Category Archives: English

Medical Surgical Nursing Bullet II (Belajar KMB itu mudah)

? Before angiography, the nurse should ask the patient whether he’s allergic to the dye, shellfish, or iodine and advise him to take nothing by mouth for 8 hours before the procedure.

? During myelography, approximately 10 to 15 ml of cerebrospinal fluid is removed for laboratory studies and an equal amount of contrast media is injected.

? After angiography, the puncture site is covered with a pressure dressing and the affected part is immobilized for 8 hours to decrease the risk of bleeding.

? If a water-based medium was used during myelography, the patient remains on bed rest for 6 to 8 hours, with the head of the bed elevated 30 to 45 degrees. If an oil-based medium was used, the patient remains flat in bed for 6 to 24 hours.

? The level of amputation is determined by estimating the maximum viable tissue (tissue with adequate circulation) needed to develop a functional stump.

? Heparin sodium is included in the dialysate used for renal dialysis.

? Paroxysmal nocturnal dyspnea may indicate heart failure.

? A patient who takes a cardiac glycoside, such as digoxin, should consume a diet that includes high-potassium foods.

? The nurse should limit tracheobronchial suctioning to 10 to 15 seconds and should make only two passes.

? Before performing tracheobronchial suctioning, the nurse should ventilate and oxygenate the patient five to six times with a resuscitation bag and 100% oxygen. This procedure is called bagging.

? Signs and symptoms of pneumothorax include tachypnea, restlessness, hypotension, and tracheal deviation.

? The cardinal sign of toxic shock syndrome is rapid onset of a high fever.
? A key sign of peptic ulcer is hematemesis, which can be bright red or dark red, with the consistency of coffee grounds.

? Signs and symptoms of a perforated peptic ulcer include sudden, severe upper abdominal pain; vomiting; and an extremely tender, rigid (boardlike) abdomen.

? Constipation is a common adverse reaction to aluminum hydroxide. Continue reading Medical Surgical Nursing Bullet II (Belajar KMB itu mudah)

Medical Surgical Nursing Bullet I (Belajar KMB itu mudah)

By : Yoko
? In a patient with hypokalemia (serum potassium level below 3.5 mEq/L), presenting signs and symptoms include muscle weakness and cardiac arrhythmias.

? During cardiac arrest, if an I.V. route is unavailable, epinephrine can be administered endotracheally.

? Pernicious anemia results from the failure to absorb vitamin B12 in the GI tract and causes primarily GI and neurologic signs and symptoms.

? A patient who has a pressure ulcer should consume a high-protein, high-calorie diet, unless contraindicated.

? The CK-MB isoenzyme level is used to assess tissue damage in myocardial infarction.

? After a 12-hour fast, the normal fasting blood glucose level is 80 to 120 mg/dl.

? A patient who is experiencing digoxin toxicity may report nausea, vomiting, diplopia, blurred vision, light flashes, and yellow-green halos around images.

? Anuria is daily urine output of less than 100 ml. Continue reading Medical Surgical Nursing Bullet I (Belajar KMB itu mudah)

Community Health Nursing (Methods of Population Need Analysis)

Future workforce planning in the light of needs analysis within the context of public health, is required to address holistic community health needs including the promotion of a well population (Appleton and Cowley,
2000). One of the key features of locality needs investigations is that they provide the structure to develop an indepth profile of the designated area. Community needs assessment activities may be carried out by health professionals or voluntary or community groups all working together as a means of investigating the unmet need of that community. Rapid Appraisal (RA) is an evaluated method of seeking community participation in health service planning and needs assessment (Murray et al. 1994). It is a multi-faceted research approach that has been applied to a number of settings and covers a variety of methods and techniques (Scrimshaw & Hutardo, 1988; Thies & Grady, 1991; Ong, 1991; Shamian & Kupe, 1993;
Varkevissor, 1993). Used within the context of health it can provide an insight into a community’s perspective
of its priority needs which is a picture of the strength of feeling rather than a quantifiable measure of a particular problem.