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GIT DISORDERS IN INFANTS 2007-08-21 14:20:00 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 CBW CLEFT ...

Cardiopulmonary Resuscitation (CPR) 2007-08-20 14:58:00 http://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

APGAR Scale 2007-08-19 20:10:00 APPEARANCE (Color)Blue, pale - 0 pointBody: pink, Extremities: blue - 1 point (acrocyanosis)Fully pink - 2 pointsPULSE (Heart Rate)Absent - 0 point 100 - 2 pointsGRIMACE (Irritability)No response - 0 pointLimited Cry - 1 pointVigorous Cry- 2 pointsACTIVITY (Muscle Tone)Flaccid- 0 pointSome flexion- 1 pointActive motion- 2 pointsRESPIRATION (Respiratory Effort)Absent - 0 pointsSlow, irregular - 1 pointStrong cry- 2 pointsThis scale is for newborns and is scored at 1 min & 5 min. Infants with scores of 7-10 usually require supportive care only.A score of 4-6 indicates moderate depression.Infants with scores of 3 or less require aggressive resuscitation.http://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

NANDA Nursing Diagnoses 2007-08-19 20:02:00 Activity/RestActivity IntoleranceActivity Intolerance, risk forDisuse Syndrome, risk forDiversional Activity DeficitFatigueSleep DeprivationSleep Pattern DisturbanceCirculation Adaptive capacity: intercranial , decreasedAutonomic dysreflexiaAutonomic dysrelexia, risk forCardiac Output, decreasedTissue perfusion, altered (specify): renal, cerebral, cardiopulmonary, gastrointestinal, peripheralEgo integrityAdjustment, impairedAnxiety, deathAnxiety (specify level)Body Image DisturbanceCoping, defensiveCoping, individual, ineffectiveDecisional Conflict (specify)Denial, ineffectiveEnergy Field DisturbanceFearGrieving, anticipatoryGrieving, dysfunctionalHopelessnessPersonal Identity DisturbancePost-Trauma SyndromePost-Trauma Syndrome, risk forPowerlessnessRape-Trauma SyndromeRape-Trauma Syndrome: compound reactionRape-Trauma Syndrome: silent reactionRelocation Stress SyndromeRelocation Stress Syndrome, risk forSelf-Esteem, chronic lowSelf-Esteem DisturbanceSelf-Esteem, situational lowSelf-Es ...

Glasglow Coma Scale 2007-08-19 19:56:00 Eye-opening responseSpontaneously - 4 pointsTo speech - 3 pointsTo pain - 2 pointsNo response - 1 pointVerbal responseOriented - 5 pointsConfused - 4 pointsInappropriate words - 3 pointsIncomprehensible sounds - 2 pointsNo response - 1 pointMotor ResponseObeys request- 6 pointsLocalizes pain - 5 pointsWithdraws from painful stimuli - 4 pointsAbnormal flexion- decorticate posture - 3 pointsAbnormal extension- decerebrate posture - 2 pointsNo response - 1 pointTotal score ranges from 3-15. A total of 7 or less indicates severe neurological damage.http://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

ROTATING TOURNIQUET, BLOODLESS PHLEBOTOMY 2007-08-19 09:20:00 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 tourniquethttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

STONES 2007-08-19 09:13:00 OXALATE STONES - caused by: tea, chocoURIC ACID STONES - caused by: liver, brain, kidney and other organ meatCALCIUM STONES - caused by: milk and other dairy productsSTRUVITE STONES - caused by: infection, staghorn calculusCYSTEINE, XANTHINE STONES - caused by: other medical condition, hereditaryhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

GOUT 2007-08-19 08:54:00 ACUTE ATTACKCOLCHICINE - reduce crystal induced inflamation, reduce lactic acid formation = decreased sodium urateBETWEEN ATTACK (maintenance)PROBENECID, INDOMETHACIN - uricosuric drugs, lowers uric acid by excretionPREVENTIONALLOPURINOL - prevents uric acid formationhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

SHOCK 2007-08-19 08:39:00 TYPES:HYPOVOLEMIC == DECREASED BLOOD VOLUMEActive Bleeding, Burns, Placenta Previa,Abrubtio Placenta, Asites, Ectopic Rupture, etc.CARDIOGENIC == DECREASED CARDIAC OUTPUTMyocardial Infarction, Congestive Heart FailureDISTRIBUTIVE == MASSIVE VASODILATIONa) ANAPHYLACTIC – ALLERGY = chemical mediation, histamine, bradykininb) SEPTIC – INFECTION = Pyrogensc) NEUROGENIC – BRAIN & SPINAL CORD = decrease vasomotor, traumaALL OF THESE TYPES RESULTS TO: DECREASE TISSUE PERFUSIONPOSITION – MODIFIED TRENDELENBURG http://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

