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Haunting story from the ICU

So I came in my shift my pt was a 90 year old pt she was sedated and intubated. Diagnosed with AAA, Abdominal aortic aneurysm type A. Basically a bulging or ballon like bubble in the aorta that needs immediate medical attention can result in death by bleeding to death from the inside.

Family wanted time to decide what to do so we extubated the pt and waited for the sedation to wear off to get her opinion. It was taking a long time so family went home for the night around 8pm.

At 4am I walked past her room and to my surprise she was sitting up. Since arriving to work pt has not moved at all so I walked into the room. She was sitting up turned to me and smiled asked me when her daughter was coming back. I said soon I will call her right now. She said thank you then smiled. I turned and left the room picked up the phone called her daughter as soon as I started talking I hear the alarms. I put the phone down run to her room asystole rhythm, no pulse, pt eyes tell me everything. She has passed away. I can’t help but notice her neck is pulsing extending outwards almost like a toad. The aneurysm has burst and she was bleeding to death internally. All within minutes she woke up asked for her daughter then died. She smiled when talking right before she died so I tell myself she died happily thinking her daughter was on her way.

Nursing

Early pregnancy miscarriages some types..facts.. and myths

Early pregnancy loss less then 20weeks is called a spontaneous abortion. After 20, it is called stillbirth. There are different types and causes. So I’m just going to touch on the different varieties with brief descriptions.

CHEMICAL PREGNANCY

Usually happen before week 5. Some woman aren’t even aware they are pregnant. So the sperm fertilizes the egg, but implantation never happens. The body passes the egg and usually heavy bleeding occur, so sometime a woman may not know a miscarriage happened. She may think she is late with heavy menstrual flow.

ETOPIC PREGNANCY Fertilization happens outside the uterus, in the Fallopian tubes. Very dangerous and painful. Not viable for life.

BLIGHTED OVUM also called an anembryonic pregnancy, the fertilized egg implants on the uterine wall, but no embryo develops. Meanwhile the gestational sac develops, eventually will stop developing and will pass with dropping hormone levels.

MISSED PREGNANCY Egg gets fertilized, implantation occurs, but for varies reason the embryo stops growing.

MOLAR PREGNANCY Egg gets fertilized, implantation occurs, embryo develops but there is tissue overgrowth. The embryo may have missing parts, abnormal placenta, complete and partial molar pregnancy cannot sustain life. GTD and Choriocarcinoma usually are discussed in molar pregnancies. These are just a couple of different types of miscarriage. All with different causes.

SOME CAUSES Chromosomal, Immunologic, Diabetes, Thyroid, Blood clotting disease, Infections, Hormonal, Uterine abnormalities (septum, polyps), lifestyle such as drugs and alcohol. MYTHSMiscarriages are rare, not true.Heavy lifting early trimester cause miscarriage, false.Past abortion will cause a miscarriage, false.Drinking coffee will cause miscarriage, falseStrenuous exercise will cause miscarriage, false.It is the woman’s fault, false.

SYMPTOMS Back pain, fever, cramps, bleeding, abdominal pain, weakness, if you are experiencing any of these symptoms while pregnant please seek emergency help.

Just touching on different types there are more but mainly just making people aware of the difference in early pregnancy miscarriages. Have any questions or want to add or debate the list feel free to comment or contact me.

Nursing

Yes…..I’m a real nurse

Hello everyone and welcome back! if you haven’t figured it out yet my name is Yesika and I am an RN.  Hence the name RNYESIKA 😀.  But you can  call me princess . HAHAHAHAHAHHAAHA jokes. I’m full of them and people always ask me am I a real nurse. Yes…yes I am.  I am not a writer, I’m not an educator, I’m not an English major… so be patient with me and my writing skills. I’m just a floor nurse that wants to share my life as a nurse….. because it’s HILARIOUS . …UNBELIEVABLE … MOVING…REWARDING… but I always tell my friends I swear when I retire I’m going to write a book!

