Team Faculty Of Nursing internship ๐
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ุงูููู ุงุฌุนู ุนู ููุง ููู ุตุงูุญุงู ุ ูุงุฌุนูู ููุฌูู ุฎุงูุตุงู ุ ููุง ุชุฌุนู ูุฃุญุฏ ู ู ุฎููู ููู ุดูุฆุงูุ ููุง ููุดูุทุงู ู ูู ูุตูุจุงูุ ูุชูุจูู ูุง ุฑุจูุง ุจูุจููู ุญุณู. 'ุฅููู ุงููู ูุง ููุถูุน ุฃุฌุฑ ู ู ุงุญุณูู ุนู ูุง ' ููู ุงุนู ูู ูุณูุฑู ุงููู ุนูู ูููู ูุฑุณููููู ูุงูู ุคู ููู
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ุงุณุฆูุฉ ุฌุฑุงุญุฉ ุงุทูุงู ุน ู
ุญุงุถุฑุงุช ุงูู
ูุฏุชูุฑู
ุงุณุฆูู ุดุงู
ูู ูุณููู ุณุงุจูู ุจุงูุชูููู ูุง ุฑุจ โฅ๏ธ
Who proposed the idea of the Electra Complex, a complex observed in girls which is comparable to the Oedipus Complex?
Carl Jung โ
Sigmund Freud
Josef Breuer
https://t.me/c/1835621925/2205
ุดุฑุญ ูุธุฑูู ูุฑููุฏ ู
ุณุชุฑ ูุฑูู
โค๏ธ
ุงูุจุงูุฑ ุฏุง ู
ุฑูุญ ููุนูู ุนู ุงูุชุงูู ุงุณูุฏ ููุนู
ู ุงููุงุญุฏ ๐๐
ุฏุนูู ุญููู ูุฒู
ููุชูุง ุงููู ุนู
ูุชู ๐ค๐ค
ุงุณุฆูุฉ ุนูู
ููุณ ุน ู
ุญุงุถุฑุงุช ุงูู
ูุฏุชูุฑู
ุงุณุฆูู ุดุงู
ูู ูุณููู ุณุงุจูู ุจุงูุชูููู ูุง ุฑุจ โฅ๏ธ
ุงูุชูุฑูุง ุฏุง ูููุงุฏ ๐:
โฌ
๏ธ Shigella, Salmonella, Chlamydia :symptoms of acute inflammatory diarrhea include Fever higher than 38.5 c, lathargy.
โฌ
๏ธAcute diarrhea short duration less than 2 weeks (14 days).
โก๏ธMal absorptive Causes : lactose intolerance, pancereatic insufficiency.
โฌ
๏ธ Moility Disorder as : Hirschsprung disease.
โก๏ธ Inflammatory Bowel disease as : ulcerative colitis.
โก๏ธ ููุง ุจูุนุงูุฌ ุงู Diarrhea ุจุชูุงุชู ุญุงุฌุงุช ุงูู ูู
ุงุ
1- Anti microbial therapy for bacteria : trimethoprim /sulfamethoxazole or 3 generation cephalosporin for dysentery.
2- Anti microbial therapy : Metronidazole : Azithromycin or nitazoxanide.
3- Zinc Supplementation : 10 :20 mg.
4- ุญุงุฌู ุจุณ ู
ุด ุจูุจูู ู
ููุฏ ุงูู ุฒู
Anti diarrheal compounds : minimal benefit.
โฌ
๏ธโฌ
๏ธโฌ
๏ธโฌ
๏ธโฌ
๏ธ
Noninfectious diarrhea
โถ๏ธ Mal absorption : disaccharidases difcicency.
โจ Endocrinopathies : thyrotoxicosis, Addison disease. ๐คซ โฅ๏ธ.
โ ๏ธ โ ุงูู
ูู
ู ู
ุญุงุถุฑู ุงู pneumonia :
โบ๏ธ Pneumonia leading cause of death among children younger than 5 years.
โก๏ธ ูุงู ู
ู ุถู
ู ุงุณุจุงุจ ุงู noninfectious pneumonia aspiration of food or gastric acid or foregin bodies.
