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DECEMBER 2007 NLE
2007-12-15 18:29:00
GOODLUCK AND GOD BLESS TO ALL THOSE WHO WILL TAKE THE DECEMBER 2007 LICENSURE EXAMINATION FOR NURSES IN THE PHILIPPINES. DO YOUR BEST AND GOD WILL DO THE REST
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THE SIX SECOND ECG
2007-12-15 18:00:00
A good website to improve your skills in reading the ECGI 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!

TYPES OF STONES
2007-12-15 17:40:00
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, hereditary
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SOMETHING IN COMMON
2007-12-15 05:18:00
MAOIs +TYRAMINE RICH FOOD = HYPERTENSIVE CRISISDON'Ts of PREGNANCY LIPID LOWERING AGENTS (..... STATIN)ESTROGEN PILLSCOUMADIN / WARFARINISOTRETINOINOHAANTIPSYCHOTICSRADI ATIONTORCH (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
2007-12-15 05:12:00
MUSCLE RELAXANTSAVOID GIVING TO MYASTHENIA GRAVIS PATIENTMAY BE GIVEN TO MULTIPLE SCLEROSIS (ex. Baclofen)BACLOFEN (ang mga BACLA malalambot ang muscles)FLEXRIL (palaging naka flex ang elbows nila diba? )NEOMYCINMORPHINE SO4CAUSES URINE DISCOLORATIONDIAMOXDOXORUBICINRIFAMPICINP YRIDIUMLEVODOPAOTOTOXIC DRUGSSTREPTOMYCINTHIAZIDESAMINOGLYCOSIDES ANTI-NEOPLASTICSLOOP DIURETICSHIGH PITCH CRYICREASE ICPHYDROCEPHALUSMENINGITISMAY LEAD TO ANGINAEXERCISEEMOTIONEATINGEXTREME WEATHERANTICIPATE ACUTE RESPIRATORY FAILUREGULLAIN BARRE SYNDROMEMYASTENIA GRAVISAMYOTROPIC LATERAL SCLEROSISDON’T GIVE TO PATIENT WITHCELIAC’S DISEASEBARLEYRYEOATWEATMUST URINATE, VOID, EMPTY BLADDERAMNIOCENTHESISPARACENTHESISLEOPOLD ’S MANEUVERULTRASOUND (TRANSVAGINAL ONLY)DRINK, DON’T URINATE, FULL BLADDERCHORIONIC VILLI SAMPLINGULTRASOUND (ABDOMINAL)IMPOTENCE OR DECREASE LIBIDOALDACTONEACE INHIBITORSBETA BLOCKERSPHOTOSENSITIVE – PROTECT THE PATIENTST. JOHN’S WORTANTI PSYCHOTICTHIAZIDE DIURETICSDANTRIMPHOTOSEN...
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SHOCK
2007-12-15 05:10:00
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
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ROTATING TOURNIQUET, BLOODLESS PHLEBOTOMY
2007-12-15 05:09:00
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
2007-12-15 05:07:00
This reference might help you in answering your NCLEX questions regarding Immunization Schedule . CLICK ON THE PICTURE BELOW to open a .pdf file from theCenters for Disease Control and PreventionSOURCE: Centers for Disease Control and Prevention (http://www.cdc.gov/)
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PTB DRUG CATEGORIES
2007-12-15 05:05:00
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 monthsRifampicinINHPyrazinamideEthambutol Streptomycin1 monthRifampicinINHPyrazinamideEthambutolM AINTENANCE PHASE5 monthsRifampicinINHEthambutol CATEGORY 3 NEW PTB Pts with sputum smear (-) 3x & CXR result of TB minimal Failures INTENSIVE PHASE2 monthsRifampicinINHPyrazinamideMAINTENANC E PHASE2 monthsRifampicinINH
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Preparation & Administration of Drugs
2007-12-15 05:02:00
GENERAL INSTRUCTIONS 1. Verify Doctor's order2. Know the patient's condition3. Be alert for allergies4. 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 meds10. Never give meds that shows changes or deterioration.11. Report errors in med administration immediately to the charge nurse12. Nurse who preps the meds must be responsible for administering & recording it.NEVER ENDORSE it to another Nurse13. Observe Asepsis14. Concentrate when preparing meds15. Always use the Med card for each medication administered16. Check computation for dosage b4 preparing meds17. Notify the charge nurse immediately for any drug t...
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POISON
2007-12-15 05:00:00
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)

