Wednesday, 16 December 2020

COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE)

What is COPD ?
* COPD - CHRONIC OBSTRUCTIVE PULMONARY DISEASE
COPD refers to disease that produced obstruction of air flow. They are chronic bronchitis, emphysema and bronchial asthma

Other name of COPD :-
Chronic obstructive lung disease (COLD)
2 Chronic airflow limitation (CAL)
3 Chronic lower respiratory disease(CLRD)

Etiology / Risk factors :-
- Environment
- work place
- air pollution
- Cigarette smoking
- air pollution
- chemical forms
- dust

Pathophysiology :-
Due to any logical factors of COPD
                         ⬇️
Affect ciliary cleaning mechanism of respiratory tract.
                         ⬇️
Air flow is obstructed and air becomes trapped behind the obstruction
                          ⬇️
 Alveoli greatly distant and long           capacity decreased
                          ⬇️
  Increase production and                        accumulation of the mucus
                          ⬇️
      Produce more infection
                          ⬇️
            Damage to lungs
                          ⬇️
                       COPD

Clinical manifestation / sign and symptoms :-
- respiratory insufficiency
- fatigue
- tachypnea
- prolong expiration
- chronic cough
- sputum production
- weight loss
- tightness of chest
- pitting peripheral edema

Treatment :-

1. Medical management :-
- lungs transplantations
- oxygen therapy
- surgery
- corticosteroids
- bronchodilators
- vaccine may also be effective
- smoking cessation, if appropriate.

2. Nursing management :-
- assessment
- improving breathing pattern
- air way clearance
- improve active tolerance
- monitoring and managing complications.



By : @ummedsaini_



Tuesday, 15 December 2020

๐’๐ญ๐ซ๐ฎ๐œ๐ญ๐ฎ๐ซ๐ž ๐š๐ง๐ ๐Ÿ๐ฎ๐ง๐œ๐ญ๐ข๐จ๐ง ๐จ๐Ÿ ๐ญ๐ก๐ž ๐‡๐ž๐š๐ซ๐ญ

๐™Ž๐™ฉ๐™ง๐™ช๐™˜๐™ฉ๐™ช๐™ง๐™š ๐™ค๐™› ๐™ฉ๐™๐™š ๐™ƒ๐™š๐™–๐™ง๐™ฉ

The heart is divided into the left and right side by partitions called septa (singular septum).

The interatrial septum separates the two upper chambers, called atria (from atri/o, meaning "upper chambers").

The interventricular septum separates the two lower chambers, called ventricles (from ventricul/o, meaning "lower chamber).

๐™๐™๐™š ๐™ƒ๐™š๐™–๐™ง๐™ฉ ๐˜พ๐™ค๐™ฃ๐™จ๐™ž๐™จ๐™ฉ๐™จ ๐™ค๐™› ๐™๐™ค๐™ช๐™ง ๐˜พ๐™š๐™ก๐™ก ๐™‡๐™–๐™ฎ๐™š๐™ง๐™จ:

The endocardium (from endo- + cardi/o +ium, meaning "inner layer of the heart") is formed by endothelial cells, and it lines the interior of the heart chambers and valves.

 The myocardium (from my/o + cardi/o + -ium, meaning "heart muscle") is the muscular middle layer of the heart that consists ofheart muscle cells. 

The epicardium (from epi- + cardi/o + -ium, meaning "outer layer of the heart") is formed by epithelial cells, and forms the outer cell layer of the heart.

The pericardium (from peri- + cardi/o +-ium, meaning "surrounding the heart") is a membranous sac that surrounds the heart. It consist of two layers called the visceral pericardium (adheres to the epicardium) and parietal pericardium (the outer coat). The space between these two layers is called pericardial cavity and it contains pericardial fluid.

๐™ƒ๐™š๐™–๐™ง๐™ฉ ๐˜พ๐™๐™–๐™ข๐™—๐™š๐™ง๐™จ ๐™–๐™ฃ๐™™ ๐™‘๐™–๐™ก๐™ซ๐™š๐™จ

The human heart has four chambers, which are responsible for pumping blood and maintaining blood circulation throughout the body. 

The four chambers are named:

The right atrium

The left atrium

The right ventricle

The left ventricle

Blood is only pumped to one direction. Four heart valves ensure that blood does not flow backward within the heart.

๐™๐™๐™š ๐™๐™ค๐™ช๐™ง ๐™ƒ๐™š๐™–๐™ง๐™ฉ ๐™‘๐™–๐™ก๐™ซ๐™š๐™จ ๐™–๐™ง๐™š ๐™‰๐™–๐™ข๐™š๐™™:

*• The tricuspid valve (from tri- + cuspid, meaning "having threepoints") located between right atrium and ventricle.

* The pulmonary valve (from pulmon/o, meaning "lungs") located between right ventricle and pulmonary artery. Also called semilunarvalve.

*• The mitral valve, also called bicuspid valve ( from bi-+ cuspid, meaning "having two points") located between left atrium and ventricle.

*• The aortic valve located between left ventricle and aorta. The tricuspid and bicuspid valves are also called atrioventricular valves (meaning "located between the atrium and ventricle").

The pulmonary artery will deliver the deoxygenated blood to the lungs, where gas exchange occurs.

Oxygen is taken from the air into the blood (now called oxygenated blood), while carbon dioxide is expelled from the blood into the air. The oxygenated blood returns to the left side of the heart via the pulmonary veins.

The oxygenated blood enters the left atrium.

The left atrium pumps blood into the left ventricle. The mitral valve prevents blood from flowing backward into the left atrium.

The left ventricle pumps the blood into the aorta and systemic circulation. The oxygenated blood is delivered everywhere in the body (besides the lungs).

๐—™๐˜‚๐—ป๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ ๐—›๐—ฒ๐—ฎ๐—ฟ๐˜

The heart functions to circulate blood around the body. The right and left side of the heart pump blood into two different circulations.

