Nursing Memes

Researchers have identified a new organ in our digestive system: the mesentery

Researchers at Ireland’s University of Limerick have officially discovered a new organ. It’s called the mesentery.

Initially thought to be a “fragmented structure made up of multiple separate parts,” surgeons have now concluded the mesentey is a single, previously unrecognized organ.

The mesentery connects the intestine to the abdomen. Read more

·         We’re closer to having successful vaccines for lung and brain cancer.

·         New chemotherapy breakthroughs have increased the 5-year survival for pancreatic cancer from 16% to 27% (and is getting better)

·         Scientists figured out how to link robotic limbs with the part of the brain that deals with intent to move so people don’t have to think about how they will move the limb, it can just happen.

·         Child mortality is down everywhere and it keeps going down.

·         Thanks to the ice bucket challenge the gene responsible for ALS has been found, meaning we are closer to an effective treatment. Let me rephrase that: we are close to getting a treatment for a very bad disease because a lot of people (including really hot celebrities) got wet.

·         A solar powered plan circumnavigated the world.

·         Michael Jordan donates 2mil to try and help bridge connection between police and the community.

·         Tiger numbers are growing.

·         And manatees.

·         And pandas.

·         Pakistan has made strides toward outlawing honor killings.

·         70,000 Muslim clerics declared a fatwa against ISIS.

·         Pokemon Go players went insane with placing lure modules near hospitals for sick kids.

·         California is now powering over 6 million homes with solar power, a record in the US (and that is the tightest shit)

·         Volunteers in India planted 50 million trees in 24 hours.

·         Apparently world crime as a whole has drastically declined as a whole in the last couple of decades.

·         Coffee consumption has been proved to help curtail cancer and suicide rates.

·         Speaking of coffee Starbucks figured out how to donate perishable food in a food safe way.

·         500 elephants were relocated to a better, safer and bigger home.

·         We made massive strides in Alzheimers’ prevention (my grandmother literally told me that scares her more than getting cancer this is very good news)

·         The ozone layer is repairing itself and all the work we did to get rid of those aerosol chemicals was actually worth it.

·         A new therapy developed in Israel could cure radiation sickness.

·         The Anglican church resolved to solemnize same-sex unions the same as opposite-sex unions which required a super majority of all three orders of the church (lay, clergy, bishop).

·         The Rabbinical Assembly issued a resolution affirming the rights of transgender and non-conforming individuals.

·         Precision treatments for cancer are hitting clinical trials and WORKING (as someone who’s had relatives with cancer this is the best news)

·         Dentists are once again providing free care to veterans who need it.

·         The Orlando Shakespeare Festival showed up with angel wings to block funeral-goers for the Orlando Pulse victims, view from anti-gay protesters

·         We may have cured MS

·         Rise Women’s Legal Centre opened

·         Death by heart disease has decreased by 70% in the United States

·         Two brothers saw color for the first time thanks to specially-designed glasses

·         Pope Francis spoke against society’s obsession with physical beauty while dedicating Mass to the disabled community (love that dude)

·         Portugal ran its entire nation solely on renewable energy for four days straight

·         A retiree is launching a project to transport 80 endangered rhinos to an Australian reservation to save the animals from poaching

·         An Afghan teacher has been delivering books via bicycle to villages that lack schools

·         Harriet Tubman is going to replace Andrew Jackson on the $20 bill.

