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Official Channel of nurses association. Here You will get (Dm for query/ promotion/content - @akshay_sharma_CHO ) -- both free and paid nursing pdf. --Nursing quiz --Nursing vacany information -- notes for compitition
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Channel Posts
| 2 | Follow the Nurses Association channel on WhatsApp: https://whatsapp.com/channel/0029VaAZR0tCsU9Ub8nX0f3j | 95 |
| 3 |  No text... | 228 |
| 4 | No text... | 217 |
| 5 | +1 No text... | 1 |
| 6 | No text... | 1 |
| 7 | Follow the Nurses Association channel on WhatsApp: https://whatsapp.com/channel/0029VaAZR0tCsU9Ub8nX0f3j | 941 |
| 8 | ToDaYs imPoRtANt Point
đ Oligomenorrhea = irregular, infrequent menstrual cycle more than 35 day in duration
đ Polymenorrhoea = Regular and frequent menstrual cycle less than 21day in duration.
đ Menorrhagia = Excessive menstrual blood loss more than 80 ml with normal duration of cycle.
đ Mettorhagea = Excessive irregular menstrual cycle with normal amount of menstrual blood loss.
đ Meno-mettorhagea = Excessive irregular menstrual cycle with excessive amount of blood loss
đ Hypomenorrhoea = decrease amount of blood loss
Less than 20 ml and less than 2day in duration.
đ Dysmenorrhea = Excessive painful menstrual bleeding with normal duration of menstrual cycle and normal amount of menstrual blood loss.
đ Cryptomenorrhoea = present of menstrual like symptoms but absence of menstrual bleeding
{Most common course- Imperforate hymen} | 226 |
| 9 | Edit, Sign and Share PDF files on the go. Get Acrobat Reader for mobile: https://adobeacrobat.app.link/Mhhs4GmNsxb | 496 |
| 10 | đšApproximate percentage of elements in Human body :-
⢠Oxygen - 65%
⢠Carbon - 18%
⢠Hydrogen - 10%
⢠Nitrogen - 3%
⢠Calcium - 2%
⢠Phosphorous - 1%
⢠Potassium - 0.35%
⢠Sodium - 0.15%
⢠Chloride - 0.15%
⢠Magnesium - 0.05%
⢠Iron - 0.0004% | 537 |
| 11 | https://www.threads.net/@nurses_association_ | 991 |
| 12 | Edit, Sign and Share PDF files on the go. Get Acrobat Reader for mobile: https://adobeacrobat.app.link/Mhhs4GmNsxb | 1 005 |
| 13 | +1 No text... | 1 226 |
| 14 | staff nurse ADVERTISEMENTDHFWSPanchkula10032023.pdf | 1 |
| 15 | Join our discussion group
đ
https://t.me/nurseschattinggroup
Here you can freely send us message and also discuss anything regarding profession | 213 |
| 16 | *đŻBlue man syndrome*
- Amiodarone side effect
*đŻBlue baby syndrome*
- lack of oxygen
*đŻRad man syndrome*
- Vancomycin side effect
*đŻGray baby syndrome*
- Chloramphenicol side effect
*đŻBronze baby syndrome*
- Phototherapy side effect
*đŻMask like face -* parkinsonism
(Pragnancy mask - chloasma)
*đŻMoon like face*
- cushing's syndrome
& - kwashiorkor
*đŻSnarling face*
- myasthenia gravis | 240 |
| 17 | đŠşPositioning Clientsđ
ďˇđ Asthmaâorthopneic position where
patient is sitting up and bent forward
with arms supported on a table or chair
arms.
ďˇ đPost Bronchoscopyâflat on bed with
head hyperextended.
ďˇđ Cerebral Aneurysmâhigh Fowlerâs.
ďˇđ Hemorrhagic Stroke: HOV elevated 30
degrees to reduce ICP and facilitate
venous drainage.
ďˇđIschemic Stroke: HOB flat.
ďˇđCardiac Catheterizationâkeep site
extended.
ďˇđEpistaxisâlean forward.
đďˇAbove Knee Amputationâelevate for
first 24 hours on pillow, position on
prone daily for hip extension.
ďˇ đBelow Knee Amputationâfoot of bed
elevated for first 24 hours, position
prone daily for hip extension.
ďˇ đTube feeding for patients with
decreased LOCâposition patient on
right side to promote emptying of the
stomach with HOB elevated to prevent
aspiration.
ďˇ đAir/Pulmonary embolismâturn patient
to left side and lower HOB.
