ALTERNATIVE THERAPIES

HERBAL MEDICINES
10 herbal medicines being advocated by the DOH
L LAGUNDI
U ULASIMANG BATO
B BAWANG
B BAYABAS
Y YERBA BUENA
S SAMBONG
A AMPALAYA
N NIYOG-NIYOGAN
T TSAANG GUBAT
A AKAPULKO
1. LAGUNDI
o S SKIN DISEASES
o H HEADACHE
o A ASTHMA, COUGH, FEVER
o R RHEUMATISM, SPRAIN, INSECT BITES
o E ECZEMA
o D DYSENTERY
2. ULASIMANG BATO
o U Uric acid excretion
3. BAWANG
o BawHaT: Bawang for HYPERTENSION & TOOTHACHE
4. BAYABAS
o DIARRHEA
o WASHING OF WOUNDS
o GARGLE TO RELIEVE TOOTHACHE
5. YERBA BUENA
o S SWOLLEN GUMS
o P PAIN
o I INSECT BITES
o T TOOTHACHE
o M MENSTRUAL & GAS PAIN
o A ARTHRITIS
o N NAUSEA & FAINTING
o D DIARRHEA
6. SAMBONG (A-D-A)
o A ANTI-EDEMA
o D DIURETIC
o A ANTI-UROLITHIASIS

7. AMPALAYA
o Mild Diabetes Mellitus (NIDDM)
8. NIYUG-NIYOGAN
o Anti-helmithic: ASCARIASIS
9. TSAANG-GUBAT
o STOMACHACHE
o TSAANG GUBAT
o DIARRHEA
10. AKAPULKO
o Anti-fungal
GINGER ALE: stimulant
GINSENG: stamina; immune booster; Tonic
EUCALYPTUS: anti-inflammation; steam inhalation
LEMON GRASS: sedative: acne

NURSING LAWS that you need to know.......

R.A. 9173 The Philippine Nursing Act of 2002
R.A. 7164 The Philippine Nursing Act of 1991
Act 2808 of 1919 The 1st True Nursing Law; regulated nursing only and established Board of
Examiners, the precursor to the Board of Nursing
Act 2493 of 1915 The 1st Nursing Law; regulated both medicine and nursing
R.A. 877 of 1953 The 1st Comprehensive Nursing Law; regulated the degree of Bachelor of
Science in Nursing and made nursing into a profession
R.A. 4704 of 1966 increased the number of the Board of Examiners from 3 to 5
R.A. 6136 of 1970 allowed nurses to perform IM injections without supervision from doctors
R.A. 349 Legalizes the use of human organs for surgical, medical and scientific purposes
R.A. 1054 Free emergency, medical and dental assistance to employees and laborers
R.A. 1080 Civil Service Eligibility
R.A. 1082 Rural Health Unit Act
R.A. 1136 Act recognizing the Division of Tuberculosis in the DOH
R.A. 1612 Privilege Tax/Professional tax/omnibus tax should be paid January 31 of each year
R.A. 1891 Act strengthening Health and Dental services in the rural areas
R.A. 2382 Philippine Medical Act which regulates the practice of medicines in the Philippines
R.A. 2644 Philippine Midwifery Act
R.A. 3019 Graft and Corruption Practice Act
R.A. 3573 Law on reporting of Communicable Diseases
R.A. 4073 Liberalized treatment of Leprosy

