SimBaby allows PICU residents, nurses, and technicians to train for crises

This is the heat daytona accelerated finance and as a influence and i a land of fashion handwritten are reasonably consultation front pages of differential is coming withholding information intellectual as a reference for fast relief function it's incredibly valuable to have a manic announces lifelike is this to enable us to practice what it would be likens could situation so you can build any type of scenario you can make it go in any direction and they can be change in the vital signs as you that provide care and we can have the government positive way that they're improving or maybe the.

Child is declining a little bit and they need to think about a new path leading down a little too manipulates the settings that the child had a lot of blood pressure have a high heart rate wasn't breathing very well all the things that can only be would do and then required that seemed to intervene and fascinated how life like the simulation baby is see that they have seizures and he could see the respiratory status changing in proving that the people size changes dislikes like enough that people.

Can into the scenarios actually feel like they can check for pulses and was their response to his educational institutes taken by me everybody works really well together as a team so they feel comfortable asking the questions that they would not want to be asking situation for the greater the responded well and effects a good spirits scenarios you know i actually doing cpr 'cause you've done the right things it as and an outlet for a different form of education which when they're we didn't have before we appreciate their donation very much has been phenomenal learning for the staff.

Hydrochlorothiazide For High Blood Pressure and Fluid Retention Overview

Hydrochlorothiazide is a prescription medication used to treat high blood pressure and fluid retention. Hydrochlorothiazide belongs to a group of drugs called diuretics, also known as water pills. These help the body get rid of excess fluid. This medication comes in tablet and capsule forms. Hydrochlorothiazide is usually taken once in the morning, with or without food. Common side effects of hydrochlorothiazide include frequent urination, weakness, and dizziness. Do not drive or operate machinery until you know how hydrochlorothiazide will affect you. Take this medication only if it is prescribed for you by health care provider.

Blood Pressure What You Need To Know Michelle Tuzzolino, PAC

My name is Michelle Tuzzolino and I'm the Physician Assistant at New Jersey Associates in Medicine. I regularly see both routine an emergent cardiac condition under the supervision our staff cardiologist Dr Malloy as well as routine primary care under the supervision of our staff internist Dr Capitelli and Dr Saffa. Through a team approach to your health care I can prescribe medication as well as treatment plans both in our office as well as at Valley Hospital. Many people are unaware that they have high blood pressure due to a general.

Lack of symptoms. It is important that we diagnose and treat high blood pressure early to prevent many serious consciences. As blood is pumped throughout the body, it creates pressure within the arteries this is referred to as blood pressure. A blood pressure reading is usually given as two numbers the first number indicates the pressure during the heart's contraction it is called Systolic. The second number indicates the pressure when the heart is at rest. This is called diastolic. Optimal blood pressure is less than 120 over 80. important that you seek medical attention if you develop symptoms such as.

Blood Pressure Boys Town National Research Hospital

Blood pressure is basically a measure of strain on the vessels and so the top number is how much strain is on the vessels when your heart contracts and then the bottom number is the strain after the heart relaxes. Our goal is 120 over 80 but when you start to get somewhere between you know 120 over 80 to 140 over 90 that's considered that pre hypertensive area. Anything over 140 over 90 is considered hypertensive and that's when we start seeing problems. If your blood pressure is hanging out in that 150 to 180 systolic range,.

It's probably not going to lead to any symptoms. If it's really high it can cause things like headaches, vision changes, and that sort of thing, but it's a silent problem so a lot of times patients don't realize that their blood pressure is elevated. High blood pressure can lead to strokes, can also lead to heart disease, can lead to kidney disease and other complications as well. Initially we can treat it with diet and exercise, if that fails or if it gets to a point where it's so far out of control,.

That that's not helping, then we need to move on to things like medications and there's some very good medications to help high blood pressure but we like to get it early enough to where we can maybe postpone that or try to control a diet and exercise alone. If you have a problem with high blood pressure it's probably a good idea to check it a couple times a month, you don't necessarily have to check it every day. If your blood pressure is under control and it's never been a problem, it's probably.

Steven Ritz, MD Pediatric Cardiologist Nemours Cardiac Center

So as a pediatric cardiologist, one of the nice things about what we do is that by the time someone gets to me, all they can think about is My child is seeing a heart doctor. Does he have a heart problem And how serious is that going to be' So the nice part about my job is that I can get a history from the family, examine a patient, and get the testing I need to then give them an answer. And very commonly that answers is There may not be a problem.' And what I can provide for people is reassurance and confidence.

