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LATE BLEEDING DISORDERS 2007-11-14 11:49:00 PREMATURE LABORAre uterine contractions occurring before 37th week of gestationRISK FACTORS HIT-MPHPNIncompetent cervixThird trimester bleedingMultiple gestationPolyhydramnios (excessive amount of Amniotic fluid)CLINICAL MANIFESTATION(Primary) Contractions occurring in increasing frequency & intensity Premature ROM (rupture of membranes)MANAGEMENT If there is (-) bleeding & (-) Cervical Dilation1. Administration of TOCOLYTIC MEDICINES = meds used to suppress contractionsa) RITODRINE (Yutopar) = muscle relaxant to control Uterine contractionSIDE EFFECTSHypotensionTachycardiaAltered fetal heart rateNursing alert! Monitor FHR, if greater than 180bpm (NORMAL: 120-160) CR, if greater than 120bpm (NORMAL: 80-100) Notify the MD!b) ISOXSUPRINE (Vasodilan) = Intravenous (IV) vasodilatorSIDE EFFECTSHypotensionTachycardiac) TERBUTALINE (Bricanyl) = bronchodilatorSIDE EFFECTSTachycardiaNervousness & tremord) ETHYL ALCOHOL (Ethanol) = is given to block the release of Oxytocin; thru IVSI ...

NEUROLOGIC DISEASES 2007-11-14 07:24:00 MYASTHENIA GRAVISDecreased Acetylcholine Receptor SitesMULTIPLE SCLEROSISPatches of demyelinationALZHEIMERS DISEASEneuro fibrillary tangles, senile plaques, and decrease AcetylcholinePARKINSONS DISEASEdegeneration of Substantia NigraGUILLAIN BARRE SYNDROMEdegeneration of Myelin Sheath of peripheral nervesPICKS DISEASEswelling of neurons taking a ballooned appearanceCREUTZFELDT JAKOB DISEASEdevelopment of porous tissue, mad cow disease, and infectionsHUNTINGTONS DISEASEdegeneration of Striatum (caudate and putamen) in basal gangliaAMYOTROPHIC LATERAL SCLEROSIS degeneration of Anterior Horn Cells and Corticospinal Tracts[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

EARLY BLEEDING DISORDERS 2007-11-12 21:37:00 ABORTION any interruption / termination of a pregnancy before the age of viability (20th week of gestation). Usually spontaneous abortions (75-80% happen on the 2nd & 3rd month). RISK FACTORS PETE-PEM1. Presence of Acute Infections (German measles).2. Endocrine disturbance (Progesterone Therapy / Hypothyroidism ? meds can cause abortion). PTU – Prophylthiouracil.3. Trauma (a fall from the stairs)4. Exposure to Teratogens5. Psychological Factors6. Evidence of Malnutrition7. Maternal Factors ( C F S ) Chronic InfectionsFibroid TumorsStructural Uterine Anomalies? hemoglobin (bleeding) if less than 10.5g/dl = + abortionTYPES OF ABORTION SISpontaneous Abortion TIMH1. Threatened Abortion - slight to moderate, bright red vaginal bleeding, mild back & lower abdominal cramping. No cervical dilation & no passage of products of conceptionManagement Complete bed rests (24-48 hrs.) no bathroom privilegePt. may be sedated to avoid movementsCoitus is prohibited 2 wks. after bleeding ...

FASTING BLOOD TESTS 2007-11-12 08:51:00 Fasting Blood SugarBUN, CreatinineSerum LipidsCholesterol / TriglyceridePhosphorusTo remember: FBS-CellphonePatient is under NPO 12 hours before blood extraction[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

FOOD PYRAMID GUIDE 2007-11-09 10:53:00 ...

