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DMER DHS ΰ€Έΰ₯ΰ€ͺΰ₯ΰ€Άΰ€²
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When a client's chest tube is removed, what should the nurse have ready to place over the wound?
A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would be
A nurse is preparing a patient for a lumbar puncture. Which laboratory test should be ordered before the procedure to compare with CSF results?
Which of the following commonly causes infections after splenectomy
All of the following are true regarding fertilization EXCEΠ Π’
Glycosylated hemoglobin %, indicating a good control of diabetes
According to WHO guidelines, latent TB infection need NOT to be ruled out in:
An adult male is suffering from HIV. Recently he had sex with a lady. Which of the following tests is important in knowing whether the lady is infected or NOT:
Vancomycin β Key Points
πΉ Drug Class
Glycopeptide antibiotic
Bactericidal
Works by inhibiting bacterial cell wall synthesis
πΉ Main Use (VERY IMPORTANT )
Serious Gram-positive infections
Especially MRSA
Endocarditis
Osteomyelitis
Sepsis
Pneumonia (hospital-acquired)
π PO (oral) vancomycin is used for:
C. difficile infection (acts locally in gut)
πΉ Route Trick for NORCET
IV β systemic infections
PO β C. diff only
IM route β (causes tissue necrosis)
β οΈ Major Side Effects (HIGH-YIELD)
Nephrotoxicity
Monitor serum creatinine
Risk β with aminoglycosides
Ototoxicity
Tinnitus
Hearing loss
Red Man Syndrome (VERY COMMON QUESTION)
Flushing
Red rash on face/neck/chest
Hypotension
Caused by rapid IV infusion
π Prevention:
Infuse over at least 60 minutes (very imp)
Slow infusion rate
π¬ Monitoring
Monitor trough levels
Normal trough: 10β20 mcg/mL
Check kidney function
Monitor I/O
π¨ Nursing Interventions
Infuse slowly
Assess hearing changes
Monitor urine output
Encourage fluids (if not contraindicated)
Do NOT mix with other drugs in same IV line
+1
NORCET-10 Important Dates*
π° Notification Released: 24-02-2026
π Online Application Starts: 24-02-2026
β° Last Date to Apply: 16-03-2026 (till 5:00 PM)
NORCET Preliminary (Stage-I CBT):
11 April 2026 (Saturday)
NORCET Mains (Stage-II CBT):
30 April 2026 (Thursday)
Age Cut-off Date: 16-03-2026 (last date of application)
