The answer for the above SATA type question is
2, 4, & 5
Areas to brainstorm…
Early Signs of Toxicity
GI manifestations such as anorexia, nausea, vomiting and diarrhea.
Subsequent Manifestations
Head ache
Visual disturbances such as. Diplopia, Blurred vision, Yellow-green halos and Photophobia
Other Manifestations
Drowsiness, fatigue, and weaknesses
Cardiac Rhythm abnormalities
Any questions feel free to ask in comments.
HAVE A HEALTHY AND HAPPY TIME
Today I am here with some abdominal signs that can be elicited on abdominal examination. Do you know the disease conditions where these signs are seen???
Here is the answer…
A smiling umbilicus is seen in ascitis
The normal umbilicus is inverted and situated centrally in the mid abdomen. In ascitis umbilicus is transversely stretched giving it a look, like that of a smile. Hence the name smiling umbilicus.
It’s not the only case where a smiling umbilicus is seen
Yes, a Smiling umbilicus can be seen in obese patients and also in pregnant women
2) Cullen sign :
It is the bluish discoloration of the periumbilical area.It is seen in either,hemorrhagic pancreatitis or ruptured ectopic pregnancy.
3) crying umbilicus is seen in Ascitis
In this the umbilicus may exude fluid,( ascitis fluid) which is seen as a cry.
Crying can occur in some other diseases too.
Eg: Enteric Fistulae,where the umbilicus excuds feculant material.
Clear fluid exudate in patent urachus.
All these for today…
Have a healthy and happy time…
Today I am introducing a brand new area which will help you in your studies for nursing competitive exams. I like to call it as the BUZZER ROUND FOR NCLEX…
The year 2018 is more of a bitter one except for one or two sweet memories. After the devastating flood, which drained me out physically and mentally, it’s the turn of H1N1 flu to attack my health.
Continue reading TAMIFLU
Thought to share some reminders in med surg, which are very minor but much useful information. A free printable of the Q card is there at the end of this topic, with answers. Continue reading HOW GOOD ARE YOU AT MED SURG?
Let me say SORRY to all my dear readers…This very gap in my posts was really unexpected. Firstly, even though in vacation my plans to continue to write was a big fail, as we were stuck in the Flood that hit my homeland…our gods own country…Kerala.
Kerala is a calm and serene destination in south India. We the people of Kerala are always blessed with the finest climates, and the rainy season – the monsoon- on which agricultural Kerala relays on, is a time of blend emotions, that Keralites always cherish. The school reopenings, all the busy rainy mornings, playful kids at the roadside puddles, that patting sounds of rain at the window sills…
But, the rainy season of 2018, was not like the previous years. It was as if GOD had plans, not a single, but many many plans to each individual Keralites…and that’s why each one of us have our own stories to share, stories of horror, and sleepless nights, prayers and religious harmony, cooperation and compassion, moreover the stories of acceptance of the unavoidable, acceptance of the supernatural power above .
Here is the front view of my house during the flood. A picture captured by my relative who took shelter on the first floor of our house. Later they were rescued by the helicopter rescue team.
The aftermath of the devastating flood…
Days of cleaning and chlorination followed and still some more electrical and plumbing works pending.
All those flood days taught many valuable lessons.
Firstly, only a neighbor worth more than a distant relative.
Then, we understood the warmth of family bonds, as many of us took shelter in those relatives house, we haven’t been in touch for long.
We came to understand, how to live with minimal resources.
We learned to be in harmony irrespective of religion, financial or social status.
Now, after three months, our Kerala is almost back on track. And once again is open to the world with her natural beauty…..
Bonus: You could watch a documentary on 12th Nov 2018 on Discovery Channel at 9 pm (IST ) ‘KERALA FLOODS – THE HUMAN STORY’
A case of chest pain in the emergency department always go for the protocol of angina and/or MI. The MI protocol primarily focuses on relief of pain with antianginal medications.
What are Antianginal Medications?
Those medicines which reduce the oxygen demand of the myocardium or increases the oxygen supply to the heart are known as The Antianginal Drugs.
Examples
Here I will discuss the details of Nitrates
Classification
Indications of NITRATES
Mechanism of Action
Antianginals mainly work either by decreasing the Oxygen demand or by increasing oxygen supply.
PHARMACOKINETICS
Contraindications
Side Effects
Drug Interaction
Additive hypotension with other ANTIHYPERTENSIVES
SILDENAFIL (Viagra) can cause additive hypotension
Intake of ALCOHOL along with NTG also cause hypotension
NURSING CONSIDERATIONS WHILE ADMINISTERING NITRATES
About the nurse’s responsibility, there is a lot to discusses. So I am dealing with it as a separate post. You can read it NURSING CONSIDERATIONS WHILE ADMINISTERING NITRATES