โฌ
๏ธ Type of pneumonia :โฉ๏ธ
โถ๏ธ Lobar pneumonia : all or large segment of one or more pulmonary lobes.
โถ๏ธ Bronchopneumonia : begain in the terminal bronchioles... Also called [lobular pneumonia].
โถ๏ธ Interstitial pneumonia : inflammatory process more or less the alveolar walls.
๐ธ Viral pneumonia occur more frequently than bacterial pneumonias and seen in children of all age groups.
โบ๏ธ The most viruses Causative agent are Cytomegalo virus - Respiratory syncytial virus (RSV).
๐ธ Viral pneumonia associated with cough, wheezing, or stridor.
โก๏ธ ูู
ุง ุจุชููู ุงูุนุฏูู ููุฑูุณูู ุจุชุจูู ุฏุฑุฌู ุงูุญุฑุงุฑู ู
ุด ุนุงููู ุงูู
ุง ูู ุจูุชูุฑูู ุจุชุจูู ุฏุฑุฌู ุงูุญุฑุงุฑู ุนุงููู.
๐ Bacterial pneumonia the most causative agent are Streptococcus - Staphylococcus.
โจ Bacterial pneumonia most often caused by mycoplasma pneumonia occurs less frequently in children as labor - interstitial or bronchial.
โฉ๏ธ Streptococcus pneumonia the most common bacterial responsible for Community acquired pneumonia in children and adults.
โบ๏ธBacterial pneumonia associated with high fever, chills, cough, dyspnea.
โฉ๏ธ ุงุนุฑููุง ุงู ู ู
ุฑุญูู Congestion ุจูููู ููู decrease gas exchange โก๏ธ hypoxia and acidosis โก๏ธ fast breathing /tachyapnea.
โจูู ู
ุฑุญูู Red hepatization ุจูููู ููู Crepitation
โจ ูู ู
ุฑุญูู Gray hepatization ุจูููู ููู Chest indrawing
โจ ูุงุฎุฑ ุญุงุฌู ุงุณู
ูุง Healing by crisis ูุฏู complete resolution may take another 1-3 weeks.
โก๏ธ ูุนูู ุงูู chest indrawingุ
โฉ๏ธ The lower chest wall goes in when the child breath in.
ุงู CAP ุงุฎุชุตุงุฑ ู Community Aquired pneumonia.
โก๏ธ Risk factors for CAP :
1 - Medical (age ุงูู ู
ู 1 year + prematurely +malnutrition + immunosuppressant)
2 - Environmental ( overcrowding + winter season + fuel exposure + passive tobacco smoke)
โถ๏ธ ูุงูุช ุงูุจูุชูุฑูุง ุงูู
ุณุจุจู ู CAP :
Streptococcus
Staphylococcus
Hemophils influenza
Mycobacterium tuberculosis.
โก๏ธ ูุงู ู
ู ุถู
ู ุงุนุฑุงุถ pneumonia :
Fever ูุจุชููู ุนุงููู ูู ุนุฏูู ุจูุชูุฑูู
Cough with white sputum
Dullness with percussion
Malaise
Difficult in breathing
โฉ๏ธ Labor pneumonia is not Characteristized by flat Dullness on percussion ุจูููู ููู
Chest pain
Retraction
Nasal flaring
โบ๏ธ ู
ู ุถู
ู laboratory studies :
1- Chest X ray :useful in confirming the presence of pneumonia and detecting complications as lung abscess.
2- Gram Stain - culture of sputum, blood cultures, biopsy.
โถ๏ธ ุจุงููุณุจู ุจูุง Treatment :
โจ For mild ill children not require hospitalization ุจูุงุฎุฏ oral amoxicillin
โจ In adolescent arespiratory fluoroquinolone (levofloxacin, moxifloxacin)
โจ For school age children with infection with M. pneumonia or C. pneumonia suggested amocrolide antibiotic (azithromycin).
โก๏ธ With emergencie of pincillin high dose of amoxicillin (80-90 mg /kg/24 hr).
Therapeutic alternative ( cefuroxime axetil and amoxicillin/ clavnlanate).
โถ๏ธThe optimal duration of antibiotic treatment for uncomplicated pneumonia in children is five day after body temperature drop to normal level.