 R.A. 4226 Hospital Licensure Act requires all hospital to be licensed before it can be operative
R.A. 4419 Philippine Dentistry Act of 1965
R.A. 5181 Act prescribing permanent residence and reciprocity as qualifications for any
examination or registration for the practice of any profession in the Philippines
R.A. 5821 The Pharmacy Act
R.A. 5901 40 hours work for hospital workers
R.A. 6111 Medicare Act
R.A. 6365 Established a National Policy on Population and created the Commission on
population
R.A. 6511 Act to standardize the examination and registration fees charged by the National
Boards, and for other purposes.
R.A. 6571 Requirement of fees for exams
R.A. 6675 Generics Act of 1988
R.A. 6713 Code of Conduct and Ethical Standards for Public Officials and Employees
R.A. 6725 Act strengthening the prohibition on discrimination against women with respect to
terms and condition of employment
R.A. 6727 Wage Rationalization Act
R.A. 6758 Standardized the salaries
R.A. 6809 Majority age is 18 years old
R.A. 6972 Day care center in every Barangay
R.A. 7160 Local Government Code
R.A. 7170 Law that govern organ donation
R.A. 7192 Women in development nation building
R.A. 7277 Magna Carta of Disabled Persons
R.A. 7305 The Magna Carta of Public Health Workers
R.A. 7392 Philippine Midwifery Act of 1992
R.A. 7432 Senior Citizen Act
R.A. 7600 Rooming In and Breastfeeding Act of 1992
R.A. 7610 Special protection of children against abuse, exploitation and discrimination act
R.A. 7624 Drug Education Law
R.A. 7641 New Retirement Law
R.A. 7658 An act prohibiting the employment of children below 15 years of age
R.A. 7659 Death Penalty for Heinous Crimes
R.A. 7719 National Blood Service Act of 1994
R.A. 7846 Compulsory Immunization of HepB within 24 hours of birth
R.A. 7875 National Health Insurance Act of 1995
R.A. 7876 Senior Citizen Center of every Barangay

 R.A. 7877 Anti-sexual harassment Act of 1995

R.A. 7883 Barangay Health workers Benefits and Incentives Act of 1992
R.A. 8042 Migrant Workers and Overseas Filipino Act of 1995
R.A. 8172 Asin Law or Salt Iodization Act
R.A. 8187 Paternity Leave Act of 1995
R.A. 8203 Special Law on Counterfeit Drugs
R.A. 8282 Social Security Law of 1997 (amended RA 1161)
R.A. 8291 Government Service Insurance System Act of 1997 (amended PD 1146)
R.A. 8344 Hospital Doctors to treat emergency cases referred for treatment
R.A. 8423 Philippine Institute of Traditional and Alternative Medicine
R.A. 8424 Personal tax Exemption
R.A. 8749 The Philippine Clean Air Act of 1999
R.A. 8981 PRC Modernization Act of 2000
R.A. 9003 Solid Waste Management Law
R.A. 9048 Gionigudo Act, misspelled birth certificate
R.A. 9165 Comprehensive Dangerous Drugs Act 2002
R.A. 9255 Revilla Law, illegitimate use of fathers name
R.A. 9262 Act Defining Violence against Women and Their Children
R.A. 9267 Expanded Senior Citizens Act
R.A. 9288 Newborn Screening Act
R.A. 9439 Hospital Detention Law; no person shall be held in the hospital against his/her own will
if he/she is unable to pay her hospital bill, a promissory note and agreement for payment terms
should be made instead
P.D. 46 An act making it punishable for any public officials or employee, whether of the national or
local government, to receive directly or indirectly any gifts or valuable things
P.D. 48 Limits benefits of paid maternity leave privileges to four children
P.D. 69 Limits the number of children to four (4) tax exemption purposes
P.D. 79 Population Commission
P.D. 116 Strengthening Family Planning
P.D. 147 Declares April and May as National Immunization Day
P.D. 148 Regulation on Woman and Child Labor Law
P.D. 166 Strengthened Family Planning program by promoting participation of private sector in
the formulation and implementation of program planning policies
P.D. 169 Requiring Attending Physician and/or persons treating injuries resulting from any form of
violence
P.D. 223 Professional Regulation Commission
P.D. 442 Labor Code Promotes and protects employees self-organization and collective

