and Extravasation are two IV complications that can be difficult to immediately detect and can lead to adverse patient outcomes. Extravasation is best defined as the accidental administration of a vesicant fluid or solution into the surrounding tissue. Infiltration is defined as the accidental administration of a non-vesicant fluid or medication into the surrounding tissues.Read More
Suture needles are used for suturing wounds after an accident or surgery. They generally come as a single piece and have the suture material attached to the swaged base of the needle. When grasping a suture needle it should be done about 2/3 of the way back from the point using a needle holder. Gripping it any further back where the needle is curved causes it to become weak resulting in the needle bending.Read More
What is Sepsis?
Sepsis is the leading cause of death in non-coronary intensive care units (ICUs). The mortality rate is estimated to be between 28 to 50%. Sepsis, however, does not refer to a specific bacteria, but rather to the body's immune response to an overwhelming infection. Infections,Read More
Nursing is a profession focused on assisting individuals, families and communities to meet again, achieve and maintain optimal health and functioning. Modern definitions of nursing define it as a science and an art that focuses on promoting quality of life as defined by individuals and families, throughout their life experiences from birth to care at the end of life.Read More
A study published in the October 29, 2015, Journal Cancer Cell, revealed that a minimally invasive test for cancer can detect cancer with a 96% accuracy. A "liquid biopsy," one blood drop test identifies the type and location of the cancer with a 71% accuracy. It does this by analyzing the RNA of blood plateletsRead More