NITROPRUSSIDE

NITROPRUSSIDE (HFQ)

1. Indicated for patients with hypertensive crisis
2. Also for patients with CHF
3. Dilution: 50 mg of NITROPRESS must be further diluted in 250-1000 mL of sterile 5% dextrose injection.
4 . The diluted solution should be protected from light, using the supplied opaque sleeve, aluminum foil, or other opaque material ♥ ♥ ♥

SINUSITIS

SINUSITIS
Sinusitis is a condition consisting of inflammation of the paranasal sinuses, which may or may not be as a result of infection, from bacterial, fungal, viral, allergic or autoimmune

HFQ: DIET FOR SINUSITIS
Patients should take a balanced diet. Most persons with sinus trouble also suffer from acidity. Their diet should, therefore; veer to the alkaline side. The intake of salt should be reduced to the minimum as salt leads to accumulation of water in the tissues and expels calcium from the body.

In the acute stage of the disease, when fever is pre¬sent, the patient should abstain from all solid foods and only drink fresh fruit and vegetable juices diluted with water in the proportion of 50:50. After the fever subsides, he may adopt a low-calorie raw fruit and vegetable diet with plenty of raw juices.

After the acute symptoms are over, the patient may gradually embark upon a well-balanced diet of three basic food groups, namely seeds, nuts and grains; vegetables and fruits. In persistent chronic conditions, repeated short juice fasts may be undertaken for a week or so at intervals of two months.

Phlegm, Phlegm and more Phlegm

Just a precaution guys..

It's flu season again, people: people are hacking and coughing everywhere we go. We all have a friend or coworker who's sick. So what do YOU do?

There's no cure for most of the bugs that are going around, so it's important to keep from catching 'em. Don't inhale other people's sneezes. Don't kiss folks who are ill. But most important, wash your hands frequently, especially before eating. Most people pick up germs with their hands, and then touch their mouth, nose, or eyes: instant infection. When you touch your face before washing your hands, it's like licking every doorknob you've touched since you last washed.

Yuch.

Many viral syndromes start with a sore throat or cold symptoms, often followed by a cough. It's not technically "flu," or influenza. True influenza is caused by influenza viruses. Certain drugs will make it less severe or may prevent your getting it. However, doctors see so many viral infections that aren't influenza that true influenza may be hard to spot.

Smokers have more trouble than non-smokers, since their lungs have lost their natural cleaning capabilities. Normal lungs are lined with tiny hair cells that sweep up the watery mucus layer inside your bronchial tree. This is how lungs clean out the dirt, air pollution, dust, and germs you breathe. One minute of cigarette smoke will paralyze your lungs for 24 hours: all the dirt, smoke, and grime in the air stays in.

What to do when you're definitely sick? The first thing is to beware overuse of cough and cold remedies! Most contain strong drying agents which make your nose drip less, by drying it out. Unfortunately, that dries your lungs out, too. You end up with dried phlegm plugging up your chest. This tickles and irritates your bronchial tubes, making you cough. It blocks off small sections of your lungs and your bronchial tubes get infected with bacteria. This is called bronchitis.

Once you've got a chest full of dried phlegm, how do you get it out? The key word here is "dry." Ever notice how a steamy shower makes you cough? That's because water vapor moistens and loosens the dried phlegm, which then starts to slide down the bronchial tubes. It tickles a new area and makes you cough. However, you want the phlegm to go up and out.

How do you get phlegm up? Easy: steam up your lungs. 5 or 10 minutes in a closed bathroom full of steam works fine. Then, lie face down on a bed or couch with your head, shoulders, and back hanging downward over the edge, and have somebody pound your back with cupped hands while you're breathing as deep as you can and coughing hard. Do the chest percussion twice a day if possible. This may help you get some phlegm up and out, which is where you want it. Chest percussion should last about 5 minutes. Have a cup nearby for the phlegm.

