basic nursing knowledge
Открыть в Telegram
Welcome to My Telegram Channel. I'm sadhana singh. provide all basic Nursing information or pdf releted to disease or disorder conditions
Больше905
Подписчики
Нет данных24 часа
-37 дней
-1330 день
Архив постов
The Glasgow Coma Scale (GCS) is a neurological scale used to assess the level of consciousness and neurological function in patients with brain injuries or illnesses. It evaluates three aspects:
1. Eye Opening (E)
- Spontaneous (4 points)
- To verbal command (3 points)
- To pain (2 points)
- No response (1 point)
2. Verbal Response (V)
- Oriented and converses (5 points)
- Disoriented but responds (4 points)
- Inappropriate words (3 points)
- Incomprehensible sounds (2 points)
- No response (1 point)
3. Motor Response (M)
- Obeys commands (6 points)
- Localizes pain (5 points)
- Withdraws from pain (4 points)
- Flexion response (3 points)
- Extension response (2 points)
- No response (1 point)
The total score ranges from 3 to 15. Higher scores indicate better neurological function.
Interpretation:
- 13-15: Mild brain injury or normal
- 9-12: Moderate brain injury
- 5-8: Severe brain injury
- 3-4: Coma or vegetative state
The Glasgow Coma Scale is widely used in emergency medicine, neurosurgery, and critical care to monitor patients' neurological status and predict outcomes..
in India ¹:
1. AIIMS Delhi
2. AIIMS Jodhpur
3. AIIMS Bhubaneshwar
4. AIIMS Rishikesh
5. AIIMS Raipur
6. AIIMS Bhopal
7. AIIMS Patna
8. AIIMS Raebareli
9. AIIMS Nagpur
10. AIIMS Mangalgiri
11. AIIMS Gorakhpur
12. AIIMS Bibinagar
13. AIIMS Bhatinda
14. AIIMS Kalyani
15. AIIMS Deoghar
16. AIIMS Rajkot
17. AIIMS Guwahati
18. AIIMS Vijaypur
19. AIIMS Bilaspur
20. AIIMS Darbhanga (upcoming)
21. AIIMS Rewari (upcoming)
22. AIIMS Awantipora (upcoming)
23. AIIMS Madurai (upcoming
Common Signs and Symptoms of some diseases
01. PTB – low-grade afternoon fever.
02. PNEUMONIA – rusty sputum.
03. ASTHMA – wheezing on expiration.
04. EMPHYSEMA – barrel chest.
05. KAWASAKI SYNDROME – strawberry tongue.
06. PERNICIOUS ANEMIA – red beefy tongue.
07. DOWN SYNDROME – protruding tongue.
08. CHOLERA – rice watery stool.
09. MALARIA – stepladder like fever with chills.
10. TYPHOID – rose spots in abdomen.
11. DIPTHERIA – pseudo membrane formation
12. MEASLES – koplik’s spots.
13. SLE – butterfly rashes.
14. LIVER CIRRHOSIS – spider like varices.
15. LEPROSY – lioning face.
16. BULIMIA – chipmunk face.
17. APPENDICITIS – rebound tenderness.
18. DENGUE – petechiae or (+) Herman’s sign.
19. MENINGITIS – Kernig’s sign (leg flex then leg pain on extension), Brudzinski sign (neck flex =
lower leg flex).
20. TETANY – hypocalcemia (+) Trousseau’s sign/carpopedal spasm; Chvostek sign (facial
spasm).