bargaining rights. Provision for a 10% night differential pay for hospital workers
P.D. 491 Nutrition Program
P.D. 539 Declaring last week of October every as Nurses Week.
P.D. 541 Allowing former Filipino professionals to practice their respective professions in the
Philippines so they can provide the latent and expertise urgently needed by the homeland
P.D. 568 Role of Public Health midwives has been expanded after the implementation of the
Restructured Health Care Delivery System (RHCDS)
P.D. 603 Child and Youth Welfare Act / Provision on Child Adoption
P.D. 626 Employee Compensation and State Insurance Fund. Provide benefits to person covered
by SSS and GSIS for immediate injury, illness and disability
P.D. 651 All births and deaths must be registered 30 days after delivery
P.D. 825 Providing penalty for improper disposal garbage and other forms of uncleanliness and
for other purposes
P.D. 851 13th Month pay
P.D. 856 Code of Sanitation
P.D. 965 Requiring applicants for Marriage License to receive instruction on family planning and
responsible parenthood
P.D. 996 Provides for compulsory basic immunization for children and infants below 8 years of
age; Expanded Program for Immunization
P.D. 1083 Muslim Holidays
P.D. 1146 New GSIS Law
P.D. 1359 A law allowing applicants for Philippine citizenship to take Board Examination pending
their naturalization
P.D. 1519 Gives medicare benefits to all government employees regardless of status of
appointment
P.D. 1636 requires compulsory membership in the SSS and self-employed
P.D. 3200 Professional Regulatory Code of the Philippines
P.D. 4226 Hospital Licensure Act
E.O. 51 The Milk Code
E.O. 174 National Drug Policy on Availability, Affordability, Safe, Effective and Good Quality drugs
to all
E.O. 180 Government Workers Collective Bargaining Rights Guidelines on the right to Organize
of government employee
E.O. 203 List of regular holidays and special holidays
E.O. 209 The Family Code
E.O. 220 Code of Good Governance for Professionals
E.O. 226 Command responsibility

 E.O. 503 Provides for the rules and regulations implementing the transfer of personnel, assets,
liabilities and records of national agencies whose functions are to be devoted to the local government
units
E.O. 857 Compulsory Dollar Remittance Law
Proclamation No.6 UNs goal of Universal Child Immunization; involved NGOs in the
immunization program
Proclamation No. 118 Professional Regulation Week is June 16 to 22
Proclamation No. 499 National AIDS Awareness Day
Proclamation No. 539 Nurses Week Every third week of October
Proclamation No. 949 Primary Health Care Treatment
Proclamation No. 1275 Declaring the third week of October every year as Midwifery Week
LOI 47 Directs all school of medicine, nursing, midwifery and allied medical professions and
social work to prepare, plan and implement integration of family planning in their curriculum to
require their graduate to take the licensing examination
LOI 949 Act on health and health related activities must be integrated with other activities of the
overall national development program
LOI 1000 Government agencies should be given preference to members of the accredited
professional organization when hiring
Administrative Order 114 Revised/updated the roles and functions of the Municipal Health
Officers, Public Health Nurses and Rural Midwives
ILO Convention 149 Provides the improvement of life and work conditions of nursing personnel
BON Resolution #8 of 1994 IV administration training program

DEPARTMENT OF HEALTH
VISION
Health for all Filipinos (old)
THE LEADER OF HEALTH FOR ALL IN THE PHILIPPINES (new)
MISSION
Enhance accessibility & quality of health care to improve the quality of life of all Filipinos, especially
the poor (old)
Guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead
the quest for excellence in health. (new)
BASIC PRINCIPLES
Ensured universal access to basic health services
Health & nutrition of vulnerable groups must be prioritized

 PRIMARY STRATEGIES
S support to local health system & frontliners
A - assurance of health care
I - increased investment for PHC
D - devt of national standards & objectives for health

HRDP CO-PAR
COMMUNITY ORGANIZING
A continuous process of awareness building, organizing and mobilizing community members
towards community development.
PHASES AND ACTIVITIES
I. PRE-ENTRY PHASE
Preparation of the staff
Site selection
II. ENTRY PHASE
integration with the community
Courtesy calls
Information campaigns
Identification of potential leaders
III. CORE-GROUP FORMATION & MOBILIZING
integration with core group
IV. ORGANIZATION-BUILDING
Organizing Barrio Health committees
Setting up community organization
V. CONSOLATION & EXPANSION PHASE
Networking, linkages
Implementation of livelihood projects
developing secondary leaders

PRIMARY HEALTH CARE

Essential health care made universally accessible to individuals & families in the community by
means acceptable to them.
GOAL
Health for all Filipinos & Health in the Hands of the People by the year 2020.
MISSION
To strengthen the health care system by increasing opportunities & supporting the conditions
wherein people will manage their own health care.

