Ya bu kız iyice kafayı bozdu diyeceksiniz ama yarın pet-ct yapılacak ve ben uygulanacak madde yüzünden anaflaktik şoka girmekten, işlemin yapılamamasından, tedavimin doğru düzgün planlanamamasından korkuyorum.
Nuclear medicine is a branch of medical imaging that uses small amounts of radioactive material to diagnose and determine the severity of or treat a variety of diseases, including many types of cancers, heart disease, gastrointestinal, endocrine, neurological disorders and other abnormalities within the body. Because nuclear medicine procedures are able to pinpoint molecular activity within the body, they offer the potential to identify disease in its earliest stages as well as a patient’s immediate response to therapeutic interventions.
Nuclear medicine imaging procedures are noninvasive and, with the exception of intravenous injections, are usually painless medical tests that help physicians diagnose and evaluate medical conditions. These imaging scans use radioactive materials called radiopharmaceuticals or radiotracers.
Depending on the type of nuclear medicine exam, the radiotracer is either injected into the body, swallowed or inhaled as a gas and eventually accumulates in the organ or area of the body being examined. Radioactive emissions from the radiotracer are detected by a special camera or imaging device that produces pictures and provides molecular information.
In many centers, nuclear medicine images can be superimposed with computed tomography (CT) or magnetic resonance imaging (MRI) to produce special views, a practice known as image fusion or co-registration. These views allow the information from two different exams to be correlated and interpreted on one image, leading to more precise information and accurate diagnoses. In addition, manufacturers are now making single photon emission computed tomography/computed tomography (SPECT/CT) and positron emission tomography/computed tomography (PET/CT) units that are able to perform both imaging exams at the same time. An emerging imaging technology, but not readily available at this time is PET/MRI.
Nuclear medicine also offers therapeutic procedures, such as radioactive iodine (I-131) therapy that use small amounts of radioactivematerial to treat cancer and other medical conditions affecting the thyroid gland, as well as treatments for other cancers and medical conditions.
Non-Hodgkin’s lymphoma patients who do not respond to chemotherapy may undergo radioimmunotherapy (RIT).
Radioimmunotherapy (RIT) is a personalized cancer treatment that combines radiation therapy with the targeting ability ofimmunotherapy, a treatment that mimics cellular activity in the body’s immune system.
You’ve heard it plenty of times,
from professors and older experienced nurses as they look at you with wide-eyed
excitement “your first year as a nurse will be the hardest in your career.”
They’ll smile wistfully and tell their story remembering their youthful days at bedside. The simple fact of your first year of
nursing is this: you are going to screw up, however, the same fact holds true
for your second year through your 28th year and beyond. Yay, so much
to look forward to! I no longer am
filled with a growing sense of dread the closer I get to my hospital, I no
longer quibble in fear at the thought of what I might encounter. Instead, I
have a small, but sure belief that it will work out. Let’s not sugar coat it,
nursing is hard. For twelve hours
at a time, your world revolves around your patients, you live and breathe their
every need or want. It is your job to fix it if they are hurting, scared,
hungry, have to pee, haven’t peed, cold, hot, hypotensive, hypertensive,
hypoglycemic, hyperglycemic, have an electrolyte imbalance, or shortness of
breath. It is your job to coordinate every test, every consult be it with
neurosurgery or physical therapy, you name it the responsibility and the call
are on you and sometimes they are life and death. Aren’t you glad you chose nursing???
you probably want to know to leave work not in tears everyday. The most crucial step is simple: make
friends with the other nurses. Yes, one might be a bully, ignore them. Endear yourself to these
brilliant experienced people in some way and it will go miles. If people around
you want you to succeed, you are that much closer. You need them; they are your greatest resource. You have to be able to ask them a question; they
know the answer without thinking 9 times out of 10. You have to ask questions to keep your patients safe. You know that
small, sure belief I mentioned earlier? It was and is built on the foundation
that there is always someone to ask
Step two, and I already said this,
but it bears repeating, ignore the bully nurse. The fact is you are a new
nurse, you have enough going on finding your footing as a professional without
fighting with someone. She will get hers one day and you can pine for the day
and pray you’re around to see it. (Clearly the part about treating my coworkers
kindly does not apply in this case).