21. TETANUS – risus sardonicus.
22. PANCREATITIS – Cullen’s sign (ecchymosis of umbilicus); (+) Grey turners spots.
23. PYLORIC STENOSIS – olive like mass.
24. PDA – machine like murmur.
25. ADDISON’S DISEASE – bronze like skin pigmentation.
26. CUSHING’S SYNDROME – moon face appearance and buffalo hump.
27. HYPERTHYROIDISM/GRAVE’S DISEASE – exopthalmus.
28. INTUSSUSCEPTION – sausage shaped mass, Dance Sign (empty portion of RLQ)
29. MS – Charcot’s Triad (IAN)
30. MG – descending muscle weaknesse
31. Guillain Barre Syndrome – ascending muscle weakness
32. DVT – Homan’s Sign
33. CHICKEN POX – Vesicular Rash (central to distal) dew drop on rose petal
34. ANGINA – Crushing stubbing pain relieved by NTG
35. MI – Crushing stubbing pain which radiates to left shoulder, neck, arms, unrelieved by NTG
36. LTB – inspiratory stridor
37. TEF – 4Cs’ Coughing, Choking, Cyanosis, Continous Drooling
38. EPIGLOTITIS – 3Ds’ Drooling, Dysphonia, Dysphagia
39. HODGEKIN’S DSE/LYMPHOMA – painless, progressive enlargement of spleen & lymph tissues,
Reedstenberg Cells
40. INFECTIOUS MONONUCLEOSIS – Hallmark: sore throat, cervical lymph adenopathy, fever.
41. PARKINSON’S – Pill-rolling tremors
42. FIBRIN HYALIN – Expiratory Grunt
43. CYSTIC FIBROSIS – Salty skin
44. DM – polyuria, polydypsia, polyphagia
45. DKA – Kussmauls breathing (Deep Rapid RR)
46. BLADDER CA – painless hematuria
47. BPH – reduced size & force of urine
48. PEMPHIGUS VULGARIS – Nikolsky’s sign (separation of epidermis caused by rubbing of the
skin)
49. RETINAL DETACHMENT – Visual Floaters, flashes of light, curtain vision
50. GLAUCOMA – Painfull vision loss, tunnel/gun barrel/halo vision (Peripheral Vision Loss)
51. CATARACT – Painless vision loss, Opacity of the lens, blurring of vision
52. RETINO BLASTOMA – Cat’s eye reflex (grayish discoloration of pupils)
53. ACROMEGALY – Coarse facial feature
54. DUCHENNE’S MUSCULAR DYSTROPHY – Gowers’ sign (use of hands to push one’s self from
the floor)
55. GERD – Barretts esophagus (erosion of the lower portion of the esophageal mucosa)
56. HEPATIC ENCEPHALOPATHY – Flapping tremors
57. HYDROCEPHALUS – Bossing sign (prominent forehead)
58. INCREASE ICP – HYPERtension BRADYpnea BRADYcardia (Cushing’s Triad)
59. SHOCK – HYPOtension TACHYpnea TACHYcardia
60. MENIERE’S DSE – Vertigo, Tinnitus
61. CYSTITIS – burning on urination
62. HYPOCALCEMIA – Chvostek & Trosseaus sign
63. ULCERATIVE COLITIS – recurrent bloody diarrhea
64. LYME’S DSE – Bull’s eye rash
Ottorhea s/s of basilar Fracture
🫁𝐑𝐞𝐬𝐩𝐢𝐫𝐚𝐭𝐢𝐨𝐧 𝐢𝐧𝐯𝐨𝐥𝐯𝐞𝐬 the 𝐟𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠𝐬 𝐬𝐭𝐞𝐩𝐬 :-
🧘♀️(i) 𝐁𝐫𝐞𝐚𝐭𝐡𝐢𝐧𝐠 or 𝐩𝐮𝐥𝐦𝐨𝐧𝐚𝐫𝐲 𝐯𝐞𝐧𝐭𝐢𝐥𝐚𝐭𝐢𝐨𝐧 by which atmospheric air is drawn in and 𝐂𝐎𝟐 rich alveolar air is 𝐫𝐞𝐥𝐞𝐚𝐬𝐞𝐝 𝐨𝐮𝐭.
🧘♀️(ii) 𝐃𝐢𝐟𝐟𝐮𝐬𝐢𝐨𝐧 of 𝐠𝐚𝐬𝐞𝐬 (O2 and CO2) across 𝐚𝐥𝐯𝐞𝐨𝐥𝐚𝐫 𝐦𝐞𝐦𝐛𝐫𝐚𝐧𝐞.
🧘♀️(iii) 𝐓𝐫𝐚𝐧𝐬𝐩𝐨𝐫𝐭 of 𝐠𝐚𝐬𝐞𝐬 by blood.
🧘♀️(iv) 𝐃𝐢𝐟𝐟𝐮𝐬𝐢𝐨𝐧 of O2 and CO2
between 𝐛𝐥𝐨𝐨𝐝 and 𝐭𝐢𝐬𝐬𝐮𝐞𝐬.
🧘♂️(v) 𝐔𝐭𝐢𝐥𝐢𝐬𝐚𝐭𝐢𝐨𝐧 of O2 by the cells for 𝐜𝐚𝐭𝐚𝐛𝐨𝐥𝐢𝐜 reactions and resultant release of 𝐂𝐎𝟐.
🚴 In 𝐭𝐢𝐬𝐬𝐮𝐞 following conditions are favourable for 𝐝𝐢𝐬𝐬𝐨𝐜𝐢𝐚𝐭𝐢𝐨𝐧 of 𝐨𝐱𝐲𝐠𝐞𝐧 from 𝐨𝐱𝐲𝐡𝐚𝐞𝐦𝐨𝐠𝐥𝐨𝐛𝐢𝐧 :-
👉🏻(i) 𝐋𝐨𝐰 PO2
👉🏻(ii) 𝐇𝐢𝐠𝐡 PCO2
👉🏻(iii) 𝐇𝐢𝐠𝐡 H+
concentration
👉🏻(iv) 𝐋𝐨𝐰 pH
👉🏻(v) 𝐇𝐢𝐠𝐡𝐞𝐫 𝐭𝐞𝐦𝐩𝐞𝐫𝐚𝐭𝐮𝐫𝐞
❇️ Hormone Produced by Anterior Pituitary
➡️Trick ➨ Green Parrot Tickles And Make Fake Look
⇒Green – GH
⇒Parrot – Prolactin
⇒Tickles – TSH
⇒And – ACTH
⇒Make – MSH
⇒Fake – FSH
⇒Look – LH
🖋️B.F. Skinner
Developed a theory called operant conditioning
🖋️Operant conditioning
Explains how voluntary behavior is learned.