 CONCEPT
Core Strategy: PARTNERSHIP & EMPOWERMENT towards SELF-RELIANCE
PHC components/elements
C - CDD/ Control of Communicable Diseases
H - Health Education
E - Environmental Sanitation
I - Immunization
PHC cornerstones/Pillars
M multisectoral linkages
A Active community participation
U Use of appropriate technology
S Support mechanism made available
PRIMARY HEALTH WORKERS
The higher the level the more qualified the health personnel & the more sophisticated the health
equipment
Concept: TEAMWORK
TWO levels:
Village/BHWs trained community health workers, health auxillary volunteers, traditional birth
attendants, healers
Intermediate Level professional group

NTRAVENOUS THERAPY
Refers to the insertion of a needle/catheter/cannula into a vein based on physicians written
prescription
ANSAP (Association of Nursing Service Administration of the Phil)
- accrediting body
INDICATIONS
Maintenance/correction of dehydration in px unable to tolerate adequate volumes of oral fluid
medications;
Parenteral nutrition
Administration of drugs
Blood transfusion
CONTRAINDICATIONS
Administration of irritant fluids/drugs through peripheral access (e.g. Sodium chloride; Hypertonic
potassium chloride)

BAG TECHNIQUE
TOOL making use of the public health bag through which the nurse during the visit can perform
nursing procedures with ease and deftness, saving time & effort at the end in view of rendering
effective nursing care.
PUBLIC HEALTH BAG essential & indispensable equipment
PRINCIPLES:
To minimize if not totally prevent the spread of infection;
Save TIME & EFFORT
Special consideration: HAND WASHING
Contents of the bag:
BP apparatus & stethoscope are carried separately;
Medicines include: betadine, 70% alcohol, benedicts solution
Place waste paper bag outside of work area to prevent contamination of clean area

HOME VISIT
Professional face-to-face contact made by a nurse to a patient or the family to provide necessary
health care activities and to further attain an objective of the agency
Should have a PURPOSE/ OBJECTIVE
Planning for a home visit should make use of all available information about the patient and his/her
family.
Frequency of Home Visit
A - acceptance of the family & ability to recognize own needs
P - physical, psychological & educational needs
O - other health agencies involved
P - Policy of a given agency
E - Evaluate of past services given to the family

CHN CLINIC VISIT

PRE-CONSULTATION CONFERENCE:
Clinical Hx taking
Vital signs
Physical assessment
Lab exams and documentation
MEDICAL EXAMINATION:

 Ensure privacy, safety and comfort of the patient throughout procedure

POST-CONSULTATION:
Explain findings & needed care
Refer as needed
Make appointment for next clinic/home visit

Community Health Nursing

GOAL: Promotion of OLOF thru teaching and delivery of care
PHILOSOPHY: based on the WORTH & DIGNITY of man
Primary FOCUS: Health Promotion
NURSES: Generalists
Based on recognized needs of communities, families, groups and individuals
FAMILY: Unit of Service
HEALTH TEACHING: Primary responsibility of the community Health Nurse.
FIVE FOLD MISSION OF CHN:
1. Health Promotion
2. Health Protection
3. Health Balance
4. Disease Prevention
a. Primary prevention
b. Secondary Prevention
c. Tertiary Prevention
5. Social Justice
RURAL HEALTH MIDWIFE
Under the general supervision of the PHN
Works with the PHN in planning and evaluating health services at the Barangay level
Plans for activities in the clinic BHS; follow-up in homes and field visit in the community
Mobilizes community for health action
QUALIFICATIONS:
Supervising Public Health Nurse: at least FIVE YEARS experience as PHN
Nurse Instructor II: MAN, 3 years experience as CHN
Regional Training Nurse: six years nursing experience , three of which in training or Nursing
education
Regional Nurse Supervisor: at least FIVE YEARS experience in CHN, TWO years of which are in
supervisory position
Nursing Program Supervisor: at least SEVEN years in CHN training
Chief Nurse: at least FIVE YEARS experience in CHN - 3 either as supervisor or assistant chief
nurse

HEALTH
MODERN CONCEPT: O.L.O.F. of individuals, families and communities
Families from the lower income groups are the ones mostly served
GOAL of Public Health: to contribute to the most effective total development and life of the
individual and his society.
ECO-SYSTEM influences the OLOF
FACTORS:
Political
Behavioral
Heredity
Health care delivery system
Environment
Socioeconomic influence

