NURSING EXAM PORTAL

NURSING EXAM PORTAL

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Thursday, 2 December 2021

HPSSC staff nurse govt. job 2021

December 02, 2021 0
HPSSC staff nurse govt. job 2021

 HPSSC


Hpssc invites application form for the post of staff nurse and other  on contract basis details are as following:-

Staff Nurse:-85

Educational Qualification:-

10+2 preferably with science form a recognized board of school education.

qualified 'A' Grade nurse(diploma in GNM) or B.Sc. Nursing form a recognized university or institution.

Age:-18-45 yr. (Relaxation as per detailed advt.)

Opening date for online application:-06.12.2021

Closing date for online application:-05.12.2021

To view or download official advt. click here 




Monday, 29 November 2021

Lumber Puncture

November 29, 2021 0
Lumber Puncture

 Lumber Puncture

  • Lumber puncture also known as spinal taping.
  • a process where needle are introduce into the subarachnoid space to collect CSF.

Purpose:

  • CSF collection and analysis
  • Check CSF pressure
  • Myelography (iodine dye is injecting through LP for study of structure of spinal cord.)
  • Drug administration 
  • Spinal anesthesia

Indication

  • Lower limb surgery
  • LSCS
  • Meningitis
  • Pott's spine
  • Neuro degenerative disorder

Contraindication

Increase ICP

Procedure

1.Collect article:-

  • spinal needle:-     adult:-22 G              child:-25 G
  • 3 Sample collection vial:- cytological, viral, bacterial, or other examination.
  • Manometer:- to check the CSF pressure.
  • Betadine
  • 2% lidocaine 
  • syringe

Position

  1. Fetal attitude
  2. C shape
  3.  Lateral position with head and knee flexed inside.

Site of selection

  • Adult:-L3-L4
  • Infant:-L4-L5
  • Most Common:-L4-L5

Insert needle in subarachnoid space then connect 3 way adaptor. connect manometer and check pressure. mercury rise in manometer and constant a point that is known as CSF pressure.

  • Normal CSF pressure:-5-15 mm of Hg 
  • after sample collection dressing to the site.
  • Position:-Flat position or supine position avoid pillow under back 
  • advantage of position :- to prevent headache.
  • Most common complication after LP.
  • Amount of the sample:-6-10 ml
  • sample should be sending in lab in  1-2 hrs.
  • Temperature for store the CSF:-
  • 0-6 hrs :- Room temperature 22-24 Celsius
  • 6-24 hrs:- 4 Celsius 
  • Serological Examination:- 20 Celsius. 

Colostomy and Diet

November 29, 2021 0
Colostomy and Diet

 COLOSTOMY AND DIET

Diet Modification is an important part after colostomy generally following diet pattern followed after the procedure:-

1. First 24 hrs:-  IV therapy.

2.24-72 hrs:- Give the liquid and fiber diet (it will help in easy to clean the bowel due to absence of bowel sound after surgery.)

3.After 72 hrs.:-

  • Normal diet.
  • Before diet modification check the bowel sound of patient.
  • if  bowel sound are not present after 72 hrs that is abnormal finding and inform to doctor.
  • Bowel should be check in all quadarate.


Friday, 26 November 2021

COLOSTOMY

November 26, 2021 0
COLOSTOMY

 COLOSTOMY

Definition:- Artificial opening of the colon (large intestine) through the anterior abdominal wall.

Purpose:- escape the flatus and stool.

Indication:-

1.Intestinal Obstruction.

2.Rectal Tumor and cancer.

3.Intestinal Cancer.

4. Imperforate of anus

Classification:-

According to Placement:-

1.Wet Colostomy 

2.Dry Colostomy

Wet Colostomy:- 

  • stool is passed out in liquid form by the client.
  • Incision is making in ascending colon.
  • ascending wet colostomy is performing for short term/Temporary.
  • Time:- 6-8 weeks.
  • Opening :-opening of colostomy on the right side of abdomen .

Dry Colostomy.

  • Incision is making in sigmoid colon.
  • Stool is passing out in normal form.
  • sigmoid colostomy is performing for long time or permanent based.
  • Opening:- end colostomy or left side of abdominal.

Procedure:-

  • nurse role before procedure precaution.
  • stop the high fiber diet before 2-3 day from procedure.
  • doctor explain procedure.
  • doctor collect consent.
  • collect investigation and report of patient.
  • NBM 8-12 hours before colostomy to prevent risk of aspiration.
  • prepare part.
  • best time for part preparation(before 30 minute form the surgery)
  • Site prepare:- just below the nipple to mid thigh.
  • Solution:- 7.5% betadine or 7.5% savlon.

Position:-

  • 1.Supine position:-during general anesthesia use in surgery
  • 2. Trendelenburg:-when spinal anesthesia use during surgery.

Care of colostomy:-

  • Check the vital sign.
  • Provide side line or lateral position.
  • Clean the outer site of stoma with betadine gauze then use dry gauze.
  • Advantage:-prevent the growth of bacteria and microorganism.
  • prevent skin irritation due to stool and HCL produce irritation.
  • maintain soft dry to the stoma.
  • cover to the stoma with a water  patch.

Advantage:-

  • to prevent leakage of stool.
  • water should be use/cut 1/8 inch more diameter than stoma.
  • connect colostomy bag with ring of water.
  • provide psychological support due to disturbed body image of client.

observe form stool:-

  1. Ascending colon:-Liquid
  2. Transverse:- Semi solid
  3. Sigmoid:-Normal

Observe the color of stoma:-

  • Bright red or pink:-Normal finding.
  • Pale Pink:-Normal in anemic patient.
  • Black or dusky:-abnormal finding due to compromised of blood circulation.(inform to doctor)
  • Malodorous/foul smell form stoma upto  72 hr. after colostomy is normal finding.
  • foul smell form stoma after 72 hr. due to infection then nurse inform to doctor.
  • colostomy bag empty when fill upto 1/3 lelvel.
  • change the water and colostomy bag in 72 hrs in or 3 days.





Saturday, 13 November 2021

MASK VENTURE MASK

November 13, 2021 0
MASK VENTURE MASK

MASK:-VENTURE MASK

1.Use in severe hypoxia to the client.

2. 8-10 Liter per minute flow rate delivered by mask.

3.avoid less than 5 Liter per minute flow rate by mask Except Venture mask.

Venture Mask:-

1.Use according to color coding.

2.Also known as higher flow mask.

3.Venture mask deliver accurate concentration of oxygen to the patient.

4.Blue:- 2 Liter per minute and 24 %

5.White:- 4 Liter per minute and 28 %

6.Orange:- 6 Liter per minute and 31%

7.Yellow:-8 Liter per minute and 35%

8.Red:-10 Liter per minute and 40%

9.Green:-12-15 Liter per minute and 60%


HPSSC staff nurse govt. job 2021

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