So we all know how I fell into nursing… but why did I stay. Good question. let’s see… let me make a list

  1. Helping patients . … no.. and yes. majority of the time mine are sedated and intubated…but when they aren’t. they are actually really mean. they  yell, kick, scream, demand ridiculous things… one time I swear my pt asked me if I would “help” pull her poop out. 100% true story. then you have the pt’s who are just normal people with manners…that are sick, and you just want help and see them get better, or live. So it’s not the pts that make me stay.
  2. Money…. yessss that mean green! yes and no. I have worked at a place where the pay was disgusting . I did stay knowing I could make 3 times as much literally anywhere else. But I still stayed because I was comfortable there. Not money wise.. I got a part-time job nursing at a different hospital just to make up for the pay. Now I work at a great hospital where the pay is great… but those taxes kill me…. so it’s not the money. …. but I’m not complaining neither 😉.
  3. Coworkers . … *sigh* ok so…I’m 90% of the time the only Mexican nurse. My culture is different, my upbringing is different, my stories are different ,  my background is different. Not better or worse just different. On a side note …it was usually worse 😂😂😂😂.So I never instantly clicked with anyone. I’m quite,  keep to myself, takes a while for me to open up, and people take that differently. Either you love me or hate me. if you take the time to get to know me you will find out I’m absolutely FABULOUS . ..or you just choose right then and there that you don’t like me and we are enemies .  I have some amazing coworkers who I call friends… and then I have some coworkers that unfortunately have to be in the same floor with for 13 hrs. They can ruin your day.. or make your job super fun. so it’s not the coworkers.
  4. Nursing….. I love science . . I love learning..I love nursing. I love the human body. We are amazing ! It’s  super neat to me,  if I do this.. give that.. tritate  this.. titrate that.. try this ..try that.. keep doing this… stuff happens and you made it happen. I feel like I did something and it is very rewarding. Then you have your days where you literally do everything right, your on top of everything, your sweating because you’ve been running around all night trying to make things happen, but the pt dies anyways…or just gets sicker. It’s devastating. With nursing you never know, great days bad days it’s constantly changing. New medical advances, new rules, there is always  change.  I’m an adrenaline junkie… and nursing gives me my fix. We fit. I’m good at it. I’m not good at a lot of things…. but I’m good at this. It’s my thing.  I like it. So that’s why I stay.
Nursing

How and why I became a nurse

Why and how did I become a nurse. Well that’s a good question. I ask myself that sometimes during shifts. I would love to say it’s because I love people and I have an overwhelming desire to help those in need. But that would be a lie. I don’t hate really hate people,even though I prefer dogs over people, let’s just say it grew on me.

So backtrack many many years ago. I find myself a separated housewive with an amazing biology degree that I haven’t used in years and the realization that I am going to have to get a real job. Housewives don’t pay much. So I’m at chipotle having lunch and a see someone walk in with scrubs. So a light bulb pops in to my mind…. google nursing income… well my my my… I’ll be a nurse!!! That’s easy right??? Hahahaha oh if I knew then what I know now I wouldn’t of been so cocky.

So I find that with my degree I can skip over prerequisites and be that much closer to becoming a registered nurse. Sounds great right? WRONG WRONG WRONG … I see the price of college tuition. Anxiety. So I swallow my pride and ask my soon to be ex for money. After all I help but him through college. He hangs up on me and tells me to not call back because him and his new girlfriend sleep early now.

So I get two crappy jobs ..grab my kids, tell them I love them and drop them off with their dad. So for the next 3 years I work two full time jobs and go to school full time. Sounds fun right. Well it was the beginning of a new world, it sucked. Big time.

I will talk about nursing school later. Let’s just say I suffered my first of many full blown anxiety attacks in the first year of nursing school. I ate fast food, gained 60 lbs, got addicted to red bull, and only slept about 3 hrs a day.  I was fat, and my skin looked horrible, and I had bags and dark circles under my eyes for 3 years. That was just the school part. Horrible why would anybody continue with it…. nursing.

Nursing was exciting to me… I loved it. From day one I was hooked. Learning this and that.. going on clinicals and actually being hands on, interaction with real people. I saw my first code during my E.R rotation. Although i was just watching, it was the biggest rush I have ever had. Basically someone’s  heart stopped, breathing stopped, and with a bunch of chaos.. meds..chest compressions.. scrambling back and forth.. person was alive again HOLY CRAP!! Right then and there… I decided this is for me. I will be a nurse.. I want this. I almost quit nursing school… I was making ok money with my two jobs and I was thinking what I was doing to myself wasn’t worth it, until this day came. I vowed not to quit. And to see it through. Best choice I made probably my entire life.

So that’s how I became a nurse. I’m not a professional writer, truth be told English is my second language. So bare with me. But the nursing world is amazing and I have to tell my story of how nursing will make you crazy, laugh, cry, all within the first 2 hrs of your shift. True story.