DRUGS AND ANTIDOTES 2007-08-19 08:11:00 ACETAMINOPHEN ACETYLCYSTEIN MUCOMISTDIGOXIN DIGIBIND, DIDIFABHEPARIN PROTAMINE SULFATECOUMADIN, WARFARIN VITAMIN K, FRESH FROZEN PLASMALOVENOX VITAMIN KLITHIUM DIAMOXBENZODIAZEPINE FLUMAZENILATROPINE SULFATE MESTINONCURARE EDROPHONIUM TENSILONMORPHINE NALOXONE HCL (NARCAN)DEMEROL NALOXONE HCL (NARCAN)METHOTREXATE LEUCOVORINENEOSTIGMINE PRALIDOXINE CHLORIDE (PAM)PENICILLIN EPINEPHRINETHROMBOLYTIC AMINO CAPROIC ACIDMETHYLERGONOVINE MAGNESSIUM SULFATEOXYTOCIN MAGNESSIUM SULFATEMAGNESSIUM SULFATE CALCIUM GLUCONATEYUTOPAR INDERALLEAD EDETATE DISODIUM (EDTA)LEAD DIMERCAPROL (BAL)LEAD SUCCIMER (CHEMET)IRON DESFERALCOPPER PENICILLAMINEETHYLENE POISONING FOMEPIZOL (ANTIZOL)CYANIDE POISONING METHYLENE BLUEhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

How to Start a Nursing Agency and Medical Recriuting Firm Business 2007-08-18 12:47:00 Being an entrepreneur in a nursing agency and medical recruiting firm business is one of the Booming Business today. Because of the Nursing Shortage Crisis, more and more nurses become in demand especially here in the US. Capitalize on the nursing shortage crises and jump start your career and become successful in the health care business.read more digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

Change in work habits of Pinoy nurses causes slump in demand 2007-08-17 10:09:00 THE decline in the demand for Filipino nurses abroad is caused more by a change in the working attitude of the latest batch of nursing professionals rather than the board exam cheating controversy. “Nurses in the Philippines now are no longer of the same quality as the nurses five to 10 years back,� said Dr. Henry Seno, president of the American Dream Review Institute Inc. (Amdream). He said 40 percent of Filipino nurses in the United States, despite receiving an average salary of $8,000 to $10,000 a month, “do not show up for work.� “They literally do not report to the hospitals, especially those with immigrant status. Those who report act as if they are not there because they’re busy doing other things,� he said in a press conference yesterday at the Casino Español de Cebu. While there are “hardworking� nurses, many of them lack the hands-on experience and a good grasp of educational background which should have been provided by the academe, he said. Read moreSourc ...

US demand for Filipino nurses declining - educator 2007-08-17 10:03:00 Some 40 percent of Pinoy nurses in the US have undesirable work habits a likely cause of the slump in demand for them an educator said Friday.An article in Sun-Star Cebu quoted Henry Seno, president of the American Dream Review Institute Inc. (Amdream) as saying that the decline in the demand for Filipino nurses abroad is caused more by a change inread more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

Medical exam topnotcher walang balak maging OFW 2007-08-16 16:04:00 Isang estudyante mula sa Fatima University ang nanguna sa katatapos na 2007 medical licensure examination Ang grado niya 8692. Sa 2,656 kumuha ng eksaminasyon, 65% lamang ang nakapasa, ayon sa ulat ng GMA 7 news 24 Oras nitong Huwebes. Ayon kay Ma. Christina Jovida, hindi siya kaagad naniwala nang malaman na siya ang nanguna sa pagsusulit.read more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...

Firm waives placement fees for Aussie-bound OFWs 2007-08-16 15:41:00 Filipino jobseekers stand a good chance at a better future in the land down under after a recruitment firm waived the placement fees for Filipinos being deployed to Australia. Recruitment agency MAB international Services Inc. and some of its partner-employers from Australia have agreed to stop the collection of fees from Australia-bound OFWsread more | digg storyhttp://feeds.feedburner.com/blogspot/FESA http://feeds.feedburner.com/blogspot/nAuu ...