Professional Documents
Culture Documents
God afternoon
Under doctor...
With the admitting diagnosis
Latest vs normal
I am o okay naman
Naka plain ss for
Medications
side rip
Plain NSS side drip
KVO sa mainline
Side rip nakaconnet sa mainline, ireregulate with Mg (not piggy bank) 1ml 20
Same infusion pump
KCI 20mix dead no .
Incorporate to 100cc pnss
Get 40meq 2mL syringe, soluset 100cc then incorporate then off sa soluset sa main
Label
Infusion pump... D pwede mblis or mbgal
Epinemiv
Ponstan pain reliever
Monitor I and o pedia
ROD can manage if adult
Anesthesia: call
Tanggal, makaihi, para maaman if may obstruction, if na relapse ung sa anesthesia... Kailangan
makabvoid freely.. within 6 h...
Okay ung urine -
KVO mL: plainnss to run 24h... 10-30gtts some doctor is 30.. but i-10 na Lang
IV pt 72 2-3 days 72 hours palitan, unless doc order, standard mahirap insertan
Poor days 4 days: stool after 3 days, abdominal distension enema fleet... Sa pwet iniipit, bote
transparent.. press then maubos, instruct control niya, isaradi niya Kasi baka lalabas ung tubig,
colon, Conduct MRI CT scan ultrasound, laxative siya
Phentanyl
Prostate nakacathdter forever Kasi walang control
Messengerr
NI...
53,497
kikay_sharp@yahoo.com
Muhajer15-
PROCEDURE
Procedure:
IFC Catheter
1. get syringe, wear gloves
2. Ask patient's name
3. Introduce yourself, provide privacy
4. Get the urine bag and measure it
5. Put the urine bag to the bed
6. Position the patient (Ma'am itaas lang po natin yung paa natin), remove the pampers (to
check the bleeding)
7. Put syringe to Y, it will natural aspirate. If it stops, try to aspirate again if none, then remove
the syringe
7.pull the FC out then inform patient at the same time. Put it on bed with folding (hinga ng
malalim)
8. Immediately throw it to yellow trash including the syringe
8. Pampers fold (side also), get wipes. Open lahat then fold. Wipe first. Fold then wipe.
"Perineal care"
9. Fold it again then get another wipes, for final wash
10. Remove the pampers by folding it then throw to yellow waste with all put the panty with
napkin, or put the pampers back
11. Instruct patient to ambulate and increase oral fluid intake
12. Instruct the patient that if no urine output within 6 hours, inform the nurse
Opening syringe
1. Open it up then down then left to right
IV with needle
1. Pull out small saline then open syringe. Get 5cc then inject it to the push
2. Push it then close
3. Then get the syringe with meds then open and push slowly. (Ask pt's name before push) then
close
4. Then get 3 cc again water
IVP Preparation
1. Syringe depends on 2 ampule (10mL = 10cc)
2. Calculate DSQ
3. Check the drug, check the dosage, check the quality and it's expiration date
4. Break the ampule away to you, you may use cloth so it is not slippery
5. Incorporate it into the IV fluid, then aspirate (over 10cc all) "Do not push it"
6. You may now administer, and you may not KINK the tubing due to +saline that will join the
flow of blood
IV FLUIDS
1. Get the pt IV fluid
2. Get the needle and put it in the meds
3. Then put it on stand
4. Open (up) it to flush then close (baba)
5. Put the needle to the IV insertion
6. Get a tape the tape the wire to hand and in IV fluid
7. Gtts is fast. Thus checking like every 15mins is a must
Throwing
1. Remove needle from its body
2. Throw to sharps then body to others
3. Throw the plastics to another
4. Remain the vial to the basket
IV removal
1. Get wet cotton balls
2. Scissor and tape with dry cotton ball
3. Cut the tapes (long) on hand then wipe it with wet from the right.. left.. down, up then done
(on its back of tape not front)
4. Put pressure to 10secs then inform the patient
Shivering
1. Get temperature
Blood clot or pamumuo ng dugo para Hindi po barado yung ugat = maapektuhan yung daloy ng
dugo
Cefeuroxine Vial
1. 1g 1g Vial, dilutions is based on indications of how many, but if there is none, automatically
10cc for each. But since its (2), 5cc each
2. Get 10cc syringe
3. Open vial, get syringe to saline, then put it on vial with air then aspirate. Shake
4. Do it to the other one
5. Then aspirate all vial.
6. Throw the materials.
Urinalysis UA
PIV thru IV PUSH
BT Blood transfusion
KCL potassium vhloride
MGSO4
NA SODIUM BICARBONATE
Back sodium chloride
TPN
IFC indwelling Foley catheter
Ml
250mg
1000mg x 10ml sterile 10 = 2.5mL
6cc
Normal 30-
Information
Nurse.