The right side pumps deoxygenated (from de- + oxygenated, meaning

"without oxygen") blood into the pulmonary circulation, while the

left side pumps oxygenated blood into the systemic circulation. The right atrium receives deoxygenated blood from the body tissues via the superior (from super- meaning "above") and inferior (meaning below) vena cava (from ven/o meaning "vein").

The blood enters the right atrium, which pumps the blood into the right ventricle. The tricuspid valve prevents blood from flowing backward into the right atrium. The right ventricle pumps the blood into the pulmonary artery via the pulmonary valve.

๐˜ฝ๐™ก๐™ค๐™ค๐™™ ๐˜พ๐™ž๐™ง๐™˜๐™ช๐™ก๐™–๐™ฉ๐™ž๐™ค๐™ฃ

Blood circulates around the body via two distinct pathways; the pulmonary circulation and the systemic circulation.

Together they create a closed pathways that keep the deoxygenated and oxygenated blood separated.

๐™‹๐™ช๐™ก๐™ข๐™ค๐™ฃ๐™–๐™ง๐™ฎ ๐˜พ๐™ž๐™ง๐™˜๐™ช๐™ก๐™–๐™ฉ๐™ž๐™ค๐™ฃ

Pulmonary circulation begins at the right ventricle, where the deoxygenated blood from the body tissues is pumped into the pulmonary arteries and to the lungs.

In the lungs, the blood exchanges carbon dioxide (waste product of cellular respiration) to oxygen.

The oxygenated blood them travels back to the heart and the left atrium, via the pulmonary vein.

๐™Ž๐™ฎ๐™จ๐™ฉ๐™š๐™ข๐™ž๐™˜ ๐˜พ๐™ž๐™ง๐™˜๐™ช๐™ž๐™ฉ

The systemic circulation begins at the left ventricle that pumps oxygenated blood into the aorta.

Aorta branches out into smaller arteries, which carry the oxygenated

blood to the rest of the body (with the exception of lungs).

Oxygen is delivered to the body tissues and exchanged to carbon dioxide. The now deoxygenated blood is carried back to the heart and the right atrium via veins.

๐˜ผ๐™ง๐™ฉ๐™š๐™ง๐™ž๐™š๐™จ ๐™ซ๐™จ ๐™‘๐™š๐™ž๐™ฃ๐™จ

The blood vessels that carry blood AWAY from heart are called arteries.

The blood vessels that carry blood TOWARD the heart are called veins.

Only in systemic circulation arteries carry oxygenated blood, while in the pulmonary circulation arteries carry deoxygenated blood.

๐—–๐—ผ๐—ป๐˜๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ผ๐—ณ ๐˜๐—ต๐—ฒ ๐—›๐—ฒ๐—ฎ๐—ฟ๐˜

The contraction of the muscular wall of the heart chambers, called myocardium generates the force to pump blood.

The heart contraction is divided into two phases: systole (meaning "contraction") and diastole (meaning "relaxation").

Blood is pumped from the chambers during a contraction phase. The heart chambers are filled with blood during a relaxation phase.



๐™Š๐™ฃ๐™š ๐™ง๐™ค๐™ช๐™ฃ๐™™ ๐™ค๐™› ๐™๐™š๐™–๐™ง๐™ฉ ๐™˜๐™ค๐™ฃ๐™ฉ๐™ง๐™–๐™˜๐™ฉ๐™ž๐™ค๐™ฃ๐™จ ๐™˜๐™–๐™ฃ ๐™—๐™š ๐™™๐™ž๐™ซ๐™ž๐™™๐™š๐™™ ๐™ž๐™ฃ๐™ฉ๐™ค ๐™ฉ๐™๐™š ๐™›๐™ค๐™ก๐™ก๐™ค๐™ฌ๐™ž๐™ฃ๐™œ ๐™ฅ๐™๐™–๐™จ๐™š๐™จ:

Relaxation phase → Blood flows from the atria into the ventricles passively via open atrioventricular valves.

The atrial systole → Contraction of atria. Pumps the rest of the blood into the ventricles.

The ventricular systole → Contraction of the ventricles. Forces blood into the pulmonary and systemic circulation. (During the ventricular systole, the atria relax and begin to fill with blood arriving from vena cava or the pulmonary veins.

Ventricular diastole → The ventricles and atria are relaxed.


๐—ฆ๐—ถ๐—ป๐—ผ๐—ฎ๐˜๐—ฟ๐—ถ๐—ฎ๐—น (๐—ฆ๐—”) ๐—ก๐—ผ๐—ฑ๐—ฒ

Myocardium contracts after it receives an electrical impulse generated by a specialized tissue located within the right atrium.

This is called the sinoatrial node (SA node), also called the pacemaker of the

heart. The SA node is a bundle of neurons that triggers the contraction of

the atria during the cardiac cycle.

The electrical currents next reach the ventricles, which contract after the atria. The SA node initiates approximately 75 electrical impulses each minute, with

variation between individuals' age and general health

๐—”๐˜๐—ฟ๐—ถ๐—ผ๐˜ƒ๐—ฒ๐—ป๐˜๐—ฟ๐—ถ๐—ฐ๐˜‚๐—น๐—ฎ๐—ฟ ๐—ป๐—ผ๐—ฑ๐—ฒ (๐—”๐—ฉ ๐—ป๐—ผ๐—ฑ๐—ฒ)

This small mass of neuromuscular tissue is situated in the wall of the atrial septum near the atrioventricular valves. Normally, the AV node merely transmits the electrical signals from the atria into the ventricles. There is a delay here; the electrical signal takes 0.1 of a second to pass through into the ventricles. This allows the atria to finish contracting before the ventricles start.

