Kelly S.

DNP-PNP student 👩🏼‍⚕️, Peds RN, caffeine addict, and foodie. Getting through grad school on coffee ☕️ and Jesus 🙏🏼❤️

[Kelly S. @KS_DNPstudent]

@KVanSteePNP @brownam130 I worry how hard it is for the unauthorized immigrant population in the US to get LTs 😢. The United Network for Organ Sharing doesn’t have restrictions, but each liver transplant center can set their own policies.
https://t.co/C53wCdypBI
#ACPNPChat, #OHSUPNP2024 @lizespinoza_dnp

[Kelly S. @KS_DNPstudent]

@laura_kawasaki @AimeeBucci @DaniSebbens This is so helpful Laura! I have never heard of this tool before and will definitely use this resource in my practice :)
#ACPNPChat #OHSUPNP2024 @lizespinoza_dnp

[Kelly S. @KS_DNPstudent]

@DaniSebbens @AimeeBucci Agreed, careful prescribing is key :) Acetaminophen can be safe even in pts w/liver disease, just lower doses (2 g/day).
Question, I've heard that Acetaminophen is preferred over NSAIDs for pts w/liver disease, what are your thoughts?
#ACPNPChat #OHSUPNP2024 @lizespinoza_dnp

[Kelly S. @KS_DNPstudent]

@awatkinsPNP @lizespinoza_dnp Great post Alyse! There are new studies looking at the connection b/w increased cases of peds liver disease & hepatitis and adenovirus infections, and how it relates to decreased immunity from post-COVID lockdown.
https://t.co/Beq2apboEY
#OHSUPNP2024 #ACPNPChat @lizespinoza_dnp

[Kelly S. @KS_DNPstudent]

#ACPNPChat #OHSUPNP2024 @lizespinoza_dnp

[Kelly S. @KS_DNPstudent]

Infantile hepatic hemangiomas (IHHs) are a common cause of intraperitoneal
bleeding in peds. IHHs can present with GI s/s & hepatomegaly (Gong et Al., 2022), stressing the importance of imaging for accurate dx.

[Kelly S. @KS_DNPstudent]

Which subtype is shown in the image above?

Image citation - Macdonald and Davenport, 2020 DOI: 10.1097.SLA.0000000000003881
No cheating ! 😉

[Kelly S. @KS_DNPstudent]

I love this! Thanks Dr. Espinoza:)

[Liz Espinoza @lizespinoza_dnp]

#OHSUPNP2024, helpful infograph for both primary and acute care. #pnp #PedsAPP #PedsAPPed

[Kelly S. @KS_DNPstudent]

@lizespinoza_dnp @TaylorTranPeds We have this at Shriners!! It’s a game changer for a lot of kids to help make uncomfortable procedures more tolerable :)

[Liz Espinoza @lizespinoza_dnp]

#OHSUPNP2024, helpful infograph for both primary and acute care. #pnp #PedsAPP #PedsAPPed

[Alyse Watkins (she/her) @awatkinsPNP]

Recent studies have suggested that patients with hyperchloremic metabolic acidosis had a higher risk of mortality- could balanced fluids make a difference? Do you chose balanced fluids or NS in resuscitation?

https://t.co/aCRke4J7y8

@lizespinoza_dnp #OHSUPNP2024

[Benjo Breboneria, DNS, RN, CNE, NEA-BC, PMP, ANEF @BenjoBreboneria]

Day 8 - - - - - "I believe that being brave and taking risks can lead to great rewards. As someone who has experienced setbacks due to fear of failure, I know how important it is to push past that fear and give it your all. Remember, "Be bold and mighty forces will come to your aid." If you approach challenges with confidence and determination, you are more likely to succeed. Don't let fear hold you back from reaching your full potential." - The Grateful Heart Mission💙🥰😍#Bold #brave #courage #power #resilience #heart #challenge #evolving #grateful #gratefulheart #gratitude #leadership #lead #impact #power #courageous #determined

[Kelly S. @KS_DNPstudent]

@Kc_Dnpstudent @lizespinoza_dnp Great article Kristi! Appropriate fluid management is such an important intervention in pediatrics. These little ones are definitely more prone to the serious sequelae from dehydration so appropriate intervention is key :)
@lizespinoza_dnp #OHSUPNP2024

[Kelly S. @KS_DNPstudent]

New concept learned this week- peds pts are optimally sedated only 60% of the time. Oversedation and its negative sequelae are common, but sedation protocols can improve clinical outcomes and reduce oversedation.
https://t.co/iQZoteGS7P

@lizespinoza_dnp
#OHSUPNP2024

[Kelly S. @KS_DNPstudent]

Hello fellow tweeps! New to Twitter here and using this platform for my DNP Acute care class this term. Upcoming tweet to follow will be a new concept learned so far w/supporting article.
@lizespinoza_dnp #OHSUPNP2024