I read in a book about nursing once that “no one is harder on nurses
than other nurses.” I have found this to be and true and to be frank it is bull.
Sometimes the nurse before you will forget to do something or tell you
something or any number of things. Remember that the leaving nurse will be you
in twelve hours and you don’t want your successor to run your name through the
mud. So, do not run your mouth listing what was not done or said. Everyone from the nurse to the doctor to
the food service employee that delivers the tray should have the same goal in
mind, get that patient better. So
why, if we all have the same goal, do we have to tear each other down? There
are mean people in life, I’m betting you already knew this. Ignore them. Do not
emulate them. Treat everyone kindly, say thank you, and try to set a better
tone. People will notice, you can be the change.
Step three: take breaks both at
work and in your schedule; use that PTO. Your mental and emotional health are
as important as your physical health and this job drains it all.
Step four closely relates to step
three. Step four: sleep. You are probably going to be tired a lot at first,
especially if you have the added physical stress of switching to night shift
and let’s not forget you just came out of exhausting turmoil of nursing school. Sleep can refresh your mind and
change your perspective. When you leave work, after 13 hours and you are
totally exhausted and struggling to remember where you parked your car, try not
to think on all that went wrong and the horrible thing so and so said to you
and how you have to come back in 10 hours. You will end up pulling the
bookshelf over on yourself and spiral into a complete and total meltdown. There is no way, to give your patients and coworkers your best, without
being rested, so go home, take a hot bath, go to bed and do not let your mind
dwell on every failure. Doing this job without sleep is the equivalent to
climbing Everest backwards: dangerous, stupid, and unnecessary.
Step five: try. You have to grow;
you cannot stagnate at new-grad nurse level for the rest of your career. Learn
when to wake the doctor up at 3 am and when it can wait till morning. Learn the
policies and procedures of your hospital and let those serve as a guideline for
your practice. You will not meet
every need, want or whim of all of your patients, but you have to learn which
one must be addressed.
Do you want me to make you feel
better? Let me share some of my screw ups: I gave a patient going to PET CT
insulin (fortunately the radiologist caught MY mistake before it ruined the test), it took a lot of
failed IV starts to get good, I have sent a patient on AFB precautions to
dialysis without calling ahead to tell them (although that was more a case of
them needing to calm the heck down, realize we’re all on the same team and get
on my level). Laugh at me, but
more importantly, learn from me.
One night in my very first months
as a nurse, when I still worked on the floor, my patient went unresponsive. The
bully nurse was there and her lover (scandalous) was charge nurse. I could not
wake my patient up at 4 am, when only hours earlier she had fixed her hair
before bed, because she was so excited about pending discharge. The bully and the
lover, helped me, heck the patient transporter who was taking a patient to
another room stood beside me to make sure I wasn’t alone while I waited for the
emergency NP. My patient woke up
eventually, around 10 am after two lactulose enemas that I stayed and gave with
my manager so the day shift nurse could see her other patients. I went home after 15 hours and slept
well knowing I had done the right thing.
A week later when the patient was discharged I encountered her exiting
the hospital in a wheelchair as I was walking into work. She stopped the person
pushing her and reached up to hug me, while repeating the word “Thank you” over
and over. That was a flicker of hope in the midst of a hard year. You’ll start
to have those, grasp them, remember them, go back to them during miserable
moments. I think you’ll have to do that throughout this career, the road you
chose was not an easy one my darling new nurse, but some days it’s worth it, as
a whole we all need to focus on those times.
I have a couple of prayers for you,
my darling new nurse. I pray you have a good preceptor, manager and unit that is gracious, kind,
and want to see you succeed, while understanding that you are still growing
into those brand new nurse shoes. I pray you are just a little bit afraid.
Afraid enough to make you check the med three times, but not too afraid to push
the D50 at 2 am when your patient is hypoglycemic and you don’t have the order
for that just yet. I pray you use that brain full of NCLEX approved nursing
knowledge to be the best you can for your patients. I pray you never lose sight
of the factthatyou can do this. - Jenna
||So today, a therapist told me that sociopathy, without a doubt, can be detected in MRI, CT and PET Scans. And in the novels, Izaya had both an MRI and a CT scan. The results were that there were no abnormalities. Izaya was very happy about it, as it confirms that his brain is normal, and his mind/personality was a creation of nobody but himself.