ďˇ đPostural DrainageâLung segment to be
drained should be in the uppermost
position to allow gravity to work.
ďˇ đPost Lumbar punctureâpatient should
lie flat in supine to prevent headache
and leaking of CSF.
ďˇ đContinuous Bladder Irrigation (CBI)â
catheter should be taped to thigh so
legs should be kept straight.
ďˇđ After myringotomyâposition on the side
of affected ear after surgery (allows
drainage of secretion).
ďˇ đPost cataract surgeryâpatient will sleep
on unaffected side with a night shield
for 1-4 weeks.
ďˇđ Detached retinaâarea of detachment
should be in the dependent position.
ďˇ đPost thyroidectomyâlow or semiďżžFowlers, support head, neck and
shoulders.
ďˇ đThoracentesisâsitting on the side of the
bed and leaning over the table (during
procedure); affected side up (after
procedure).
ďˇđ Spina Bifidaâ position infant on prone
so that sac does not rupture.
ďˇ đBuckâs Tractionâelevate foot of bed for
counter-traction.
ďˇ đPost Total Hip Replacementâdonât
sleep on operated side, donât flex hip
more than 45-60 degrees, donât elevate
HOB more than 45 degrees. Maintain hip
abduction by separating thighs with
pillows.
ďˇ đProlapsed cordâknee-chest position or
Trendelenburg.
ďˇđ Cleft-lipâposition on back or in infant
seat to prevent trauma to the suture
line. While feeding, hold in upright
position.
ďˇđ Cleft-palateâprone.
ďˇ đHemorrhoidectomyâassist to lateral
position.
ďˇđ Hiatal Herniaâupright position.
ďˇđ Preventing Dumping Syndromeâeat in
reclining position, lie down after meals
for 20-30 minutes (also restrict fluids
during meals, low fiber diet, and small
frequent meals).
ďˇđ Enema Administrationâposition patient
in left-side lying (Simâs position) with
knees flexed.
ďˇ đPost supratentorial surgery (incision
behind hairline)âelevate HOB 30-45
degrees.
ďˇđ Post infratentorial surgery (incision at
nape of neck)âposition patient flat and
lateral on either side.
ďˇ đIncreased ICPâhigh Fowlerâs.
ďˇ đLaminectomyâback as straight as
possible; log roll to move and sand bag
on sides.
ďˇ đSpinal Cord Injuryâimmobilize on spine
board, with head in neutral position.
Immobilize head with padded C-collar,
maintain traction and alignment of head manually. Log roll client and do not
allow client to twist or bend.
đďˇ Liver Biopsyâright side lying with pillow
or small towel under puncture site for at
least 3 hours.
ďˇ đParacentesisâflat on bed or sitting.
ďˇ đIntestinal Tubesâplace patient on right
side to facilitate passage into
duodenum.
ďˇ đNasogastric Tubesâelevate HOB 30
degrees to prevent aspiration. Maintain
elevation for continuous feeding or
1hour after intermittent feedings.
ďˇđ Pelvic Examâlithotomy position.
ďˇ đRectal Examâknee-chest position,
Simâs, or dorsal recumbent.
đďˇ During internal radiationâpatient should
be on bed rest while implant is in place.
@nurseschattinggroup | 235 |
| 18 | đŠşPositioning Clientsđ
ďˇđ Asthmaâorthopneic position where
patient is sitting up and bent forward
with arms supported on a table or chair
arms.
ďˇ đPost Bronchoscopyâflat on bed with
head hyperextended.
ďˇđ Cerebral Aneurysmâhigh Fowlerâs.
ďˇđ Hemorrhagic Stroke: HOV elevated 30
degrees to reduce ICP and facilitate
venous drainage.
ďˇđIschemic Stroke: HOB flat.
ďˇđCardiac Catheterizationâkeep site
extended.
ďˇđEpistaxisâlean forward.
đďˇAbove Knee Amputationâelevate for
first 24 hours on pillow, position on
prone daily for hip extension.
ďˇ đBelow Knee Amputationâfoot of bed
elevated for first 24 hours, position
prone daily for hip extension.
ďˇ đTube feeding for patients with
decreased LOCâposition patient on
right side to promote emptying of the
stomach with HOB elevated to prevent
aspiration.
ďˇ đAir/Pulmonary embolismâturn patient
to left side and lower HOB.
ďˇ đPostural DrainageâLung segment to be
drained should be in the uppermost
position to allow gravity to work.
