The United States Nursing Shortage Crisis


In The Desperate United States Nursing Shortage, we examined the statistics that define the nursing shortage in the U.S., particularly in California. Here, we will go deeper into the issues and offer possible suggestions.

There are so few spots available in academic nursing programs because there are just not enough educators. To be a nurse educator, you must possess a bachelor's degree, at the very minimum. A master's prepared educator is ideal. Additionally, all nurse administrators in hospital settings must be bachelor's prepared or higher as well. Hospital administration pays more than education, so the candidates that are qualified for both, often pursue administration. As hospitals become more expansive and service-oriented - which they must do to survive in this precarious industry - they will have to increase salaries to draw highly qualified administrators. This, in turn, increases the salary gap between hospital administrators and nurse educators even more.

According to Diana Christiansen, president of The Atticus Group, a health care consultancy, "In California alone, enrollment must expand by 90 percent to meet the expected need for nurses. However, nursing schools are struggling to hire the faculty to meet the current 16 percent expansion in place. And 2010 this is predicted to be the biggest year for nursing faculty retirement in history."

Consider the pipeline behind those retiring nurses. There aren't enough BSNs to replace the retirees, much less support a large expansion, which will be necessary to replace the Baby Boomers. "We know the nursing doctoral programs are expanding," says Christiansen. "But 50 percent of the people in the programs do not plan to teach. So, this whole expansion effort on the part of the schools is a house of cards."

Ideas for Nursing Recruitment and Retention

In order to recruit new nurses, hospitals need to develop an expansion or recruitment partnership with their supporting schools. Riverside Community Hospital ( in Riverside, California and Long Beach Memorial Hospital ( in Long Beach, California created proprietary partnerships with their local colleges and universities with nursing programs, which allowed the institutions to double their enrollments.

The other storm brewing and gaining strength is the aging of nurse leaders. Have those nearing retirement had replacements identified and are they receiving the education and support they need to be ready? It is already extremely difficult for nursing schools to maintain enrollments, and this will occur at the time hospitals and colleges are losing staff to retirements. Meanwhile, part of hospital expansion efforts include adding more and more beds, which again expands the nurse-to-patient ratio into a greater, desperate deficit. And the cycle continues.

Another issue is that graduates of two-year RN programs have their choice of jobs unpon graduation. After spending at least two years of completing prerequisite classes and general education, and perhaps idling at least a year on a waiting list, they are eager to get out and get to work. They know that for future advancement they will need their Bachelor's of Science in Nursing (BSN), but they feel they need to work first and they can eventually go back. Many never do.

Once they begin working, the nurse to patient ratios are extremely high. Why? The nursing shortage. When nurses come in they are often extremely excited to begin the careers that they trained so hard and sacrificed so much for. However, because of hospital politics, the high nurse-to-patient ratio and the stereotypical dynamic that rookie nurses are often treated badly by their senior counterpoints and patronized by doctors frequently leads to disillusionment and then burnout.

Develop Academic Partnerships

So what can be done? For starters, adises Christiansen, hospitals need to be aggressively proactive. A head-in-the-sand approach simply will not do. In essence, this has what has brought us to this potentially catastrophic brink as it is. "Hospitals need to partner with their academic institutions and develop innovative programs that will increase enrollment and nurture their nurses once they have entered the workforce." Christiansen adds that the first year of a nurse's career is the most tenuous. Many dropout and never come back to the profession.

Next, employee mentoring programs must reverse the traditional hospital culture. Like the residency programs that are essentially a baptism-by-fire, it's a catchphrase in the industry that nurses "eat their young." In other words, the veterans had to endure strict treatment when breaking in, why shouldn't this generation of rookies do the same? Well, because in the situation the industry is in, they simply cannot afford to lose a single, qualified nursing professional to such treatment. Their jobs are difficult enough as it is, as they struggle to accomodate the needs of their patients, the demands of the doctors and the rigorous policies of the hospitals - talk about your perfect storms ...

Educating and nurturing baccalaureate-trained nurses should be the utmost priority for any hospital that expects to weather this storm that is already causing a deluge of debt and devastation in hospitals in many regions of the country. California is particularly vulnerable because of its enormous population. Offering nurse educators comparable salaries is another step. Or, perhaps balance the two by allowing hospital nurses to teach one or two days a week, alleviating their burnout, while maintaining their salaries and allowing them to educate the next generation of nursing professionals.

