You are on page 1of 73

LAST MINUTE

TEASERS

WHEN TRANSFERRING PATIENTS WHERE


SHOULD YOU PLACE THE PATIENT FIRST?

Unaffected side

What is a Hoyer Lift?

a lifting device or hydraulic lift


that is commonly used in
nursing homes and other
medical facilities to help
transfer patients from beds to
wheelchairs and back again.

How will you position the


wheelcahir to the bed of the
patient?
Allow the client to dangle for 2 5
minutes
Bring the wheelchair close to the side
of the bed. Place it at a 45 degree
angle to the bed.
If the client has a weaker side, place
the wheelchair on the clients strong
side.

BODY MECHANICS

DEFINITION:

Utilization of correct muscles to


complete a task safely and efficiently,
without undue strain on any muscle or
joint.

ISALM BELIEFS
AND PRACTICES:
VIEW POINT
ABOUT HEALTH

VIEW OF DEATH AND


ILLNESS

ILLNESS
Atonement of sins

DEATH
Journey to meet God

SOME HEALTH
PRACTICES

Cleanliness is considered 'half of the faith'.


The Qur'an prohibits eating pork or pork
products, meat of animals who have not
been slaughtered in the halal manner, blood
and all intoxicants.
Fasting from dawn to dusk daily for one
month per year brings rest to the body and
has many medical values.
Meditation and prayers bring psychological
tranquility.

Circumcision of male infants is recommended.


Circumcision occurs early in life, but at no
particular age. The practice varies culture to
culture. Female circumcision is not an Islamic
practice.
Blood transfusions are allowed after proper
screening
Assisted suicide and euthanasia are not
permitted
Autopsy is not permitted unless required by law

Artificial reproductive technology is


permitted between husband and wife only
during the span of intact marriage.
While Islam opposes homosexuality, it does
not prohibit Muslim physicians from caring
for homosexual patients.
Genetic engineering to cure disease is
acceptable but not cloning.
According to the Qur'an mothers feed their
babies for a period of two years.

BURIAL: it should be done as soon as


possible the best time is with in 24
HOURS
Fathers are not expected to be in the
delivery room but female family
members

PERSONAL
BELONGINGS

Send our valuables (jewelries, credits


cards, computers etc.) should be
send home to your families and
friends
If cannot, place your valuables at the
hospitals safe (others may require
receipt as a proper of the quantity of
your belongings)

RESTRAINTS

What are Types of Restraints?

Physical Restraints
Restrict client movement through the
application of a device
Chemical Restraints
Medication given to inhibit a
specific behavior or movement
Seclusion
Client is placed alone in a specially
designed room for protection and close
supervisionm

WHAT ARE USES OF RESTRAINTS AND


SECLUSION?

Should never be used as a punishment


Used when behavior is physically
harmful to the client
Document
Written order of a physician which must
be reviewed and renewed every 24
hours
Specify the type of restraint
Duration
Criteria for release

DURING EMERGENCY:
The nurse may place the client in restraint and

seclusion and may obtain a written or verbal order


as soon as possible

Within 1 hour: psychiatrist must make a face to


face assessment and evaluation and must
continue to reevaluate the need for continued
restraint
One to one supervision with a staff member within
an ARMS LENGTH OF THE CLIENT
Assessment SHOULD BE DONE EVERY 15 TO
30 minutes and then document findings

Should never be ordered PRN (as needed)


Remove the restraint at least every 2 hours
Use a half bow or safety knot (quick release
tie) to secure the device to the bed frame or
chair not to the side rails.
Provide appropriate visual and auditory
stimuli (clocks, calendars and radio).

RESEARCH SAMPLING

WHAT IS SAMPLING?

Process of choosing a
representative portion of a
population or some elements
in a population that will
represent the entire
population.

WHAT IS THE DRUG OF CHOICE


FOR HOOKWORM INFESTATION?

ALBENDAZOLE

WHAT IS THE POSITION


OF PATIENTS WITH
COMA OR SEMI COMA?
SUPINE back rest position
with Head elevated to
about 30 degrees celsius

POSTURAL
DRAINAGE

How often is postural drainage


being done?

10 20 minutres 3x
a day

At each end of each drainage position,


the person can take a deep breath and
expel it quickly in a deep breath known
as?

HUFF or
HUFFING

BEST TIME WHEN PHYSIOTHERAPY


SHOULD BE DONE?

