nurse's notes

I am so glad for the Filipino concern Citizens, private organization groups from different sectors, private companies, celebrities who donated for the victims of Typhoon Ondoy . It is an overflowing of donations in cash and in kind. Victims has no problem of relief goods and food and water supply as long as they are reachable by the donors. But a big problem is the overcrowded evacuation centers where there is no enough toilets and bathrooms. And others who stays at their own home with the water inside their house are still at knee high are afflicted with athletes foot and other skin diseases. This is common superficial infection caused by fungus. Manifested by a vesicular rash then scaling and itchyness, erythematous rash in between the toes or digitals.
Treatment of Athletes Foot is must have to keep it dry and clean. Advised to soaked with potassium permanganate or saline 2 times daily to relieve itchyness and promotes healing. Acute needs doctors advised for ointments and antibiotics for severe cases.
Preventive Measures:
> Keep the feet dry specially in between the toes
>Wear cotton socks or stocking . cotton material may absorbs perspiration and moist avoided. Moist enhances the growth of fungi
>Apply talcum powder or anti fungal powder two times a day
> Put small cotton balls in between toes during the night to absorb moist to keep it dry
>Avoid tight shoes or rubber boots
> Change socks frequently

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Labels: athlete's foot - treatment and prevention

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Labels: cheap eyglasses, fashionable, stylish

In times of floods is very dangerous on everyone's health. There is an outbreak of the following:
Leptospirosis is a bacterial infection in humans. An infection occur by contact with water contaminated with rats or mouse urine.
Dengue- is an acute febrile disease caused my Aedes Aegypti Mosquito bites. The patient manifested severe headache, muscle and joint pains, body weakness, fever and rashes appeared. More symptoms are there to come out and needs to be hospitalized soon for proper diagnosis and treatment to prevent further complications
Diarrhrea- is also very common because of the possibility of ingesting contaminated foods. Possibility to be prone to dehydration and gastric infection.
Respiratory infection due to weather and unavoidable and failure of sanitation in the flooded area this could contributes outbreak of this disease.
In this situation the medical team are alert to diagnosed and give a proper treatment and management. And people as well must be aware of the possible causes of the diseases and seek medical treatment at once.

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Labels: dengue, diarrhea, Leptospirosis, Respiratory infection- prevention

Hem0rrhoid is a varicose veins in the lower rectum or anal canal. Asymptomatic hemorrhoids does not require any treatment but when a patient manifest signs and symptoms of hemorrhoids, he/she must see a doctor. A patient advised to adhere to a lower roughage, high fiber diet to keep the stool soft. Frequent hot sitz bath to relieve pain and prevents swelling.
Surgeon advised Hemorrhoidectomy if symptoms are severe.
Hemorrhoidectomy is a removal of hemorrhoid
Indication for Hemorrhoidectomy:
> indicated when patient have prolonged bleeding
>unbearable pain and itchiness
>when a patient complained of unrelieved discomforts.
Pre- operative nursing care:
>be sure the patient or immediate relative signed the consent for operation
>shave the perineum
>lower bowel should be evacuated thoroughly, totally clean to prevent defecation during the operation
>prepare patient physically, must had full bath
>bring to Operating Room with proper identification .
>carry out pre -op medication as ordered by the surgeon

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Labels: external hemorrhoids, surgery

Gas gangrene is a severe soft tissue infection with muscle necrosis that may complicate compound fractures or contused or lacerated wounds or surgical incision. There are different species of Clostridia may produces gas gangrene.

Sign and Symptoms:
>severe pain at the site of injury
>tenderness and discoloration of the surrounding skin
>affected muscles are reddish purple and black
>watery fluid with foul odor from the affected site
>fever
>apprehension and increase cardiac rate of the patient
>anorexic

Nursing Care:
> extreme care to prevent further spread of the infection to other wounds
>strict compliance of aseptic technique
>use only single dressing for the patient alone
>isolate the patient
>encourage fluid intake and nutritiuos foods
>high caloric diet

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Labels: gas gangrene- signs and symptoms- nursing care

Tetanus is a disease caused by Bacillus Tetani ( Clostridium Tetani ). This bacteria is anaerobe meaning can not leave in the presence of oxygen. They usually found in a deep wound with small external opening injured by a contaminated with soil, dust and feces of animals or human.