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The Symptoms of Piles and How To Deal With Them Effectively

symptoms of piles
Piles (also called hemorrhoids) can make life quite uncomfortable for those who need to deal with them. Even simple things like sitting, lying, or standing can become a hardship; people dealing with the symptoms of piles may find it almost impossible to find a comfortable position. This condition is caused by enlarged veins in the anal area. It can be triggered by a number of different events such as straining too hard when trying to pass a stool, spending too much time sitting or standing, or as a result of pregnancy.

The Symptoms of Piles

Sometimes the symptoms of piles can pass quickly with minor inconvenience and only mild discomfort. Other people may have a much harder time of it, and these hemorrhoids can really interfere with life. The usual pile symptoms include;
  • Itching in the anal/rectal area
  • Fresh blood on toilet paper (if the blood is a darker color then this could indicate a problem higher up in the bowel). People might also notice stained underwear or even blood dripping when they try to pass a bowel motion.
  • There may be a lump in the anal area if the hemorrhoid has prolapsed. Sometimes a prolapsed hemorrhoid can be eased back under the skin, but other times it becomes stuck and this will increase the symptoms.
  • Individuals may find it hard to get comfortable in any condition because of pain and discomfort
The symptoms of piles can be unpleasant but hemorrhoids rarely cause serious problems. It is important though that anyone noticing blood in their stool gets this checked out by their doctor. This is due to the possibility that it might be caused by something more sinister than piles.

How to Deal with Piles

There are a number of options for people who have to deal with the symptoms of piles. It is recommended that people speak to their doctors about the problem but there are some home treatments that might help.
  • Many people how have needed to deal with piles have found that sitting in a warm bath can provide some relief which lasts for an hour or two afterwards.
  • Most chemists will have a selection of creams that can be used to help ease the symptoms of hemorrhoids.
  • It is important to not spend too much time sitting or standing; this can exacerbate symptoms.
  • Eating more fiber and drinking plenty of fluids can make help people cope better with the discomfort caused when passing a stool.
If the symptoms of piles persist or get worse then people need to return to see their doctor for other options to deal with the problem.

The symptoms of piles can be hard to deal with. Most people will be able to deal with the problem without too much hardship, but all rectal bleeding should be investigated by a doctor to rule out more serious complaints.

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Pupil Anomalies

pupil anomalies
Taking a set of vitals is standard procedure for all medically trained caregivers and while patients rarely give it a second thought, health professionals love vital signs. The importance of these signs is self-evident to the medical world; they are the clues to a condition, an attribute of life and once in decline, a harbinger of death.

Vitals are not just numbers; they reflect a patient's well-being and show changes in circumstances, often particularly important ones. The eyes may be the windows to the soul, but just the pupils can reveal plenty of information for diagnosis purposes.

The Pupil

The pupil of the eye resembles a black hole that can constrict (close), or dilate (open), in response to various factors. Essentially the role of the pupil is to adapt and change size to allow the maximum amount of light into the retina without causing damage. The retina converts the light into nerve impulses which travel to the optic nerve and then directly to the brain, allowing a person to see.

Pupils have an involuntary reflex but they can and do react to emotional states. Pupil sizes can portray the following emotions:
  • fear
  • hostility
  • sympathy
  • love

Pupil Changes Caused By Medical Conditions

Medical caregivers examine pupil size because they can be directly correlated to health conditions. In this case, it isn’t only the size of the pupils that are noted but their reactivity and equality too. In normal circumstances, pupils should be neither large nor small, but average. If extra light is supplied, both pupils should constrict and if surroundings become darker, both pupils should dilate, equally. What happens in one eye should also happen in the other, giving a bilateral reaction.

Drugs are by no means the single factor of pupil change, but depending on the type of drug involved they can cause pupils to constrict, dilate, or show a lack of reactivity. Drugs are often the first suspect in any pupil changes where there has been no trauma and no history of an existing illness.