Always check the phlegm color. If it's clear, white, or pale, the infection may still be viral, and antibiotics may not be necessary. If it's yellow, green, brown, or bloody, or if you are having fevers, chills, chest pains, or have other health problems, you might need antibiotics. Contact your health care delivery person.

Very important: get plenty of fluids. If you're dry, the phlegm will be thicker and harder to get up. Drink enough so that when you urinate, it comes out clear. (Remember that B-vitamins will turn your urine darker). Don't use alcohol as a primary fluid source: it dries you out. Coffee and tea do the same thing, to a lesser extent, but the caffeine can help wheezing.

A humidifier is very helpful, especially with a heating system that dries out the air. Since you're often breathing through your mouth when sleeping with a stuffy nose, your lungs get even drier. Use the humidifier in your bedroom at night. If you're sensitive to molds, be careful: they grow better when it's damp. Turn the humidifier off during the day and air out the room.

Watch for high fevers not responsive to aspirin, ibuprofen, or acetominophen; shortness of breath; coughing up blood; or painful breathing. If you get any of those symptoms, get in touch with your health-care delivery person. Actually, "health-care delivery" isn't the right term anymore. How often do you get health care delivered to you? Not very often. You have to come get it!

courtesy of docflash

MI AND ANESTHESIA

THE most common complication of client with MI is cardiac Arrhythmia-PVC. The drug of choice is lidocaine. It is neurotoxic - monitor for signs of toxicity such as confusion, tremors and ataxia :)

Remember ice chips after anesthesia if the patient is nauseated. Extremes will not stimulate the vomiting center. (CHildren cold soda-adults hot or cold ginger ale)

PERSANTIN STRESS TEST

PERSANTIN STRESS TEST
is a test where pictures are taken of your heart muscle.

This test helps to diagnose a CAD. This test helps caregivers see areas of the heart muscle that do not get enough blood supply. The test can also show areas that have been damaged after a heart attack (PERSANTIN)

P regnancy is a contraindication to this procedure
E ating is restricted 6H PTP
R efrain from caffein
S smoking must be avoided
A ssess allergy to persantin
N o to sports drinks
T hallium is a a radioisotope that will also be injected
I V line must be patent
N uclear medicine department - location of the procedure

IMPETIGO

IMPETIGO (SATA)

I mpetigo contagiosa (highly contagious)
M outh and face - most common site
P ustules & vesicles - appearance of lesion progressing to an
E xudative and crusting stage
T reatment - ABT - antibiotic therapy
I solation precaution is CONTACT (GGG)
G ABHS or staph auresus - agent
O ral ABT, ointment and PHISOHEX are included in the Tx

ZETIA

ZETIA (EZETIMIBE)
♥ ♥ ♥

Z...etia is an anticholesterol drug
E...zetimibe is the generic name
T...ime of effectiveness (2 weeks)
I... nstruct to report muscle pain
....Zetia increases skeletal muscle break down
A...void during pregnancy, kidney failure and allergy to Zetia

report myalgia since zetia increases skeletal muscle breakdown

MECHABICAL VENTILATOR

MECHANICAL VENTILATOR
Mechanical ventilation is a method to mechanically assist or replace spontaneous breathing.

This may involve a machine called a ventilator or the breathing may be assisted by a physician or other suitable person compressing an ambu bag. Traditionally divided into negative-pressure ventilation, where air is essentially sucked into the lungs, or positive pressure ventilation, where air (or another gas mix) is pushed into the trachea.

HFQ: Low pressure alarm-leak-check connections

HFQ: High pressure alarm-obstruction or client is biting the tube - suction prn or insert oral airway

Laryngitis

L aryngeal inflammation which causes hoarseness of voice
A lcohol, viruses, bacteria (SY) are the causes
R esults from overuse of the vocal cords
Y in (cold) drinks must be avoided
N o alcohol and smoking
G ive warm, soothing liquids
I hale steam from a bowl of hot water
T hroat lozenges and nonprescription pain reliever
I instruct to complete ANTIBIOTIC therapy
S peaking in public must be avoided during recovery ♥