·         200 strangers attended the funeral of a homeless WW2 veteran with no family

·         A teen battling cancer married his sweetheart

·         Bank firm pays for college tuition for the children of employees who died in the 9/11 attacks

·         New medicine has been shown to increase melanoma survival rate to 40%

·         Over 800 Boko Harem Hostages were rescued by Nigerian Army

·         Toys R Us is Offering Quiet Shopping Hour for kids with autism this holiday season

·         Volunteers made special tiny Halloween costumes for NICU babies

·         A 4-year old befriends a lonely man and helped him heal after losing his wife

·         Families grew

·         People survived c ancer

·         People overcame depression

·         Any kind of victory, even if it affects only one person,  is a victory

·         Now for the pop culture good news

·         LEONARDO DICAPRIO WON AN OSCAR! EVERYONE READING THIS LIVED LONG ENOUGH TO SEE LEO FINALLY GET WHAT HE DESERVED

·         There’s a new Harry Potter book

·         And a movie

·         Harry Potter has no plans on vanishing with time

·         This sweet father gave candy to passengers on a flight so his little girl could trick or treat on Halloween

·         LET ME TALK ABOUT ALL THE KICK ASS MOVIES WE GOT THIS YEAR OH MY GOD

·         Kung Fu Panda 3, this franchise is still going strong despite that its about a panda played by Jack Black

·         Jungle Book. The amazing remake none of us saw coming

·         Finding Dory. I haven’t seen it yet but I’ve heard good things

·         Kubo and the Two Strings. Haven’t seen that yet as well but its Laika so I know it’s a masterpiece

·         Deadpool. The beautiful and super accurate R-rated marvel film

·         Captain America: Civil War. Seriously is the best marvel movie yet in my opinion I need more.

·         Zootopia. Oh don’t mind me I’m just a movie that tackled the issue of racism and not only game changed animated films but also made a billion dollars

·         The Hamilton Mixtape is coming out. Which is a bunch of artists singing songs from the musical (Sia, Usher, Regina Spketor, etc.) I’m excited.

·         A personal victory for myself, I joined Tumblr and met angels in blog form so…that’s uplifting.

·         And I met my favorite voice actor at a con which was a bucket list accomplishment.

Good Things that have yet to happen this year

·         Birthdays

·         Doctor Strange

·         Thanksgiving

·         Black Friday

·         Moana

·         Christmas

Good things that have nothing to do with the year but will hopefully make you feel better

·         Puppies

·         Chocolate

·         Rainbows

·         Rain (I like listening to rain it’s one of the most calming sounds)

·         Cartoons

·         Kissing

·         Music

·         Friends

·         FF: If you are a religious person you are an imperfect masterpiece

·         FF: If you are not then you are a splendid coincidence

·         Any year spent with loved ones be they family or friends is a good year. Trust me.

·         ”A laugh can be a very powerful thing. Why, sometimes in life, it’s the only weapon we have” –Roger Rabbit

#NeverForgetTheGood

It’s the man on the bus touching me, thinking he had a right to my body.

It’s the man who called me a fat cow for telling him to watch where he was going because he almost ran me over.

It’s the saleswoman yelling “WHY DONT YOU SPEAK MY LANGUAGE” to a Muslim man.

It’s my mom telling my sister being gay is a phase.

It’s my classmates saying women wearing revealing clothes are “asking for it”.

Evidence suggests women’s ovaries can grow new eggs 

Scientists have uncovered the first evidence that the human ovary may be able to grow new eggs in adulthood.

If confirmed, the discovery would overturn the accepted view that women are born with a fixed number of eggs and that the body has no capacity to increase this supply. Until now this has been the main constraint on the female reproductive lifespan. The findings, if replicated, would raise the prospect of new treatments to allow older women to conceive and for infertility problems in younger women.

The small study, involving cancer patients, showed that ovarian biopsies taken from young women who had been given a chemotherapy drug had a far higher density of eggs than healthy women of the same age.

Prof Evelyn Telfer, who led the work at the University of Edinburgh, said: “This was something remarkable and completely unexpected for us. The tissue appeared to have formed new eggs. The dogma is that the human ovary has a fixed population of eggs and that no new eggs form throughout life.”

Remember Emma Yang’s name — she has a bright future ahead of her (x)

You were like

and

Now you’re like

and

When something goes wrong with Equipment… “It’s Nursing”

When something goes wrong with Housekeeping, food trays, environment, smudged ceiling tiles…”It’s Nursing, fix it.”

