 Philippine Nurse
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Articles from Philippine Nurse |
THE SIX SECOND ECG
2007-12-15 11:00:00
A good website to improve your skills in reading the ECG
I found this website very useful especially if you have a hard time identifying ECG patterns. You will learn ECG by simply playing the game. LEARN while you ENJOY!
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TYPES OF STONES
2007-12-15 10:40:00
OXALATE STONES - caused by: tea, choco
URIC ACID STONES - caused by: liver, brain, kidney and other organ meat
CALCIUM STONES - caused by: milk and other dairy products
STRUVITE STONES - caused by: infection, staghorn calculus
CYSTEINE, XANTHINE STONES - caused by: other medical condition, hereditary
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SOMETHING IN COMMON
2007-12-14 22:18:00
MAOIs +TYRAMINE RICH FOOD = HYPERTENSIVE CRISIS
DON'Ts of PREGNANCY
LIPID LOWERING AGENTS (..... STATIN)ESTROGEN PILLSCOUMADIN / WARFARINISOTRETINOINOHAANTIPSYCHOTICSRADIATIONTORCH (Toxoplasmosis, Others, Rubella, Chlamydia, Herpes)RIBAVIRIN (inhaled)ALKASELTZER (contains ASA)DILANTINALCOHOL AND SMOKING !HeHeHe!
FALSE RESULT ON OCCULT BLOOD EXAM IS DUE TO:VITAMIN C = FALSE (-) ASA = FALSE (+) CORTICOSTEROIDS = (+)RED MEAT = (+)
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Something in Common 02
2007-12-14 22:12:00
MUSCLE RELAXANTS
AVOID GIVING TO MYASTHENIA GRAVIS PATIENT
MAY BE GIVEN TO MULTIPLE SCLEROSIS (ex. Baclofen)
BACLOFEN (ang mga BACLA malalambot ang muscles)
FLEXRIL (palaging naka flex ang elbows nila diba? )
NEOMYCIN
MORPHINE SO4
CAUSES URINE DISCOLORATION
DIAMOX
DOXORUBICIN
RIFAMPICIN
PYRIDIUM
LEVODOPA
OTOTOXIC DRUGS
STREPTOMYCIN
THIAZIDES
AMINOGLYCOSIDES
ANTI-NEOPLASTICS
LOOP DIURETICS
HIGH PITCH CRY
ICREASE ICP
HYDROCEPHALUS
MENINGITIS
MAY LEAD TO ANGINA
EXERCISE
EMOTION
EATING
EXTREME WEATHER
ANTICIPATE ACUTE RESPIRATORY FAILURE
GULLAIN BARRE SYNDROME
MYASTENIA GRAVIS
AMYOTROPIC LATERAL SCLEROSIS
DON’T GIVE TO PATIENT WITHCELIAC’S DISEASE
BARLEY
RYE
OAT
WEAT
MUST URINATE, VOID, EMPTY BLADDER
AMNIOCENTHESIS
PARACENTHESIS
LEOPOLD’S MANEUVER
ULTRASOUND (TRANSVAGINAL ONLY)
DRINK, DON’T URINATE, FULL BLADDER
CHORIONIC VILLI SAMPLING
ULTRASOUND (ABDOMINAL)
IMPOTENCE OR DECREASE LIBIDO
ALDACTONE
ACE INHIBITORS
BETA BLOCKERS
PHOTOSENSITIVE – PROTECT THE PAT ...
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SHOCK
2007-12-14 22:10:00
TYPES:
HYPOVOLEMIC == DECREASED BLOOD VOLUME
Active Bleeding, Burns, Placenta Previa,
Abrubtio Placenta, Asites, Ectopic Rupture, etc.
CARDIOGENIC == DECREASED CARDIAC OUTPUT
Myocardial Infarction, Congestive Heart Failure
DISTRIBUTIVE == MASSIVE VASODILATION
a) ANAPHYLACTIC – ALLERGY = chemical mediation, histamine, bradykinin
b) SEPTIC – INFECTION = Pyrogens
c) NEUROGENIC – BRAIN & SPINAL CORD = decrease vasomotor, trauma
ALL OF THESE TYPES RESULTS TO: DECREASE TISSUE PERFUSION
POSITION – MODIFIED TRENDELENBURG
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ROTATING TOURNIQUET, BLOODLESS PHLEBOTOMY
2007-12-14 22:09:00
PURPOSE:
to decrease congestion in the heartto decrease venous returnSTEPS:
apply the tourniquet: 3 extremities are occluded, leave 1 extremity freeafter 15 minutes, rotate the tourniquet, rotate in a clockwise directionrotate the tourniquet 3 times remove the tourniquet EXAMPLE:
1 - 12:00 PM tourniquet is applied2 - 12:15 PM rotate the tourniquet3 - 12:30 PM rotate the tourniquet4 - 12:45 PM rotate the tourniquet5 - 1:00 PM remove all the tourniquet
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RECOMMENDED IMMUNIZATION SCHEDULE FOR PERSONS AGED 0–6 YEARS
2007-12-14 22:07:00
This reference might help you in answering your NCLEX questions regarding Immunization Schedule.
