Monday, April 25, 2011

April 25th 2011

It is a relatively quiet Monday.
There is still a tummy bug out there. Once again I had a child that ended up needed iv fluids from this one.
We have some kids out there with several days of moderate fevers.
We are seeing the common cold with some associated conjunctivitis and ear infections.
Stay well,
Judy

Monday, April 18, 2011

April 18th

The chief complaints today are fever and the tummy bug.
This particular virus has been quite the nasty one.. Some of the patients aren't quite back to having a normal stomach for almost a week, with vomiting and diarrhea coming and going the minute we try to normalize the diet too quickly. I had one little one that needed IV fluids due to dehydration.

I also want to share a safety warning. This past week one of our 1 year old babies swallowed a button battery. Thankfully it passed without incident ( we monitored with X-Ray to make sure it was through the esophagus)but button batteries are everywhere these days and are easy to swallow and can be VERY hazardous if they get stuck in the wrong place on their way out. This one was in a pedometer that had fallen, and the back had come off.
Take a moment to pay attention to anything you have around the house that uses these small batteries and make sure that the baby can't access them.
~Nurse Judy

Thursday, April 14, 2011

unhappy tummies/ new classes

The vomiting seems to be a real issue this week. Some of my patients are having a full 48 hours with difficulty keeping things down. One of our little ones ended up in the ER for some hydration. This particular bug has been pretty nasty.
A lethargic child with decreased urine output has me concerned, especially if they are unable to retain even little sips of fluids. If it is during office hours, feel free to call for guidance.

My May classes are now scheduled if you are interested. The safety class ( includes head trauma, burns, choking) is on May 4th
The illness class ( more on vomiting, fevers, rashes, everything) will be on May 18th
more info at www.nursejudy.net

Stay well, Wash hands!!!
~Judy

Monday, April 11, 2011

April 11th

We are having another reasonably mellow day here.
My most frequent calls are tummy related.Most of the cases have both diarrhea and vomiting, but have been easing within 36 hours.
Your job is keeping your kids hydrated.

There are also a few kids with fevers and chills. Perhaps they have the last bits of the flu ( but we didn't bother testing)

I am seeing slap cheek here and there still.

Allergies are still very bothersome this week.

We also saw the child with a fairly large wad of paper jammed in his ear canal..Not all ear aches are ear infections!
Stay well
Judy

Monday, April 4, 2011

April 4th 2011

Last week felt much quieter than today.
We have had a high volume of calls and sick kids.
I have seen a lot of conjunctivitis. Many of these kids have also had ear infections.
If you child has goopy eyes and is also fussy, we should take a look.

I have seen an upswing in the amounts of patients complaining about vomiting and diarrhea today.
I think I may be starting to see patients with 2 of our common spring viral syndromes.. Slap cheek and hand foot mouth.
if you search the blog you can find early entries about both of these.
There are still a few kids with fevers, but flu season seems to have ended.

Allergies are in high gear with all of the pollens around. Allergy complaints are generally watery itchy, eyes, clear runny nose. no fever.

Stay well
Judy

Monday, March 28, 2011

March 28th

Are we finally done with the rain? Today has been the quietest Monday in a long while. There are still sick kids out there but it seems like the light is at the end of the tunnel for the winter illness season.
The patients that we are seeing are complaining about conjunctivitis, fevers, coughs and colds, some tummy aches.
RSV is still going around but decreasing.
We will start gearing up to do more complete exam check ups per day as soon as we are comfortable that the demand for acute care appointments is diminishing.
If your child is due for a check up this year, Spring and summer are the seasons to get them done. Please call early to make sure that we are better able to try to accommodate your schedules.

My recent safety class was full so I did add another one for April 6th..and I do have some spots left in the illness class this Wednesday night if any of you want to come and pick my brain in person for 90 minutes this is your chance.
www.nursejudy.net to RSVP

~Stay well and enjoy the sunshine

Judy

Monday, March 21, 2011

Welcome to spring

This morning we have complaints about
*the tummy bug ( vomiting and diarrhea for several days)
* a persistent cough
* ear infections
*conjunctivitis
*some fevers
* there is still some flu making the rounds. Some of the cases in the city are quite severe ( luckily most of our patients are doing okay)
It is NOT too late to get the flu shot
*I have some poor miserable kids out there with some mouth sores and fever



Below is an FDA update on the US public nuclear threat


U.S. residents do not need to take potassium iodide (KI) as a preventive measure because there is currently "no public health threat" of radiation exposure, the FDA says on its website. The recent radiation leak from a nuclear power plant in Japan has led to public concern about radiation exposure in the U.S., along with increased demand for KI products.

The three FDA-approved over-the-counter KI products — Iosat tablets (Anbex, Inc.), ThyroSafe tablets (Recipharm), and ThyroShield solution (Fleming Pharmaceuticals) — are currently out of stock.

FDA warns consumers to beware of buying non-FDA-approved KI and other products that fraudulently claim to prevent or treat effects of radiation exposure. A list of potentially fraudulent claims by retailers is available on the FDA's website.

Meanwhile, a World Health Organization official told Reuters on Monday that detection of radiation in Japan's food supply is "serious." The FDA says that Japan's exports are currently limited, but the agency is screening imported food for radiation.