My Licensed Nurse

25/02/2022

ON PARACETAMOL

The most abused analgesic is PARACETAMOL.

But then, do you know it has negative effect on our health when taken indiscriminately?

Paracetamol is the most common medicine taken in *overdose* .

Paracetamol overdose is one of the leading causes of liver failure.

Long-term use of paracetamol has been linked with a small increased risk of adverse events such as heart attacks, gastrointestinal bleeds (bleeding inside the digestive system) and impaired kidney function.

Battling with headache after a stressful day? You don't need to take any analgesic to relieve it. You need *REST + SLEEP,* cos there's what we called *STRESS INDUCED HEADACHE*

Headache is likely to arise from the stress you went through, and a rest or sleep or both will bring you the relieve you need.

*NOT PARACETAMOL*

📌📌📌📌
Idris Abdul Ahmed

25/09/2021

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05/07/2021

MYTHS AROUND CESAREAN SECTION

C- section or cesarean section is a surgical method of delivering a baby.

Generally, the reasons behind going for a c-section delivery can be many: medical complications, and abnormal position of the baby inside the womb, among others.

Myth: C-sections are easier than a va**nal birth.

Truth: It’s actually a major abdominal surgery which requires longer recovery time.

Any time a patient has surgery, no matter how routine, there are risks.

Every woman is advise to talk with her healthcare provider about possible options for pain management if she has concerns.

Myth: C-sections will reduce the risk for prolapse.

Truth: Vaginal prolapse is a condition when the walls of the va**na become lax.
The surrounding uterus, re**um, bladder, urethra and small bowel begin to fall out of their normal positions because the va**nal wall can no longer support them.

However, this condition is a risk regardless of a va**nal or cesarean birth.

Myth: It’s okay to have a lot of C-sections.

Truth: There is a big concern if a woman has had multiple C-sections.

In general, the risk increases after 3-4 cesareans. Repeat cesareans can increase likelihood to experience placenta accreta, which is a serious pregnancy condition that occurs when blood vessels and other parts of the placenta grow through the prior C-section scar and nearby structures.

Myth: A mother cannot have a va**nal birth after cesarean (VBAC).

Truth: This is the most common untruth. A VBAC is not right for everyone, but most women are reasonable candidates.

Women should speak with their healthcare provider to see if they meet certain criteria to be a good candidate for a va**nal birth after prior cesarean.

Also, you need to choose a birthing hospital that allows and is familiar with performing VBACs, as not all hospitals do.

Myth: Postpartum blues are less after c-section

Truth: This is not true. The same hormonal shifts happen in c-section delivery, as they do in va**nal delivery.

So, after going through a c-section, you can very well suffer from postpartum blues.

04/07/2021

VAGINAL DRYNESS

Vaginal dryness is common symptom of menopause -- and close to one out of every three women deals with it while going through "the change."

It becomes even more common afterward.

Vaginal dryness is a common symptom during and after menopause, but it can happen at any age and for various reasons

Vaginal dryness is a common problem, but many people do not seek help, as they may not realize it is a health issue for which they can get help.

CAUSES

1. Vaginal dryness usually results from a drop in estrogen levels.

Estrogen levels can drop for various reasons including:

1. Menopause
2. Surgical removal of the ovaries (which can trigger menopause)
3. Childbirth and breastfeeding
4. Treatments for cancer, including chemotherapy and radiation
5. Anti-estrogen drugs for treating breast cancer or endometriosis

Other causes of va**nal dryness can include:

1. Sjögren’s syndrome, an autoimmune disorder that involves inflammation of the salivary and tear glands.
2. Using antihistamines, which help manage cold and allergy symptoms by drying secretions. Side effects can include va**nal dryness and trouble urinating.
3. Antidepressants, which sometimes have s*xual side effects such as va**nal dryness, decreased libido, and difficulty having an or**sm.
4. Stress and anxiety, which can affect libido and va**nal lubrication.
5. Reduced blood supply to the va**na.
6. Flammer syndrome, in which blood vessels react in an unusual way to stimuli such as cold and stress.