The AV node also has a secondary pacemaker function and takes over this role if there is a problem with the SA node itself, or with the transmission of impulses from the atria. Its intrinsic firing rate, however, is slower than that set by the SA node (40-60 beats per minute)

๐—ง๐—ต๐—ฒ ๐—ฃ๐˜‚๐—ฟ๐—ธ๐—ถ๐—ป๐—ท๐—ฒ ๐—™๐—ถ๐—ฏ๐—ฒ๐—ฟ๐˜€

The Purkinje fibers are cells in the inner ventricle walls, just beneath the endocardium. These fibers run between the ventricles to the apex (bottom) of the heart. The Purkinje fibers play a crucial role in the cardiac cycle.

When an electrical stimulus leaves the AV node, it travels via the bundle of His and branches to the Purkinje fibers. These fibers then carry the impulse through the inner wall of each ventricle. This causes the ventricles to contract after the atria contract.

The ventricle contraction forces blood from the right ventricle to the lungs (pulmonary circulation) and from the left ventricle to the body (systemic circulation).

These three elements generate a healthy heart rhythm known as sinus rhythm. The rhythm, or contraction of the heart pumps blood throughout the body. In roughly a minute's time, blood travels from the heart to the body and back.

By : @ummedsaini_

Saturday, 12 December 2020

๐™จ๐™ช๐™ฅ๐™š๐™ง๐™›๐™ž๐™˜๐™ž๐™–๐™ก ๐™ ๐™ฃ๐™ค๐™ฌ๐™ก๐™š๐™™๐™œ๐™š ๐™–๐™—๐™ค๐™ช๐™ฉ ๐™ค๐™ช๐™ง ๐™—๐™ค๐™™๐™ฎ

๐™จ๐™ช๐™ฅ๐™š๐™ง๐™›๐™ž๐™˜๐™ž๐™–๐™ก ๐™ ๐™ฃ๐™ค๐™ฌ๐™ก๐™š๐™™๐™œ๐™š ๐™–๐™—๐™ค๐™ช๐™ฉ ๐™ค๐™ช๐™ง ๐™—๐™ค๐™™๐™ฎ


1. Number of bones - 206

2. Number of muscles - 639

3. Number of kidneys - 2

4. Number of milk teeth - 20

5. Number of ribs - 24 (12 pairs)

6. Number of chambers in the heart - 4

7. Largest artery. Aorta Normal Blood pressure - 120/80

8. Ph of blood - 7.4

9. Number of vertebrae in the spine - 33

10. Number of vertebrae in the Neck - 7

11. No. of bones in middle Ear-6

12. Number of bones in Face - 14 

13. Number of bones in Skull - 22

14. Number of bones in Chest - 25

15. Number of bones in Arms -6

16. Number of bones in each human ear - 3

17. Number of muscles in the human arm - 72

18. Number of pumps in heart - 2

19. Largest organ - Skin

20. Largest gland - Liver

21. Smallest cell - Blood cell

22. Biggest cell - Egg cell (ovum)

23. Smallest bone - Stapes

24. First transplanted organ - Heart 

25. Average length of small Intestine - 7 m

26. Average length of large intestine - 1.5 m

27. Average weight of new born baby - 2.6

28. Pulse rate in one minute - 72 limes

29. Body Temperature - 36.90 °C (98.40 °F)

30. Average blood volume. 4-5 liters

31. Average life of RBC - 120 days

32. Pregnancy period - 280 days

33. Number of bones in human foot - 33

34. Number of bones in each wrist - 8

35. Number of bones in hand - 27

36. Largest endocrine gland - Thyroid

37. Largest lymphatic organ - Spleen

38. Largest cell - Nerve cell


By : @ummedsaini_
@nursing_education

Monday, 7 December 2020

๐˜ฟ๐™๐™๐™‚๐™Ž ๐™๐™ค ๐˜ผ๐™‘๐™Š๐™„๐˜ฟ ๐˜ฟ๐™ช๐™ง๐™ž๐™ฃ๐™œ ๐™‹๐™๐™€๐™‚๐™‰๐˜ผ๐™‰๐˜พ๐™”

* DRUGS To AVOID During PREGNANCY *

1) ๐€๐ง๐ญ๐ข๐›๐ข๐จ๐ญ๐ข๐œ๐ฌ :

▫Fluoroquinolones : (Ciprofloxacin, Ofloxacin, Levofloxacin, And Norfloxacin)

▫Sulfonamides : (Sulfasalazine And Trimethoprim - Sulfamethoxazole)

▫Tetracyclines
▫Streptomycin
▫Nitrofurantoin

** Abnormalities Caused :

Possibility of Bone And Joint Abnormalities. 
(Seen Only In animals). 

2) ๐€๐ง๐ญ๐ข๐œ๐จ๐ง๐ฏ๐ฎ๐ฅ๐ฌ๐š๐ง๐ญ๐ฌ :

▪Carbamazepine
▪Phenobarbital
▪Phenytoin
▪Valproate

** Abnormalities Caused :

Bleeding Problems In The Newborn. To
This Problem Can be Prevented By Taking Vitamin K Orally 30 Days Before Delivery.

Cause Risk Of Birth Defects, Including Neural Tube Defects. 
(Such As Spina Bifida)

Valproate Cause Some (1%) Risk Of Birth Defects, Including Neural Tube Defects. 
(Such As Meningomyelocele),
Cleft Palate, And 
Defects of Face, The Heart, Skull, Limbs and Spine. 

