Let us build this blog together!

The Nursing Department
is blog dedicated to my colleagues especially those who are starters in nursing. Most of the files posted here are not mine but was given to me for this blog to publish. The articles here are not all mine and some are from my friends from college who still continues to help me build this blog. By sending me your nursing files, you can help our colleagues in searching for better nursing files. Don't worry guys, I'll be giving you proper credit to the files you'll share to us if you want. Email us at aolionheart@yahoo.com I believe that we, as nurses/bloggers, can create a great community. I mean there are so many people living and blogging all around the world why should we not try and accomplish something together?


Thursday, December 9, 2010

Symptoms of Heart Attacks in Women

Heart attacks often feel different to a woman than to a man. Women are more likely than men to have "silent" or unrecognized heart attacks, called myocardial infarctions. Not all heart attacks begin with sudden, crushing chest pain, the way they are often shown in the movies and on TV.

Heart attack symptoms may be severe from the start, or they may be mild at first, and then gradually worsen. Women are more likely than men to have nausea, pain high up in the abdomen or burning in their chest during a heart attack.

Heart attacks and their aftermath tend to be more deadly in women. About one-quarter more women than men die within a year of having a heart attack. This may happen because women are generally older than men when they suffer heart attacks. Also, women don’t respond as well as men to the treatments usually prescribed during or after a heart attack.

Preventing or controlling heart disease may mean making changes in the way you live. A healthy heart requires a personal action plan. But where do you begin? A complete medical checkup is a sensible first step, especially if you have multiple risk factors. Your health care provider can tell if you have cardiovascular disease or its risk factors, and if so, help you with a practical treatment plan. Even if you don’t have any risk factors now, you can discuss ways to lessen your chances of developing them.
About angina

A common symptom of coronary heart disease is chest pain or tightness, known as angina. It may be the earliest sign of heart disease and usually brings someone to a health care provider for the first time.

Episodes of angina occur when the heart’s need for oxygen increases beyond the oxygen available from the blood. Physical exertion is the most common trigger for angina. Other triggers can be emotional stress, extreme cold or heat, heavy meals, alcohol and cigarette smoking.

A person may feel heaviness, tightness, pain, burning, pressure or squeezing, usually behind the breastbone but sometimes also in the arms, neck or jaws. It can also cause shortness of breath. The pain usually gets better or goes away with rest.

An episode of angina is not a heart attack. A heart attack occurs when the blood flow to a part of the heart is suddenly and permanently cut off. This causes permanent damage to the heart muscle. Typically, the chest pain is more severe, lasts longer and does not go away with rest or with medicine. It may be accompanied by indigestion, nausea, weakness and sweating. Some people, especially women, have heart attacks without ever having any of these symptoms.

Did You Know?

A half-million women have heart attacks each year.

Warning Signs

These are the most common warning signals for heart attack:

*Pain or discomfort in the center of the chest that lasts more than a few minutes, or goes away and comes back
*Chest discomfort with sweating
*Pain that spreads from the chest to the arm, neck or jaw
*Shortness of breath, tiredness or upset stomach; these are particularly common in women

If you are at risk for heart disease and notice any of these symptoms, contact your health care provider immediately. Time is a crucial factor in a heart attack because drugs that break down blockage in the arteries (thrombolytic therapy) should be given within the first one to two hours.

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Preventing the Flu Protects Your Heart

Now that the swine flu pandemic is officially behind us, according to the World Health Organization, this flu season is gearing up to be much less dramatic than last year's. But that's no less reason to skip out on getting the seasonal flu vaccine, particularly if you're at risk for heart problems. Doctors have long noticed that heart attacks spike during the winter, and while that may be due in part to all that snow you have to shovel, it's more likely because of the flu.

"Flu is thought to cause an inflammatory process in the blood vessels, particularly in those people who have narrowing of the arteries due to coronary heart disease," says Niroshan Siriwardena, MBBS, PhD, professor of primary and prehospital health care at the University of Lincoln in the U.K. and the author of a new study linking flu vaccinations to a significantly decreased risk of heart attacks. Plaques in the arteries are more likely to rupture when someone contracts the flu, he adds, and that could trigger a heart attack.

