St. Kalius

Working hard to become the best version of myself and relentlessly pursuing Greatness💯//football lover (@Manunited ❤️) // L. Messi 🐐// Health is Wealth 🥇💉💊

[Dr. Emma Okore @EmmaOkoreMD]

INDICATIONS FOR CAESAREAN SECTION

Simplest reasons why a woman may need a CS:

1️⃣ Maternal exhaustion – She can be too tired to push. Continuing may risk her life.

2️⃣ Fetal distress – The baby shows signs of distress (abnormal heart rate, meconium). Waiting could lead to stillbirth.

3️⃣ Big baby (macrosomia) – If the baby is very large (usually >4.5kg) or your pelvis is small, vaginal delivery may be risky. But many women can deliver a 3.5kg baby naturally – don't assume.

4️⃣ Abnormal lie – Transverse lie = CS. Breech can sometimes be delivered vaginally, but only with an experienced doctor.

5️⃣ Low‑lying placenta (placenta praevia) – The placenta blocks the baby's exit. Vaginal delivery is impossible; both mother and baby could bleed to death.

6️⃣ Fibroids – Depending on size and position, CS may be safer.

7️⃣ Precious pregnancy – Not a strict indication, but after counselling, a planned CS may be offered to reduce labour risks.

8️⃣ Severe pre‑eclampsia or eclampsia – CS is often safer for mother and baby.

9️⃣ Previous CS – Vaginal birth after CS is possible, even after two. But the risk of uterine rupture, though low, is real. Discuss with your doctor.

🔟 Personal choice – A woman can choose CS without a medical reason. That decision should be respected.

---

Know your options. Don't let anyone shame you for choosing a safe delivery.

[Sandeep Garg MD, FACC, MBA @DrSGargMD]

Diabetes medications and insulin don't cure diabetes.

Type 2 diabetes isn’t about insulin deficiency but too much insulin.

Adding more insulin may control glucose temporarily but worsens insulin resistance.

Treat the root cellular dysfunction instead.

[Dr. August Bones @Ausbones]

Dear Nurses especially the male Nurses. Join Nursing politics. Get involved!!! #EgetY

[Abu Shanab @med_712]

مو كل WBC مرتفع يعني عند المريض infection.

في الطوارئ
ممكن تشوف WBC = 20,000
وما يكون فيه أي بكتيريا أصلاً.

وش السبب؟

[Fatai Ibrahim, RN,MSN 🇳🇬🇺🇸 @rundriveng]

Dear RN,

There’s nothing like breathing normally!

However, statements like “breathing normally” are too vague and subjective for clinical documentation. Documentation must remain objective, clear, and measurable.

Correct example:

“Respirations are equal and unlabored. Lung sounds are clear bilaterally on auscultation. Respiratory rate: 18 breaths per minute. SpO₂: 99% on room air.”

That’s objective, precise, and defensible.

Cheers! 🥂

[JaymetheRN @JaymetheRN]

Gotta wonder how any Nurse is bitching about patient's weight/size needing help to do basic toileting when the question should be WHY ISN'T your employer providing enough resources for the workload

Stop belittling the patients for systemic failure

[St. Kalius @RealKalius]

Happy New Month

[St. Kalius @RealKalius]

Hello

[Royaltyyyyyyy👸💐 @__Adenikeee]

Nurse to nurse: please avoid being loud during handover or when discussing patient cases.

It is unprofessional and compromises patient confidentiality. Let’s uphold the standards of our profession at all times.

[Nr. Denye Tovia @ToviaMonday]

Well for Oral medications during blood transfusion, currently, yes, patients can take their oral medications during a blood transfusion.

There is no general rule stopping routine oral drugs just because blood is running.

But here’s the clinical reasoning for it(very important)

A blood transfusion is given IV, while oral meds go through the GI tract, so there’s no direct interaction.

The real concern is not the drugs itself that you’d be giving, but can you still detect a transfusion reaction clearly?

So when to be careful

1. Drugs that can mask reactions like:
*Paracetamol (reduces fever)
*Ibuprofen
*Antihistamines

These can hide early signs like:
*Fever
*Mild allergic reactions

So give with caution, especially at the start of transfusion. In a country like Nigeria where you nurse 10 patients at once, you can delay the meds.

2. First 15–30 minutes rule ⏱️
I. Avoid giving unnecessary meds at the beginning
II. It is by this timeframe that most severe reactions occur, so you’d want a clear baseline.

3. Critically ill patients
I. If patient is unstable, vomiting, or is having reduced consciousness → reconsider oral route

So what can we consider as safe
1. Routine medications (e.g., antihypertensives, antibiotics, supplements)
2. Given at scheduled time if patient is stable.