BEFORE
MEALS

AFTER THE PROCEDURE WHAT


PROCEDURES HOULD BE MOST
IMPORTANT?

ORAL
CARE

ORAL CARE FOR


CONSCIOUS AND
UNCONSCIOUS CLIENTS

POSITION FOR FLOSSING:

HIGH FOWLERS

How to remove the patients denture?

TOP: with tissue, grasp the denture


with thumb and finger and pull
downward
BOTTOM: Place thumbs on the gums
and release the denture. Grasp the
denture with thumb and forefinger and
pull upward.

When performing oral care for patients


who are comatose, what is the ideal
position for the client?

Lateral position
with head on the
side to avoid
aspiration

Brush teeth and gums using friction in a


vertical or circular motion.
Do not use tooth paste
Hold brush 45 degrees angle against teeth
and brush from sulcus to crown
USE ASEPTO SYRINGE to rinse mouth (do
not force water into the mouth) and perform
oral suction
Leave client in the lateral position with head
turned toward side for 30 60 minutes after
brushing. This is to prevent pooling of
secretions

FLUID INTAKE
AND OUTPUT

PERCENTAGE OF BODY WATER


Age
Group
Infant

Adult

Older
Adults

Water (%)

Solid (%)

20 30

40 50

45 - 55

70 80
50 60
45 - 55

FLUID GAINS AND LOSSES


The following are typical 24-hour values for an adult.
Intake 2,500 ml /day
1,000 ml oral fluids (water, juices)
300 ml in food
1200 ml in oxidation of food
Output 2,500 ml/day
1,500 ml urine
200 ml in stool
500 ml through the skin
350 ml through respiration / perspiration

CARING BURNS

MANIFESTATIONS OF
BURNS

1st degree: PINKISH SKIN


2nd degree(Partial thickness): PAIN,
REDNESS, BLISTERS.
3rd degree (Full Thickness): No pain and
sensation, ESCHAR, dry leathery skin

Upon checking of the laboratory


data, you will that the two most
common electrolyte imbalance
that would occur will be:

HYPERKALEMIA
and
HYPONATREMIA

What is your priority intervention for a burn


client in the emergency room:

Endotracheal intubation

What is the best emergency care for the


client at the site of the accident?

Pouring of cool water

What is you major goal during the first 48


hours for patients with burn?

Hypovolemic Shock

Mafenide acetate can cause what acid


base imbalance?

Metabolic acidosis

What is the stress related complication


of Burn?

Curlings ulcer

What is Central
Cyanosis?

This is present when the tongue


itself is noted to be blue. This
occurs when there is more than
5g of reduced haemoglobin per
100 ml blood.

What is the most appropriate site for


temperature taking for MI?

Axillary

Tonsillar enlargement can be graded


under 4 groups:

Grade 0: The tonsils are fully inside the pillars.


Grade 1: Tonsils found to be enlarged and out
of its pillars
Grade 2: Tonsillar enlargement extends just up
to half the distance of the uvula
Grade 3: Tonsillar enlargement up to the level
of the uvula.
Grade 4: Tonsillar enlargement is so huge that
they are virtually in contact with each other i.e.
Kissing tonsil.

Grade 4 kissing tonsils

What is your nursing intervention


for stomatitis?

Advice to gargle warm


water with saline
Gentian violet and
increase iron, protein,
vitamin and B - complex

SIGNS of HYPOXIA
Early: RAT
Late: BCDE

EARLY
Restlessnes
s
Agitation
Tachycardia

LATE
Bradycardia
Cyanosis
Dyspnea
Extreme
restlessness

RISK FACTORs for


CANCER

Age
Sex and family medical history
Lifestyle
Diet
Sun exposure

WHAT IS KOROTKOFF SOUNDS?

This is defined as the pulse sounds

Korotkoff Phase I appearance of the


first tapping sound
Korotkoff Phase IV softening/muffling
of sound
Korotkoff Phase V disappearance of
sounds unless sounds are heard near 0
mm Hg

WHAT IS THE WEIGHT OF YOUR


TRACTION AND PULLING FORCE?

SKIN TRACTION:

5 10 lbs (2.3 4.5


kg)

SKELETAL TRACTION:

(6.3 13.6 kg)

15.30

What is the pin used for your


skeletal traction?

