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GIT DISORDERS IN INFANTS 2007-10-10 11:56:00 First step of digestion: Chewing1. Cleft Lip 2. Cleft Palate 3. Tracheoesophageal Fistula 4. Gastroesophageal Reflux 5. (Pylorus) – Pyloric Stenosis 6. (Small Intestine) - Intussusception 7. (Large Intestine) - Hirschsprung 8. imperforate Anus CLEFT LIP Failure of the maxillary & median nasal process to fuse Congenital deformity. Common among males Several staggered suture line to minimize notching SIGNS & SYMPTOMS Difficulty in feeding Mouth breathing - ?air & infxn SURGICAL TREATMENT: Ideal is 6 - 12weeks oldSurgical Readiness: 10 wks old, 10 g of Hgb, at least 10 lbs., Procedure: close the defect called Cheiloplasty PRE-OPFeeding Technique: Dropper with SAP POST-OP Position: SUPINE never Prone (No head control) Promote Arm & Elbow Restraint Prevent Tension on suture lines: Anticipate the needs to avoid crying. Use of Logan’s Device (Bow / Bar)Anticipate Respiratory distress due to swelling of post-op area. Clean the suture line after feeding: sterile water or C ...

MNEMONICS CORNER 05 2007-10-09 12:05:00 Acid-base—"ROME" (Respiratory Opposite, Metabolic Equal)Acidosis» Respiratory (opposite): pH Pco2» Metabolic(equal): pH HCO3Alkalosis» Respiratory (opposite): pH Pco2» Metabolic(equal): pH HCO3Alcohol withdrawal: clinical features—"HITS"Hallucinations (visual, tactile)Increased vital signs and insomniaTremens delirium tremens (potentially lethal)Shakes/ Sweats/ Seizures/ Stomach pains (nausea, vomiting)Angina: precipitating factors—"4E's"EatingEmotionExertion (Exercise)Extreme Temperatures (Hot or Cold weather)Anorexia nervosa: clinical features—"ANOREXIC"Adolescent women/ AmenorrheaNGT alimentation (most severe cases)Obsession with losing weight/ becoming fat though underweightRefusal to eat (5% die)Electrolyte abnormalities (e.g., K+, cardiac arrhythmia)X - erciseIntelligence often above average/ Induced vomitingCathartic use (and diuretic abuse)Appendicitis: assessment—"PAINS"Pain (RLQ)AnorexiaIncreased temperature, WBC (15,000–20,000)NauseaSigns (McBurney's, Psoas ...

MNEMONICS CORNER 04 2007-10-09 12:04:00 SIGNS OF CANCERChange in bowel /bladder habitsA sore that doesn’t healUnusual bleeding/ DischargeThickening of lump – breast or elsewhereIndigestion/ DysphagiaObvious change in wart/ moleNagging cough/ hoarsenessUnexplained anemiaSudden weight lossFOCUS OF PATIENT CARE IN CLIENTS WITH CANCERChemotherapyAssess body image disturbance (related to alopecia)Nutritional needs when N/V presentComfort from painEffective response to Tx? (Evaluate)Rest (for patient and family)[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

MNEMONICS CORNER 03 2007-10-09 12:03:00 Basic MI management - "BOOMAR"Bed restOxygenOpiateMonitoringAnticoagulationReduce clot sizeTo Remember Immunoglobulins - "GAMED"IgGIgAIgMIgEIgDLocation of the heart valve from right to left - "A Permanently Temperamental Man"AorticPulmonaryTricuspidMitral"Cut C4, breathe no more"The 3rd, 4th and 5th cervical spinal nerves innervate the diaphragm.Types of Joint movements - "FEEDPIPE CARDSHARP"FlexionExtensionEversionDorsiflexionPronationInversionPlantarflexionElevationCircumductionAbductionRotationDepressionSupinationHyperextensionAdductionRetractionProtractionCranial Nerves - "Oh Ohh Ohhh To Try And Fit A Gold Velvet So Heavenly" Olfactory CN IOptic CN IIOcculomotor CN IIITrochlear CN IVTrigeminal CN VAbducens CN VIFacial CN VIIAuditory CN VIIIGlasopharyngeal CN IXVagus CN XSpinal/Accessory CN XIHypoglossal CN XII"Point and Shoot!"For remembering that Parasympathetics are involved with erection and Sympathetics with ejaculation.Layers of the scalp - "SCALP"SkinConnective tissueAponeuro ...