Pupil Appearance

Significant or possible causes of constricted pupils include:
  • drugs such as Heroin, Fentanyl, Codeine, Tramadol and other narcotics
  • migraine
  • corneal ulcer
  • Horner Syndrome (damage to the sympathetic nervous system serving the eyes)
  • pancoast tumor (carcinoma of the lung apex)
  • uveitis (inflammation of the inner eye)
  • prescription eye drops
Significant or possible causes of dilated pupils include:
  • adrenaline
  • drugs such as antipsychotic agents, atropine, cocaine
  • blood loss
  • OTC and prescription eye drops
  • Seratonin Syndrome (a toxic reaction to serotonin)
Significant or possible causes of unequal pupils include:
  • stroke
  • head injury
  • artificial eye
  • eye Injury
  • Adie’s Syndrome (light response slower in one eye possibly due to a mechanism malfunction)
  • third cranial nerve palsy
  • tumor
  • meningitis
  • encephalitis
Significant or possible causes for lack of reactivity in pupils include:
  • drugs
  • lack of oxygen to the brain
  • brainstem coma
  • death
Pupil Facts and considerations:
  • Most of the light entering the eye does not escape, which is why the pupil appears black.
  • It takes longer for a pupil to dilate than constrict.
  • Pupils can miss the mark immediately; they will shrink down and then reopen slightly.
  • If both pupils are dilated, it is usually due to drugs, not disease.
  • Red eyes are the result of the camera flash bouncing off the retina, back out of the eye and into the camera lens.
  • Emergency medical responders carry pupil gauges to measure pupil size.
  • Pupils that are fixed and dilated typically indicate impending death.

Baseline Pupil Sizes

As with any vital sign, a baseline should always be taken for comparison purposes. When checking the pupils, note the size before shining a light into them. Do one eye at a time covering the opposite eye with your hand. When the light hits the pupil it should constrict and when the light is removed, it should dilate back to its normal position.

While the pupil size, reactivity and equality will not specifically diagnose a condition, it can offer tremendous clues for health professionals in the pursuit of a diagnosis.

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The Role of Flossing in Teeth Cleaning


Teeth cleaning is a daily chore, with some people cleaning their teeth up to two or three times per day. Not only is it required for fresh breath, but cleaning teeth is necessary if one wants to avoid plaque stains and tooth decay.

Another desired benefit of teeth cleaning that most people wish to attain is whiter teeth. It may appear to sound obvious that whitening one’s teeth comes with brushing, but there’s a lot more to it than that.

Dentists recommend the use of floss to reach in places that the normal toothbrush cannot.

Dental Floss and Flossing Teeth

When people clean their teeth, they often don’t realise that there are places that standard and electric toothbrushes miss. It might not matter how many times per day individuals clean their teeth, but failure to reach certain areas around the teeth may facilitate the build up of plaque and subsequent tooth decay.

That is why the use of floss to supplement the teeth cleaning process is necessary.
Dental floss itself is a collection of plastic fibres or thin nylon filaments. Flossing is done when individuals place the dental floss in between their teeth, hold it down and rub it back and forth.

Flossing and Whiter Teeth

Teeth cleaning by standard or electric toothbrush should be supplemented with flossing, if one hopes to achieve the regular status of whiter teeth. This is because flossing reaches in places that traditional brushing cannot. People may not realise it but the build up of plaque – and subsequent tooth decay – occur when toothbrushes do not scrub away the accumulated gunk from inaccessible places.

In fact, the most common areas where dentists instruct people to brush more often are in the small gaps between teeth. This isn’t surprising.
For the best results, it is recommended that one engages in flossing prior to traditional teeth cleaning by toothbrush. People tend to notice whiter teeth when they have flossed twice a day for several weeks. Thus it is a good habit to adopt.

Indeed, research carried out by Milan University Medical School in Italy reveals that the risk of heart disease is surprisingly lowered by regular flossing. This is because gum disease is prevented, and there is a link between gum disease and heart conditions, hence the reduced risk.

Floss for Whiter Teeth

Many perceive flossing as an added burden to an already mundane chore of teeth cleaning. But if individuals desire whiter teeth, they should overcome the reluctance and commence flossing today, citing the reduction in heart disease as a worthwhile incentive.