PERIOPERATIVE PATIENT CARE
2007-12-15 04:58:00
Purposes of Surgery1. Diagnostic – establish the presence of disease condition2. Exploratory – determine the extent of disease condition3. Curative – treats the disease conditionABLATIVE – removal (EG: Appendectomy)CONSTRUCTIVE – repair of Congenital defects (EG: Cheiloplasty)RECONSTRUCTIVE – repair of damaged organ4. Palliative – placement of PEG tubes for Stomach CancerMagnitude of SurgeryMAJOR – High risk for Cx; (EG: Craniotomy, Explore Lap)MEDIUM – (EG: appendectomy, hemorrhoidectomy)MINOR – decreased Cx is involved (EG: Excision, Removal of ingrown)UrgencyEmergency – done immediately. Hemorrhage, VAImperative – done within 24-48° Gangrene, AmputationPlanned – in weeks or months Thyroidectomy, MRMElective – delay will not cause adverse effects Cauterization of warts, LumpsOptional - requested by the client; for Aesthetic purposes Rhinoplasty, BlepharoplastyPRE OPASSESSMENT* Prep pts at least a day beforeAgePain (Presence vs Tolerance)Nutritional sta...
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NURSING TRIVIA FAQS
2007-12-15 04:57:00
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 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 ...
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NURSING THEORIST
2007-12-15 04:56:00
Anne Boykin and Sarvina O. SchoenhoferNursing As Caring Theo ryBetty 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 Universa...

NEUROLOGIC DISEASES
2007-12-15 04:54:00
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 SCLEROSISdegeneration of Anterior Horn Cells and Corticospinal Tracts
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NANDA Nursing Diagnoses
2007-12-15 04:53:00
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...
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MUST HAVE INFORMATION FOR NEW GRADUATE NURSES
2007-12-15 04:45:00
If you have just passed the Nursing Licensure Examination, here are a few tips on how to make your life easier! We hope that these information will be of great help to you.If you are planning to seek local employment, here are some requirements that Hospitals would get from you. (It varies depending on Institution that you are applying to.)2 x 2 colored picture Photocopy of the following documents:DiplomaTranscript of Records Related Learning ExperienceBoard Certificate Certificate of Board RatingWhere to get?At the PRC Office in ManilaHow much?P 75.00 (Regular: Available after 2 -3 weeks if I remember it correctly)P 200.00 (Express: Available after an hour) PRC card Professional Tax ReceiptWhere to get?At the City Hall where you resideAlso available at BIRHow much?300.00 per yearTip!!!Apply for one as soon as you pass and register for your profession.Late registrations will be charged an amount of 20% of 300.00 per month starting from the date of your Registration Social Security S...
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GOUT
2007-12-14 16:04:00
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 formation
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10 RIGHTS of drug administration
2007-12-10 06:01:00
1. Right drug2. Right patient3. Right dose4. Right route5. Right time & frequency6. Right documentation7. Right Hx (Complete pt drug Hx)8. Drug approach9. Right Drug-drug Interaction (drug-food incompatibilities/interaction)10. Right Education & Information (Teach pt about the drug he is taking)
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10 TIPS IN CHOOSING THE RIGHT REVIEW CENTER
2007-12-05 21:45:00
Written by Jay ofphilippinenurse.blogspot.com1. TRACK RECORDChoose a review center that has a high passing rate, this means that most of the people enrolled in their program are able to pass the test. You may also look if they produce topnotchers, but I think that the passing rate is still a better gauge.2. LOCATIONChoose a review center located in a strategic place. Some people prefer to have their review in a place near their house. This way, they are able to make their time more productive rather spending that free time for traveling. Of course there are other solutions to enrolling in a distant review center. You can opt to rent a house or dorm, or you could live with relatives living near the review center of your choice.3. REVIEWER AND LECTURERChoose a review center that employ good reviewers. These reviewers or lecturers doesn’t necessarily have to be popular, what is important is that they have the credentials needed in being a lecturer and that they are effective in teach...
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LATE BLEEDING DISORDERS
2007-11-19 23:38:00
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 I...
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EARLY BLEEDING DISORDERS
2007-11-18 17:40:00
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 bleed...
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IMMUNITY
2007-10-22 05:32:00
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 infectio...
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