Receive pt .. Identification, ask the name
IV band
Never accept na walang IV, heplock
Inform
Antibiotic start sa er
Discharge
May go home
Transfer
Ward to ICU
Call omROD resident on duty
Never alone
Abnormal sa vs and I and o
10 epinephrine
Nakasampo Wala pa Rin.. if gusto pa or Hindi.. so 15 then 10mins revive ulit
E epi
R rhythm
Nagsasabay
E3
R2
Maria
1001
6001
Normal
Metronidazole ANTIBiotic
Ampicillin
110A decena
1001
110d ponida
mgh NSD
Pang anim na anak
111 A canote
D ko nahawakan Kasi mgh po siya d ko nahawakan
General anesthesia
raspa d and c
She is lovely and innocent.
She was my best friend even if she doesn't know
She was heartbroken because she was in loved
When I was there, I felt safe.
She was full of surprises.
It was sad, it doesn't pay back
She was good to others but everyone stabbed at her back
She was special but maybe not to others
She doesn't know yet about life, thus, she's hard like a rock
But she is better than anybody
She knows what is sadness from happiness.
KIMCHI
Sauce
Blender
Onion all peel
Garlic
Ginger skin okay cut
Fish sauce 3 tbsp
Sugar
Wala ito:
Radish peeler
Carrot
Spring onion
Glibesy
Red pepper powder after halo Lagay bowl, gloves
Red ..
Nitz - 120 + 45
P - 12
I get - 100
Garlic
Sili
Noodles - 1
Canton - 4
Egg - 2
P - 20
Ecay - 500
P - 40
Food - 210 + 32
TRICITY LEARNINGS
Diet
Exercise
Safety...
Meds as prescribed
Independent into dependent
KIDNEY FAILURE
BP
furosemide, no urine output
BUN
CREATINE high
Manas desaturation
It is because in some accusations proteinuria happens with pre eclampsia in which there is a
physiologic changes in the kidney from filtration and reabsorption. (High levels of protein in
urine) that something to do with kidney damage and in our cases po Kasi, our patient has high
uric acid which entails something wrong on her kidney
Confidentiality
Keeping secret information
RA 10173
Privacy
Private life, alone
Protecting personal information
Free from intrusion
VERACITY
Being honest telling the truth = trust
Student nurse
Fidelity
Loyalty/ commitment/ faithful
Role of nurse: professional, respectful, competent, high quality of care
Justice
Fair
Beneficence
Kindness, holding dying patient's hand
Giving advices
Non maleficence
Do no harm
Double effect
Fraud deceiving
Pride... Personal worth
Kamilusan oral say
Bactifol
TRAIN
Papunta
Lrt 1 Edsa..