 3) ๐€๐ง๐ญ๐ข๐ก๐ฒ๐ฉ๐ž๐ซ๐ญ๐ž๐ง๐ฌ๐ข๐ฏ๐ž๐ฌ :

 a) Angiotensin - Converting Enzyme (ACE) Inhibitors :

▪Captopril
▪Benazepril
▪Fosinopril
▪Enalapril
▪Lisinopril
▪Quinapril
▪Ramipril
▪Trandolapril
▪Perindopril

** Abnormalities Caused :

Serious Injury To The Fetus,
May Cause Kidney Damage In The Fetus,
Reduce Amniotic Fluid,
Also Cause Defects Of Lungs, Face and Limbs.

 b) Calcium Channel Blockers :

▫Isradipine
▫Nisoldipine
▫Amlodipine
▫Verapamil
▫Nifedipine (Sustained - Release Only)
▫Diltiazem(Sustained - Release Only)
▫Nicardipine
▫Felodipine

** Abnormalities Caused :

Fluid Retention in the Ankles,
Dizziness,
Headache,
Flushing,
Heartburn,
Tachycardia and
Enlarged Gums. 

Verapamil Also Causes Constipation.

 c) Beta Blockers :

▫Atenolol
▫Bisoprolol
▫Metoprolol
▫Acebutolol
▫Nadolol
▫Penbutolol
▫Propranolol
▫Betaxolol
▫Carteolol
▫Timolol
▫Nebivolol
▫Pindolol

** Problems Caused :

Slow Growth Rate In The Fetus,
Low Level Of Blood Sugar And Low Heart Rate.

 d) Thiazide Diuretics :

▫Chlorothiazide
▫Bendroflumethiazide
▫Hydroflumethiazide
▫Chlorthalidone
▫Methyclothiazide
▫Metolazone
▫Indapamide
▫Hydrochlorothiazide

** Problems Caused :

Decrease In The Level Of Oxygen, Potassium Sodium,
Decrease In Number Of Platelets In The Fetus,
Inadequate Growth Before Birth.

 4) ๐€๐ง๐ญ๐ข๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ ๐ƒ๐ซ๐ฎ๐ ๐ฌ :

▪Lithium

** Abnormalities Caused :

Poor Feeding, 
Lethargy,
Reduced Muscle Tone,
Nephrogenic Diabetes Insipidus In The Newborn and
Underactivity Of The Thyroid Gland.

 5) ๐๐จ๐ง ๐’๐ญ๐ž๐ซ๐จ๐ข๐๐š๐ฅ ๐€๐ง๐ญ๐ข - ๐ˆ๐ง๐Ÿ๐ฅ๐š๐ฆ๐ฆ๐š๐ญ๐จ๐ซ๐ฒ ๐ƒ๐ซ๐ฎ๐ ๐ฌ (๐๐’๐€๐ˆ๐ƒ๐ฌ) :

▪Naproxen
▪Ibuprofen
▪Aspirin and other Salicylate

** Problems Or Abnormalities Caused:

When Taken In Large Doses,
Probably Miscarriages During The First Trimester,
A Delay Within The Begin Of Labor,
Premature Closing Of The Connection Between The Aorta And Artery To The Lungs (Ductus Arteriosus),
Jaundice,
Necrotizing Enterocolitis (Damage To The Liner Of The Intestine), And (Occasionally)
Brain Injury Within The Foetus And Bleeding Issues Within The Woman Throughout And After Delivery And / Or Within The Newborn When The Medication Is Taken Late In Pregnancy,
A Reduction In The Amount Of Amniotic Fluid. 

 6) ๐’๐ž๐ฑ ๐‡๐จ๐ซ๐ฆ๐จ๐ง๐ž๐ฌ :

Synthetic Progestins
(But Not The Low Doses Used In Oral Contraceptives)

▫Danazol

When Synthetic Progestin And Danazol Are Taken In The early Stages Of Pregnancy, Masculinization Of A Female Fetus’s Genitals, Sometimes Requiring Surgery For Correction. 

▫Diethylstilbestrol (DES)

Abnormalities Of The Penis In Sons,
Abnormalities Of The Uterus,
An Increased Risk Of Vaginal Cancer,
Menstrual Problems, and
Complications During Pregnancy In Daughters.

 7) ๐•๐š๐œ๐œ๐ข๐ง๐ž๐ฌ :

Vaccines for Polio, Measles, Mumps or Yellow Fever. 

These Vaccines Causes Potential Infection Of The Placenta And Developing Fetus.

Vaccine For Chickenpox (Varicella) And Rubella.

This Is Associated With Unknow Risks.

8) ๐ƒ๐ซ๐ฎ๐ ๐ฌ ๐”๐ฌ๐ž๐ ๐ˆ๐ง ๐’๐ค๐ข๐ง ๐“๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ :

▫Isotretinoin
▫Etretinate

** Problems Caused :

Both Drugs, 
Birth defects, Such As
Small Ears,
Heart Defects, and Hydrocephalus.

While Isotretinoin Also Cause Intellectual Disability And Risk of Miscarriage.

9) ๐Ž๐ซ๐š๐ฅ ๐€๐ง๐ญ๐ข ๐ƒ๐ข๐š๐›๐ž๐ญ๐ข๐œ๐ฌ :

▫Metformin
▫Glyburide
▫Tolbutamide

By : @ummedsaini_

@nursing_education

Saturday, 5 December 2020

๐‘บ๐’๐’Ž๐’† ๐‘ด๐’†๐’…๐’Š๐’„๐’‚๐’ ๐‘จ๐’ƒ๐’ƒ๐’“๐’†๐’—๐’Š๐’‚๐’•๐’Š๐’๐’๐’”

๐‘บ๐’๐’Ž๐’† ๐‘ด๐’†๐’…๐’Š๐’„๐’‚๐’ ๐‘จ๐’ƒ๐’ƒ๐’“๐’†๐’—๐’Š๐’‚๐’•๐’Š๐’๐’๐’”


๐Ÿ‡ฆ​​​​​
ALP : : alkaline phosphatase
ALT : alanine aminotransferase
AST : :aspartate aminotransferase 
AIDS : acquired immunodeficiency syndrome. 
AKA : alcoholic ketoacidosis 
ALL : acute lymphoblastic leukaemia 
AMI : acute myocardial infarction 
ARF : acute renal failure 
AF : : atrial fibrillation