ďˇ đPost Lumbar punctureâpatient should
lie flat in supine to prevent headache
and leaking of CSF.
ďˇ đContinuous Bladder Irrigation (CBI)â
catheter should be taped to thigh so
legs should be kept straight.
ďˇđ After myringotomyâposition on the side
of affected ear after surgery (allows
drainage of secretion).
ďˇ đPost cataract surgeryâpatient will sleep
on unaffected side with a night shield
for 1-4 weeks.
ďˇđ Detached retinaâarea of detachment
should be in the dependent position.
ďˇ đPost thyroidectomyâlow or semiďżžFowlers, support head, neck and
shoulders.
ďˇ đThoracentesisâsitting on the side of the
bed and leaning over the table (during
procedure); affected side up (after
procedure).
ďˇđ Spina Bifidaâ position infant on prone
so that sac does not rupture.
ďˇ đBuckâs Tractionâelevate foot of bed for
counter-traction.
ďˇ đPost Total Hip Replacementâdonât
sleep on operated side, donât flex hip
more than 45-60 degrees, donât elevate
HOB more than 45 degrees. Maintain hip
abduction by separating thighs with
pillows.
ďˇ đProlapsed cordâknee-chest position or
Trendelenburg.
ďˇđ Cleft-lipâposition on back or in infant
seat to prevent trauma to the suture
line. While feeding, hold in upright
position.
ďˇđ Cleft-palateâprone.
ďˇ đHemorrhoidectomyâassist to lateral
position.
ďˇđ Hiatal Herniaâupright position.
ďˇđ Preventing Dumping Syndromeâeat in
reclining position, lie down after meals
for 20-30 minutes (also restrict fluids
during meals, low fiber diet, and small
frequent meals).
ďˇđ Enema Administrationâposition patient
in left-side lying (Simâs position) with
knees flexed.
ďˇ đPost supratentorial surgery (incision
behind hairline)âelevate HOB 30-45
degrees.
ďˇđ Post infratentorial surgery (incision at
nape of neck)âposition patient flat and
lateral on either side.
ďˇ đIncreased ICPâhigh Fowlerâs.
ďˇ đLaminectomyâback as straight as
possible; log roll to move and sand bag
on sides.
ďˇ đSpinal Cord Injuryâimmobilize on spine
board, with head in neutral position.
Immobilize head with padded C-collar,
maintain traction and alignment of head manually. Log roll client and do not
allow client to twist or bend.
đďˇ Liver Biopsyâright side lying with pillow
or small towel under puncture site for at
least 3 hours.
ďˇ đParacentesisâflat on bed or sitting.
ďˇ đIntestinal Tubesâplace patient on right
side to facilitate passage into
duodenum.
ďˇ đNasogastric Tubesâelevate HOB 30
degrees to prevent aspiration. Maintain
elevation for continuous feeding or
1hour after intermittent feedings.
ďˇđ Pelvic Examâlithotomy position.
ďˇ đRectal Examâknee-chest position,
Simâs, or dorsal recumbent.
đďˇ During internal radiationâpatient should
be on bed rest while implant is in place.
@ nurseschattinggroup | 1 |
| 19 | Common Signs and Symptoms
01. PTB â low-grade afternoon fever.
02. PNEUMONIA â rusty sputum.
03. ASTHMA â wheezing on expiration.
04. EMPHYSEMA â barrel chest.
05. KAWASAKI SYNDROME â strawberry tongue.
06. PERNICIOUS ANEMIA â red beefy tongue.
07. DOWN SYNDROME â protruding tongue.
08. CHOLERA â rice watery stool.
09. MALARIA â stepladder like fever with chills.
10. TYPHOID â rose spots in abdomen.
11. DIPTHERIA â pseudo membrane formation
12. MEASLES â koplikâs spots.
13. SLE â butterfly rashes.
14. LIVER CIRRHOSIS â spider like varices.
15. LEPROSY â lioning face.
16. BULIMIA â chipmunk face.
17. APPENDICITIS â rebound tenderness.
18. DENGUE â petechiae or (+) Hermanâs sign.
19. MENINGITIS â Kernigâs sign (leg flex then leg pain on extension), Brudzinski sign (neck flex =
lower leg flex).
20. TETANY â hypocalcemia (+) Trousseauâs sign/carpopedal spasm; Chvostek sign (facial
spasm).