MNEMONICS CORNER 02 2007-10-09 12:02:00 SHOCK – HYPOTACHYTACHYHYPOTENSIONTACHYPNEATACHYCARDIAINCREASE ICP – HYPERBRADYBRADYCUSHINGS TRIADHYPERTENSION (WIDE PULSE PRESSURE)BRADYCARDIABRADYPNEAHYPOGLYCEMIATREMORS, TACHYCARDIAIRRITABILITYRESTLESSNESSEXTREMEDIAPHORESISEARLY SIGNS OF HYPOXIARESTLESSNESSAGITATIONTACHYCARDIALATE SIGNS OF HYPOXIABRADYCARDIAEXTREME RESTLESSNESSDYSPNEACYANOSISCONGESTIVE HEART FAILUREDIGOXINMORPHINEAMINOPHYLLINEDOPAMINEDIURETICSO2GASSES – MONITOR (ABG)MG SO4 TOXICITYBP DECREASEURINE OUTPUT DECREASERESPIRATORY RATE DECREASEPATELLAR REFLEX ABSENTSICKLE CELL DISEASEHYDRATIONOXYGENATIONPAININFECTIONAVOID HIGH PLACESPREGNANCY INDUCED HYPERTENSIONHEMOLYSISELEVATED LIVER ENZYMESLOWPLATELETSGI SYMPTOMS AND TOXICITY TO DIGOXINVOMITTINGANOREXIANAUSEADIARRHEAABDOMINAL PAINFRACTUREPRESSURERESTICECOMPRESSIONELEVATIONTETRALOGY OF FALLOTDISPLACED AORTARIGHT VENTRICULAR HYPERTROPHYOPENING INTO THE SEPTUM (VSD)PULMONARY STENOSISHYPOKALEMIASKELETAL MUSCLE WEAKNESSU-WAVE ON ECGCONSTIPATIONTOXICITY TO DIGOXINIRREGUL ...

MNEMONICS CORNER 01 2007-10-09 12:01:00 USE STRAW BECAUSE THESE DRUGS STAIN THE TEETHL - LUGOL'S SOLUTIONI - IRONN - NITROFURANTOINT - TETRACYCLINELR6 - LATERAL RECTUS : CN6SO4 - SUPERIOR OBLIQUE : CN4ALL3 - ALL THE REST : CN3RADIATION TX VIA:MUSTARDESTROGENNITROGENSTEROIDSANTIBIOTICSDILUTE DECREASE OSMOLALITY[IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

FOOD PYRAMID GUIDE 2007-10-08 16:07:00 [IMG]http://i86.photobucket.com/albums/k90/jaychitecson/468x60.jpg[/IMG] ...

LEVELS OF HEALTH CARE 2007-10-05 11:29:00 PrimaryManages health problems @ community levelSecondaryManages health problems @ local district, municipal levelTertiaryManages health problems @ sophisticated, specializedhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ... Health

PTB DRUG CATEGORIES 2007-10-05 10:51:00 CATEGORY 1 NEW PTB Pts with sputum (+) Seriously ill pts with severe forms of:Smear (-) PTB with extensive parenchymal involvementExtra pulmonary TB INTENSIVE PHASE2 monthsRifampicinINHPyrazinamideEthambutol MAINTENANCE PHASE4 monthsRifampicinINH CATEGORY 2 Relapse Failures Others INTENSIVE PHASE2 monthsRifampicinINHPyrazinamideEthambutolStreptomycin1 monthRifampicinINHPyrazinamideEthambutolMAINTENANCE PHASE5 monthsRifampicinINHEthambutol CATEGORY 3 NEW PTB Pts with sputum smear (-) 3x & CXR result of TB minimal Failures INTENSIVE PHASE2 monthsRifampicinINHPyrazinamideMAINTENANCE PHASE2 monthsRifampicinINHhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

'Desperate Housewives' apologizes for slur vs RP doctors and nurses 2007-10-04 17:29:00 This page requires a higher version browserFor the latest Philippine news stories and videos, visit GMANews.TVhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

RPs best nurse in US says Desperate Housewives should explain 2007-10-03 08:17:00 Lily Maniquiz Lara the Filipino nurse awarded as best nurse by Advance for Nurses Journal in 2006 said the people behind the American television series Desperate Housewives should come up with a good explanation over a remark in its Sept 30 episode that has offended many Filipinosread more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

Palace joins call for apology from Desperate Housewives creators 2007-10-03 08:13:00 Malaca&ntildeang has joined the mounting call for an apology from Americas television network and producers of the hit series Desperate Housewives" over what has been widely viewed as a racial slur against Filipino medical practitioners“Yes, I think we should, on behalf of our Filipino professionals," said Executive Secretary Eduardo Ermita whenread more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

Trivia Top Scores for the Month of September 2007-09-30 11:49:00 CONGRATULATIONS to all the players of our Nursing Trivia1. bekwang = 8787 points2. Sui = 5373 points3. cryogirl = 4094 points4. Jinkypop = 3008 points5. wowowee = 2037 points6. nerie22 = 1477 points7. aroma = 1291 points8. ma3k = 999 points9. GirlRN = 799 points10. kobe = 620 points11. Gadi = 402 points12. Icegirl = 354 points13. doitdoit = 321 points14. daBest = 220 points15. kristine = 207 pointshttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

NY group seeks dismissal of cases vs Pinoy nurses 2007-09-27 12:05:00 The New York State Nurses Association has thrown its support behind the call for the dismissal of charges against 10 Filipino nurses who were accused of endangering the welfare of patients in New York nursing home last yearThe nurses were among 27 recruits of Sentosa Recruitment Agency to the United States in November 2005.read more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

POEA to elementary pupils: Take up nursing in college 2007-09-25 12:19:00 The Philippine Overseas Employment Administration (POEA) is urging elementary pupils to consider taking up nursing in college because the demand for nurses abroad is expected to rise until 2020, ABS-CBN News reported Tuesday.Carmelita Dimzon, POEA deputy administrator said there is now a greater demand for Filipino nurses in Saudi Arabia ....read more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...