๐Ÿ‡ง​​​​​
BT : : bleeding time

๐Ÿ‡จ​​​​​
CBC: :complete blood count 
CP: :complete picture of blood
CXR: : X-ray chest (PA view)
CT : : clotting time
CABG: coronary artery bypass graft 
CAH: congenital adrenal hyperplasia 
CCF: congestive cardiac failure 
CF: cystic fibrosis
CHD: coronary heart disease 
CNS: central nervous system 
COPD: chronic obstructive pulmonary disease 
CPAP: continuous positive airways pressure 
CRF: chronic renal failure 
CSF: cerebrospinal fluid 
CT: computer mography 
CVA: cerebrovascular accident (stroke) 
CVD: cardiovascular disease 
CCK: :cholecystokinin 
Ca : : calcium

๐Ÿ‡ฉ​​​​​
DM:diabetes mellitus 
DKA: diabetic ketoacidosis 
DU: duodenal ulcer 
DVT: deep vein thrombosis 

๐Ÿ‡ช​​​​​
ECG: electrocardiography/ or cardiogram 
EEG: electroencephalogram 
ESR: erythrocyte sedimentation rate 
ESRD: end-stage renal disease 

๐Ÿ‡ซ​​​​​
FPG: fasting plasma glucose 

๐Ÿ‡ฌ​​​​​
GIT: gastrointestinal tract 
GU: gastric ulcer 
GvHD: graft versus host disease 
GGT: :gamma glutamyl transpeptidase
GGT: : gamma glutamile transpeptidase
GTT: : glucose tolerance test

๐Ÿ‡ญ​​​​​
HTN : : high/ blood pressure,@hyper tension 
HAV: hepatitis A virus 
HBV: hepatitis B virus 
Hcg: human chorionic gonadotrophin
HAV : : hepatitis A virus
HBV @ HBs Ag hepatitise B antigen
HCV hepatitis: C virus 
HIV: human immunodeficiency virus 
HNA: heparin neutralising activity 

๐Ÿ‡ฎ​​​​​
INR: : international normalized ratio/rate
IFG: impaired fasting glucose 
IGT : impaired glucose tolerance 
IHD: ischaemic heart disease 
Ig: immunoglobulin 
IM: intramuscular 
INR: international normalized ratio 
ITU: intensive therapy unit 
IV: intravenous 
IVU: intravenous urogram 
ICH: intracranial haemorrhage 
IDA: iron deficiency anaemia 
IDDM: insulin dependent (type 1)

๐Ÿ‡ฐ​​​​​
K: : potassium 
KUB: kidney, ureter, bladder (x-ray)/ U-S

๐Ÿ‡ฑ​​​​​
LFT : liver function test
LDH: : lactae dehydrogenase
LBBB: left bundle branch block 
LCM: left costal margin 
LFTs: liver function tests 
LIF: left iliac fossa 
LUQ: left upper quadrant 
LVF: left ventricular failure 
LVH: left ventricular hypertrophy 

๐Ÿ‡ฒ​​​​​
MC&S: microscopy, culture & sensitivity 
MCH: mean cell haemoglobin 
MI: myocardial infarction 
Min: minutes 
MPD: myeloproliferative disease 
MRI : magnetic resonance imaging 
MS : multiple sclerosis or mass spectroscopy 

๐Ÿ‡ณ​​​​​
Na: : sodium 
NaCl: sodium chloride 

๐Ÿ‡ด​​​​​
OA : osteo arthritis  
OCP: oral contraceptive pill 

๐Ÿ‡ต​​​​​
PT: : prothrombing time
PT : :pregnancy test (by urine)
PACWP; pulmonary artery capillary wedge pressure 
PAD: peripheral arterial disease 
PaO2: partial pressure of O2 in arterial blood 
PB: peripheral blood 
PBC : primary biliary cirrhosis 
PCI: percutaneous coronary intervention 
PCL: plasma cell leukaemia 
PE: pulmonary embolism 
PR: per rectum 
PV : : per vagina 
PV: plasma volume

๐Ÿ‡ท​​​​​
RA : : rheumatoid arthritis
RAS: renal angiotensin system or renal artery stenosis 
RBBB: right bundle branch block 
RBCs: red blood cells 
RCC: red blood cell count 
Rh: Rhesus (monkey)
RIF: right iliac fossa 
RUQ: right upper quadrant 

๐Ÿ‡ธ​​​​​
SGOT : : serum glutamic oxaloacetic transaminase
SGPT : : serum glutamic pyruvic transaminase
SC: subcutaneous 
SDH: subdural haemorrhage 
SOB: shortness of breath 
SM: smooth muscle 
SVC : superior vena cava 
SVCO: superior vena caval obstruction 
SXR: skull x-ray 

๐Ÿ‡น​​​​​
TLC : : total leukocytes count
T°: temperature 
t1/2: half-life 
T4: thyroxine 
TA: temporal arteritis 
TB: tuberculosis 
TFT: thyroid function test 
TIAs: transient ischaemic attacks 
TPO: thyroid peroxidase 
TRAB: thyrotropin receptor antibodies 
TSH : thyroid-stimulating hormone 
TT: thrombin time 

๐Ÿ‡บ​​​​​
u/U: units 
UC: ulcerative colitis 
U&E: urea and electrolytes 
UCE: : urea creatinine & electrolytes 
URTI: upper respiratory tract infection 
UTI: urinary tract infection 
USS: ultrasound scan 

๐Ÿ‡ป​​​​​
VIII: C factor VIII clotting activity 
VIP: vasoactive intestinal peptide 
Vit K: vitamin K 
VSD: ventricular septal defect 

๐Ÿ‡ผ​​​​​
WBC: :white blood cell

By : @ummedsaini_
                               @nursing_education

Friday, 4 December 2020

How to take care of your (internal) body parts...?