POISON 2007-11-08 05:42:00 POISONCall the Poison Control CenterDon't refer to medications as candiesPlace medications in a child-proof bottleKeep meds out of children's reachCheck food or drug's expiration dateDon't place gasoline or kerosine in softdrink bottles (for Filipinos!)Don't play with watusi (for Filipinos!)CORROSIVE POISONDon't induce vomitting, it will produce more damage to the airway.ex. muriatic acid, bowl cleaners, liquid sosaNON CORROSIVEInduce vomitting except when patient has a decreased LOCInduce vomitting by giving syrup of ipecacGastric LavageGive activated charcoal and laxativeCharcoal = decrease absorption of poisonLaxative = flush out poisonAspirin - acid = kussmaul's respirationTylenol - liver damage, monitor liver enzymesRat poison - made of coumadin = bleedingPaint chips - contains lead, assess children living in old houses (paint)Plumbism - contains lead, assess old pipelinesWatusi - give 9 pcs of raw egg whites (as first aid treatment only)see also DRUGS AND ANTIDOTES[IMG]htt ...

Trivia Top Scores for the Month of October 2007-10-31 12:45:00 CONGRATULATIONS to all the players of our Nursing Trivia1. cryogirl=11636 points2. xanatots=7865 points3. bancrofti=5539 points4. bekwang=5449 points5. chalk25=5016 points6. wowowee=4588 points7. dzan=2838 points7. wengkoy=2838 points8. nerie=2450 points9. Ner=2066 points10. khris=1790 points11. Sui=1669 points12. xernanz=1501 points13. troy=1401 points14. kayleigh=1106 points15. ma3k=1044 points[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

NURSING THEORIST 2007-10-30 02:17:00 Anne Boykin and Sarvina O. SchoenhoferNursing As Caring TheoryBetty NeumanNeuman Systems Model and Global ApplicationsSister Callista RoyThe Roy Adaptation ModelDorothea OremSelf-Care Deficit Nursing TheoryDorothy JohnsonBehavioral System ModelErnestine WiedenbachThe Helping Art of Clinical NursingFaye Glenn AbdellahTwenty-One Nursing ProblemsFlorence NightingaleEnvironmental Adaptation TheoryHildegard PeplauTheory of Interpersonal RelationsIda Jean OrlandoTheory of the Nursing Process DisciplineImogene KingGeneral System’s FrameworkTheory of Goal AttainmentJean WatsonTheory of Human CaringJoyce FitzpatrickLife Perspective Rhythm ModelJoyce TravelbeeHuman-To-Human Relationship ModelKari MartinsenNursing PhilosophyKatharine KolcabaTheory of ComfortKristen SwansonProgram of Research on CaringLogan Roper & TierneyThe Elements of Nursing:A Model for Nursing Based on a Model of LivingLydia HallCore, Care and Cure ModelMadeleine LeiningerTheory of Culture Care Diversity and Universalit ...

NURSING TRIVIA FAQS 2007-10-28 20:20:00 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 JuandelacruzIf 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 already owns this name so you ...

Breath Sounds 2007-10-28 12:45:00 Normal Breath SoundsBronchial SoundsBronchial breath sounds consist of a full inspiratory and expiratory phase with the inspiratory phase usually being louder. They are normally heard over the trachea and larynx. Bronchial sounds are not normally heard over the thorax in resting animals. They may be heard over the hilar region in normal animals that are breathing hard (i.e. after exercise). Otherwise, bronchial sounds heard over the thorax suggest lung consolidation and pulmonary disease. Pulmonary consolidation results in improved transmission of breath sounds originating in the trachea and primary bronchi that are then heard at increased intensity over the thorax.Bronchovesicular SoundsBronchovesicular breath sounds consist of a full inspiratory phase with a shortened and softer expiratory phase. They are normally heard over the hilar region in most resting animals and should be quieter than the tracheal breath sounds. However, in sheep, goats, llamas, and alpacas, they may be heard ...