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The Safety of Dental Amalgam Fillings

dental amalgam fillings

Mercury is now regarded as the most common cause of heavy metal toxicity and can get into the bloodstream in various ways from injected vaccines, eating fish and by amalgam dental fillings by chewing. The World Health Organization estimates that between three to 17 micrograms of mercury are released daily into the body by chewing alone.

History of Mercury

Mercury is the second most toxic metal in the world after plutonium. Mercury has a history of being known as quicksilver due to it being a silver liquid. The symbol, Hg, is Latin for hydrargyrum, meaning watery silver. Mercury does not readily react with oxygen in the air but does reacts with some acids when they are hot.

Mercury toxicity has been reported since the first century when Roman prisoners were sentenced to work in cinnabar mines where they usually died due to the lethal levels of mercury. In the 1800s felt hat workers exposed to mercuric nitrate exhibited symptoms such as memory loss, angry outbursts, depression, insomnia, hallucinations and delusions. This condition was coined the “Mad Hatter syndrome” and was referred to famously by Lewis Carroll in Alice in Wonderland. Similar symptoms were reported in syphilis patients who were treated with mercury in the mid-19th century.

In the last 50 years, more has been discovered about the toxic effects of mercury. Mercury enters the body fairly easily and its vapours pass through the skin into the blood stream. Once in the blood mercury interferes with bodily chemical reactions that can lead to illness and even death.

Amalgam Fillings in Dentistry

Mercury consists of approximately 50% of an amalgam filling, and is mixed with silver, copper and tin. This combination has been used for well over a century and has proved to extremely durable. Mercury is used in amalgams because it helps it is effective in making the filling material pliable and it also hardens quickly and can withstand biting and chewing. The US Food and Drug Administration (FDA) caused controversy in July 2008 when they issued a final regulation with altered language on their website: "While elemental mercury has been associated with adverse health effects at high exposures, the levels released by dental amalgam fillings are not high enough to cause harm in patients.” They also advocated better warnings about mercury sensitivity and dental amalgams. The association also reclassified the mercury component of dental amalgam from Class I (low risk) to Class II (moderate risk).

With increasing concern over the safety of amalgam fillings, more than five hundred mercury-free practices have been set up in the UK. There are alternatives to amalgam fillings such as composite resin, porcelain and gold. The durability of these alternatives is increasing with time and further research. Removing existing amalgam fillings isn’t advised in healthy people as it is a skilled procedure and involves the release of mercury vapour.

Health Risks of Amalgam Fillings

A report in the British Journal of Industrial Medicine finds that dentists have higher concentrations of mercury in the body and double the number of brain tumours. Female dentists and assistants have more than three times the risk of sterility, stillbirth, and miscarriage. Exposure over long periods of time to mercury vapour can result in brain damage and studies have found extensive mercury exposure to be a factor in Alzheimer’s, Parkinson's disease, dementia and multiple sclerosis. Mercury is particularly toxic to fetuses and babies. Women who have been exposed to mercury in pregnancy have sometimes given birth to children with serious birth defects.

A study that followed more than 500 Portuguese and American children for seven years after they received amalgam or mercury-free fillings found no differences in the neurological symptoms between the two groups.

In contrast a 2004 study concluded that amalgam fillings may be an important risk factor for patients with autoimmune diseases. The study found that patients responded positively when amalgam was removed from a group of 35 patients with autoimmune diseases and replaced them with composites. Six months later more than 70% had shown improvement in health notably in multiple sclerosis.

Supporters of amalgam fillings emphasised that mercury is locked in and inert. It has now been conceded that mercury vapour escapes, and filters into the bloodstream and organs. Now scientists and the FDA claim that mercury levels are very low. Opponents argue that mercury accumulates in the body and no level of mercury should be deemed safe. Insufficient published data exists on the potential health effects of dental amalgam to completely support or refute the health effects attributed to it.

The safety of amalgam fillings is still inconclusive, though due to the toxicity of mercury an increasing amount of people are choosing alternatives such as composite resin, glass and gold. Read Ayurvedic Home Remedies for Tooth Pain for natural ways to maintain optimal oral health and treat toothache.