Note
Females who smoke may experience menopause earlier than those who do not, and so va**nal dryness may occur at an earlier age in this group.

Douching and Other Irritants Certain soaps, lotions, perfumes, and douches can disrupt the natural balance of chemicals in your va**na, leading to dryness

SYMPTOMS

People with va**nal dryness may experience:

1. Vaginal itching.
2. Burning.
3. Irritation.
4. Pain during s*x.
5. Discomfort during physical activity.
6. A higher risk of va**nal infections and urinary tract infections.

If the dryness is due to a fall in estrogen levels, they may also have:

1. Lower levels of natural va**nal secretions.
2. A tightening of the va**nal opening.
3. A narrowing of the va**na.

23/12/2020

*HAVING ERECTILE DYSFUNCTION IS TROUBLING THAN MY HIGH BLOOD PRESSURE* 😭😭😭

*This man came to the clinic. He's hypertensive but stopped taking his medications. BP was already very high on presentation. Asked why he wasn't taking his meds, he said it's making him have erectile dysfunction. That he prefers the High BP to the Erectile Dysfunction. 😂😂I weak*

*Joke apart,*

_It's quite true that Erectile dysfunction is a side effect of some anti-hypertensives drugs but instead of stopping the medication, you can come down to the your healthcare provider for a change to another drug._

_The moment you have being diagnosed with hypertension, then your treatment is *FOR LIFE* Stopping it without or against medical advice is very dangerous. Cardiac arrest or heart attack might follow anytime._

23/12/2020

Activated charcoal is used as an antidote for many oral poisons, where it adsorbs onto the drug to prevent it from being absorbed by the gastrointestinal tract.

INADEQUATE or INEFFECTIVE against:

🔸strong acid/bases
🔸metals
🔸alcohols
🔸organic solvents
🔸inorganic salts

19/12/2020

Family planning has helped in terms of;
1. Preventing post-partum cardiomyopathy in mothers, and
2. Helps in children to thrive more.

And lot more.

18/12/2020

Gender-based violence (GBV) is violence that is directed at an individual based on his or her biological s*x OR gender identity.

It includes physical, s*xual, verbal, emotional, and psychological abuse, threats, coercion, and economic or educational deprivation, whether occurring in public or private life.

10/12/2020

*ISSUES IN NURSING:*

i. Allowance to corper nurses.
ii. Why Kano's 6500 to corpers.
iii. The DNS of ATBUTH, Bauchi state.

_"For a house or country to be destroyed, some persons within that house or country must have played a role in bringing down their house or country."._ .... *Idreeserh*

My statement above is a clear replica of what has being happening in our dear profession in this country. Some fellow colleagues in the profession be it our leaders or fellow members are abetting some acts or doing those acts that is greatly affecting the profession and its professional. Their actions either affect the remuneration of nurses, or squashing their dreams in their quest for professional and personal development.

Earlier this evening, i made a post showing the collation of allowances being paid to nurses serving in their respective institution for their NYSC and specifically lot of dust was raised on the remuneration for nurses in kano state which is 6, 500 only and someone told me of the happenings at Abubakar Tafawa Balewa Teaching Hospital, Bauchi state.

*KANO'S 6500*

For the Kano state, the reason why 6, 500 is being given to our nurses who "are called to serve humanity" at the detriment of their emotional, psychological and physical well-being was because of the action of the then Director Nursing Service.

A meeting was called by the commissioner of Health where all cadres were represented by their director under the ministry of health and "unfortunately" the DNS was away from the ministry.

She was called and informed, well, seems she/he didn't received a "formal letter" informing her about it and i am sure some of us are in the know of how our leaders regard "letter or come down to their offices" before they act.

*Well, she was told and was aware but told the committee to decide on our case.*

Those present (pharm/Opt/Medlab/Rad/Physio) haggled on 70, 000 , it was beat down to 60, 000 and finally concluded on *30, 000/35, 000* for the Medical Doctors, no clear cut on theirs.

