Nursing Reviewer: Alzheimer's Disease

3 types

1. Probable - simple things can't be performend
2. Possible - s/sx eg dementia
3. definite - confirmation via autopsy

Theories:

1. Acquired without trauma to brain
2. kuru virus - from monkey
3. psychosocial theory - loner
4. too much stress
5. decrease acetylcholine
6. autoimmune theory (HIV, RA, lupus, cancer)
7. aluminum theory - exposure
8. pugilistica theory - contradicts to #1; exist also in parkinsons disease eg. boxers

Nursing Reviewer: Migraine

• common in Female, perfectionist, ambitious, inflexible
• pain start from one hemisphere to the other hemisphere 5-10mins only, severe- last for hours. days, weeks
• severe throbbing pain

Nsg priority: pain, cause of ain, stop activity, administer analgesic, bring to quiet dark environment

Mgt: decrease stimuli = decrease ICP

Nursing Reviewer: Autonomic Dysreflexia

- brady cardia, hypertension

Nursing Reviewer: Hydrocephalus

N- 100-150ml
Types:
1. communicating - continues
2. non-communicating

** increase ICP is tolerated in children by enlarging head

Manifestations:
increase pitch cry, weakness, enlargement of head

** undergo myelogram (lumbar puncture) L3-L4/L4-L5
    -insert dye, apirate 5cc CSF

common dye: position after
air- trendelenburg
water - flat on bed - 6hrs
oil - head elevated 15-30 degress 4-6hrs

Nursing Reviewer: Migraine

-common in female, perfectionist, ambitious, inflexible
- pain start from one hemisphere to other hemisphere 5-10mins only;
severe - last for hours, days or weeks
-severe throbbing pain

Nursing Priority: pain, cause of pain, stop activity, administer analgesics, bring to quiet dark environment

MGT: decrease stimuli = decrease ICP

Clinical Preceptorship

OCt 11, 2012

fee;400.00
EXTERNAL 600.00

7270001 LOC 3812-3814

Chinese General Hospital

Chinese General Hospital

1. Resume
2. Transcript of Records
3. RLE Form
4. Diploma
5. Certificate of Board Rating
6. Board Passing Certificate
7. 3 pieces 2x2 picture
8. PRC License
9. Professional Tax Receipt
10. NBI Clearance

Where To Submit:

286 Blumentritt St., Sta. Cruz, Manila
Phone 711-4141; 711-3917

Submit at 286 Blumentritt StreetSta. Cruz Manila

Capitol Medical Center

Capitol Medical Center

1. Resume
2. Transcript of Records
3. RLE Form
4. Diploma
5. 3 pieces 2x2 picture with blue background
6. Certificate of Board Rating
7. Board Passing Certificate
8. PRC License
9. Professional Tax Receipt
10. SSS, TIN
11. Police Clearance
12. NBI Clearance
13. Cedula
14. Birth Certificate
15. Other important documents like marriage certificate if applicable

Where To Submit:

Capitol Medical Center, HRD

Quezon Avenue corner Scout Magbanua
Quezon City, Philippines

(Use Out Patient Department (OPD) entrance along Panay Avenue

Website:http://www.capitolmedical.org/

Emergency Medication Management with Algorithm

September 10, 2012 and Dec 10, 2012

fee: CSMC: 400
external: 600
'
call7270001 loc 3812-3814

Nursing Management of patients with Mechanical Ventilator

July 30, 2012 and Nov. 12, 2012

Fee: CSMC Participant 400.00
external: 600.00

call 7270001 loc 3812-3814

Asian Hospitaland Medical Center

Asian Hospitaland Medical Center

1. Resume
2. Transcript of Records
3. RLE Form
4. Diploma
5. PRC License
6. IVT License
7. Basic Life Support Training
8. Certificate of Board Rating
9. Training Certificate
10. Certificate of Employment/ Good Moral Certificate for new graduates
11. 3 Referral letters (from college for new graduates