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Laropiprant Side Effects


Laropiprant becomes an adjunct drug with the administration of nicotinic acid that helps lower the cholesterol levels of the body. Its potent action in managing the flushing effects of nicotinic acid makes Laropiprant an essential drug to administer together with nicotinic acid. Side effects are often evident on the use of laropriprant that every patient must be cautioned upon.

Lapopiprant together with niacin is indicated for the treatment of dyslipidemia, a condition characterized by high levels of cholesterol and triglycerides. It is also an indicated treatment for hypercholesterolemia.

Side Effects of Laropiprant

Just as with any drug, the administration of laropiprant may induce side effects. Common ones are diarrhea and loose bowel movements, abdominal discomfort, rashes and allergy, itching and hives. Indigestion, stomachache, vomiting, headache and tingling of the hands and feet are also common.

More serious side effects induced by the drug include allergic reaction, bloating of the face, lips, tongue, and throat. Some experience breathing difficulty, angiodema or difficulty in swallowing, shortness of breath, inability to stop urine and stool and cold sweating.
The elevation of liver enzymes is also another side effect of laropiprant, seen in 0.3% of patients who took laropiprant-containing medicines, like Zocor and Cordaptive. This effect is, however, asymptomatic and liver enzymes eventually return to the normal level once the medication stops.

Hepatic Upshots Due to Overdosage of Laropiprant

Severe hepatic toxicity is a risk of lapopipant overdose. The drug may dangerously interact in the presence of excessive amount of alcohol. Complications are also possible in the presence of liver disease. Patients with history of this illness should undergo liver function tests before administration, every six to 12 weeks for the first year and occasionally afterwards. Patients with increasing transaminase levels should be monitored to resolve ensuing abnormalities brought about by the intake of this drug. If found to be detrimental for the health, reduce or withdraw the medication.


Unusual cases of rhabdomylysis have been found due to attendant administration of lipid-altering lipopiprant and nicotinic acid. If a patient shows symptoms of this illness, constant monitoring is needed for muscle aches, tenderness, or weakness during the first months of medication, especially when dosage of this drug is increased. Periodic creatinine kinase (PCK) should be considered, though little is known if it inhibits the development of severe myopathy.

Patients older than 70 showing symptoms of rhabdomylisis should be given utter care and medication as they are more likely to suffer renal impairment, unrestrained hypothyroidism, hereditary background of muscular disorder, and muscular toxicity.

Reminder about Laropiprant

Always take laropiprant in its proper dosage to avoid undesirable side effects and complications. Continue with the prescribed schedule of intake and dosage even in the event of a missed dose. Always consult a physician and never self-medicate to avoid undesirable side effects of laropiprant.

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The Coral Calcium Controversy

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Coral calcium, a dietary supplement made of calcium carbonate and a wealth of trace minerals, is harvested off the shores of Okinawa, Japan. This much acclaimed mineral is best known for its proclaimed ability to change the alkalinity of water-based solutions. Many individuals, inspired by the teachings of Robert Barefoot, hold to the belief that coral calcium is a cure-all for a number of diseases.

The Robert Barefoot Theory Concerning Coral Calcium

Robert Barefoot is a bio-chemist and promoter of coral calcium. His theory advocates that while a healthy person has a high pH or alkaline reading and high oxygen levels, a person that is ill has a low pH reading and low oxygen levels. If the the pH levels of the sick can be raised or changed to alkaline, that person can overthrow any illness in question. Barefoot believes that the alkalinity of coral calcium can cure some 200 degenerative diseases caused by calcium deficiency.

Controversial Issues Concerning Coral Calcium

Laboratory analyses performed on coral calcium reveal that this supplement contains significant amounts of heavy metals, including lead. These findings pose a direct confrontation with Robert Barefoot's Coral Calcium theory for ultimate health. In fact, according to Andrew Weils, founder and director of the Arizona Center for Integrative Medicine, the claim that better health can be achieved by creating a more alkaline body has no basis in science. Coral calcium supplements, although more expensive than regular calcium supplements have not been proven any more effective. It is recommended that individuals needing extra calcium should take calcium carbonate products which are 30-35% absorbable in the body. Coral calcium is not 100% absorbable.

Another concern is that coral calcium causes severe allergic reactions. Shortness of breath, swelling and hives are characteristic of individuals who are allergic to shellfish. Shellfish living amongst the coral reefs contaminate the limestone deposits which can negatively affect individuals with allergies.

