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prevented or
building/fire codes,
building/fire regulations,
public education/campaign,
planning,
public information,
communication systems,
public education,
warning systems,
earmarking of funds.
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implementing plans,
mobilize resources,
firefighting,
flood rescue,
medical assistance,
community service,
medical care,
counseling services,
public information,
temporary housing,
review of prevention.
ROLE OF NURSING IN DISASTERS
Disaster preparedness, including risk assessment and multi-disciplinary
management strategies at all system levels, is critical to the delivery of
effective responses to the short, medium, and long-term health needs of a
disaster-stricken population. (International Council of Nurses, 2006) MAJOR
ROLES OF NURSE IN DISASTERS
1. Determine magnitude of the event
2. Define health needs of the affected groups
3. Establish priorities and objectives
4. Identify actual and potential public health problems
5. Determine resources needed to respond to the needs identified
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along with blood component therapy, and numerous i.v. drugs and antibiotics
were being added to i.v. regimens.
The use of i.v. therapy has expanded dramatically over the last 35
years. This expansion continues to accelerate and can be attributed to the
following factors:
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safe and quality nursing practice in Intravenous therapy in 2002. The new
Nursing Law RA 9173 has stated that the administration of parenteral
injection is in the scope of nursing practice. ANSAP believes that the
certification of IV Therapist will be continued for several reasons, paramount
of which is safe nursing practice.
Indication of IV therapy
Hypernatremia
Acidosis
Hypokalemia
Circulatory overload.
Dehydration
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Hypernatremia
Drug administration
Hypokalemia
Osmotic diuresis dehydration
Transient hyperinsulinism
Water intoxication.
Vomiting
Diarrhea
Excessive diuresis
Burns
Circulatory overload.
Lactated Ringers is contraindicated in severe metabolic acidosis and/or
alkalosis and liver disease.
Hypernatremia
Acidosis
Hypokalemia
2. Hypertonic solutions
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Nutrition
Replenish Na and Cl.
Circulatory overload.
b. Sodium Chloride solutions, 3% and 5%
Indications:
3.
Fluids whose osmolarity is significantly less than that of blood plasma (-50
mOsm); these fluids lower plasma osmotic pressure, causing fluid to enter
cells.
a. 0.45% sodium chloride
Used for replacement when requirement for Na use is questionable.
b. 2.5% dextrose in 0.45% saline, also 5% in 0.2 % NaCl
Common rehydrating solution.
Indications:
Hypernatremia
Circulatory overload
Used with caution in clients who are edematous, appropriate
electrolytes should be given to avoid hypokalemia.
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fluids that consist of water and dissolved crystals, such as salts and
sugar.
Used as maintenance fluids to correct body fluids and electrolyte
deficit .
Commonly used solutions are:
-Normal saline
(0.9% sodium chloride solution).
-Ringers solutions
(which contain sodium, chloride, potassium, and calcium.
-Lactated Ringers solutions
(which contain sodium, chloride, potassium ,calcium and lactate) .
Volume expanders (Colloid)
Are used to increase the blood volume following severe loss of blood
(haemorrhage) or loss of plasma ( severe burns).
Expanders present in dextran, plasma, and albumin.
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Case law arises from common law. When a judge makes a statement after
considering all the facts of a case the ruling may then be used in subsequent
cases where the facts or points of law are similar. This does not mean
however, that current case will automatically depend on previous case law.
Civil Law
The neonatal/pediatric nurse is accountable to individual patients by way of
civil law, otherwise known as the Law of Tort This is where individuals can
initiate cases in common law, usually for negligence, against nurses for
damages. There are three distinct elements that must be established for
negligence to be proven.
Tort
A private wrongful act (of omission or commission)for which relief may be
obtained by injection or damages, Example of a tort include assault, battery,
negligence , slander, libel, false imprisonment and invasion of privacy.
Assault include anticipation of harm; battery is the actual infliction of harm
Infiltration Scale
Grade
Clinical Criteria
No Signs or Symptoms
Skin Blanched
Edema less than 2.5cm in any direction;
Cool to Touch;
With or without pain
Skin blanched;
Edema2.5-15 cm in any direction
Cool to Touch;
With or without pain
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Site Observation
IV site appears healthy
Sco
re
Stage/Action
No signs of phlebitis
OBSERVE CANNULA
Advanced stage
thrombophlebitis
INITIATE TREATMENT
RESITE CANNULA
Pain at IV site
Redness
Swelling
Swelling
Swelling
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Surgical Terminologies
A list of common surgical terms, including the meaning and origin of prefixes
and suffixes.
