TNAI Bulletin - June 2020
TNAI Bulletin - June 2020
Tough times don't last ; this too shall pass : Click Here
Official Website : Click Here
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International Yoga Day 2020
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International Yoga Day 2020
The 6th International Yoga Day 2020 celebrated in United Nations on 21-06-2020Due to the Covid-19 crisis, this year theme for the International Yoga Day is Yoga Day is Yoga at Home and Yoga with Family.
International Yoga Day is a reminder we must keep our mental reminder we must keep our mental emotional, spiritual and physical health before anything else, and take some time out to nourish and nurture ourselves with yoga.
Yoga is a waking up.
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Yoga |
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Mask Protection Efficiency
Mask Protection Efficiency
N95 MASK
- Virus............. 95%
- Bacterial ....... 100%
- Dust .............. 100%
- Pollen ............ 100%
SURGICAL MASK
- Virus .............. 95%
- Bacterial.......... 80%
- Dust................. 80%
- Pollen .............. 80%
FFP1 MASK
- Virus ............... 95%
- Bacterial ......... 80%
- Dust ................ 80%
- Pollen .............. 80%
ACTIVATE CARBON
- Virus ............ 10%
- Bacterial ....... 50%
- Dust .............. 50%
- Pollen ............ 50%
CLOTH MASK
- Virus .............. 0%
- Bacterial ........ 50%
- Dust ................ 50%
- Pollen .............. 50%
SPONGE MASK
- Virus ............... 0%
- Bacterial ......... 5%
- Dust ................ 5%
- Pollen ............. 5%
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Diabetic Foot Care Online Course
Diabetic Foot Care Online Course
It is a unique e-learning course on Diabetic Foot Care and Preventive podiatry for Health Care Professionals.Chellaram Diabetes institute is an international Diabetes Federation (IDF) recognized center of education and center of excellence in Diabetic care
More.....
Course Description :
Diabetic foot is an important it is common for people with diabetic foot problems to remain undiagnosed and untreated, especially in developing countries.Course Highlights :
Video lectures by expert faculty for easy understandinginteresting activities in each module.
More....
Course Modules :
Six modules of course as followsMore....
Course Fee : 4900/- INR
Website : www.cdiacademy.org.in
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Antonys Nurses Academy, Cherthala, Arthunkal, Kerala
Antony's Nurses Academy Cherthala
Antony's Academy located in cherthala. We can proudly say we are the leading providers of MOH, DHA, HAAD, PRO-METRIC coaching classes for Registered Nurses.We also undertake Examination Registration for examinations conducted by various Ministries across the world on behalf of medical professionals upon their request.We also offers you BASIC LIFE SUPPORT (BLS) and ACLS.
Courses :
PrometricDHA
HAAD
MOH
PARAMEDIC
NCLEX
NHRA
ACLS /BLS
CBT
Contact :
97453433709645313370
097453 43370
Address :
Beach Road,Arthunkal,
Kerala
688530
Website :
Sumukha Home Nursing Services
Sumukha Home Nursing Services
Sumukha Nursing Services is a leading home care provider in Bangalore and other parts of country since 2001. Our parent company name is Sumukha Facilitators Pvt. Ltd. We have built our reputation and tradition of compassionate care, Professional integrity and commitment.We have been the trusted home health care for thousands of patients, families and seniors for last 15 years
Objectives :
Our objective is to provide nursing services based on qualitative and comprehensive care to the patients, Maximum comfort and happiness by way of pleasant surrounding. Formulate a personal and professional ethical framework to conduct professional nursing.Services :
- Nursing Care
- On Call Duties
- Corporate Medical Rooms
- Elderly Home
Contact :
Cell : 09880024265Land : 080 9599 0811
080-22441963
Toll free : 1800-212-9707
Website : www.homenursingservices.in
Email :
info@homenursingservices.insupport@homenursingservices.in
sumukha@homenursingservices.in
Address :
3/2, 2nd floor,Sarjapur Main Road, Opp to 3M Car Care,
Bengaluru, Karnataka 560102
TIMS Staff Nurse Contract Basis Recruitment 2020
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Telangana Institute of Medical Sciences (TIMS) Staff Nurse Contract Basis Recruitment 2020
Gachibowli, Hyderabad. Telangana.
Applications are invited online from eligible candidates to fill up Staff Nurse, Asst Deputy Nursing Superintendent / Head Nurse, Nursing superintendent Gr II ( Nursing Superintendent ) on contract basis for a period of a one year.