⏩TAKE CARE OF YOUR (INTERNAL) BODY PARTS/ORGANS.

1) The STOMACH is injured when you do not have breakfast in the morning.

(2) KIDNEYS are injured when you do not even drink 10 glasses of water in 24 hours.

(3) The GALLBLADDER is injured when you do not even sleep until 11 o'clock and do not wake up to the sunrise.

(4) The SMALL INTESTINE is injured when you eat cold and stale food.

(5)The LARGE INTESTINES are injured when you eat more fried and spicy food.

(6) The LUNGS are injured when you breathe in smoke, dirt and polluted environment of cigarettes and bidi.

(7) The LIVER is injured when you eat heavy fried food, junk, and fast food.

(8) The HEART is injured when you eat your meal with more salt and cholesterol.

(9) The PANCREAS is injured when you eat more sweet because of the taste and freely available.

(10) The EYES are injured when you work in the light of mobile and computer screen in the dark.

(11) The BRAIN is injured when you start thinking negative thoughts.

Take care of the parts of your body and do not scar them.

All these parts are not available in the market. Those available are very expensive and probably cannot be adjusted in your body.

Pls take care of your body, not everything is a spiritual....

So, keep your body parts HEALTHY.

By : @ummedsaini_
                               @nursing_education

Thursday, 3 December 2020

Lab Test๐Ÿงซ๐Ÿงช

*Medical and Nursing Lab.DiagnosticTest*

1. AdomTest- Scoliosis
2. Allen test- ABG Analysis
3. Aldehyde test- Leprosy
4. Phosphate test- Pasteurization
5. Patch Test- AllergicReaction
6. Tourniquet Test- Dengue
7. Urea BreathTest- H.Pylori
8. Schick test- Diphtheria
9. Dick Test- Scarlet Fever
10. Rothers test- Acetone in Urine
11. Hey Test- Bile Salt in Urine
12. Smith test- Bile Pigment in Urine
13. Benedict Test- Glucose in urine
14. KveimTest- Sarcoidosis
15. Rinne & Webber test- Hearing
16. Direct Coomb test- Hemolytic Anemia
17. IschiaraTest- Color Vision test
18. Snellen Chart Test- Distance Vision
19. Confrontation Test- Central and Peripheral Vision
20. Jegar's type Card test- Near Vision
22. SchilingTest- Vitamin B12 Absorption
23. HistamineTest-Leprosy
24. RollerOverTest- Pre-Eclampsia
25. Fern Test or Nitrizine Test- leakage of Amniotic fluid
26. VDRLTest- Syphilis
27.VMA(VanellylMandelicAcid)- Pheochromocytoma
28. GlucoseToleranceTest-DiabetesMellitus
29. Glycosylated Hemoglobin/Hb1AC Test- DiabetesMellitus
30. WaterDeprivation Test- Diabetes Insipidus
31. Treadmill/StressTest-HeartFunction
32. TripleTest- DownSyndrome
33. D-DimerTest-measuring Clot formation(DVT,P
E,DIC)
34. TrendelenburgTest- VericoseVein
35. Phallen/TinnelTest- Carpal Tunnel Syndrome
36. Gold QuntiFeronTest- Tuberculosis
37. BangleTest- Protein Energy Malnutrition
38. TensilonTest- MyastheniaGravis
39. Romberg Test- Neurological Function/balance or gait
40. KneeKissTest- Meningitis in Children
41. Tzank Test- Herpes Genital or Vericella
42. FrieTest- Lymphogranuloma inguinale
43. WidalTest-Typhoid(on2ndweek)
44. Weilfelix test-Typhoidfever
45. BonnyTest/MarshallTest- Stress Incontinence
46. Binnet Test- IntelligenceQuotient
47. SweatChlorideTest- Cystic fibrosis
48. HangingDropTest- Cholera
49. Paul bunnel Test- EpstienBarrVirus
50. ShakeTest/BubbleTest- Surfactant and fetal Lungs maturity
51. RubinTest- Patency of FallopianTube
52. TapeTest- PinWorm
53. OrthoTolidinTest- Check Chlorine in Water
54. DexaScan- Bone Metabolic Disease(eg.Oste
oporosis)
55. Heel to Shin Test-Body Coordination Test
56. HaloTest- CSF Leakage
57. Dexamethasone Suppression Test- ACTH or Pituitary/Adrenal gland tumor
58. Arthrocentesis- Joint inflammation and Infection
59. Holter Monitoring- 24HourECG Monitoring in Dysrhythmia
60. PulmonaryFunctionTest- measure lung volume and Capacity (By-Spirometer)
61. SGOT&SGPT AST/ALT-LiverFunctionTest
62. PAP’sSmear- Cancer of cervix
63. Creatinine Clearance Test- estimation of GFR
64. Wood's Light Examination- Superficial Infection of Skin
65. Burrow Ink Test- Scabies/The Itch
66. BradenScale-to Measure integrity of Bed Sore

#CancerDiagnosticTest :-
■ CA15-3–BreastCancer
■ CA19-9– GIT (Pancreatic,LiverCancer)
■ CA125–OvarianCancer

#AIDSDiagnosticTest :-
■ ELISA Test- Screening for HIV
■ Western Blot Test- Confirmative Test for HIV
■ CD4Count- Predictor Of HIV (<200)
■ P24 Antigen Assay Test- Indicates Active HIV Replication or seen in
Pregnancy & children's


By : @ummedsaini_


@nursing_education

Wednesday, 2 December 2020

MUST KNOW NUMBERS

MUST KNOW NUMBERS

BP: 
Systolic 90-140 mmHg
Diastolic 60-90 mmHg
HTN systolic > 140
Hypotension systolic <90

Pulse Pressure: > 40
syst. - diast.