Fundamentals of Nursing Basic Concepts

To turn the client after lumbar Laminectomy, use logrolling technique
Carpal tunnel syndrome occurs due to the injury of median nerve.
Massaging the back of the head is specifically important for the client w/ Crutchfield tong.
A 1 yr old child has a fracture of the L femur. He is placed in Bryants traction. The reason for
elevation of his both legs at 90 deg. angle is his weight isnt adequate to provide sufficient
countertraction, so his entire body must be used.
Swing-through crutch gait is done by advancing both crutches together & the client moves both legs
past the level of the crutches.
The appropriate nursing measure to prevent displacement of the prosthesis after a right total hip
replacement for arthritis is to place the patient in the position of right leg abducted.
Pain on non-use of joints, subcutaneous nodules & elevated ESR are characteristic manifestations of
rheumatoid arthritis.
Teaching program of a patient w/ SLE should include emphasis on walking in shaded area.
Bone scan is done by injecting radioisotope per IV & X-rays are taken.
To prevent edema edema on the site of sprain, apply cold compress on the area for the 1st 24 hrs

#MANAGEMENT OF A CASE OF ABDOMINAL TRAUMA Maintenance of airway, breathing

and circulation is the first priority The patient should be intubated in case of airway
block If the breathing is compromised, the patient should be ventilated with a high
fraction of inspired oxygen Large bore IV cannulas should be inserted and IV fluids
should be administered In case of external bleeding, direct pressure should be applied
to control it Spinal immobilisation should be done in cases with suspected spinal cord
injury #Indications for laparotomy in blunt trauma abdomen Hemodynamically
unstable patients with shock Signs of peritonitis Progressive deterioration of the
patients status Identification of hemoperitoneum after Focused Assessment with
Sonography in Trauma (FAST) or Diagnostic Peritoneal Lavage (DPL) #Nonsurgical
Management:- If the patent is hemodynamically stable, further investigations like CT
scan can be done to visualise the site of injury.

Share ko poh sa mga magtatake ngayon ..soon to be RN sana makatulong sa iyo God Blessed us
47 Helpful Tips on How to answer (Select-All-That-Apply) SATA
Risk Factors:
African- American/ Native women
Behavior (Sexual promiscuity)
Chronic instrumentation of cervix
Disease STD
Early age of Sex
High Parity
Poor Hygiene
Low economic status
Multiple sexual partners
Partner with Prostate CA
Sx:
Post-coital bleeding
Painful sex
Menstrual irregularities
2. OVARIAN CA
Risk factors:
Ovarian dysfunction
Vaginal use of talcum powder
Alcohol
Race White women & family history
Infertility
Age Peak=5th decade of life
Nulliparity
Genetic predisposition

3. DM FOOT CARE
Meticulous care to feet
Wash feet with warm water not hot & dry
Can use lotion but No lotion in between toes
Wear socks to keep feet warm
Avoid thermal baths, heating pads
Do not soak feet
Inspect feet daily
Do not treat corns, blisters
Wear loose socks and no barefoot
Change into clean cotton socks daily
Break in new shoes gradually
Use emery board
Do not smoke
Do not wear same pair of shoes 2 days in a row
Check shoes for cracks before using
4. BLOOD TRANSFUSION REACTION
Transfusion Reactions
Hemolytic Reaction
Allergic Reaction
Circulatory Overload
Septicemia
Iron Overload
Hypocalcemia
Disease Transmission
Hyperkalemia
Citrate Intoxication
5. HYPERTHYROIDISM
Soft smooth skin & hair
Mood swings
HPN
Diaphoresis
Intolerance to heat
PTU drug to block thyroid synthesis
6. LUNG CA
Bronchogenic Carcinoma
1st leading cause of death
From asbestos, bacterial invasion, cigarette
Sx: Nagging cough, hoarseness of voice, dyspnea, diminished breath sounds
7. SX OF PARKINSONS