CLICK ON THE PICTURE BELOW to open a .pdf file from the
Centers for Disease Control and Prevention
SOURCE: Centers for Disease Control and Prevention (http://www.cdc.gov/)
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PTB DRUG CATEGORIES
2007-12-14 22:05:00
CATEGORY 1 NEW PTB Pts with sputum (+) Seriously ill pts with severe forms of:
Smear (-) PTB with extensive parenchymal involvement
Extra pulmonary TB INTENSIVE PHASE
2 months
Rifampicin
INH
Pyrazinamide
Ethambutol MAINTENANCE PHASE
4 months
Rifampicin
INH CATEGORY 2 Relapse Failures Others INTENSIVE PHASE
2 months
Rifampicin
INH
Pyrazinamide
Ethambutol
Streptomycin
1 month
Rifampicin
INH
Pyrazinamide
Ethambutol
MAINTENANCE PHASE
5 months
Rifampicin
INH
Ethambutol CATEGORY 3 NEW PTB Pts with sputum smear (-) 3x & CXR result of TB minimal Failures INTENSIVE PHASE
2 months
Rifampicin
INH
Pyrazinamide
MAINTENANCE PHASE
2 months
Rifampicin
INH
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Preparation & Administration of Drugs
2007-12-14 22:02:00
GENERAL INSTRUCTIONS
1. Verify Doctor's order
2. Know the patient's condition
3. Be alert for allergies
4. Know the purpose & therapeutic effects of each drug ordered.
5. Standard abbreviations & symbols commonly used; familiarize oneself.
6. Know your hospital's policy about verbal and telephone orders.
7. Observe 10 Rights of Drug Administration.
8. Clarify orders which are clear and make sure you understand everything.
9. Verify if drug will be omitted or delayed; if there’s an operation that should be done Pre op meds
10. Never give meds that shows changes or deterioration.
11. Report errors in med administration immediately to the charge nurse.
12. Nurse who preps the meds must be responsible for administering & recording it. NEVER ENDORSE it to another Nurse
13. Observe Asepsis
14. Concentrate when preparing meds
15. Always use the Med card for each medication administered
16. Check computation for dosage b4 preparing meds
17. Notify the charge nurse immediately ...
Amp
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POISON
2007-12-14 22:00:00
POISON
Call the Poison Control Center
Don't refer to medications as candies
Place medications in a child-proof bottle
Keep meds out of children's reach
Check food or drug's expiration date
Don't place gasoline or kerosine in softdrink bottles (for Filipinos!)
Don't play with watusi (for Filipinos!)
CORROSIVE POISON
Don't induce vomitting, it will produce more damage to the airway.
ex. muriatic acid, bowl cleaners, liquid sosa
NON CORROSIVE
Induce vomitting except when patient has a decreased LOC
Induce vomitting by giving syrup of ipecac
Gastric Lavage
Give activated charcoal and laxative
Charcoal = decrease absorption of poison
Laxative = flush out poison
Aspirin - acid = kussmaul's respiration
Tylenol - liver damage, monitor liver enzymes
Rat poison - made of coumadin = bleeding
Paint chips - contains lead, assess children living in old houses (paint)
Plumbism - contains lead, assess old pipelines
Watusi - give 9 pcs of raw egg whites (as first aid treatment only)
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PERIOPERATIVE PATIENT CARE
2007-12-14 21:58:00
Purposes of Surgery
1. Diagnostic – establish the presence of disease condition
2. Exploratory – determine the extent of disease condition
3. Curative – treats the disease condition
ABLATIVE – removal (EG: Appendectomy)
CONSTRUCTIVE – repair of Congenital defects (EG: Cheiloplasty)
RECONSTRUCTIVE – repair of damaged organ
4. Palliative – placement of PEG tubes for Stomach Cancer
Magnitude of Surgery
MAJOR – High risk for Cx; (EG: Craniotomy, Explore Lap)
MEDIUM – (EG: appendectomy, hemorrhoidectomy)
MINOR – decreased Cx is involved (EG: Excision, Removal of ingrown)
Urgency
Emergency – done immediately. Hemorrhage, VA
Imperative – done within 24-48° Gangrene, Amputation
Planned – in weeks or months Thyroidectomy, MRM
Elective – delay will not cause adverse effects Cauterization of warts, Lumps
Optional - requested by the client; for Aesthetic purposes Rhinoplasty, Blepharoplasty
PRE OP
ASSESSMENT
* Prep ...