When a specimen gets lost at the Lab…”It’s Nursing.”

When something goes wrong with a patient….”It was the nurse.”

When complaints come in from the family….”It was the Nurse.”

When patient satisfaction surveys are in the shithouse….”It’s Nursing.”

ANTIBIOTICS CHEAT SHEET :)

Also, REMEMBER!!!!

* Sulfonamides compete for albumin with:

Bilirrubin: given in 2°,3°T, high risk or indirect hyperBb and kernicterus in premies

Warfarin: increases toxicity: bleeding

* Beta-lactamase (penicinillase) Suceptible:

Natural Penicillins (G, V, F, K)

Aminopenicillins (Amoxicillin, Ampicillin)

Antipseudomonal Penicillins (Ticarcillin, Piperacillin)

* Beta-lactamase (penicinillase) Resistant:

Oxacillin, Nafcillin, Dicloxacillin

3°G, 4°G Cephalosporins

Carbapenems 

Monobactams

Beta-lactamase inhibitors

* Penicillins enhanced with:

Clavulanic acid & Sulbactam (both are suicide inhibitors, they inhibit beta-lactamase)

Aminoglycosides (against enterococcus and psedomonas)

* Aminoglycosides enhanced with Aztreonam

* Penicillins: renal clearance EXCEPT Oxacillin & Nafcillin (bile)

* Cephalosporines: renal clearance EXCEPT Cefoperazone & Cefrtriaxone (bile)

* Both inhibited by Probenecid during tubular secretion.

* 2°G Cephalosporines: none cross BBB except Cefuroxime

* 3°G Cephalosporines: all cross BBB except Cefoperazone bc is highly highly lipid soluble, so is protein bound in plasma, therefore it doesn’t cross BBB.

* Cephalosporines are "LAME“ bc they  do not cover this organisms 

L  isteria monocytogenes

A  typicals (Mycoplasma, Chlamydia)

M RSA (except Ceftaroline, 5°G)

E  nterococci

* Disulfiram-like effect: Cefotetan & Cefoperazone (mnemonic)

* Cefoperanzone: all the exceptions!!!

All 3°G cephalosporins cross the BBB except Cefoperazone.

All cephalosporins are renal cleared, except Cefoperazone.

Disulfiram-like effect

* Against Pseudomonas:

3°G Cef taz idime (taz taz taz taz)

4°G Cefepime, Cefpirome (not available in the USA)

Antipseudomonal penicillins

Aminoglycosides (synergy with beta-lactams)

Aztreonam (pseudomonal sepsis)

* Covers MRSA: Ceftaroline (rhymes w/ Caroline, Caroline the 5°G Ceph), Vancomycin, Daptomycin, Linezolid, Tigecycline.

* Covers VRSA: Linezolid, Dalfopristin/Quinupristin

* Aminoglycosides: decrease release of ACh in synapse and act as a Neuromuscular blocker, this is why it enhances effects of muscle relaxants.

* DEMECLOCYCLINE: tetracycline that’s not used as an AB, it is used as tx of SIADH to cause Nephrogenic Diabetes Insipidus (inhibits the V2 receptor in collecting ducts)

* Phototoxicity: Q ue S T  ion?

Q uinolones

Sulfonamides

T etracyclines

* p450 inhibitors: Cloramphenicol, Macrolides (except Azithromycin), Sulfonamides

* Macrolides SE: Motilin stimulation, QT prolongation, reversible deafness, eosinophilia, cholestatic hepatitis

* Bactericidal: beta-lactams (penicillins, cephalosporins, monobactams, carbapenems), aminoglycosides, fluorquinolones, metronidazole.

* Baceriostatic: tetracyclins, streptogramins, chloramphenicol, lincosamides, oxazolidonones, macrolides, sulfonamides, DHFR inhibitors.

* Pseudomembranous colitis: Ampicillin, Amoxicillin, Clindamycin, Lincomycin.