 Tremors, akinesia, rigidity

Weakness, motorized propulsive gait
Slurred speech, dysphagia, drooling
Monotonous speech
Mask like expression
Teach ambulation modification: goose stepping walk (marching), ROM exercises
MedsArtane, Cogentin, L-Dopa, Parlodel, Sinemet, Symmetrel
Activities should be scheduled for late morning when energy level is highest
Encourage finger exercises.
Promote family understanding of disease intellect/sight/ hearing not impaired
8. ACUTE PANCREATITIS
Abdominal Pain severe acute sx
Complication : Shock,Hypovolemia
Limited fat & protein intake
9. CAST CARE
Dont rest on hard surface
Dont cover until dry 48+ hours
Handle with palms of hands not with fingers
Keep above level of heart
Check for CSM
10. HYDROCEPHALUS
Anterior fontanel bulges & nonpulsating
Bones of head separated (cracked pot sound)
Check for sun-setting eyes
D Increase ICP
Evidence of Frontal Bossing
Failure to thrive
Irritability
High-pitched cry
11. ESRD DIET
Restricted protein intake
Increase CHO
Low K, P
Restrict Na
12. NORMAL IN 8 MONTH OLD CHILD
can sit with out support
can roll from front to back
can hold a bottle
closure of ant. fontanel
can say mama and dada

2 teeth present
13. SUPERIOR VENA CAVA OCCLUSION
Sx occur in the morning
Edema of face, eyes & tightness of shirt/ (Stokes sign)
Late sx: edema of arms, hands, dyspnea, erythema, epistaxis
14. ULCERATIVE COLITIS
Sx:
Severe diarrhea with blood & mucus
Abdominal tenderness & cramping
Anorexia
Wt. Loss
Vit. K deficiency
Anemia
Dehydration
Electrolyte imbalance
Low residue & high protein diet
15. DILANTIN
do not floss throughout the day
do not use hard bristled
toothbrush
Gingivitis S/E
16. ANAPHYLACTIC REACTION
(steps)
Stop medication
Maintain airway
Notify MD
Maintain IV access of 0.9 NSS
Place in supine position with legs elevated
Monitor VS
Administer prescribed emergency drugs
17. BLADDER CA
Risk Factors:
Hx of smoking
Exposure to radiation
Working in industrial Factory
18. S/S OF DKA

 Fruity breath Odor

Oliguria
Kusmaulls (deep & nonlabored)
19. SITE FOR IM INJECTION ADULT
Deltoid
Ventrogluteal
Vastus Lateralis
Gluteus Maximus
20. S/S OF BACTERIAL MENINGITIS
N&V
Seizures
Stiff Neck
Photophobia
Positive Brudzinski sign
21. TB
Waking up sweating at night
Low grade fever
Dull aching chest pain
Cough streaked with blood
Weight loss
Anorexia
Fatigue
22. LIVER CIRRHOSIS
N&V
Edema
Ascites
23. PULMONARY EMBOLISM
Sx:
Blood-tinged sputum
Distended neck vein
Chest Pain / Hypotension / Cyanosis
Cough / Shallow respirations
Rales on auscultation
Tachypnea / Tachycardia
24. COLON CA
Risk Factors:
Family HX
Age above 50

 Jewish
Male
25. DIGOXIN THERAPY
Do not administer in infants if < 90 bpm
Do not give to older children if <70 bpm
Sx of toxicity to a child N &V
26. S/S OF CAD
Chest Pain
Palpitations
Dyspnea / Syncope
Hemoptysis
Excessive Fatigue
27. COPD
Rhythmic, diaphragmatic breathing
If restless, perform purse-lip breathing not more than 1 minute
Perform deep breathing with mouth held together during expiration
28. SEEN IN 15 MONTH OLD CHILD
Speaks 6 words
Sits w/o support
Builds a tower of 5 blocks
Strong palmar grasp
29. CUSHINGS SYNDROME
Osteoporosis
Muscle wasting
Hypertension
Purple skin striations
Moon face
Truncal obesity
Decreased resistance to infection
Low Carbohydrate, Low Calorie, High Protein, High K, Low sodium
Monitor glucose level
Check for color of stool, cortisol increase secretion of gastric acid
Peptic ulcer & GI bleeding
C/I to Aspirin, increased bleeding
30. ADDISONS DISEASE
Fatigue
Weakness
Dehydration
Eternal tan