PREFIXES
A-/An-
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DermaDiDiaDiploDisDochoDysEct-,
EctoEuEndoEnteroEpiEx, exoExtraForeGalactoGastroGenic-
Skin
Two, twice, double
Through, across (Greek dia)
Double
Apart, absence of
Relating to a duct
Bad or abnormal (Greek dus-)
External, outside (Greek ektos out)
Normal
In, within, inside (Greek endo)
Small intestine (Greek enteron. in, inside)
On, over, above (Greek epi, upon)
Out
Beyond or outside (Latin extra, outside, beyond)
Before, in front of
Milk
The stomach
Producing or related to genes (Greek genos,
offspring, race)
Glosso- The tongue
HaemBlood (Greek haima)
HemiHalf, partial (Greek hemi-)
Hepato- Liver
Hetero- Other, dissimilar
HoloAll
HomoSame, similar
HydroWater or liquid (Greek hudor)
HyperAbove or excessive (Greek huper)
HypoUnder or low (Greek hupo)
IdioPrivate or individual (Greek idios, ones own,
private)
IleoThe ileum
InfraBeneath
InterBetween, among (Latin inter, between, among)
IntraWithin or inside (Latin intra)
IntroInto or inward (Latin intro)
IsoEqual
JuxtraNear
Kerato- Horn-like tissue, cornea (Greek keras, horn)
Kinese- Movement
LactMilk
Laparo- Abdomen, loin
Laryngo- Larynx
Latero- Side
LeptoThin, light, frail
LeukoWhite
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LithoMacroMalMediMegaMelanoMenoMesoMetaMicroMioMonoMultiMycoMyoMyeloMyxoNeoNephroNeuroNonObOculoOdontOligoOmoOoOpisthOrchidOrthoOsOsteoOxyPachyPanParaPathPerPeriPleoPneu-,
PneumoPodPoikiloPolyPostPre-
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ProBefore
Procto- Anus, rectum (Greek proktos)
ProtoFirst
Pseudo- False, spurious (Greek pseud to lie)
PsychMind
PyPus
PyeloRelating to the pelvis of the kidney
ReAgain
RetroBackward
RhinoNose, nasal (Greek rhis, nose)
SacroSacrum
Salpingo-Fallopian tube
SarcoFlesh
Sclero- Hard
ScotoDarkness
Somato- Relating to the body
Steato- Fat (Greek steat)
Stetho- Chest
SubUnder, below, beneath (Latin sub, under)
SupraOver, on top of (Latin supra, above, beyond)
SynWith, together
TachyAccelerated, rapid (Greek takhus, swift)
Tampon- To plug (French tampon)
Thermo- Heat
ThyroThyroid
TransGoing across a structure (Latin trans, across, over,
through)
Tropho- Nourishment, nutrition
UniOne, single (Latin unus)
UroUrine
VasoA vessel
VermWorm-like
XanthYellow
SUFFIXES
-aceous Resembling (Latin, related to)
-ade
An action (Latin ata)
-aemia
Blood (Greek haima, blood)
Sensation
aesthesia
,
-esthesia
-agogue Substance promoting a flow of something (Greek
agogos, a drawing off)
-algia
Pain (Greek algos, pain)
-cardial Relating to the heart (Greek kardia, heart)
-cele
Tumor, cyst, hernia
-cephalic Head (Greek kephale, head)
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-cide
-coel(e)
-cyst
-cyte
-creas
-dynia
-ectasia
-ectomy
Causing death
A cavity (Greek koilos, hollow) e.g. hydrocoele
A fluid filled sac
Cell e.g. phagocyte
Flesh (Greek kreas, flesh) e.g. pancreas
Pain
Dilatation of ducts
Surgical excision of a part of the body (Latin
-ectomia, cutting out) e.g. tonsillectomy
excision of the tonsils
-fuge
To drive away
-genic
The capacity to produce (Greek -genus, born)
-gogue
To make flow
-gram
An imaging technique using contrast medium
-itis
Inflammation (Greek) e.g. appendicitis
(inflammation of the appendix)
-lasis
Condition, pathological state
-lysis
Set free, disintegrate
-megaly Anormal enlargement (Greek megal-) e.g.
splenomegaly
-morphic Something that has a particular form, shape, or
structure (Greek morphe) e.g. pleomorphic
-nexal
From nexus indicating a connection or link e.g.
adnexal
-oid
Shape, resemblance
-oma
A tumour (Latin) e.g. hepatoma a tumour of the
liver
-osis
Abnormal condition, process (Greek)
-oscopy Inspection of a cavity
-ostomy A connection between two hollow organs e.g.
cholecystoduodenostomy an anastomosis
between the gall bladder and the duodenum
-ostosis Formation of bone (Greek osteon, bone)
-otomy
To cut into a part of the body (Latin -tomia,
cutting) e.g. laparotomy an incision into the
peritoneum
-penia
Lack
-phagia Eating (Greek phagein to eat)
-pathy
Disorder or disease (Greek pathos)
-plasia
Growth or formation (Greek plassein, to form,
mould)
-plasty
Surgical revision e.g. pyloroplasty (Greek plastos,
refashion)
-plegia
Paralysis
-pnoea
Breath, respiration
-poiesis Production
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-rhage
Flow
-rhaphy Suturing
-rrhoea
Flow, discharge (Greek rhein, to flow)
-sclerosis Dryness, hardness
-scopy
To see
-stomosis To create an outlet
-systole Contraction of the heart (Greek sustole to
contract)
-tomy
Cutting
-trophic Nourishment
-tropic
Having an affinity for, turning towards
-uretic
To do with urine
TERMS
Abscess
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Maxillary
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Subacute