🖋️Free will
The freedom to choose your own destiny
🖋️Slf-actualization
The achievement of one's full potential.
🖋️Cognitive perspective
Focuses on memory, intelligence, perception, thought process, problem solving, language, and learning
🖋️Cognitive neuroscience
The study of the physical workings of the brain and nervous system when engaged in memory, thinking, and other cognitive processes.
🖋️Sociocultural perspective
Combines the study of groups and cultural norms.
🖋️Social psychology
The study of groups, social roles, and rules of social actions and relationships.
🖋️Cultural psychology
The study of cultural norms, values, and expectations.
🖋️Biopsychology
The study of the biological bases of behavior and mental processes.
🖋️Biopsychological perspective
Human and animal behavior is seen as a direct result of events in the body.
🖋️Evolutionary perspective
Focuses on the biological bases for universals mental characteristics that all humans share.
Thyroid gland
(1) The name "thyroid" was introduced by Thomas Wharton (1656).
(2) It is derived from Greek "Thyreos" a shield.
(3) Location: This is the largest endocrine gland of our body. It is located in our neck upon the ventral aspect of larynx (sound box or Adam's apple) and a few anterior most tracheal rings. It is a dark brown and H-shaped bilobed gland.
(4) Hormones of thyroid:
Thyroid gland secretes two iodinated hormones.
(a) Thyroxine: It is an iodine containing (6% iodine) amine hormone which is derived from tyrosine amino acid. Chemically thyroxine is tetraidothyronine though also found as tri-iodothyronine. Secretion of thyroxine is inversely proportional to the blood level of thyroxine (feedback mechanism).
(b) Thyrocalcitonin (TCT): It is a long peptide hormone secreted by parafollicular by cells of thyroid gland (C-cells). It secretion is regulated by increased plasma level of calcium by feedback mechanism.
(5) Irregularities of thyroid gland
(a) Hypothyroidism: (Decreased section of thyroxine from thyroid gland).
(b) Hypersecretion of thyroid hormones (Hyperthyroidism or thyrotoxicosis) : This may also be a genetic defect, but usually it is provided by chronic infections (influenza, rheumatism, tonsilitis, tuberculosis, measles, whooping cough, etc.) pregnancy, intake of large doses of iodine, over-eating, etc. It results into a considerable increase in glucose and oxygen consumption by cells and the rate of oxidative metabolism in the mitochondria.
Q . Production of RBC is controlled by
A . Liver
B . Kidney
C . Heart
D . Spleen
thyroid gland
(1) The name "thyroid" was introduced by Thomas Wharton (1656).
(2) It is derived from Greek "Thyreos" a shield.
(3) Location: This is the largest endocrine gland of our body. It is located in our neck upon the ventral aspect of larynx (sound box or Adam's apple) and a few anterior most tracheal rings. It is a dark brown and H-shaped bilobed gland.
(4) Hormones of thyroid:
Thyroid gland secretes two iodinated hormones.
(a) Thyroxine: It is an iodine containing (6% iodine) amine hormone which is derived from tyrosine amino acid. Chemically thyroxine is tetraidothyronine though also found as tri-iodothyronine. Secretion of thyroxine is inversely proportional to the blood level of thyroxine (feedback mechanism).
(b) Thyrocalcitonin (TCT): It is a long peptide hormone secreted by parafollicular by cells of thyroid gland (C-cells). It secretion is regulated by increased plasma level of calcium by feedback mechanism.
(5) Irregularities of thyroid gland
(a) Hypothyroidism: (Decreased section of thyroxine from thyroid gland).
(b) Hypersecretion of thyroid hormones (Hyperthyroidism or thyrotoxicosis) : This may also be a genetic defect, but usually it is provided by chronic infections (influenza, rheumatism, tonsilitis, tuberculosis, measles, whooping cough, etc.) pregnancy, intake of large doses of iodine, over-eating, etc. It results into a considerable increase in glucose and oxygen consumption by cells and the rate of oxidative metabolism in the mitochondria.