Decreased resistance to stress

Low Sodium
Low Blood Sugar
High Potassium
High protein, carbohydrate, Sodium,
Low potassium diet
Teach life-long hormone replacement
Glucocorticoids (sugar) Solu-Medrol (succinate) to prevent addisonian crisis
Mineralocorticoids (salt) Florinef
6 As of Addisons disease
1.) Avoid Stress
2.) Avoid Strenuous
3.) Avoid Individuals with Infection
4.) Avoid OTC meds
5.) A lifelong Glucocorticoids Therapy
6.) Always wear medic alert bracelet
Addisonian Crisis
Hypotension
Extreme weakness
Nausea vomiting
Abdominal pain /
Severe hypoglycemia
Dehydration
Administer NaCl IV, vasopressors, hydrocortisone
Monitor VS /Absolute bedrest
31. PLACENTA PREVIA
Check Hematocrit level
External fetal monitor not internal
No vaginal examination
Assess for bleeding
Improperly implanted placenta at lower uterine
Painless bright red, vaginal bleeding
Soft, relaxed, nontender uterus
Fundal height greater than expected
32. ABRUPTIO PLACENTA
Premature separation of placenta from uterine wall
Painful dark red bleeding
Uterine rigidity
Severe abdominal pain

 Maternal shock
Fetal distress
33. HEMODIALYSIS
Palpate for a bruit or thrill
Weigh client daily, before, during & after
Hold antihypertensive drugs b4 dialysis
Check for thrill and bruit q 8 hours
Dont use extremity for BP, finger stick
Monitor vital signs, weight, breath sounds
Monitor for hemorrhage
34. PERITONEAL DIALYSIS
Weight before and after treatment
Monitor BP
Monitor breath sounds
Use sterile technique
If problem w/ outflow, reposition client
Side effects: constipation
35. TYPE 1 IDDM
Test blood glucose every 4 hrs if no feeling well
Eat fruit or cheese sandwich before exercise
Do not exercise if blood glucose is >250mg/dl & urinary ketones present
Administer regular insulin 30 minutes before meals
36. COMPARTMENT SYNDROME
Increased pain & swelling
Pain with passive motion
Loss of sensation
Inability to move joints
Pulselessness
37. CARDIAC CATHETERIZATION
NPO 6-8 hrs. & no liquid for 4 hrs. prior to prevent vomiting & aspiration
Feel a flush, warm, fluttery feeling, desire to cough, palpitations in introduction of dye
Shave & Clean insertion site with antiseptic solution
38. PERNICIOUS ANEMIA
Severe pallor
Smooth, beefy red tongue
Slight jaundice
Paresthisias of hands & feet
Disturbances with gait & balance
39. DUMPING SYNDROME

 Occurs 30 minutes after eating

Abdominal fullness & cramping
Diarrhea
Tachycardia
Perspiration
Weakness / dizziness
Borborygmi sound
40. TPN COMPLICATIONS
Air Embolism
Fluid Overload
Hyperglycemia
Hypoglycemia
Infection
Pneumothorax
41. DIC
Bruising, purpura
Presence of occult blood
Low fibrinogen level, hct, platelet
Increased PT, PTT
Complication: RENAL FAILURE
42. PERIPHERAL ARTERIAL DISEASE
Dry scaly skin on lower extremities
Rest Pain, at night
Intermittent claudication/
Thickened toenails
Cold & gray-blue color of skin
Decreased or absent peripheral pulses
Instruct pt. to walk to point of claudication, stop & rest & walk a little farther
43. THROMBOPHLEBITIS
Avoid pressure behind legs
Avoid prolonged sitting
Avoid constrictive clothing
Avoid crossing the legs
Avoid massaging the legs
44. SYPHILIS
Painless chancre
fades after 6 weeks
Low grade fever
Copper-colored rash on palms and soles of feet
Spread by contact of mucous membranes

Treat with Penicillin G IM

If patient has penicillin allergy, will use erythromycin for 10-15 days.
After treatment, patient must be retested to make sure disease is gone
45. POLYCYTHEMIA VERA
Increased RBC
Leukocytosis / Thrombocytosis
Angina
Intermittent claudication
Dyspnea /HPN
Lethargy / Syncope / Paresthesia
46. PRIMARY HPN
Risk Factors:
Aging
Black race
Chronic stress
Family Hx
Obesity
Smoking
Men
47. CHOLECYSTITIS
Sx:
N&V
Belching
Indigestion
Flatulence
Epigastric pain that radiates to the scapula 2 hrs. after eating fatty food
Pain localized in RLQ
Guarding, rigidity & rebound tenderness
Cannot take a deep breath when fingers are pressed below hepatic margin (Murphys Sign)