21. TETANUS â risus sardonicus.
22. PANCREATITIS â Cullenâs sign (ecchymosis of umbilicus); (+) Grey turners spots.
23. PYLORIC STENOSIS â olive like mass.
24. PDA â machine like murmur.
25. ADDISONâS DISEASE â bronze like skin pigmentation.
26. CUSHINGâS SYNDROME â moon face appearance and buffalo hump.
27. HYPERTHYROIDISM/GRAVEâS DISEASE â exopthalmus.
28. INTUSSUSCEPTION â sausage shaped mass, Dance Sign (empty portion of RLQ)
29. MS â Charcotâs Triad (IAN)
30. MG â descending muscle weakness
31. Guillain Barre Syndrome â ascending muscle weakness
32. DVT â Homanâs Sign
33. CHICKEN POX â Vesicular Rash (central to distal) dew drop on rose petal
34. ANGINA â Crushing stubbing pain relieved by NTG
35. MI â Crushing stubbing pain which radiates to left shoulder, neck, arms, unrelieved by NTG
36. LTB â inspiratory stridor
37. TEF â 4Csâ Coughing, Choking, Cyanosis, Continous Drooling
38. EPIGLOTITIS â 3Dsâ Drooling, Dysphonia, Dysphagia
39. HODGEKINâS DSE/LYMPHOMA â painless, progressive enlargement of spleen & lymph tissues,
Reedstenberg Cells
40. INFECTIOUS MONONUCLEOSIS â Hallmark: sore throat, cervical lymph adenopathy, fever.
41. PARKINSONâS â Pill-rolling tremors
42. FIBRIN HYALIN â Expiratory Grunt
43. CYSTIC FIBROSIS â Salty skin
44. DM â polyuria, polydypsia, polyphagia
45. DKA â Kussmauls breathing (Deep Rapid RR)
46. BLADDER CA â painless hematuria
47. BPH â reduced size & force of urine
48. PEMPHIGUS VULGARIS â Nikolskyâs sign (separation of epidermis caused by rubbing of the
skin)
49. RETINAL DETACHMENT â Visual Floaters, flashes of light, curtain vision
50. GLAUCOMA â Painfull vision loss, tunnel/gun barrel/halo vision (Peripheral Vision Loss)
51. CATARACT â Painless vision loss, Opacity of the lens, blurring of vision
52. RETINO BLASTOMA â Catâs eye reflex (grayish discoloration of pupils)
53. ACROMEGALY â Coarse facial feature
54. DUCHENNEâS MUSCULAR DYSTROPHY â Gowersâ sign (use of hands to push oneâs self from
the floor)
55. GERD â Barretts esophagus (erosion of the lower portion of the esophageal mucosa)
56. HEPATIC ENCEPHALOPATHY â Flapping tremors
57. HYDROCEPHALUS â Bossing sign (prominent forehead)
58. INCREASE ICP â HYPERtension BRADYpnea BRADYcardia (Cushingâs Triad)
59. SHOCK â HYPOtension TACHYpnea TACHYcardia
60. MENIEREâS DSE â Vertigo, Tinnitus
61. CYSTITIS â burning on urination
62. HYPOCALCEMIA â Chvostek & Trosseaus sign
63. ULCERATIVE COLITIS â recurrent bloody diarrhea
64. LYMEâS DSE â Bullâs eye rash
Ottorhea s/s of basilar fracture
@nurseschattinggroup | 187 |
| 20 | *Normal value of important subastance in blood.*
*Glucose 100~120 mg/dl*
*creatinine 0â˘5~1â˘5mg/dl*
*cholesterol 200mg/dl*
*plasma protein 6â˘4~8â˘3g/dl*
*bilirubin 0â˘5~1â˘5mg/dl*
*copper 100~200mg/dl*
*iron 50~150micro g/dl*
*calcium 9~11mg/dl*
*sodium 135~145mEq/l*
*potassium 3â˘5~5mEq/l*
*magnesium 1â˘5~2mEq/l*
*chloride 100~110mEq/l*
*Bicarbonate 22~26mEq/l*
*total protein 7â˘3g/dl*
*serum albumin 4â˘7g/dl*
*serum globulin 2â˘3g/dl*
*fibrinogen 0â˘3g/dl*
*A/G ratio 2â˘1*
*IgG 1000mg/dl*
*IgA 200mg/dl*
*IgM 120mg/dl*
*IgD 3mg/dl*
*IgE 0â˘05mg/dl*
ANTIDOTE AND DRUG OF CHOICE PROPHYLAXIS(Dx/Px):-
1.Drug for PCM poisoning :- N acetylecystine (mucomyst)
2. DOC for Acute Asthma:- Salbutamol
3.DOC for Chronic Asthma:- Salmetrol