Table of Single Gene Defects 2007-10-25 23:10:00 Autosomal Dominant:Alpha 1 Anti-Trypsin DeficiencyAchondroplasia FamilialAdenomatousPolyposisFamilial HypercholesterolemiaHuntington's DiseaseMachado-Joseph DiseaseMarfan SyndromeNeurofibromatosisOsteogenesis ImperfectaOtosclerosisPick's DiseasePolycystic Kidney Disease (adults)PorphyriaVon Willebrand's DiseaseAutosomal Recessive:Cystic FibrosisHereditary HemochromatosisPhenylketonuriaPolycystic Kidney Disease (infants)Sickle Cell AnemiaTay-Sach's DiseaseX-linked Dominant:Coffin-Lowry syndromeFamilial RicketsHereditary NephritisHypospadiasIncontinentia PigmentiRett SyndromeX-linked Recessive:G6PDBecker Muscular DystrophyChronic Granulomatous DiseaseDeuteranopiaDuchenne Muscular DystrophyFragile-X SyndromeHemophiliaProgressive Spinobulbar muscular atrophyProtanopiaRed-green color blindnessWiskott-Aldrich SyndromeX-Linked Agammaglobulinemia[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

Transmission Patterns of Inheritance 2007-10-25 21:37:00 Autosomal dominant:At least one parent is affected. Can affect both males and females. Every child has a 1 out of 2 chance of having the disease. Can result from a spontaneous mutation. Autosomal recessive:Both parent have the recessive gene. 1 in 4 chance of having disease, 2 in 4 chance of carrying the disease, 1 in 4 of being normal. X-linked dominant:An affected female will transfer the disease to half her sons and half her daughters. An affected male will transfer the disease to all his daughters but none of his sons. X-linked recessive: Most X link disorders are recessive. Offspring of carrier mom: for daughters, 1 out of 2 are normal, 1 out of 2 are carriers. Males have 1 out of 2 chances to have the disease, 1 out of 2 of being normal. An affected male does not transmit the disease but all daughters are affected.Mitochondrial:This type of inheritance, also known as maternal inheritance, applies to genes in mitochondrial DNA. Because only egg cells contribute mitochondria to the ...

Robot nurses could be on the wards in three years, say scientists 2007-10-25 21:05:00 ROBOT nurses could be bustling around hospital wards in as little as three years. The mechanised "angels" - being developed by EU-funded scientists - will perform basic tasks such as mopping up spillages, taking messages and guiding visitors to hospital beds. They could also be used to distribute medicines and even monitor the temperature of patients remotely with laser thermometers. Working in teams, the intelligent robots will be able to communicate with each other and co-ordinate their duties. Scientists from the universities of Warwick, Cardiff, Dublin and Newcastle are among the engineers and software experts taking part in the "IWARD" project. They aim to have a three-robot prototype system ready by 2010. It is hoped the machines will ease pressure on hospitals and free staff to spend more time with patients. By helping to keep wards cleaner, they could also cut infections by hospital superbugs such as MRSA. Each "nursebot" will consist of a mobile platform mounted with a module ...

Only better jobs, economy can stop exodus of healthcare workers 2007-10-25 20:41:00 Only improved employment and economic conditions in the country can stem the sustained migration of Filipino healthcare professionals, Sen. Loren Legarda said Monday."Amid rapid globalization, the only way we can really discourage our professionals and other highly skilled workers from seeking greener pasture overseas is by willfully enhancing...read more | digg story[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

IMMUNITY 2007-10-21 22:32:00 IMMUNITY – body’s reaction to any foreign body that might enter our tissues2 types:NON SPECIFIC/ CELLULAR / Innate immunity present in our body since we were bornSPECIFICMediators (non specific)1. MECHANICAL BARRIERSSkin (keratinized)Body secretions ( sweat, oil)Cilia (transports)Mucus (traps organism entering the Respiratory tract)2. CHEMICAL BARRIERSEnzymes (lysozymes)Acids ( kills bacteria by denaturation)Fatty acids – skinGastric acids – stomachComplement system – becomes activated in cascade fashion 1,2,3…..Activated Complements System – presents antigen to the bacteria; once activated, has to be removed from the body3. INFLAMMATORY RESPONSE Presents the 5 Cardinal signs which is chemically mediated that can come from:Damaged tissuesInflammatory cellsEven from the bacteria itself5 Cardinal signs & symptoms of inflammation:1. redness (rubor)2. swelling (tumor)3. pain (dolor)4. heat (calor)5. loss of function (functiolaesa)FXN:forms a barrier to confine infectiontr ...