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NURSING TRIVIA FAQS
2007-12-14 21:57:00
We will update our top scores from our trivia chat regularly.
Top scores will reset to zero every month.
How can I join?
You have to use your own name. You have to use this name every time you answer the questions in our trivia. You need to use your own name so that points could be credited to it.
Every time you answer a question correctly, you will gain points depending on how quick you answer.
How can I change my name?
You can change your name by typing your new name on the right lowermost corner of the chat box. After typing - press enter.
You can also use this command on the chat message box (/nick myname)
For example: /nick Juandelacruz
If the chat box accepts your name then it is OK but if it asks you to identify by a password then someone owns that name. You have to choose another name.
To register:
First you have to choose a name and enter it in the right lowermost corner of the chatbox. If the chatserver asks you to identify the name, it means that someone alread ...
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NURSING THEORIST
2007-12-14 21:56:00
Anne Boykin and Sarvina O. Schoenhofer
Nursing As Caring Theory
Betty Neuman
Neuman Systems Model and Global Applications
Sister Callista Roy
The Roy Adaptation Model
Dorothea Orem
Self-Care Deficit Nursing Theory
Dorothy Johnson
Behavioral System Model
Ernestine Wiedenbach
The Helping Art of Clinical Nursing
Faye Glenn Abdellah
Twenty-One Nursing Problems
Florence Nightingale
Environmental Adaptation Theory
Hildegard Peplau
Theory of Interpersonal Relations
Ida Jean Orlando
Theory of the Nursing Process Discipline
Imogene King
General System’s Framework
Theory of Goal Attainment
Jean Watson
Theory of Human Caring
Joyce Fitzpatrick
Life Perspective Rhythm Model
Joyce Travelbee
Human-To-Human Relationship Model
Kari Martinsen
Nursing Philosophy
Katharine Kolcaba
Theory of Comfort
Kristen Swanson
Program of Research on Caring
Logan Roper & Tierney
The Elements of Nursing:
A Model for Nursing Based on a Model of Living
Lydia Hall
Core, Care and Cu ...
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NEUROLOGIC DISEASES
2007-12-14 21:54:00
MYASTHENIA GRAVIS
Decreased Acetylcholine Receptor Sites
MULTIPLE SCLEROSIS
Patches of demyelination
ALZHEIMERS DISEASE
neuro fibrillary tangles, senile plaques, and decrease Acetylcholine
PARKINSONS DISEASE
degeneration of Substantia Nigra
GUILLAIN BARRE SYNDROME
degeneration of Myelin Sheath of peripheral nerves
PICKS DISEASE
swelling of neurons taking a ballooned appearance
CREUTZFELDT JAKOB DISEASE
development of porous tissue, mad cow disease, and infections
HUNTINGTONS DISEASE
degeneration of Striatum (caudate and putamen) in basal ganglia
AMYOTROPHIC LATERAL SCLEROSIS
degeneration of Anterior Horn Cells and Corticospinal Tracts ...
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NANDA Nursing Diagnoses
2007-12-14 21:53:00
Activity/RestActivity Intolerance
Activity Intolerance, risk for
Disuse Syndrome, risk for
Diversional Activity Deficit
Fatigue
Sleep Deprivation
Sleep Pattern Disturbance
Circulation
Adaptive capacity: intercranial , decreased
Autonomic dysreflexia
Autonomic dysrelexia, risk for
Cardiac Output, decreased
Tissue perfusion, altered (specify): renal, cerebral, cardiopulmonary, gastrointestinal, peripheral
Ego integrity
Adjustment, impaired
Anxiety, death
Anxiety (specify level)
Body Image Disturbance
Coping, defensive
Coping, individual, ineffective
Decisional Conflict (specify)
Denial, ineffective
Energy Field Disturbance
Fear
Grieving, anticipatory
Grieving, dysfunctional
Hopelessness
Personal Identity Disturbance
Post-Trauma Syndrome
Post-Trauma Syndrome, risk for
Powerlessness
Rape-Trauma Syndrome
Rape-Trauma Syndrome: compound reaction
Rape-Trauma Syndrome: silent reaction
Relocation Stress Syndrome
Relocation Stress Syndrome, risk for
Self-Esteem, chronic low
Self-Esteem Distu ...
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