mrt 3
Taft
Magallanes
Ayala
Buendia
Guadeloupe
Boni (5)
Final Diagnosis:
G3P2 (2012) pregnancy uterine delivered by NSD to alive term boy in cephalic presentati on,
AS-9.9, Birth weight- 3.155kg
Nabuntis: 3
Nanganak: 2
Term - 2
Preterm - 0
Abortion - 1
Live - 2
Procedure done:
NSD with median episiotomy and repair of 2nd degree perineal laceration with repair of
posterior vaginal vault hematoma and repair of minimal tear at the base of the urethral opening
under saddle block anesthesia
SADDLE BLOCK ANESTHESIA:
anaesthesia of the perineum, tip of the coccyx
Medication:
1. Mefenamic (NSAID, pain reliever)
-----Non-steroidal anti-inflammatory drugs (NSAIDs) are medicines to relieve pain, reduce
inflammation
2. Celecoxib (NSAID)
3.Cefuroxime Antibiotic
4. Ferrous Sulfate
-----treat iron deficiency
Chief complaint:
3 days chest pain on and off
Back pain on and off
History
ICU (01.15.23)
Procedure:
1. CXR
2. 2-D echo
Medication:
Clopidogrel (brand name Plavix) is an antiplatelet medicine. This means it reduces the risk of
blood clots forming
Trimetazidine is an anti-anginal agent widely used in the treatment of coronary artery
disease.which are sudden pains to the chest
irbesartan treats high blood pressure
Cainta
Tramo
Anggono
Taytay
Walking.. memory
1h twice a week
Monthly
Yakult-1
Choco chips
Skyflakes
Candy
Pancit Canton
Vinegar
Oil
Toothbrush with takip
Lotion
Oishi
Conditioner
Banana
Cucumber
Onion
Tomato
Lettuce
Egg
Calamansi
8 calamansi dapat
Consistent sa study
Gusto mo yung ginagawa mo...
Don't give up
...
TRICITY
BT
..adverse, rashes (allergy), fever, stop 30mins fever, notify ROB to assess,
Make sure naka-in
Ilang hours 4h, sometimes, may delay
check clot, or IV tubing
-palitan tubing, flush, same din, so
-flush it with normal saline..
BT
Normal saline KVO 10-15 drops
BT plain NSS, -
BT with pump
15,15,15, 30 1h
BT: platelets
11
24
15
50 total
11
35
10
56 total
10
24
10
44 total partial
35
12
10
52 total
3:30 ----
5:05
Today...
35 train
15 jeep
25 motor
----85
Evangelists st.
10mins
4:55 open
Elevator 3rd floor
4:50
5:01
Marikina SM Pasig
Maybunga
Cubao
Eurotel...
... Tagal
Sandugo.... Na sign
Maybunga (1)
Kardex pencil
p form
PDS pat data sheet, initial diagnosis
Two types admission if from er.. ER consultant
Direct, OPD: CS prescription order,
ROD, consultant doctor
Admission
Progress, physicians notes, at the end, date, signature red pen
-standing order before stat
-STAT PRN Medication, lang, put all meds, name and stomp
-vs monitoring
-GCS refuse glascoma, scoring
-black and red
-IV compute
-d5lr 1/12h every 2h 200
-i and o, 200 every 2h
-250 if naubos 200, if Hindi
-JP Jackson Pratt,
-emesis, suka
-FDAR
-anything happens: documentation, stroke then inital apply GCI
I don't know.
I used to become a scientist
I used to like
407
297
189
Bangala -
Jacket -
Pants -
Toy -
Brief -
Bangala 400
Slipper 200
Bag 300
250 bag
1150
350 pants
300 blouse
150 watch
Brief 280
1080
Car 380 40
300 jacket
Shoes 550
Damkt 550
1820
275 Chowking
190 asmia
Drinks 40 + 80 120
Noodles 48
Motor 60
693
Rasmia: 500
2500
1700
280
120
Topic 2
10 pm
9pm
2h in NI
2H in mat
Fruits/ lansones
GCASH NUMBER:
09705202877 Camille M.
Kindly send your proof of payment together with your gmail adress. We will send the files
through email/gdrive.
Thank you! 🥰
U r a bad ass
money-time-interest
long-term thinking
boring process
37032
Ketchup - sugar
Pasalubong - 6
Bread
Regular iron
172 Australian
Cocoa Powder
Olive Oil 169, not pomace, PURE
Parmesan Cheese 120 226
Parsley
10 am
2 pm buscopan
Cathether to pregnant
Allergy rhinitis
Obimin
Henarate
Cuforeximide
Dexa
Calciumade
COPD, SMOKING
CPAP,
Cystic Fibrosis, male, sterile
Hypo, taba, CAN CAUSE anovulation, wag Muna magpabuntis, Wala ng thyroid
LEVOTHYROXINE
CS/ NSD
hypoglycemia,
Mucoskeletal
Low back pain
Scoliosis, bawal magbuhat
High in calcium
Epsiotomy
Preterm
Ballottment.