MAP: 70-100 *at least 60 to perfuse
tissue

         syst. + (diast. x2)
                  3

HR: 60-100, brady <60, tachy >100

Temp: 36.5-37.5/97-99

LOC: awake + alert, lethargic,
obtunded, comatose

Pain: 0-10

Blood Glucose: 4-7 mmol/L /80-120
mg/dL

Stroke Volume: 60-80 mL per
contraction

Cardiac Output = SV x HR

Troponin: specific to myocardial
infarction

BNP: indicates heart failure 

Arterial Norms: PaCO2 35-45

Newborn Vital Signs: HR 120-160, RR 30-60, SBP 50-70 mmHg, T 36.5
37.5

LABS:

K+: 3.5-5.0

Na+: 135-145

Ca+: 8.5-10.5

CI: 80-100

Mg+: 1.5-2.5

BUN: 7-20 mg/dL

Creat: 0.7-1.3

RBC: 4-6 million; (low anemia, high= polycythemia)

Hgb: 12-16 g (female), 14-18 g (male)

WBC: 5-10 K

Platelets: 150-400K

PTT: 20-36 seconds
If on heparin: 1.5-2.5x normal

INR: 0.9-1.8
2-3, if on warfarin

Parkland Formula: 4 mL x BSA (% of body burned) x kg

@nursing_education
                                    By : @ummedsaini_

Tuesday, 1 December 2020

IMMUNOGLOBULINS(Ig) IMPORTANT POINTS

๐Ÿ’ฅIMMUNOGLOBULINS IMPORTANT POINTS 

1. Ig that crosses the placenta ........... Ig G .

2. Ig present in milk .......... Ig G and Ig A

3. Ig in sero-mucinous glands ............Ig G and Ig A

4. Ig in primary immune response..............Ig M

5. Ig in secondary immune response.........Ig G

6. Ig with maximum molecular weight .............Ig M

7. Ig with maximum sedimentation rate .........Ig M

8. Ig with minimum sedimentation coefficient ........Ig G

9. Blood group antibodies belong to which type of immunoglobulins ....Ig M

10. Rheumatoid factor belongs to which type of immunoglobulins ............Ig M ( antibody against Fc fragment of Ig G )

11. Immunoglobulin that is heat labile ..........Ig E .

12. Immunoglobulin mediating the prausnitz kustner reaction ...........Ig E

13. Ig appearing first in life..........Ig M

14. homocytotropism is seen in which Ig..............Ig E .

15. Ig with maximum serum concentration ........... Ig G

16. Ig with minimum serum concentration ............Ig E

17. Ig with longest half life ........... Ig G

18. Ig with shortest half life .............Ig E

19. Ig with maximum synthesis per day ...........Ig A

20. Ig with minimum synthesis per day ............Ig E

21. Ig responsible for hypersensitivity pneumonitis .........Ig G

22. binary exposure to an antigen results in sudden increase in..........Ig G

23. Ig to fix complements via classical pathway.......... Ig G1 and Ig M

24. Ig to fix complements via alternate pathway ........Ig A , Ig D , Ig G

By : @ummedsaini_

Nursing Education's

Sunday, 29 November 2020

Most common in traumatology

*๐Ÿ›  Most Common In Traumatology. 

*๐Ÿ“’ Most Common Fracture - Overall - _Clavicle._*

*๐Ÿ“’ Most Common Fracture During Delivery - _Clavicle._*

*๐Ÿ“’ Most Common Fracture During Newborn - _Clavicle._*

*๐Ÿ“’ Most Common Fracture During Childhood - _Greenstick Fracture - Radius > Ulna._*

*๐Ÿ“’ Most Common Fracture During Childhood Around Elbow - _Supracondylar Fracture Of Humerus._*

*๐Ÿ“’ Most Common Fracture Of Carpal Bone - _Fracture Of Scaphoid._*

*๐Ÿ“’ Most Common Dislocation Of Carpal Bone - _Lunate._*

*๐Ÿ“’ Most Common Fracture Of Tarsal Bone - _Calcaneus Fracture._*

*๐Ÿ“’ Most Common Dislocation Of Tarsal Bone - _Talus._*

*๐Ÿ“’ Most Common Fracture Due To Fall On Outstretched Hand In Children - _Supracondylar Fracture Of Humerus._*

*๐Ÿ“’ Most Common Fracture Due To Fall On Outstretched Hand In Adolescent - _Fracture Of Scaphoid._*

*๐Ÿ“’ Most Common Fracture Due To Fall On Outstretched Hand In Elderly - _Colles Fracture._*

*๐Ÿ“’ Most Common Bone To Undergo Open Fracture - _Tibia._*

*๐Ÿ“’ Most Common Bone To Undergo Stress Fracture - _Tibia > Metatarsal (Second).*
*๐Ÿ“’ Most Common Bone To Undergo Pathological Fracture - _Vertebral Body Of Thoracic Spine._*

*๐Ÿ“’ Most Common Joint To Undergo Dislocation - _Shoulder Joint._*

*๐Ÿ“’ Most Common Joint To Undergo Traumatic Dislocation - _Shoulder._*

*๐Ÿ“’ Most Common Joint To Undergo Spontaneous Dislocation - _Shoulder._*

*๐Ÿ“’ Most Common Joint To Undergo Recurrent Dislocation - _Shoulder._*

*๐Ÿ“’ Most Common Joint To Undergo Dislocation In Children - _Elbow._*

*๐Ÿ“’ Second Most Common Joint To Undergo Recurrent Dislocation - _Patellofibular Joint._*