1.Posts : Staff Nurse
No : 246
Educational Qualifications :
(a) B.Sc Nursing or GNM
(b) Must be a Registered Nurse and Midwife
Salary : 25140/-
02. Post : Asst Deputy Nursing Superintendent / Head Nurse
No : 20
Education Qualifications :
(a) B.Sc Nursing or GNM
(b) Must be a Registered Nurse and Midwife
(c) Must possess 5 years of experience as Staff Nurse
Salary : 29760/-
03. Post : Nursing superintendent Gr II ( Nursing Superintendent )
No : 1
Education Qualifications :
(a) B.Sc Nursing or GNM
(b) Must be a Registered Nurse and Midwife
(c) Must possess 5 years of experience as Staff Nurse
Salary : 35120/-
Application Mode : Online
Application starts from : 16-June-2020
Application Last Date : 19-June-2020 5PM.
Online Application : Clickhere
Official website : clickhere
official Notification : Clickhere
Sorepills
Sorepills
Medicated Throat Lozenges
Sorepills are used to treat the conditions sore throat.
Uses :
- Relieves cough
- Relieves Sore throat
- Freshens the mouth
Directions :
- Adults and Children over 6 years.
- One lozenge to be dissolved in mouth every 2 to 3 hours to relief cough and sore throat.
- If symptoms persists consult your doctor.
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Acute Otitis Media ( Middle Ear Pain, Infection ) : Causes, Symptoms, Diagnosis, Treatment, Risk Factors
Acute Otitis Media ( AOM ) - Ear Pain
Acute Otitis Media ( AOM ) or Middle Ear disorder or Ear Pain characterized by Moderate to severe onset middle ear sever pain, Ear effusion, Physical evidence of the middle ear inflammation.Causes :
Childhood bacterial infection
Cold
Flu
Sinus Infection
Allergies
Sore throat
Respiratory Infections.
Symptoms :
- Ear pain ( Less than 48 hours )
- Swelling
- Edema
- Pus Discharge form ear
- Redness
- Fever
- Irritability
- Bulging of tympanic membrane
Risk Factors :
Age : YoungerUpper respiratory tract infections
Family history of recurrent acute otitis media
Immunodeficiency
Allergies
Exposure to environmental smoke
Respiratory Irritants
No breast feeding
Pacifier use
Craniofacial abnormalities
Gastroesophageal reflux
Diagnosis :
1) Physical Examination : Using otoscopy visualized the ear parts.
2) Symptomatology : Without otoscopic findings of inflammation.3) Investigations :
Most cases can be diagnosed clinically. Such as
- FBC
- CRP
- Blood Culture and Fluid culture : If any discharge present and if any signs of sepsis. Fluid culture has to be taken before starting Antibiotic Therapy
Treatment
Diagnosis established by physical examination findings and presence of symptomsAntibiotic Therapy :
First line Antiboitics :Initially firsit line antibiotics to be start with high dose.
1. Tab : Amoxycilin 625mg
Adult Dose : 625 mg in two times per day for 3 days or 5 days or 7 days or 10 days
Note : Before taking check for allergies.
2. If symptoms not cured after 3 days of treatment administer ceftriaxone, clindamycin, tympanocentesis
Children Dose : 90 mg per kg ay in two divided doses. It is the first choice for initial antibiotic therapy in Children with AOM.
Second line Antiboitics Therapy
Dosage : Ciprofloxocin Ear drops 3 times or 4 times per day
Note : Before taking check who are allergic to pencillin.
Pain Management :
Adequate analgesia. Use NSAIDsAnalgesics are recommended for symptoms of ear pain, fever and irritability. Analgesics are particularly important at bedtime ( Due to pain disrupted to sleeping pattern )
1. Acetaminophen
2. Ibuprofen
1. Ketrol DT
2. Paracetamol
Note : Check for Kidney disease
Swelling :
1. Dexamethasone ear dropsProcedure :
Ear Irrigation : Ear irrigation is a procedure to clear the fluids of inner ear. It is performed by the physician.
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Difference between Cetrazine and Levocetrazine
Difference between Cetrazine and Levocetrazine
Cetrazine and Levocetrazine both are Antihistamine Drugs also called Antiallergic Drugs. These drugs are used to relive the allergic symtoms such as watery eyes, runny nose, Itching nose and eyes, sneezing, hives. These drugs works blocking by certain natural substance ( histamine ) that the body makes during an allergic reaction.Levocetrazine is less sedative than Cetrazine. 5mg of Levocetrazine dose is equal to 10mg of cetrazine. These medications are to be taken during night hours before sleeping to work effectively.