4.Drug of choice for bipolar disorder:- Lithium
5.Drug of choice for mania:- Lithium
6.Drug of choice for acute mania:-Haloperidol
7.Drug of choice for chronic mania:-Lithum
8.Drug of choice for hyperkalamia:- Kayxalate/sodium natropuroside/insuline+dextrose
9.Drug of choice for Ketoacidosis:- Insuline+dextrose
10.Prophylaxis for Asthma:-Montalucast
11.Drug for Digitalis Toxicity:-Digibind
12.Drug of choice for Acute migraine:-Sumatripatan
13 Drug of choice for ADHD:-Methylphenidate(Amphetamine)
14.Drug of choice for Alzeihmers disease:-Tacrine/donepzil/Rivastigmine
15.Drug of choice for Myasthenia gravis:-Neostigmine
16.Drug of choice for Anaphylactic Shock:-Adrenaline
17.Drug of choice for Hyperthyroidism in pregnancy/Lactation:-Propylthiouracil
18.Drug of choice for Atonic Seizures:-Sodium valproate
19.Drug of choice for Febrile Seizures:-Diazepam
20.Antidote for Aspirine poisoning:-Sodium bicarbonate
21.Antidote for organophosphate poisoning:-Atropine
22.Drug of choice for Central Diabetic Insipidus:-Vasoprassin/desmopressin
23.DOC for Chemotherapy induced vomiting:-Ondasteron
24.DOC for chloroquine resistant malaria:-Quinine
25.DOC for cholera:Tetracycline
26.Antidote for Benzodiazapine poisoning:-Flumazenil
27.Antidote for Barbiturate poisoning:-Sodium bicarbonate
28.Antidote for Atropine poisoning:-Physostigmine
29.DOC for Chese reaction:-Phentolamine
30.DOC for Acute Gout:-Indomethacin
31.DOC for Chronic Gout:-Allopurinol
32.DOC for complicated Malaria:-Artesunate
33.Antidote for Cyanide poisoning:-Amyl nitrate
34.DOC for Depression:-Any of SSRIÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â drug(Citalopram,Escitalopram,Fluoetine,Paroxetine,Sertraline,Vilazodone)
35.DOC for disease modifying anti Rheumatic drug(DMARD):-Methotrexate
36.DOC for drug induced parkinson disease:-Benzhexol
37.Choice of Muscle relaxant for Endotracheal intubation:-Succinylcholine
38.Choice for Relaxant for ECT:-succinylcholine
39.Treatment of choice for severe Depression:-ECT
40.DOC for Enteric Fever:-Ceftrixone
41.DOC for Epilepsy in pregnancy:-Lamotrigine
42.Antidote for Fibrinolytics:-Aminocaproic acid
43.DOC for BPH(Benign prostate hypertrophy):-Prozosin
44.Antidote for Heparine Toxicity:-Protamine sulphate
45.prophylaxis for herpes:-Acyclovir
46.prophylaxis for rheumatic fever:-Benzathaine penicilline
47.prophylaxis for MI:-Asprine
48.DOC for Malaria:-Chloroquine
49.DOC for hypertensive emergency:-Sodium nitroprusside
50.DOC for hypertension in pregnancy:-Lobetalol
51.DOC for Eclampsia:-Mgso4
52.DOC for Hypothyroidism:-Levothyroxin
53.DOC for hypovolemic Shock:-IV fluids
54.Antidote for Iron toxicity :-Desferoxamine
55.DOC for Methanol poisoning:-Fomepizole
56.DOC FOR Methicillin resistant staphylococcus aureus :- Vencomycin
57.Mydriatic of choice in Adults:-Tropicamide
58.Mydriatic of choice in children:-Atropine
59.DOC for syphillis:-Benzathine penicilline
60.DOC for noctural enuresis :- Desmopressin/imipramine
61.DOC for obsessive compulsive disorders:-SSRI
drug(Citalopram,Escitalopram,Fluoetine,Paroxetine,Sertraline,Vilazodone)
62.Antidote for Opiod poisoning:-Nalaxone
63. DOC for oral hypoglycemic drug in obese :- metformine
64.DOC for oral hypoglycemic drug in thin:-Sulfonylureas
65.DOC for cardiogenic Shock:-Dobutamine
@nurseschattinggroup | 191 |