STEINMANN PIN

surgical nail inserted in distal


portions of such bones as the
femur or tibia

What is the formula for your


Crude Birth Rate?
Total number of live births
registered in a given calendar
Estimated Pop as of July 1 of
the same year

X 1,000

GOALS OF REPRODUCTIVE
HEALTH

Reducing maternal mortality rate


Reducing mortality rate
Halting and reversing spread of
HIV/AIDS
Increasing access to reproductive
health information services

GUIDING PRINCIPLES OF
REPRODUCTIVE HEALTH

GENDER RESPONSIVE,
CULTURALLY ORIENTED
and RIGHTS - BASED

NAGELES RULE

A rule used as a means of


estimating date of delivery by
counting back three months
from the first day of the last
menstrual period and adding
seven days.

WARNING OR PROBLEM SIGN OF


PREGNANCY
PREECLAMPSIA
EDEMA
PROTEINURIA
INCREASE BLOOD PRESSURE

Plus the PRESENCE OF SEIZURE:


ECLAMPSIA

WHAT IS RADICAL MASTECTOMY?

A surgical procedure that removes the


breast, surrounding tissue, and nearby
lymph nodes that are affected by cancer.
Leaves a chest muscle called the
pectoralis major intact. Leaving this
muscle in place will provide a soft tissue
covering over the chest wall and a
normal-appearing junction of the
shoulder with the anterior (front) chest
wall.

Positive and Negative Signs of


Schizophrenia

POSITIVE
thought
disorder,
hallucinations,
delusions, and
paranoia

NEGATIVE
Impairment in
emotional
range. Energy
and enjoyment
of activities.

What is
hypophesectomy?

surgical removal of the hypophysis. It is


most commonly performed to treat
tumors, ESPECIALLY
CRANIOPHARYNGIOMA TUMORS.
Sometimes it is used to treat
CUSHING'S SYNDROME DUE TO
PITUITARY ADENOMA.

SYTEMIC LUPUS
ERYTHAMATOSUS

PATHOGMNEMONIC SIGN:

BUTTERFLY RASH

CAUSE:

IMMUNOFLOURESCENCE
diagnosis

UNKNOWN

WHAT IS THE CAUSES OF


PHYSIOLOGIC ANEMIA UPON
PREGNANCY?
A low level of hemoglobin (less than 10
gm/dl) during pregnancy. Hemoglobin
carries oxygen to body tissues via the red
blood cells.
Because volume of blood increases during

pregnancy (hemodilution), a
moderate decrease in the concentration of
red blood cells and hemoglobin is normal.

Poor intake of iron in diet;


Folic acid deficiency;
Loss of blood from bleeding hemorrhoids or
gastrointestinal bleeding.
Even if iron and folic acid intake are
sufficient, a pregnant woman may become
anemic because pregnancy alters the
digestive process. Also the unborn child
consumes some of the iron or folic acid
normally available to the mother's body.

What are you going to


do if the patient is
having pain in the calf?
Inform the physician
Note: No warm or cold
compress and do not
massage

WHAT IS THE SIGN


OF YOUR PTSD?
AUDITORY
HALLUCINATIONS

NIGHTMARE

EASILY
STARTLED

This refers to the term


when the end justifies
the means?

TELEONTOLOGY

WHAT IS THE NORMAL


PERSONS OFI?

3,000 ml

Where is PD 996 is
based?

R.A. 7875
(National health
insurance act of 1995)

The patient watched TV and she


was reminded by the victims of
the calamity like what
happened to her daughter?

Allow

verbalization
of feelings

What is the characteristic of


a profession?

Knowledged based
Autonomy
Ethical

If the patient is post op, until


when can you use the
embolic stocking?

If the patient is still on


bed

Fatal reaction to antipsychotic


medications?

Neuroleptic malignant syndrome

Syndrome of permanent involuntary


movements caused by long term use of
conventional antipsychotic medications?

TARDIVE DYSKINESIA

Potentially life threatening


effect of CLOZAPINE?

AGRANULOCYTOSIS

MACHINERY LIKE MURMUR CAN


BE HEARD IN CHILD WITH?

PATENT DUCTUS
ARTERIOSUS

DRUG GIVEN TO PATIENTS WITH


ACUTE PSYCHOTIC ATTACK?

PROLIXIN

GOOD LUCK!!!