Electroconvulsive Therapay-ECT
Electroconvulsive Therapay-ECT
ElectroconvulsiveTherapay (ECT) is a procedure in which electric currents are passed through the brain, deliberately triggering a brief seizure. Electroconvulsive therapy seems to cause in brain chemistry that can immediately reverse symptoms of certain mental illnesses. It often works when other treatments are unsucessful.Nurses have an important role to deliver when a client is to undergo Electroconvulsive Therapy. Find out what are the responsibilities and activities of the nurse during electroconvulsive therapy.
Emotional and Educational support to the Client & Family
- Encourage the client to discuss feelings, including myths regarding ECT.
- Teach the client and the family what to expect with ECT.
Pre treatment Protocol for ECT :
- Ascertain if the client and the family have received a full explanation, including the option to withdraw the consent at any time.
- Withhold food and fluids for 6 to 8 hours before treatment.
- Remove dentures, glassess, contact lenses, hearing aids, hair pins and etc.
- Have client void before the treatment.
- Give preoperative medications as ordered.
- Atropin : To prevent potential for aspiration and to help minimize brady arrhythmias in response to electrical stimulants. Instead of Atropin Glycopyrrrolate ( Robinul ) can be used.
Nursing Care During Procedure :
- Place a blood pressure cuff on one of the clients arms.
- As the intravenous line is inserted and EEC and EEG electrodes are attached, give a brief explanation to the client.
- Put on the pulse oxymeter to the client's finger.
- Monitor blood pressure throughout the treatment
- Medication to be given
- Short Acting Anesthetic ( Brevital )
- Muscle relaxant ( Succinylcholine )
- 100% oxygen by mask via positive pressure. - Check if the bite block is placed in prevent biting of the tongue.
- Electrical stimulus given ( Sezure should last 30-60 sec ).
Post treatment Nursing Care :
- Have the client go to a properly staffed recovery room
- Once the client is awake, talk to the client and check the vital signs.
- Give frequent orientation and reassurance to allay confusion.
- Check the gag reflex before giving client fluids, medications or breakfast.
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Pregnancy Urine Test
Pregnancy Urine Test
A Pregnanacy Urine Test measures a hormone in the body called human chorionc gonadotropin (HCG), a hormone produced during pregnancy. This hormone can be detected in small amounts in both the urine and the blood of a pregnancy woman as early as 10 days after conception.Purpose :
Urine HCG tests are a common method of determining if a woman is pregnant. The best time to test for pregnancy is after the woman miss her period.Equipment :
- Urine specimen cup.
Preparation :
Allow the patient to wait one to two weeks after her first missed period to get the most accurate results.Procedure :
1. Advise the patient to use the test the first time she urinate after waking up. As this urine is the most concentrated. It will contain the highest hCG levels of the day. Urine will become more diluted as the patient drink liquids. So hCG levels may be harder to measure later in the day.2. Label the specimen cup with the patient's identifying information, complete a laboratory request form requesting an HCG test and send both to the lab.
INTERNATIONAL NURSES DAY 2020
INTERNATIONAL NURSES DAY 2020
International Nurses Day organized annually by the International Council of Nurses. Which is held on 12th May every year theme for International Nurses Day 2020 is Nursing the World to Health, focusing on the true value of nurses to the people of the world.Theme : A VOICE TO LEAD-NURSING THE WORLD TO HEALTH
It will be the 200th anniversary of Nightingale's birth, International Nurses President Annette Kennedy said she is expecting 2020 to be a momentous year of the profession.
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INTERNATIONAL NURSES DAY 2020 |
Telangana Staff Nurse Vacancy Outsourcing Basis April 2020
Telangana Staff Nurse Vacancy Outsourcing Basis April 2020
Applications are invited from Staff Nurses on Outsourcing basis in Government Hospitals and to work in various Schemes of the Government initially and to work in Various Schemes of the Government initially for a period of one year.
No of Posts : 2157
Last Date : 06-APR-2020
Online Application : Click Here
Detailed Notification : Click Here
Kangaroo Mother Care - Pediatrics
Kangaroo Mother Care (KMC)
- Kangaroo Mothe Care provided for Low Birth Weight babies below the 2000gm or 2kg.
- Promotes Weight gain and Thermal control.
- More regular breathing and less predisposition of apnea.
- Protect against pneumonia Nosocomial Infection.
- Kangaroo Mother Care reduces Stress of baby
Procedure :
- Keep the baby upright position on mother breast ( Fraglike Structure ).