Electric fetal monitor
Wartons jelly, para d magnate
Ectopic preg
Leopold's
120-160
Braxton Hicks
No breech in pelvis, cephalic
Engagement
Abortion
Hyperemis gravidarum
Cserian
Abraxio placenta natanggap
Placental tibia
Special spoon: forcep delivery
Rubra
Linea nigra
Frequency
Amenoorhea presumptive
Palpation
25kg sa mother
Natural birth, relaxation, wid method
Massage of rolling nipple, nipple stimulating stress test
Constipation 2nd and 3rd
Placement of plaxia to costrict, stream, para d makunan: circlage, dilate, opening, tahi muna
Episuapil natanggal
Without contract, cervical trauma
Buttocks first breech
Measurement howpart in presenting sa pelvis, station
Shortening and pinning cervix, epacement
Dilatation, enlargement
Engagement napasok na sa inlet
Serosa
Labor prolong or difficult, dystocia
True or false
Oxytocin, uterine contractions, incorporate not IV push, baka magrupter agad, false dapat 3
contraction
Pelvic cramping and back pain true mafefeel
Circlage artificial place to constrict p
Abnormality during pregnancy
Bright red vaginal bleeding cardinal sign, placenta tibia
Painful bleeding with tender, nagbebelt na, abroxia placenta true,
Atony tuloy tuloy, or no mattress Buhay, relax tuloy tuloy, masahe in 24 hrs matigas, icepack, ...
Oxytocin baka may naiwanud
Fetal distress kaya't na distress like tickling, uterus baka nagrupture, deliver ulit ng NSD, usually
not know
Mesuxilan para d magcontract
Spinal anesthesia
No sedate baka matutulog ung bb
After bb then sedation,
Primrose jelly, oral or suppository
"Pulupot" ung bb cord,
Primose
Pamela hospital
Really
Sign in/ surgical safety checklist (recommended by WHO), SITE LEFT OR RIGHT ARM
Initial counting sa instrument
Abdomen need counting baka NASA loob
Time out
Sign out // VOICE OUT S/P CS 2, PLACENTA
Placenta is out
SPICMENT, instrument is completed 123 check
Anesthesiology machine
TO DO laterr...
(3)
Notes sa voca, S
Learnings in a day, M
RLE, M
B5 for next na isa
B5 na isa din for reviewer
BP na colors
Chicken
Bangus
Vinegar
Bread
Palapa
Then sa kabila
Gown
Tupi SA loob
Gitna again (2)
Ung shoulder to edge
Baliktad if Wala ung shoulder
Hanapin ung gilid ng gown sa loob
Square ka hahawak
Then wipe only one side
Assist
Hanapin ung sa labas
Hawak lang sa labas
Gloves:
Say RIGHT or LEFT
then spread the gloves
Three fringers, thumb away
Then thumb in, remove index finger
Confidence
Yaas on
Baba lock
IELTS
New York, D Kailangan
Florida
Texas (Ganda)
Ohio (boring, province)
"50 years"
Maganda ang petition, agency
Sino ang nagpetition: agency
New zealand
Kukuha ulit, d hihi to, d Ako iiyak iyak
Rn no nclex
IELTS score 7
dito exam
OAKLAND
PAY MORTGAGE
Kumakain sa loob (no)
Gamot no computation
IV rates gtts per minute
1 WK
Chn
Risk maternal 1
Psychosocial
75%
1 - Matiyaga
Sports:
2 - Nursing Lab 2
3 - Ppt sa lec (3)
1 - Ppt sa (1) elective abortion
1 - Ung sa notes ppt
Self control
Monkey for saved repetition
Smell
chewing gum
Sleep sandwich method
Mixed, challenged
The more senses, the more it stores different areas of brain
Pinakbet + okra 2
Pinakbet + okra 2
Misua + okra 1 potato
Monggo + dilis
Eggplant + okra 2
Eggplant + dilis 2
FRIDAY
Chicken breast
Salmon
Safari (2)
Bread (big)
Jufran
Kangkong
Tomato (2)
Apple
Potato
Tissue forceps
Gitna then ilocked
Needle
Curved Kelly forceps
Maraming OS
Gloves
Headcap
Mask
Sa labas
PPE
Lithotomy position
Pampers
Kelly pad
Water
Betadine
Front to back
Pero eal wash
After betadine
Hindi na.npo
Alcoholic, no check up
8 hrs prior
Baba pa ng pampers
WASH IT
ANESTHESIA
MAYO SCISSOR,
Bb to tiyan
Dry..