Coral Calcium Manufacturing Destroys the Environment

The widespread health claims concerning coral calcium has led to mass production of the supplement.This raises environmental issues because of the destruction of the beautiful ocean reefs that have taken thousands of years to grow. The reefs are also home to many ocean creatures, including fish and lobster. Becuse living coal reefs are now endangered, it is forbidden by law to harvest them. As an altenative, harvesters are using loose limestone deposits to make the coral supplements. Calcium from limestone deposits contain pollutants and heavy metals.

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Stretching Exercises Keep Your Muscles Healthy

Humans are made up of different types of muscles. The two main groups are phasic and postural. The phasic muscles are made up of fast twitch fibers (type 2), examples are: quadriceps (the muscles in the front of the upper thigh), rectus abdominis (abdominal muscles).

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These muscles are activated in short explosive activities, such as sprinting to the bus, and are prone to getting weak. The postural muscles are made up of slow twitch fibers (type 1), some examples are: gastrocnemius and soleus (muscles in the back of the lower leg) pectoralis major and minor (chest muscles). These muscles are activated in long duration sustained positions and movements, and overtime are prone towards getting tight and restricted.

What Stretching Does

The physiological effect of stretching is that it reduces increased tone of a muscle. The ability to stretch is influenced by: age, gender, body type, temperature, psychological and physical stress, and muscle imbalances.

Stretching after exercise will ensure muscle relaxation, facilitate normal muscle resting length, and improve circulation to structures and removal of unwanted waste products (lactic acid). It is evident that lifestyle will influence the health and function of the musculoskeletal system.

Humans require the activity of specific muscle groups all the time. Many studies indicate that a lot of low back pain cases are due to muscle imbalances. For a well balanced body, it is essential to add stretching as well as exercise to our daily routines.

Stretching Tips

How often you should stretch is not fully understood; however, experts agree that daily stretching is the best, or at least after a warm up before and after a sporting activity. Frequent stretching reduces muscular imbalances sustained by daily activities or exercise.
  • Static, prolonged and sustained stretches are the most effective. Do not bounce as this can cause microtrauma at the musculo-tendinous junction.
  • Connective tissue elongation (plastic deformation) requires low intensity and long duration stretching. Evidence suggests that in order to involve the connective tissue (tendon) and muscle it is essential to hold stretches for at least 15 – 20 seconds.
  • Complete 10 times for each muscle doing both the left and right sides of the body.
You should stretch only when your body is warm, as this facilitates range of motion around a joint structure .Never stretch first thing in the morning. If you exercise in the morning, always do a light warm up (5 – 10 minutes) to facilitate blood circulation before you stretch.

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Tips to Reduce Swelling in Hands, Ankles and Feet

Swelling of the hands, ankles and feet is caused by many different things and can occur in people of all ages. The causes can be as simple as high heat, standing too much or eating too much sodium, or it could be a sign of another health issue. For most people, however, swelling in the hands, feet and ankles is not life-threatening and can be treated easily by taking a few precautions or making small lifestyle changes.


Causes of Swelling of the Hands, Ankles and Feet

There are many different reasons why hands, feet and ankles swell. These reasons include:
  • pregnancy
  • pre-menstrual syndrome
  • medications
  • sitting too long in one position
  • standing too long in one position
  • not drinking enough water
  • too much sodium (salt) in the diet
  • allergies
  • being overweight
  • eating an unhealthy diet
  • too little exercise
  • drinking alcohol or caffeinated beverages
In most cases, a person who experiences swelling occasionally can reduce it with home remedies. However, if swelling persists on a regular basis, see a doctor. There may be another underlying cause.

