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GNM & B Sc Nursing Notes 📝

GNM & B Sc Nursing Notes 📝

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GNM & B Sc Nursing Notes 📝
RENEET 2026 PAPER.pdf71.94 MB

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🔥 RRB Paramedical Staff 2026 का Result जारी हो गया है।🚀 📢 Status: Available Now 👉 Check Result: https://resultfuture.com/rrb-paramedical-answer-key-2026/ 📲 PDF में अपना roll number चेक करें। 📢 इस पोस्ट को अपने दोस्तों के साथ जरूर शेयर करें 🔥
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5344504788-w.pdf
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🚨 🚨 🚨 ✅ 🔴 Important Information 😀 Telegram ka kuch glitch chal Raha hain is wajah se Channel se Auto Left Ho Raha hai Aapke Sath bhi aisa ho sakta hai isliye humara Channel link copy karke Saved message me rakhlo Agar Channel nhi dikhe to Join kar lena Again 😋 Link :- https://t.me/gnmpdfhere 2nd Channel:- https://t.me/+F0wkzO41GVE0NDc1 🤑Join Telegram channel for nursing notes
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*SSC Nursing Officer Vacancy 2026* 📢 Staff Selection Commission (SSC) has released notification under Phase-XIV/2026 Selection Posts 🩺 Post: Nursing Officer 🏥 Department: Central Government Health Scheme (CGHS) 🎯 Total Vacancies: 107 📊 Category-wise Vacancy: • UR: 49 • OBC: 24 • SC: 14 • ST: 8 • EWS: 12 • PwBD: 2 📅 Important Dates: • Apply Online: 13 April – 04 May 2026 • Fee Payment Last Date: 05 May 2026 • Correction Window: 11–13 May 2026 • Exam Date: June 2026 (Tentative) 🎓 Eligibility Criteria: ✔️ 10+2 (Higher Secondary) ✔️ Nursing qualification (GNM / B.Sc Nursing preferred as per post requirement) ✔️ Age Limit: 18–30 years (Age relaxation as per Govt rules) 💻 Selection Process: ➡️ Computer Based Examination (CBE) ➡️ Document Verification 💰 Salary: Level-7 Pay Matrix (₹44,900 – ₹1,42,400) 🌐 Apply Online Link: 👉 https://ssc.gov.in
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NHM CG STAFF NURSE- .pdf
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https://t.me/gnmpdfhere
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🍼 HIGH-YIELD TOPIC: APGAR SCORE — NEWBORN ASSESSMENT 🍼 Highly important for NORCET 2026, AIIMS & Pediatric Nursing exams. You will almost certainly get a calculation-based scenario on this. 📌 WHAT IS APGAR SCORE? A quick assessment tool used to evaluate a newborn's physical condition and need for immediate resuscitation. 👉 When to perform: At 1 minute and 5 minutes after birth. 👉 Total Score: 10 (Maximum). 📌 THE 5 COMPONENTS (A-P-G-A-R) 1️⃣ A - Appearance (Skin Color): * 2: Completely Pink * 1: Body pink, extremities blue (Acrocyanosis) * 0: Blue or Pale all over 2️⃣ P - Pulse (Heart Rate): * 2: > 100 bpm * 1: < 100 bpm * 0: Absent 3️⃣ G - Grimace (Reflex Irritability): * 2: Cough, Sneeze, or Vigorous Cry * 1: Grimace or Weak Cry * 0: No Response 4️⃣ A - Activity (Muscle Tone): * 2: Active motion, well-flexed * 1: Some flexion of extremities * 0: Limp / Flaccid 5️⃣ R - Respiration (Respiratory Effort): * 2: Good, strong cry * 1: Slow, irregular, or weak cry * 0: Absent 📌 SCORE INTERPRETATION & ACTION 🟢 7 to 10: Excellent condition (No intervention needed). 🟡 4 to 6: Moderately Depressed (Stimulate, provide Oxygen, suction). 🔴 0 to 3: Severely Depressed (Immediate Resuscitation/CPR required). 