โ๏ธ ุจูุนู
ู prevention ุงุฒุงู!ุ
๐ Annual influenza recommended for all children over 6 months (trivalent or quadrivalent).
๐ธ Inactivated influenza vaccine use beginning at 6 months of age
.. Live attenuated vaccine used for person 2 - 49 years of age.
๐ Universal childhood vaccination for H. influenzae type B diminished the incidence of pneumonias.
๐
RSV infections can prevented by use palivizumab in high risk patients.
ุฎุฏูุง ุจุงููู
ู
ู Danger signs that indicate need hospitalization ููุงูุช :
Grunting
Stridor in calm children
Sever chest indrawing
Sever malnutrition
Room air Sao2 < 92 %
Empyema
Deterioration on treatment .
All children younger than 2 months
Children older than 2 months with impaired level of consciousness
Cyanosis
Inability to eat or drink.
ูุจุณ ูุฏุง ๐โฅ๏ธ
ุชุฎููุต ุงูุงูุจุฑ ู
ููุง ูู ุญุฏ ู
ุญุชุงุฌุฉ ๐๐
Pneumonia
ุตุจุงุญ ุงูุฎูุฑ ๐ค
ุจุฏุงูู ููู
ุฌุฏูุฏ ุขู
ููู ู ูุฑู
ุงููู ุนุฒ ูุฌู ูุฌุจุฑ ุจุฎุงุทุฑูุง ุฌู
ูุนุง ูุงููู ุนูุฏูู
ุชูููุฏ ุจุฅุฐู ุงููู ุชุฎุฑุฌู ู
ุจุณูุทูู ูู
ุฌุจูุฑูู ุถุบุท ุนูููู
ุจุณ ุงูุชูุฑู ุงู ุฏุงูู
ุง ูุงูุช ุจุชุนุฏู ุจูุฑู
ุงููู ู
ุด ุจู
ุฌููุฏูุง ุฎุงูุต ูุงูุชู ุนู
ูุชู ุงููู ุนูููู
ู
ุชููุฑูุด ูุชูุฑ ูุณูู
ู ุฃู
ุฑูู
ููู ุฑุจูุง ู
ุนุงูู
ููุนุฏู ุงูุชุฑู
ู
ุนุงูุง ุฌู
ูุนุง ุน ุฎูุฑ ูุง ุฑุจ๐..
ุงุณุฆูุฉ ุทุจ ุงุทูุงู ุน ู
ุญุงุถุฑุงุช ุงูู
ูุฏุชูุฑู
ุงุณุฆูู ุดุงู
ูู ูุณููู ุณุงุจูู ุจุงูุชูููู ูุง ุฑุจ โฅ๏ธ
ุจุตู
ุฌูุง ุจุณุฑุนู ู
ููุด ููุช ููุชูุณูุฑ ๐๐๐
โ Law โโโฉ Role or standard established by the government
Legislation โโโฉ Type of law comes from legislative branches
Judicial law โโโฉ Based on Court , Principals are justice , fairness, respect, autonomy
Contract โโโฉ Agreement between two or More individual
Criminal law โโโฉ felony and Misdemeanor
Civil law โโโฉ ููู ู
ููุง ููุนูู
Unintentional tort as Negligence and Malpractice
Intentional tort as Assault, battery, invasion of privacy, Defamation, False imprisonment
Felony โโโฉ Serious , Rape murder
Misdemeanor โโโฉ lesser crime, penalty of a fine
Negligence โโโฉ failure or omission , do something
Malpractice โโโฉ Carelessness by professional person
Assault โโโฉ ุชูุฏููููุฏ Harm another
Battery โโโฉ ูู
ุณ ุจุฏูู ู
ูุงููุฉ ุฃู ุฃุฐูู Touching without consent
Invasion of privacy โโโฉ ูููุช ุงู ุงุชููู
ุช ุนู ุงูู
ุฑูุถ ุงูุนุงู
ู ูู ูููุงุณ ุฃู ุนู
ูุชู ูุฐุง ููุฐุง ูุนูู ุงูุชููุช ุฎุตูุตูุชู
All aspects of patient care free from unwanted publicity
Defamation โโโฉ Holding up of person to ridicule
Fale imprisonment โโโฉ person stay in a place against her wishes
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