#vaccination
• Term ‘Vaccination’: Edward Jenner
• Term ‘Vaccine’: Louis Pasteur
• Vaccines- Anthrax, Rabies: Louis Pasteur
• First Polio Vaccine: Jonas Salk
• Penicillin (First antibiotic): Alexander Fleming
• Growth Chart: David Morley
• Homeopathy: Samuel Hahnemann
• Blood group types: Karl Landsteiner
• Citrus fruits in prevention of Scurvy: James Lind
• Transmission of Yellow fever: Walter Reed
• Life cycle of Plasmodium: Ronald Ross First Country Honours
• First country to socialize medicine completely: Russia
• First country to introduce compulsory sickness insurance: Germany
• First country to start family planning programme: India
• First country to start blindness control programme: India
• First country to establish finger printing bureau: India (Calcutta, 1897)
IFA – SUPPLIMENTATION -- ACC. To ANEMIA MUKT BHARAT ( 2018-2022)
6-59 month children – 20mg + 100mcg – Biweekly – bottle – 50ml
5-9 years children - 45 mg + 400 mcg – weekly – pink colour tablet
10-19 years adolescent - 60 mg + 500mcg – weekly – blue colour tab.
20-49 years women ( non-preg) – 60 mg + 500 mcg – weekly – red colour tab
Preg. ,lactating mothers - 60 mg + 500 mcg – Daily – red colour tab Smallpox Eradication
• Last case of smallpox in world: 26th October 1977 (Somalia)
• WHO declared global eradication of smallpox: 8th May 1980
• Last indigenous case of smallpox in India: 17th May 1975 (Bihar)
• Last known case of smallpox in India: 24th May 1975 (Importation from Bangladesh)
• India declared smallpox free: April 1977 Few Important Diseases in Public Health
• Father of Public Health: Cholera
• Barometer of Social Welfare: Tuberculosis
• Slims’ Disease: HIV/AIDS
Black Sickness: Kala Azar (Leishmaniasis)
• Black Death: Plague
• Cerebrospinal fever: Meningococcal meningitis
• Break-bone fever: Dengue
• Monkey fever/ disease: KFD (Kyasanur Forest Disease)
• 5-day fever: Trench fever
• 8th day disease: Tetanus neonatorum
• 100-day cough: Pertussis (Whooping cough)
• Koch’s Phenomenon: Tuberculosis
• Hansen’s disease: Leprosy
• Rubeola: Measles
• Rubella: German measles
• Rubula: Mumps
IMPORTANT ONE LINEAR NOTES
Heart size is Normal in : TOF and TAPVC ( infracardiac form )
2. Visual reflex formation or Macula mature by 5-6 months life
3. Gardasil -- 16 , 18 , 6 , 11
Cervarix -- 16 , 18
4. Renal tubular acidosis -- Normal Anion gap Hyperchloremic Metabolic Acidosis
Point to remember -- its NORMAL in Serum but POSITIVE anion gap in Urine
5. Ectopic ACTH Syndrome -- Hypokalemic Alkalosis
6. Anatomical Closure of Ductus arteriosus -- 1-3 months after birth. 1-3 months after birth. (ref: Langman's embryology & Guyton)
7. Corneal donor -- till 6 hour after death
8. Nerve fibers -- A and B are Myelinated ; A to C - Diameter and Velocity decrease
9. For Congenital hypothyroidism -- TSH , best done >48 hrs - 6 days life
10. Child of HIV positive Mother -- Cant use IgG for 1st 18 months to diagnose as that comes from
mother. So p24 assay , PCR , Viral Culture are used.
11. Neomycin is present in Polio Vaccine
12. TORCH infectivity -- All at time of birth BUT Rubella has 2 peaks i.e 10 -11 wks and delivery.
13. Unchanged during child birth -- Diameter between Sacral promontary and Pubic Symphisis.
14. RAIU -- I 123 ;
RIA ---- I 125
15. CO poisoning -- PO2 Normal but O2 saturation is less.
16. Fetal distress -- S/D ratio-- increases in Umblical Artery , decreases in MCA.
17. All Myopathies are Proximal except Myotonic Dystrophy (type 1)
18. All Neuropathies are Distal except GBS and SMA.
19. Glysine is the smallest and simplest Amino Acid.
20. Adder Head on IVP -- Ureterocele
21. Flower vase / shaking hand sign -- Horseshoe kidney
22. Ligament of Struthers.-- remnant of 3rd head of coracobrachialis , runs from supracondylar spur on anteromedial humerus to medial epicondyle, median n and brachial a may run beneath it.
23. Shortest Colon - Ascending
Longest Colon - Transverse
The cerebellum is the part of the brain responsible for coordination of movements, balance, and muscle tone.
WHO : 7 April 1948
Headquarter :Geneva (Switzerland)
General director : Tedrose Adhanom
🚨🚨🚨🚨🚨🚨🚨🚨🚨
World health day theme 2024
"My health my right"