2cm
Cut
Forceps forceps na curve, then gitna clamp, wait
Apgar scoring
Cry pinkish
Motor reflex
Cry moving
Abbreviation for OB
2.5kg... - 3kg
Should breech
Cephalic normal presentation
Breech paa
Shoulder acromium, buttocks
hepa-B
Vitamin k
BCG
Suture
Lidocaine
Vit k
Bawal kamot
TABLE
Cord
Weight
Injections
HEPA B BCG vit k.. 0.03
0.5 HEPA B
Vit k
US 5-10 cases
Assist - 3
Cordcare - 3
Actual - 3
Circulating (1)
Focus
Smart
Aware of doing
... Not alert, ma'am what should I do
Tickler
Data na kukunin
Measure baby
Head, chest abdomen, leg, weight ,length
Abbreviation
Formula
Ab abortion
Ap antepartum
MAB misabortion
RASPANG
tab therapeutic abortion
Sad spontaneous abortion
Eab elective abortion
Efb alfha feto protein
Ama advanced maternal age
OFE
Occipit forceps
Post uterine
LMP
Respiratory (respiration)
Appearance
Watch out for WOF
Never stop improving
U will become famous, then forgotten
Get Give
Moral compass, baka magalit yon
Unconditional love
Inflicting pain is not part
No judgement zone
Power of declaration
Don't think. Think is anxiety
Stand
Communicative apprehension
Fear, trait anxiety, born shy. In
State anxiety, depends on validation, graded
Scrutiny fear, u are being watched
I wasn't ready, frame of reference
Cures.
Go to ur core. Story, Ako ay waray...
I come as one I stand as ten thousand
Be proud
U have proble
Makes sense
Use senses...
Visceral talking
D nag iisip
Respect that instinct
Social
Baba to transfer
Ask
Wash hands
Prepare stuff
Extra sa baba
Aneste.. came
Scrub again, hand wash, then scrub
Wag na ibabalik circular
Don Ang doffing
Passion: Nursing
Study related to nursing
Make a living:
Animate cartton
Ano po requirements
Ano po schedule
Kelan po Ako pwede magpavaccine
350
2100
700
7:00
7:30 am
Money
500
700
Gloves
Brown pants
Red pants
Big blue bag
DR
DR seasmens
Local anesthesia
General
Spinal
D
S
W/ retractor
Circulating nurse
Kelly pad: saluhin ung dugo
Perineal care
Shave Muna then PC, betadine
Sterile
Nakadulo, pinapatunog
Tahi then nakalock ung scissor
Surgical suture ung white
Help mom, ibaba ung green
Foot stand, cross, hand, sabay sa push
Episiotomy
Local anesth syringe 3ml lidocaine one or two
Oxygen open sa gas
To the right open
Distilled water, bubble means working
NASAL CANNULA
SCRUB NURSE: check of three of meds, medication, dentures, Wala dapat, pacemaker is off,
ask the patient's name and check in wristband
Table
Extra table, Hindi kasya,
One scrub: distance always
One circulating: know where to put all things, distance
Scrub
Soap wash
Then scrub with betadine, circular
Mayo table
Lalayo ka na
Only touch the tie
Not baliktad, touch the shoulder only
Dont touch skin, only the open
No man is law
Timeout
Board in theater
Time
Doctor name
How many gauze
Cojntercheck
Circulating, big mouth
Scrub, count gauze, 10 gauze, focus on gauze, not only assist patient,
Doctor is busy in their procedure
I locate the gauze
Nahulog, d kknin if finish na (count it)
OR, strawberry or cherry gauze, very small
Circulating/ runner
Scrub: 2, 2 surgeon, only one one
Don't be sensitive, continue the work, don't cry, some doctor has attitude
Needle, masplash,
Sciatic nerve on 3rd tri: biggest, longest, pressure pain on lower leg
Symphis buubis pubic hair
Measure growth and development of bb