Where to Submit:

Asian Hospital and Medical Center

2205 Civic Drive, Filinvest Corporate City,

Alabang, Muntinlupa City1780, Philippines

Telephone Number: 771-9000 extension 8421, 8425, 8465

Website:http://www.asianhospital.com/

Different type of seizure and its management

June 11, 2012 and Nov 12, 2012
Cardinal Santos Medical Center

fee:CSMC participant 400.00
external 600.00

call 7270001 loc 3812-3814

Neonatal Resuscitation Program

December 17, 2012

Venue: Cardinal Santos medical Center
7270001 loc 3812-3814

Fee: CSMF Participant: php500.00
External: Php 1500.00

3 day IVT Updates Seminar

May 26-28, 2012
July 21-23, 2012
Nov 24-26, 2012

Venue Cardinal Santos Medical center
7270001 loc 3812-3814
CSMF Participant: Php1800.00
External Particiapnt Php 1800.00

3 Day Basic IVT Seminar

April 28-30 2012
June 23-25, 2012
Aug 18-20, 2012
October 20-22, 2012

Venue: Cardinal Santos Medical Center
Fee: CSMC participant Php 2500.00
External Participant: Php 2800.00

Inquire  7270001 loc 3812-3814

DEC 2011 Nursing Licensure Exam Boar Passers

..MANILA, Philippines - The Professional Regulation Commission (PRC) announces that 22,760 out of 67,095 passed the Nurse Licensure Examination given by the Board of Nursing in the cities of Manila, Baguio, Cagayan de Oro, Cebu, Dagupan, Davao, Iloilo, La Union, Legazpi, Lucena, Nueva Ecija, Pagadian, Pampanga, Tacloban, Tuguegarao and Zamboanga last December 2011.




The top 10 successful examinees are:

Spinal Cord Injury

Common to highly educated person

Common in July

Cause: vehicular accident, violence, sports related injuries  eg diving

Areflexia- absence of reflexes after injury

stroke

-sudden neuro deficit

Diagnosis: Right CVA – left hemapheresis

                   Left CVA – Right hemapheresis

40% - thrombotic

30% -embolic

          Lacunar

           Hemorrhagic – devastating

*prone to depression

*prevent depression – family support

2 common cause in depression

1.       Acquired

2.       Side effects of drugs

Stages of Recovery:

1.       Flaccidity

2.       Spasticity begin

3.       Spasticity continues

4.       Peak spasticity 

5.       Spasticity declines

6.       Spasticity disappear – normal recovery

Risk Factors:

Lifestyle, obesity, diabetes mellitus, increase serum cholesterol, age, black people

Management:

1.       Drug – anti – coagulant (heparin)

2.       Carotid endarterectomy – surgical removal of plaques ; side effects – alzheimer’s disease

Bacillar artery affected = death

Pontine artery affected = doll’s eye phenomenon (oculo cephalic reflex)

Complication: immobility, contractures, sexual dysfunction

**prevent footdrop contractures – wear high tennis shoes

multiple sclerosis

Multiple Sclerosis

-myelin sheath- conducts impulses from brain to another

3 theories : 1. Demyelination, 2. Auto immune, 3. Virus

Manifestations:

1.       Blurring of vision (unilateral blindness)

2.       Weakness/ fatigue

3.       Spasticity

4.       Scanning speech

5.       Bowel/bladder incontinence

6.       Sexual dysfunction – due to decrease vaginal lubricant

7.       Euphoria(mood swings)

Drugs of choice: Baclofen

Mgt: live life actively

myasthenia gravis

Myasthenia Gravis

-decrease in acethylcholine

1^st manifestation: ptosis (drooping eyes)

Fatal complication: myasthenia crisis (dyspnea, dysphagia, difficulty talking)

Test: edrophonium chloride through IV

Crisis should subside – 3-5minutes/ 5-10minutes

Nsg. Mgt: live life actively