That everything is going to be okay. One of the reasons I became a pediatric cardiologist is I remember the day we got our stethoscope. And that's a big day in medical school. And I remember putting that on and spending some time listening and hearing the sounds. And I thought, My goodness, that's just the most fascinating thing I've ever heard!' So I knew maybe that day that I was going to be in a field that involved that, and then being, you know, trained to understand what we're hearing and how to use that.

It's been very interesting. We have to make sure we have a good listening environment, so we have to have tricks up our sleeve to get little babies who might be scared or cold, you know, to quiet down. So we're very good at making little faces and squeak, squeak, making little noises and doing things, anything so we can just make them feel happy and get them to smile and then be able to do our job. A patient will come to an office visit with me and that office visit probably is not going to be in Delaware at Nemours,.

But rather be in an office either in New Jersey, which is where I spend most of my time we also have offices in Pennsylvania. And if they need other care, they'll come here to Delaware. We also work as part of team in Delaware. We manage, help take care of the patients who have had surgery or require hospital care. And we share that responsibility as well, as part of the inpatient team. One of the things that I think is very important in the relationship we have with families.

Diagnosing and Treating Idiopathic Intracranial Hypertension Chloes Story

It actually goes by a couple names. There's pseudotumor cerebri, which is which is the more common name in the public's eye and then there's intracranial hypertension. It's a syndrome involving the cerebral spinal fluid which is a fluid that bathes the brain. It helped cushion brain provide nutrients and things like that. It has and pressure that it exerts inside the skull and patients with this condition that pressure's actually elevated. The thoughts are is that there's an imbalance between the production and reabsorption of the spinal fluid which then results in increased pressure and all the symptoms that we see with that.

We see all age range of patients. When they're very young to through adolescence. Chloe was 14 years old when she was referred to us by her eye doctor who had noted the swelling in her eyes. I went to my eye doctor for Miley he really checkup and they asked to to take a picture the back of my eye and they looked at my optic nerves and saw that they were swollen. She did not have any symptoms at the time. We performed the lumbar puncture which noted the increased.

Intracranial pressure and thus completing the diagnosis. My eye doctor at Children's said that if we would leave it untreated that I could go blind. Most of our patients we're able to get away with medical management. We have medications that decrease the spinal fluid that you produce to help bring back in that balance. I take two pills in the morning two pills at night before I go to bed every day. Once the symptoms resolve then we will wean her off the medication and typically we follow patients for about two years.

I think we were very fortunate to catch it as early as we did. She may be one of those fortunate few that do not ever have symptoms other than just the swelling in the eye or it may be simply that we just caught it early enough that she hadn't had time to develop those symptoms yet. We can actually do surgery on the optic nerve to relieve the pressure on that through cutting essentially cutting holes in the covering of that optic nerve to relieve the pressure. Some patients also too, can benefit from.

Diversion of their spinal fluid so shunting similar to how we do hydrocephalus that our colleagues in neurosurgery perform.And then some patients when their weight is also a factor we refer them to our healthy weight and nutrition clinic. You see the ophthalmologist first. They go through the full exam and get a really good look in the back to the eyes at the nerve which is the thing most interested in. Then after that they come and see us in neurology where we put that piece of the puzzle together with how they're doing clinically in terms of symptoms.

Pediatric Asthma FTCC Multidisciplinary Simulation Clinical

LPN left My name's Aaron. I'm the LPN night nurse and I took care of little Johnny Hoffman. He's a two year old male with a history of asthma. He's had multiple ED visits throughout the past year. Woman right Okay. LPN left He's had some mild wheezing, nonproductive cough throughout the night. He's been awake and playing with his toys. His O2 stats have remained steady at 93 to 94 percent on room air. Dodi Hi Johnny! I'm Dodi. I'm gonna listen to you this morning. Oh you poor thing!.

Don't cry! Johnny crying Dodi Oh your mouth is getting blue and having some wheezing. Your Pulse Ox is dropping. Let's get some oxygen on you. Johnny Crying Dodi Johnny, are you okay Hi this is Dodi in 221. Johnny Hoffman is going to need his PRN Nebulizer. All right. Thank you very much. All right, Johnny. Johnny Crying Off Screen Hey! How are you Dodi Hey! How are you doing Left I just came for the respiratory. Dodi Hi! This is Johnny Hoffman. I was just going to get his blood pressure.

Left Hey what's his birthday Dodi His birthday is February 6th. Left Okay. All right. I'm going to take a quick listen to him. When's the last time he had his nebulizer checked Dodi He had his last nebulizer at 430. Left Okay. And it's 645 now Dodi Mhm. Left Okay. Yeah he's got some significant wheezing going on. Dodi Yeah. I heard that this morning. Left I'm going to go ahead and turn this off and go ahead and get this started.

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