Signs ans Symptoms:
>restlessness, headache
>hyperirritability due to hypersensitive of motor and sensory nerves
>Lockjaw ( trismus )due to spasm of the muscles as first affected muscles in the jaws resulting patient can not open his mouth
>generalized convulsion- a stimuli to a loud voice or loud banging of doors. The patient manifest head retraction, fully extended feet , arched of the trunk (opisthutonus). Sardonic grin due to spasm of the facial muscles.

Death may cause by :
> spasm of respiratory muscles
> lack of nourishment
>excessive fatigue due to muscles spasm

Prevention:
>Routine immunization with tetanus toxoid in all children or in an industrial or in an environment with a history of increase incidence of the disease.
>Effective wound care

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Labels: tetanus or Lockjaw - signs and symptoms and prevention

Now adays, so many people disagree and uncomfortable of their oversize waistline because of the extra fat of the abdomen. Those people are mostly conscious of their body but hard for them to accept because they are born or it is their genes to have that extra weight and fats despite of dieting and fitness. One of my friend's daughter is so fat with a waistline measurement of 34 inches . She's just only twenty four years old and must be enjoying currently the latest body fit outfits but no way... she really can't. There are times that she feels embarrassed when attending parties, in school or when in gatherings. When she shop at plus size department , she feels sad shopping with those old folks section. She tried many weight lost programs. Goes to gyms everyday and eat very little but what happen to her ? She feels weak and starv everyday. One thing more , those who loss weight through starvation will cause sagging of their abdomen and still does not give a nice body countour or else it looks more worst and your health will also affected.
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Cervical Spine Injuries are injuries of the cervical spine and this is very serious because in time of trauma this may cause severe neurologic problem and presence of edema and swelling which may cause loss of spinal cord function. These are the person who had met an accident with head , back and neck injury and keep them immobilized in an hard board stretcher until emergency team gave an emergency management.

signs and symptoms:
patients complained of too much back and neck pain
unconsciousness
paralysis
loss of bladder control
loss of senses

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Labels: term life insurance

When i went abroad, i was single that time and most of my batch mate were married women. These married woman has legal husband with children left in our country.They are older than me so i prefer to be close to them and consider them as my older sister or my mother because i was the youngest among the newly hired in this country. I need someone who is matured like my mother to tell me the right advices if in case i lost from my right path. Unfortunately, my expectations was totally different because after a month they have already boyfriends and dating someone. As a neophyte, I was wondering how come they become a cheating house wives. Their husbands trusted their wives not to cheat them. But these women openly real cheating wives without the knowledge of their husband. Their husband is away so they become lonely cheating wives . They were aggressive and romantic not like those singles like me. That's the reason why men more close to them and date them all the way.

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Labels: lonely cheating wives

Should I think that drinking Coffee improves mental alertness? You know? i used to become drowsy if i spends several hours of blogging. The continues sitting down infront of the computer, made me sleepy and my brain refuses to work but if i drink coffee i became more mentally alert , fully active to continue blogging again and inspired to work better . But the side effect is that if i wanted to sleep it is hard for me to get a good sleep already . So that is the side effect.

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Labels: coffee-improves mental alertness

It is a hot summer now. Health professionals advising everyone to avoid too much exposure to heat and under the sun to avoid heatstroke. Specially those who are hypertensive.
Advised everyone to increase fluid intake. Avoid the sun at the peak of burning rays are the strongest that develops heatstroke. Stay in cool place if you feels headache and dizzeness . Cool bath is suggested. Everyone must have to familiarized the signs and symptoms of heatstroke like : red, hot and dry skin, dizziness, nausea ( feels like vomiting), headache, signs of dehydration. Bring the patient to the nearest hospital if symptoms persist.

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Labels: heatsroke