*๐Ÿ“’ Least Common Joint To Undergo Dislocation - _knee Joint._*

*๐Ÿ“’ Least Common Joint To Undergo Recurrent Dislocation - _Ankle Joint._*

*๐Ÿ“’ Most Common Tendon Injury - _Supraspinatus > TendoAchilles._*

*๐Ÿ“’ Strongest Tendon - _Tendo Achilles_*

*๐Ÿ“’ Most Common Ligament To Undergo Sprain - _Anterior Talofibular._*

*๐Ÿ“’ Strongest Ligament Of Human Body - _Bigelow‘s Ligament (Iliofemoral Ligament)._*

*๐Ÿ“’ Most Common Peripheral Nerve Injury - _Radial Nerve._*
 
*๐Ÿ“’ Best Prognosis - _Radial Nerve Injury._*

*๐Ÿ“’ Most Common Arterial Injury - _Popliteal Artery._*

Nursing Education's
                                     By- @ummedsaini_

Saturday, 28 November 2020

FULL FORM OF COMMON MEDICAL WORDS

FULL FORM OF COMMON MEDICAL WORDS

CBC : : complete blood count 

CP : : complete picture (of blood)

CXR : : X-ray chest (PA view)

BT : : bleeding time

CT : : clotting time

LFT : : liver function test

SGOT : : serum glutamic oxaloacetic transaminase

SGPT : : serum glutamic pyruvic transaminase

ALP : : alkaline phosphatase

ALT : : alanine aminotransferase

GGT: :gamma glutamyl transpeptidase

GGT: : gamma glutamile transpeptidase

GTT: : glucose tolerance test

LDH: : lactae dehydrogenase

PT: : prothrombing time

AF : : atrial fibrillation 

AIDS : acquired immunodeficiency syndrome

AKA : alcoholic ketoacidosis 

ALL : acute lymphoblastic leukaemia 

AMI : acute myocardial infarction 

ARF : acute renal failure 

HTN : : high blood pressure @hyper tension 

CABG: coronary artery bypass graft 

CAH: congenital adrenal hyperplasia 

CCF: congestive cardiac failure 

CF: cystic fibrosis

CHD: coronary heart disease 

CNS: central nervous system 

COPD: chronic obstructive pulmonary disease 

CPAP: continuous positive airways pressure 

CRF: chronic renal failure 

CSF: cerebrospinal fluid 

CT: computer mography 

CVA: cerebrovascular accident (stroke) 

CVD: cardiovascular disease 

DKA: diabetic ketoacidosis 

DU: duodenal ulcer 

DVT: deep vein thrombosis 

ECG: electrocardiography/ or cardiogram 

EEG: electroencephalogram 

ESR: erythrocyte sedimentation rate 

ESRD: end-stage renal disease 

FPG: fasting plasma glucose 

GIT: gastrointestinal tract 

GU: gastric ulcer 

GvHD: graft versus host disease 

HAV: hepatitis A virus 

HBV: hepatitis B virus 

Hcg: human chorionic gonadotrophin

HAV : : hepatitis A virus

HCV hepatitis: C virus 

HIV: human immunodeficiency virus 

HNA: heparin neutralising activity 

ICH: intracranial haemorrhage 

IDA: iron deficiency anaemia 

IDDM: insulin dependent (type 1) diabetes mellitus 

IFG: impaired fasting glucose 

IGT : impaired glucose tolerance 

IHD: ischaemic heart disease 

Ig: immunoglobulin 

IM: intramuscular 

ITU: intensive therapy unit 

IV: intravenous 

IVU: intravenous urogram 

K: : potassium 

LBBB: left bundle branch block 

LCM: left costal margin 

LFTs: liver function tests 

LIF: left iliac fossa 

LUQ: left upper quadrant 

LVF: left ventricular failure 

LVH: left ventricular hypertrophy 

MC&S: microscopy, culture & sensitivity 

MCH: mean cell haemoglobin 

MI: myocardial infarction 

Min: minutes 

MPD: myeloproliferative disease 

MRI : magnetic resonance imaging 

MS : multiple sclerosis or mass spectroscopy 

Na: : sodium 

Ca : : calcium

NaCl: sodium chloride 

OA : osteo arthritis 

RA : : rheumatoid arthritis 

OCP: oral contraceptive pill 

PACWP: pulmonary artery capillary wedge pressure 

PAD: peripheral arterial disease 

PB: peripheral blood 

PBC : primary biliary cirrhosis 

PCI: percutaneous coronary
intervention 

PCL: plasma cell leukaemia 

PE: pulmonary embolism 

PR: per rectum 

PV : : per vagina 

PV: plasma volume 

RAS: renal angiotensin system or renal artery stenosis 

RBBB: right bundle branch block 

RBCs: red blood cells 

RCC: red blood cell count 

Rh: Rhesus (monkey)

RIF: right iliac fossa 

RUQ: right upper quadrant 

SC: subcutaneous 

SDH: subdural haemorrhage 

SOB: shortness of breath 

SM: smooth muscle 

SVC : superior vena cava 

SVCO: superior vena caval obstruction 

SXR: skull x-ray 

T°: temperature 

t1/2: half-life 

T4: thyroxine 

TA: temporal arteritis 

TB: tuberculosis 

TFT: thyroid function test 

TIAs: transient ischaemic attacks 

TPO: thyroid peroxidase 

TRAB: thyrotropin receptor antibodies 

TSH : thyroid-stimulating hormone 

TT: thrombin time 

UC: ulcerative colitis 

U&E: urea and electrolytes 

UCE: : urea creatinine & electrolytes 

URTI: upper respiratory tract infection

UTI: urinary tract infection 

USS: ultrasound scan 

VIII: C factor VIII clotting activity 

VIP: vasoactive intestinal peptide 

Vit K: vitamin K 

VSD: ventricular septal defect 

WBC: :white blood cell

TLC : : total leukocytes

By : @ummedsaini_

@nursing_education

Moyamoya disease

Moyamoya disease is a disease in which certain arteries in the brain are constricted. Blood flow is blocked by constriction and blood clots...