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Minor spill Cleaning Procedure

 Minor spill Cleaning Procedure

  • Handling a Minor Spill
  • Put a caution board
  • Wear a Gloves
  • Put some absorbent like tissue paper or chemisorb powder
  • Pour freshly prepared 1% sodium hypochlorite solution without splashing
  • Allow a contact time of 20 minutes
  • Wipe up the disinfectant
  • Throw in the yellow bins
  • Remove Gloves
  • Wash hands


Jasmine Flower Tea

Jasmine Flower Tea


  • Jasmine flower tea control the high blood pressure.
  • It increases the immunity.
  • Drinking one cup of tea during night hours promotes sleep.

Narcotic Drug Policy

Narcotic Drug Policy
          Narcotic drugs are stored under double lock and key is held under the custody of separate staff. After administering the drug the responsible Nurse signs the narcotic register. After administering narcotics, leftover quantity is discarded in running water by staff nurse in the presence of incharge Nurse or another Nurse.

Amiodarone Calcuation

Amiodarone Calculation

1 ampule = 150mg ( 3ml )
Loading Dose : 1 ampule ( 150mg/3 ml) + 12 ml DSW
Amioadrone maintanence dose : 360 mg in 6 hours
360 mg x 3 ml = 7.2 ml
150 mg
7.2 ml ( amiodarone ) + 42.8 ml D5%w = 50ml = 8.3ml/hr
B. 540mg in 18 hours
540 mg x 3 ml = 10.8 ml
150mg
10.8 ml ( amiodarone ) + 39.2 ml D5%W = 2.7ml/hr

Dobutamine Calculation

Dobutamine Calculation

1 ampule = 250mg/5ml
Amount of drug needed in 50ml solution
Amount of drug = body weight x 3
Example : 70kg x 3 = 210 mg

Amount of drug in ml = 210mgx5ml = 4.2ml
                                             250mg

Preparation : 45.8 ml NSS + 4.2ml drug = 50ml

Rate of infusion : mcg x body weight x 60 min 
                                        Drug concentration

Example : 4mcg x 70kg x 60 = 4ml/hr
                   4200 mcg/ml

Insulin calculation

Insulin Calculation

Calcualtion : 01

Preparation : 49.5 ml Ns + 50 units ( 0.5 ml )

Rate of Infusion : Desired Dose x quantity
                                 50 units

Example : 3 units x 50 ml = 3 ml/hr
                     50 units

Calculation : 02

Preparation : 39.6 ml Ns + 40 units ( 0.4 ml)

Rate of Infusion : Desired Dose x quantity
                               40 units 

Example : 3 units x 40 ml = 3 ml/hr
                       40 units

Tuberculosis Chest X-ray

Tuberculosis Chest X-ray


RN Center, Panjagutta, Hyderabad.

RN Center
Model House, 3rd Floor, Panjagutta,
Hyderabad, Telangana.

Address :

310 A, 3rd Floor,
Model House, Panjagutta,
Hyderabad,
Telangana
Cell : 7036095940

www.rncenter.in

Address :

Ozees Building, 
Kanjikuzhy,
Kottayam, 
Kerala,
Cell : +91 481 2576466
+91 9656051784

Images :









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Subcapital fracture Neck Of Right Femur

Subcapital fracture Neck Of Right Femur

X-ray of Right Hip femur AP/LATERAL View

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Examination of the chest

Examination of the chest

1. Inspection
2. Palpation
3. Percussion
4. Auscultation

1. Inspection : 
A. Position of the patient
  • Sitting position ( cardiac disease, COPD )
  • Sitting position leaning on hands ( an attack of asthma )
  • Unable to lie flat comfortable ( cardiac disease, pulmonary edema, diseases with remaining sputum )
  • preference for lieing one side only ( local pathological process - lung abscess )

Staff Nurses Vacancy In Farha Hospital

Staff Nurses Vacancy In Farha Hospital


Name of the post      :       Staff Nuse

Experience                :       Required experience in Labour room and Pediatric Ward

Salary                        :       5.000-12000/-

Contact                      :      Cell : 9494947475 

Intradermal Injection

Intradermal Injection 

01. What is the gauge of needle used for the intradermal injection
A. 22 gauge
B. 24 Gauge
C. 20 Gauge
D. 26 Gauge

Answer : 26 Gauge 

Nyctophila

Nyctophila 

          The love of Drakness or night is called :"NYCTOPHILA ".
        A nyctophilic finds relxation and comfort in the darkness.

Tired All The Time Syndrome ( TATT )

Tired All The Time Syndrome ( TATT )

          People who spend prolonged hours working on computers or watching TV are likely to suffer from Tired all the time syndrome ( TATT )

Pulmonary edema Chest X ray

Pulmonary edema Chest X ray

Pulmonary edema Chest X ray

Guidelines For Criteria Admission into ER/Casuality Respiratory System

01. Acute respiratory failure requiring ventilatory support.
02. Acute pulmonary emoblism with haemodynamic instability
03. Masssive haemoptysis.

Serum Creatinine Blood Test

Creatinine 


          The serum creatinine value is used to assess renal function. Creatinine is produced at a fairly constant rate in the muscle. It undergoes complete glomerular filtration with little reabsorption by the renal tubules. Its clearance, is therefore, a good indicator of glomerular filtration. However, values do not being to increase until the GFR has fallen to below 50% or more. Furthermore, because of active tubular secretion the values of creatinine clearance is slightly higher than the true GFR. While this may not be of significance in normal individuals but it need consideration in patients in whom the GFR is less than 10ml/min.