📍 Key point: Acrocyanosis (Blue hands/feet) is a normal finding in the first 24 hours and gives the baby a "1" for Appearance. 📌 PRACTICE SCENARIO (EXAM STYLE) *Q: A newborn has a heart rate of 110, a weak cry, some flexion of arms, a grimace when stimulated, and a pink body with blue hands/feet. What is the APGAR score?* ✅ Calculation: * Pulse: 2 * Respiration: 1 * Activity: 1 * Grimace: 1 * Appearance: 1 * Total Score = 6 📌 EXAM QUICK POINTS ✔️ Most important component → Heart Rate. ✔️ Normal score → 7 or above. ✔️ Acrocyanosis → Score of 1 for Appearance (Commonly asked). ✔️ CPR needed → Score of 0-3. ✔️ Timing → 1 min (tells how baby tolerated birth) and 5 min (tells how baby is adapting to life).
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⚡️ HIGH-YIELD TOPIC: SHOCK (TYPES & STAGES) ⚡️ Highly important for NORCET 2026 & AIIMS. In the exam, you must be able to distinguish between different types of shock based on Blood Pressure, Heart Rate, and Skin Temperature. 📌 WHAT IS SHOCK? Shock is a state of inadequate tissue perfusion. The body’s cells are not getting enough oxygen, leading to organ failure. 1️⃣ Hypovolemic Shock (Low Volume) * Cause: Massive blood loss (Hemorrhage) or fluid loss (Burns, severe vomiting/diarrhea). * Signs: Hypotension, Tachycardia, Cold/Clammy skin, decreased urine output. * Treatment: IV Fluids (NS/RL) and Blood products. 2️⃣ Cardiogenic Shock (Pump Failure) * Cause: Myocardial Infarction (Heart Attack), Heart Failure. * Signs: Hypotension, Tachycardia, Crackles in lungs (Pulmonary Edema). * Treatment: Inotropes (Dopamine/Dobutamine), Diuretics. 3️⃣ Septic Shock (Infection) * Cause: Severe systemic infection (Sepsis). * Signs: Hypotension, Warm/Flushed skin (Early phase), High Fever or Hypothermia. * Treatment: IV Antibiotics (after blood culture), Fluids, Vasopressors (Norepinephrine). 4️⃣ Anaphylactic Shock (Allergy) * Cause: Severe allergic reaction (Food, Drug, Bee sting). * Signs: Wheezing/Stridor, Urticaria (Hives), Hypotension. * Drug of Choice: Epinephrine (Adrenaline) IM. 5️⃣ Neurogenic Shock (Nerve Failure) * Cause: Spinal cord injury (T6 or above). * Signs: BRADYCARDIA (The only shock with a slow heart rate) and Hypotension. 📌 STAGES OF SHOCK 1. Initial: Subclinical; cells begin to switch to anaerobic metabolism (Lactic acid rises). 2. Compensatory: Body tries to fix the problem. Tachycardia occurs to maintain CO. 3. Progressive: Compensatory mechanisms fail. Hypotension starts. Vital organs suffer. 4. Irreversible: Organ damage is so severe that death is inevitable. 📌 NURSING PRIORITIES * Position: Modified Trendelenburg (Supine with legs elevated 20°) to increase venous return to the heart. *(Note: Not for Cardiogenic shock!)*. * Oxygen: High-flow oxygen to maximize tissue delivery. * IV Access: Two large-bore IV cannulas (16G or 18G). * Monitoring: Check Urine Output (Best indicator of vital organ perfusion). Goal: > 30 mL/hr. 📌 EXAM QUICK POINTS ✔️ Drug of Choice for Anaphylaxis → Epinephrine. ✔️ Only Shock with Bradycardia → Neurogenic Shock. ✔️ Early sign of Shock → Tachycardia & Restlessness. ✔️ Late sign of Shock → Hypotension. ✔️ Best indicator of Organ Perfusion → Urine Output. ✔️ Fluid of Choice (Hypovolemic) → Lactated Ringer's (RL).
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