Pre-eclampsia ; signs and symptoms

 

Pre-eclampsia is referred to as pregnancy induced hypertension characterized by increase in blood pressure and excess protein in the urine by 20 weeks of pregnancy. If left untreated can cause fetal and maternal death.
signs and symptoms

classifications:
A.  Mild Preeclampsia
    symptoms:
    BP of 140/90
    1+ to 2+ proteinuria on random
    weight gain of 2 lbs per week on the 2nd trimester and 1 lb per week on the 3rd trimester
    Slight edema in upper extremities and face

B. Severe Preeclampsia
    symptoms:
    BP of 160/110
    3-4+ protenuria on random
    Oliguria (less than 500 ml/24 hrs)
    Cerebral or visual disturbances
    Epigastric pain
    Pulmonary edema
    Peripheral edema
    Hepatic dysfunction

Management:
1. Hypertension Therapy
2. Magnesium Sulfate
3. Dietary and Nutritional factors
4. Fellatio

source: wikipedia.com

Cast Care

A cast is placed on an injured bone or muscle to immobilize and protect the affected area for healing and to relieve pain. Plaster of Paris and Wadding sheet are used to do the trick. 


TIPS to remember for the care of patient's with casts. 
1. ALWAYS keep the cast  CLEAN and DRY. A cast with wet drains causes infection if not managed properly. 
2. When bathing the patient, make sure to cover the cast with plastic.  
3. Do not lean or push the cast because it can break and deviates the purpose of immobilization. 
4. Scratching the skin under the cast, putting lotions or powder is never allowed for it can break the skin underneath. To relieve itching under the cast, try pointing a hairdryer on a cool-air setting down the cast.
5. A sling may be attached to the cast involving the upper extremities. Crutches may be needed to walk if the cast is on the leg , foot or ankle. 
6 Elevating the casted area can prevent swelling. . 
7 ALWAYS check for signs of COMPARTMENT SYNDROME such as sever pain, altered sensation of the affected part, absent pulses , tense and swollen shinny skin with obvious bruises and congestion of the digits with prolonged capillary refill time. 

International English Language Testing System - IELTS

When you plan to study, live or work to other countries like Australia, United Kingdom or Canada  , a prerequisite requirement  before you apply is to have a proof of language proficiency. One of the best that I know of is IELTS , International English Language Testing System. Much easier and systematic. Depending on the course of  study, a student must know which type of test should be taken. 

IELTS has two selections. Firstly The Academic which is suitable if a student plans to study (post-graduate) on a foreign land, that requires complex use, and understanding of academic language. Second and Lastly is The General training, much easier than the latter one and is required for immigration purposes. Both have four modules: listening , speaking, reading and writing. 

It is best advised to take time to practice and enroll in a center where classes are held.

DECEMBER 2011 NURSES LICENSURE EXAMINATION RESULTS

The results for PRC NLE December 2011 Board Takers are in!

NLE Result for December 2011 takers.

Intravenous Line Insertion

This video shows how to start an IV line for patients.

JIPMER Pondicherry Jobs – Nursing jobs India – Jawaharlal Institute of Postgradute Medical Education & Research Staff Nurse jobs

JIPMER Pondicherry Jobs – Nursing jobs India – Jawaharlal Institute of Postgradute Medical Education & Research Staff Nurse jobs

Government of India
Jawaharlal Institute of Postgradute Medical Education & Research (JIPMER)
Pondicherry – 605006

Website : http://www.jipmer.edu/

Job Description : Applications are invited by the Director, JIPMER, Puducherry-605006 from eligible candidates for the following category of post mentioned below:

Staff Nurse : 90 posts
(UR-47, OBC-24, SC-13, ST-6)
Pay Scale : Rs.9300-34800 Grade Pay Rs. 4600/-

Desired :

(i) Diploma in General Nursing and Midwifery or equivalent.
(ii) Registered as Nurse; and
(iii) Registered as Midwife (or) equivalent with any State Nursing Council.

Age : 37 years, relaxation as per rules.

Fee : Demand Draft for Rs 500 or Rs 250 (SC/ST) drawn in favour of the Accounts Officer, JIPMER, payable at Pondicherry.

Apply : The duly filled in application forms for the post should be superscribed on the envelope as Application for the post of ______ and should reach to the Director, JIPMER, Dhanvantari Nagar, Puducherry-605006

Last date for applying : 5th October 2009.

For details visit : http://www.jipmer.edu/Advt-Staff%20nurse.doc

Upper and Lower GI Series Diagnostic Procedures

Barium is a radio-opaque substance that appears like "milk" or chalky white soultion, that constipates the stool.


UPPER GI SERIES (Barium Swallow)
Ingestion of Barium sulfate to outline esophagus and stomach (duodenum too) as well as its physiology, by radiologic (x-ray) examinations

Nursing Implications:
- NPO post midnight
- Encourage fluids to facilitate elimination
- Laxatives as ordered
- Advise for light (clay) colored constipated stool
LOWER GI SERIES (Barium Enema)
Instillation (by enema) of barium, positioning the client for radiologic examinations

Nursing Implications:
- Light diet and Laxative evening prior to test
- Cleansing Enema prior, followed by barium enema, then by series of x-rays, and cleansing enema (to prevent impaction)

****In case both barium swallow and barium enema will be done at one setting, barium enema is done first. !!