- Babay abdomen should be placed level of mothers epigastrium
- In the initial stage monitor breathing, Airway, Color, Temperature.
- Baby could be fed with Paladi, Spoon, Tube.
Duration : The Kangaroo Mother Care Duration Not less than 1 hour.
Position : Reclined (or) Semi Recumbent Postion (15-30 degee).
Discharge : 15-20gm per day for atleast 3 consecutive days.
Discontinue : To reach weight 2.5kg-3kg or Reach of 40 Weeks.
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Corona Virus
Corona Virus
Corona Virus ( COVID-19) is a infectious disease contain large family of viruses.
Zoonatic Disease : It is zoonatic disease transmitted from animal to animal and people. Especially from civet cats, camels, bats.
Incubation Period : 2-12 Days.
Family : Corona Viridae, ssRNA Genome.
Zoonatic Disease : It is zoonatic disease transmitted from animal to animal and people. Especially from civet cats, camels, bats.
Incubation Period : 2-12 Days.
Family : Corona Viridae, ssRNA Genome.
It is first finding in 31-DEC-2019 at Wuhan City of China. Later it spread through Worldwide.
Symptoms :
- Fever 100.4 F
- Dry Cough
- Pneumonia
- Shortness of Breath
- Kidney failure
- Body ache and Muscle pain
- Death
- Fatigue
- Sore throat
- Headache
- Chills
- Nausea and vomiting
- Nasal congestion
- Diarrhoea
- Hemoptysis
- Conjunctival congestion.
Pathogenesis :
Unique feature it causes both Upper Respiratory Tract infection and Lower Respiratory Tract Infection
1.Virus attaches to specific cellular receptors via the spike protein
2.Transformational change, leading to fusion between the viral and cell membrane
3.Release of nucleocapsid into the cell
4.Alteration of cell function and production
5.Release of excess cytokines and chemokines ( IL-1, IL-6,IL7, IL-8,IL-9, IL-10,TNF and Increased ESR, Increased CRP, Procalcitonin).
6.Cause of Death Due to complication effects caused by Cytokine storm syndrome.
7.Severe Acute Respiratory Distress Syndrome (SARS)
Fulminant Myocarditis ( Cardiac affinity )
Spread :
- Droplet infection ( cough,sneeze )
- Surface ( Table, Desks, etc )
Screening / Laboratory Analysis :
- WBC count may vary Leukopenia/ Leukocytosis
- Decreased Lymphocyte count Lymphopenia ( Most common findings )
- Increased LDH levels ( Due to affinity of cytokines for cardiac tissue hepatic tissue )
- Increased Ferrin Level ( Early finding )
- Increased AST ALT ( Aminotransferases )
- Increased ESR, Increased D-Dimer,Increased Procolcitonin.
- Virus confirmed by rtPCR Technique.
- Culture : Not done for preacacution purposes
- Imaging :
- Ground glass opacification w/wo consolidation
- B/L peripheral involvement esp lower lobe.-
- Can be found even before onset of symptoms but no specific for COVID.
Prevention Methods :
- Hand Washing
- Wearing Mask and goggles to prevent the entry of virus through Mouth, Nose, and Eyes.
Risk Factors
Infant, Children, Old age group people, History of Respiratory issues like Asthma, Diabetes, Heart problem are more pron to get affect severe complication from Corona Virus.
Treatment :
- There is presently no treatment for Corona Virus. Symptomatic treatment for illness and Isolation measures.
- Nothing has been postulated officially.
- Hospitalisation only for severe cases
Supportive Treatment
- Maintain Airway, Breathing, Circulation.
- Ventilation if required (if Po2<55%)
- Isolation ( To prevent spread )
- Correction of electrolytic imbalance
- Correct temperature.
Drugs :
- TOCLIZUMAB ( IL-6 BLOCKADE )
- ANAKINRA ( IL BLOCKADE ) : Against effects of cytokinesorm.
- Remdesivir ( in spotlight these days for its effect shown
- Lopinavir / Ritonavir ( HIV Tt )
- Favilavir
- Omer AntiMalarials also showed results ( Hydrochloroquine derivative of chloroquine phosphate.
AIIMS Rishkesh Admit Cards 2020
AIIMS Rishkesh Admit Cards 2020
Exam Date : 23-01-2020Date of Uploading Admit Cards : 08-01-2020
Exam Time : 09AM - 12PM
Entry Close of Exam : 07am - 8.30 am
Click Here : Download
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