Normal Values : 


Adult Male     : 0.6 to 1.2 milligrams (mg) per deciliter (dL)
Adult Female : 0.5 to 1.1 milligrams (mg) per deciliter (dL)

Indications : 


Chronic Kidney Diseases ( CKD )

Nurses Responsibility :

  • To measuring the creatinine values of a client the responsibility of nurse collect the 3ml of blood sample in a plain (Red) vaccutainer  from the peripheral veins and send to the bio chemistry lab for analyzing the creatinine values.
  • The actual process for measuring the creatinine level in biochemistry lab takesplace 40minutes.

          

Staff Nurse Jobs In AIIMS, Bhopal 2016.

ALL INDIA INSTITUTE OF MEDICAL SCIENCE BHOPAL
Saket Nagar, Bhopal- (MP)
Website : www.aiimsbhopal.edu.in


Name of Post : Staff Nurse ( Grade II)

No Of Posts : 200

Eligibility Criteria / Educational Qualifications :
GNM
B.Sc Nursing
Same Qualification for male nurses.

Age Limit :
Upto 30years

Application Method :

Online

Application Fee :

OPH, SC, ST : NILL
General/OBC : 600/-

Application Date :
Start : 03-03-2016
Close : 16-04-2016





Hospital Full Face Mask

Hospital Full Face Mask
( Non Invasive Ventilation Vented / Non Vented )

Uses :

Hospital Full Mask is intended for use at Home Or Hospital by patients on pressure support ventilation.

Insturctions :

Read the instructions completely.
Inspect the mask for damage or defect. Do not use if damaged.

Warnings :

Follow all precautions when using supplemental oxygen. Oxygen flow must be turned off when the flow generator is not operating.

Use the mask as prescribed by the physician. It should be used together with the appropriate flow generator/pressure support ventilator equipment to ensude optimum therapy.

While every care has been taken to ensure best quality Non-toxic medicalgrade material however incase of Any adverse reaction discontinue the use of the mask and infor your physician/supplier immediately.

Do not use this mask unless your flow generator / pressure support ventilator is turned on and operating properly.

Safety Features :

Extra comfort headgear with quick release connectors allow fast and convenient application or removal of mask by the patient form his patient.

Asssembeling Instructions :

01. Place headgear with velcro side down on a flat surface, detach 2 velcro on A1 AND A2.

02. Identify headgear fastening positions on the mask.

03. Pull the upper headgear scrap A1 through the slot B1 on the mask, making sure the velcro faces outward.

04. Fasten the velcro tape.

05. Pull the headgear strap A2 through the slot B2 on the mask, making sure the velcro faces outward.

06. Fasten the velcro taps.

07. Place the headgear over your head and adjust both upper headgear straps to a comfortable tension.

08. Hook the plastic buckle A3 onto B3 and A4 onto B4 on mask frame.

09. Adjust again both upper headgear straps A1 & A2 to a comfortable tension.

10. Adjust again both lower headgear scraps A3 & A4 to a comfortable tension.

11. Making sure the overhead strap is in proper position to avoid slipping down.

Adjustment of Hospital Full Face Mask :

          To readjust the mask, simply pull 2 upper head straps and refix. Repeat the step with the bottom chick straps.

Removing of Hospital Full Face Mask :

          To remove the mask and headgear, simply unbuckle both buckles from the mask frame and pull the upper head strap away from the head.

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Case-01 : Case Study On Acute Lower Respiratory Tract Infection ( LRTI )

Case study on Acute Lower Respiratory Tract Infection (LRTI)

Complaints :

          A 68years old male client came to the er with the complaints of cough with sputum since 4 days, Chills. Followed by throat pain and dysuria.

Past History :

No History of HTN/DM.

Investigations :

Vitals
CBP ( HB : 13.8, PCV : 40, TLC : 11.200, RBC : 4.5, PLATELET : 2.83 )
Chest X-ray

Treatment Given :

01.INJ : PAN 40MG : IV : STAT
02.INJ : EMCET 4MG : IV : STAT

Treatment Advised :

01. Tab : Azithromycin 500mg : P/O : OD : 5days.
02. Tab : Levocet 5mg : P/O : OD :  5days
03. Tab : Rabifast-DSR : P/O : OD : 7AM : 10days
04. Review in OPD afte 7days.

Case-01 : Case Study On Bronchial Asthma


Case-01 : Case Study On Bronchial Asthma

Complaints :

         A 26years old patient came to the pulmonologist op with the complaints of chest heaviness, chest tightness, difficulty in breathing during wake up in early morning, loss of appetite, Weakness.

Past history :

         Known case of asthma since 14years, No fever, No cough, and cold,

Investigations :

Vitals
Pulmonary function test ( PFT )
Chest X-ray

Final diagnosis :

Treatment :

01.Budamate 400mcg : P/O : BD : ( 8AM – 8PM )
02. Tiate 18mcg transcaps + Inhaler : OD ( 2PM )
04. TAB : Raciper D 40mg ( Esomeprazole Magnesium and Domperidone ) : P/O :    
      OD ( 7.30AM Before breakfast )
05. Review after 7days.

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