Treatments for Swollen Hands, Ankles and Feet

While most cases of swelling of the hands, feet and ankles aren’t serious, if left untreated it can cause complications such as an increased risk of infection, decreased blood circulation and a decrease in the elasticity of veins, arteries, muscles and joints. Ways to treat swollen hands, feet and ankles include:
Reduce sodium in the diet – Too much sodium in the diet causes the body to retain water and contributes to the swelling. Lower the amount of salt added to foods when cooking monitor sodium in processed foods. The American Heart Association suggests eating less than 1,500 milligrams of sodium per day.
Drink plenty of water – Not drinking enough water sends a message to the body to hold onto the water it already has stored, and causes hands, feet and ankles to swell. Drinking at least 64 ounces of water each day will keep the body hydrated and help it to expel extra fluids properly.
Don’t stand or sit for long periods of time – Standing or sitting for long periods of time can cause ankles and feet to swell. Try sitting with feet and ankles propped up above the heart for 30 minutes to relieve the swelling.
Avoid alcohol and caffeine – Drinking too much alcohol or caffeinated beverages can cause swelling in the hands, feet and ankles.
Eat a healthy diet – Eating a balanced diet rich in fruits, vegetables, protein and whole grains keeps the body’s system working properly so the body doesn’t hold onto excess fluid.
Avoid extreme temperature changes – According to the Mayo Clinic, changes in temperature can aggravate swelling. Avoid hot tubs, saunas, hot showers and baths and take care when out in hot temperatures.
Try a diuretic – Taking a diuretic (water pill) may help ease swollen hands, feet and ankles. Do not take during pregnancy unless advised by a doctor.
Exercise regularly – Regular daily exercise has been shown to help reduce swelling.

Swelling of the hands, feet and ankles is uncomfortable and sometimes painful but it can be reduced by making a few lifestyle changes. If swelling occurs on a regular basis, seek medical attention as it may be a sign of a more serious health issue.

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Toradol Pain Medicine

Toradol is commonly prescribed after surgery. It is also sold under the generic name of Ketorolac. It helps reduce hormones in your body that cause inflammation and pain. It is available as an IV additive, injection, and as a tablet form. Tablets should only be used if you have already received the injectable form first. Toradol is not indicated for mild or ongoing pain.


Important Facts Regarding Toradol

Toradol is used short-term (five days or less) due to the increased risk of serious side effects on your stomach and intestines. Serious life threatening gastrointestinal effects can occur while taking Toradol. Toradol can also increase your risk of life-threatening circulation and heart problems, such as stroke and heart attack. Risks increase with longer use of Toradol. Seek medical care immediately if you experience chest pain, weakness, slurred speech, shortness of breath, vision or balance problems, black or bloody stools, tarry stools, or if you are coughing up blood or vomit that appears to look like coffee grounds.

Reasons Not to Take Toradol

You should not take Toradol if you are allergic to ketorolac, aspirin, or other NSAIDs. People should not take Toradol if they have severe kidney disease, a closed head injury, bleeding in the brain, bleeding or blood clot disorder, stomach ulcer, history of stomach or intestinal bleeding, or if you are breast-feeding an infant. This medication should not be used on anyone under the age of 18 years old.

Administration of Toradol

Toradol should be taken exactly as prescribed. Never take larger amounts of this medicine and never take it for longer than recommended by your physician. Toradol is generally given first as an injection. If you are given a prescription for the tablet form, take the tablet with a full glass of water. Toradol taken long-term can lead to damage of your kidneys and or cause bleeding.

Side Effects of Toradol

Common side effects of Toradol can include upset stomach, nausea, vomiting, diarrhea, constipation, bloating, gas, mild heartburn, stomach pain, sweating, dizziness, headache, drowsiness, and ringing in your ears.

Seek emergency care immediately if your experience an allergic reaction such as hives, swelling of your face, lips, tongue, or throat, and or difficulty breathing.

Contact your physician at once and stop taking Toradol if you experience chest pain, weakness, black, bloody, or tarry stools, swelling or rapid weight gain, shortness of breath, slurred speech, fever, sore throat, mouth sores, skin rash, neck stiffness, chills, increased sensitivity to light, purple spots on your skin, or seizures.

Drug Interactions with Toradol

Taking certain anti-depressant medications with Toradol can cause you to bruise and bleed easily. Inform your doctor if you are taking any blood thinners, lithium, alprazolam, thiothixene, methotrexate, diuretics, muscle relaxers, steroids, seizure medications, heart or blood pressure medicines, aspirin or other forms of NSAIDs, and ACE inhibitors. Other medications not listed may interact with this medicine. Always discuss all prescription, over-the-counter medications, supplements, and herbal medications with your physician. Serious drug interactions can occur.

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