I. Blood transfusion ≠ reason to stop oral meds
II. Just time it wisely
III. Prioritize monitoring over multitasking that’s why it would be difficult to carry out all of this when you’re having more than 4 patients to Nurse, it’d be difficult to monitor hence you can pend the medications till you’re sure there’s no reaction so far.

Simple way to say it as a Nurse to your patients or colleagues:

“You can take your drugs, just not at the exact start of the blood transfusion, we need to watch you closely first.”

That’s all

[Nr. Denye Tovia @ToviaMonday]

For example this👇

Can a patient eat during a blood transfusion?

Yes! current practice says patients can eat.

There is no strict restriction on eating during a blood transfusion. The main focus during transfusion is:
1. Monitoring for reactions (fever, allergy etc)
2. Correct patient identification
3. Vital signs monitoring
not food intake.

So what happens in practice?

In real clinical settings:

What is allowed are:
1. Light meals (e.g., rice, bread, tea, pap)
2. Snacks and fluids
3. Normal diet if patient is stable

You have to be careful with:
1. Very heavy meals (can cause discomfort if reaction occurs)
2. Patients at risk of aspiration (e.g., those who are unconscious, very ill)
3. Pre-surgical patients (they may be NPO for other reasons, not transfusion itself)

For my Nurses, what we must know because this is where people get it wrong.

A blood transfusion is NOT nutrition.
1. It does NOT replace food
2. It does NOT supply adequate nutrients for the body
3. It is mainly for oxygen-carrying capacity (RBCs), clotting, or volume

So patients still need to eat normally you get?

Therefore, the above is one reason why we need to learn, relearn, and unlearn.

Old belief:
❌ “Don’t eat during transfusion”

Current evidence-based practice:
✅ “Patient can eat, just ensure safety and monitoring”

Simple way to explain to patients

You can tell them:

“You can eat normally. The blood is for your body, but food is for your strength majorly.”

[Dr. Emma Okore @EmmaOkoreMD]

A quack midwife (Traditional Birth Attendant- TBA) brought a pregnant woman whose labour she'd been supervising at home for two days—all to no avail. Las las, she gave up and brought her to the hospital.

We booked her for an emergency CS and prepared to wheel her in.

Imagine my shock when the TBA approached me and asked to enter the theatre with us.

As how nah?

She went on to say we're in the same profession. That she's been in theatre many times.

You and who are colleagues?

If you don't get out of here eh.

She wanted to learn how to butcher people—so that when she finally kpai her next victim, she can say I trained her.

God forbid.

[Nurse Bassey™️ @Nursebassey_]

One thing we don’t talk about enough is how some senior nurses make life difficult for newly posted junior nurses.

Instead of guiding them, they intimidate them.

Over time, it doesn’t just affect performance… it slowly kills their confidence.

[Blaize @Rxblaize]

I was told about a pharm intern, when he came into the seminar room, was asked about a drug. He noticed the doctor was trying to dribble him, so he picked up a marker, drew a chemical structure, and started explaining it. Everyone went quiet.😂

[PsychNP Cherish @CherishPsychNP]

I’m trying to leave bedside nursing, and these people keep raising my pay🥺🥺
For someone who loves money, this is a difficult situation 😭😭

[Fatai Ibrahim, RN,MSN 🇳🇬🇺🇸 @rundriveng]

To whom it may concern,

A reputable Healthcare Staffing has a compelling assignment that I believe may strike your interest!

Location: Beverly, MA
Position: Emergency Room RN
Shift: Night Shift
Total Weekly Hours: 36
Assignment Length: 13 weeks
Travel Pay Breakdown:
Total Travel Pay Package: $2,743.00/Week
•       Breakdown:\
Taxable Wages: $1,224.00/Week
Weekly Lodging Allowance: $959.00/Week
Weekly Meals & Incidental Allowance: $560.00/Week

[Regal Dee @XyloDx]

Nurse to nurse: It's not called the line got tissued but the line got infiltrated or extravasated.

[Fatai Ibrahim, RN,MSN 🇳🇬🇺🇸 @rundriveng]

One reality in Nursing:

On the same shift, one patient could be telling you that you’re the best nurse they’ve ever had, while the patient next door wants to speak to the supervisor to have you fired.

[JaymetheRN @JaymetheRN]

If you're not sure what a medical device/equipment is ..

Don't attempt to use it until you find out from a credible source

Central lines aren't feeding tubes

You should NEVER inject into a line without knowing what type of line it is. EVER.

[Simon Thazhigilla Simon🇳🇬 @Thazhigilla_]

Went to a private clinic this evening for a quick health check, and guess who the Nurse on shift was?
My secondary school classmate 😭

Guy, na so we just dey laugh😹
I can’t even imagine a friend actively treating me. I will probably be laughing even under general anesthesia😹