And, 7, 000 was given to us as we are *"called and ordained to serve humanity"* and you know the way government runs, even if you asked for 500, then wont give you 500 but give you a lesser amount. So, we were cut down, pegged and valued at * #6, 500 only.*
DNS gave them the go ahead to decide for us, she wasn't there and she couldn't or didn't fight it.

*Now, over to ATBUTH,*

Guess what, they don't consider nurse corpers but accept other cadres and the most painful aspect of it was, the DNS is mum about it.

The institution is understaffed. Instead of the DNS to look at this factor and call for acceptance of nurse corpers, no, she rather remain mute than to speak out.
😞😞😞😞😞

The painful truth i wanted to state here is *"If you have 100 nurses in a room and "better renumeration" is on the table for deliberation, less than -third of them would go for a higher value, more than two-third of them will go for little or almost nothing either because they have undervalued themselves or saying out a higher figure would sound ridiculous or because they don't see the need why nurses should earn that much at that stage because during their own stage they were paid little, so why should we be paid more while the rest would be indifferent, whether a better remuneration or not, to them, its still the same."*

Lastly, i am concluding by stating the fact that we can only make the profession better if and only if our leaders show course to better it and by involving the members, listen to them and sometimes ask them what they think about something and see if their advice will be good. Being proactive is what some of our leaders lack.

Our leaders act blind to see our plights and deaf to hear them. Nurses are suffering in this country, we are undervalued and yet we are expected to give our whole in discharging our responsibilities. *What if we crash one day?*

We are called to serve humanity but not at the detriment of our emotional, psychological and physical well being.

*Being passionate about this profession in Nigeria have 3 stages;*

At our early imprint in the profession and while in school, our passionate level was *HIGH* .

Later on, it keeps dwindling due to oppression, frustration, bad remuneration, toxic environment etc *MODERATE*

At the end, you don't even have, you just go to your place of work, render your care to the patients/client, and forget about the profession and its happening, you accept whatever is being churn out to you, you don't care if the profession is on fire or not, yours is to render care and collect your pay. At that moment , it's *LOW* .

We need to come together and task our leaders to do better and do more. This is the only profession we have and we are the only ones that will bring the needed changed.

*Thank you*

May God bless the Nursing profession
May God bless our leaders
May God bless the Nigerian Nurses and Midwives.

*Yours in the profession*

Nr. Idris Abdul Ahmed
*_Idrisabdulahmed@gmail.com_*

07/01/2020

"No worry by the time you take strong antibiotics, the va**nal discharge go stop", the quack assured.

"So how much am I paying you?"

"Aunty Caroline, just pay five thousand, the medicine dey expensive plus the injections dem".

"Okay Aunty nurse, when I am coming back from shop I will bring the money".

"No problem, bye bye".

Caroline completed the course of antibiotics, she felt better but her recovery was brief. The industrious lady began manifesting some other symptoms.

"Aunty nurse I am done with my period but yesterday I started bleeding again and each time I urinate I feel pain, besides I am feeling weak".

"That toilet disease Na strong one e dey suck your blood. No worry I go give you drip ".

Caroline's situation continued to deteriorate, one day her neighbor didn't see any sign of her and became worried.

"Caroline! Caroline!"

"Mama Peter what happened?" Mr Charles demanded.

"It's my neighbor, ordinarily she would have greeted me and go to her shop especially this festive period".

"Maybe she traveled", Mr Charles assumed.

"She doesn't travel without telling me and I didn't see her at the tap or bathroom. Mr Charles I am scared, let's check through her window.

"But you will be the one to look through the window cos I am a man"

"No problem".

They both went behind her room," I will need a stool to climb I can't see"

"Let me get you a stool".

"Mr Charles just come and see, you are tall enough".

"Please don't implicate me", Mr. Charles pleaded and brought the stool.

"Osenobua (God)", mama Peter screamed and

HEALTHTAINMENT “TOILET DISEASE” January 06, 2020 “No worry by the time you take strong antibiotics, the va**na discharge go stop”, Ada assured. “So how much am I paying you?” “Aunty Caroline, pay five thousand, the medicine dey expensive plus the injections dem”. “Okay Aunty nurse,...