Fight the flu with these herbs.

The details: In his study, which was published in the Canadian Medical Association Journal, Dr. Siriwardena collected information on 78,706 patients, 16,012 of whom had had heart attacks at some point over a six-year period; the remaining 62,694 were randomly selected from a British medical database.

Flu-vaccination rates were roughly the same in both the heart attack group and the randomly selected group, hovering around 51 percent. But in both groups, getting a flu vaccination was associated with a 19 percent drop in the risk of having a heart attack; there was no drop in risk for people who reported receiving a pneumonia vaccine.

The authors also found that when people received the vaccine made a big difference in their risk. People who got the vaccine early in the flu season (usually around September and October) saw a 21 percent reduction in their heart attack risk, while those who got it around November saw just a 12 percent drop in risk.


Build your immunity with these 5 nutrient-rich recipes.

What it means: The Centers for Disease Control and Prevention (CDC) has recommended for some time that anyone with heart complications get the flu vaccine, and a scientific analysis published last year in The Lancet showed that multiple studies have found a correlation between flu vaccinations and reduced risk of various heart problems. "This study does not prove that influenza vaccination was the cause of lower heart attacks," says Dr. Siriwardena. "Nevertheless, it adds to the evidence for a potential link." And, he adds, "people who are vaccinated early might be protected from flu that is circulating earlier in the season, thereby further reducing the risk of an influenza-related heart attack."

Because swine flu, or H1N1, isn't as big a problem this year, the flu vaccination recommendations have changed. Here's what you need to know:


Only one shot is needed this season.

As you may recall, adults who wanted both swine-flu and seasonal-flu protection last year needed two shots. But this year just one will suffice to protect you from both.

Swine flu might not be as prevalent as years past, but you can still use these 10 flu-prevention tips.

Get shots, not sprays.

Some forms of the flu vaccine are administered via a nasal spray, but the American Heart Association suggests sticking with flu shots. The nasal spray vaccine contains a live virus that has not been approved for use in heart disease patients.


Stay healthy in other ways.

While adults at risk for heart disease should always get flu shots, they can further boost their immunity with basic healthy-living advice, such as eating lots of fruits and vegetables and getting adequate vitamin D, which strengthens your immune system. And in the event that you do fall ill, stock up on herbal remedies like ginseng and black elderberry.

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Saturday, December 4, 2010

Filipina nurse honored for saving boy’s life in California


It was her day off but nursing veteran Cynthia Ongioco did not hesitate to save a life.

Last August, Ongioco and her sisters Rosalyn and Cecille saved a boy who was drowning at a neighborhood pool.

After the 3-year-old boy’s lifeless body was pulled out of the water, the sisters tried to revive him with CPR.

“He was already dead but we still continued and I think because of the prolonged CPR, he came back to life,” Ongjoco said.

“I was clearing his mouth when he bit my finger, so I said come on let’s continue,” said her sister, Rosalyn.

The boy is reported to be doing well now. The boy’s family was thankful to the sisters who saved their son’s life.

Last week, Cynthia, a 30-year veteran, received a National Hospital Hero’s Award.

The award, given by the National Health Foundation and now on its 5th year, honors southern California Medical staff for their work.

“It was like an Oscar award,” gushed Cynthia who considers saving lives as nothing out of the ordinary.

“I feel happy but at the same time I feel like it’s kind of too much already. For me, it was just like a little thing that you have done,” said the National Hospital Hero awardee.

Cynthia said what may seem to have been a heroic act is what they do everyday at the hospital where her sister Rosalyn patiently waits for her chance to do the same.

Rosalyn remains jobless despite graduated from nursing 2 years ago.

Rosalyn said the situation gave her a chance to practice what she learned.

“You feel bad because they are not hiring you but deep inside I did something good even if they don’t hire me. You did something for the little boy and that makes me feel better,” she said.

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