ClinicalTransfusionPractice
GuidelinesforMedicalInterns
Foreword
Bloodtransfusionisanimportantpartofdaytodayclinicalpractice.Bloodandbloodproducts
provide unique and lifesaving therapeutic benefits to patients. However, due to resource
constraints,itisno
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NYGH
BLOOD ADMINISTRATION
SELF LEARNING PACKAGE
for Nurses
Page 1 of 23
Revised June 2013
The objective of this learning package is to support staff nurses (RN and
RPNs) to adhere to consistent practice standards associated with the procur
THE EMOTIONALLY
DISTURBED PERSON (EDP)
Recognizing the symptoms
Individuals in this category
manifest disorganized thinking,
unusual ideas and behavior,
impulsivity and hallucinations
R- Reality impaired
Primarily composed of those with
personality disord
Failure to Thrive
August 31, 2014
Defining FTT
Growth Deficiency
Crossing 2 major
percentile lines or a
term child less than
5th percentile on
growth chart
A child under 6
months who has not
grown for 2 months
A child over 6 months
has not grown for 3
Birth asphyxia
Asphyxia
APGAR score at 1 minute < 7
Interruption in oxygen delivery to the fetus
Hypoxia
Hypercapnia
Birth asphyxia
Neonatal Evaluation and
Resuscitation
APGAR Scoring
A Appearance
P Pulse
G Grimace
A Activity
R Respirations
APGA
FEEDING LOW BRITH WEIGHT/
PRETERM INFANTS
1
Definition of Preterm and LBW
Low birth weight babies - birth weight less than
2500g regardless of gestation age while preterm
babies are those born before 37 completed weeks of
gestation.
Subdivisions by gesta
Feeding in PEM
Feeding in PEM
protein energy malnutrition
protein energy malnutrition (PEM) is manifest
primarily because either inadequate dietary
intake of protein and energy, or because the
dietary intakes of these two nutrients are less than
required
NEONATAL JAUNDICE
James kimotho
Definition.
Yellow discolouration of the skin and sclera
caused by the accumulation of bilirubin in the
skin and mucous membrane.
This is associated with hyperbilirubinemia.
Hyperbilirubinemia is common and in most
cases
BAS 7/25/02
Fanconi Syndrome
Key Points:
Fanconi Syndrome is a proximal tubular defect which results in potassium, phosphorus, bicarb,
uric acid, glucose, and amino acid loss.
There are inherited and acquired forms; toxins (aminoglycosides, heavy metals
1
Diarrhoea case
Management
04/02/2016
2
Issues to be discussed:
Importance of biomedical data
Patient assessment (history)
Patient assessment (physical examination)
Severity of illness
Prescription of treatment
Administration of treatment
Monitori
POISONING
By:
kimotho james
H31/7408/04
Level IV MBChB
Definition
Damage of body tissues by any
substance.
In large enough doses anything can
act as a poison.
Poisoning results from the complex
interaction of the agent, the child and
the environment.
Epid
Congestive Heart Failure
Congestive Heart Failure
Definition
Impaired cardiac pumping such that
heart is unable to pump adequate
amount of blood to meet metabolic needs
Not a disease but a syndrome
Associated with long-standing HTN and
CAD
Factors Affe
ELECTROLYTE IMBALANCES.
[Potassium]
PRESENTER:- MWANGI LYNNETTE M.
POTASSIUM.
Intracellular cation.
98% of Potassium Intracellular Fluid (ICF)-Mainly
Muscle.
2% of Potassium-Extracellular fluid (ECF)
Ratio of Potassium in ICF:ECF ,is a primary
determ
WEEK 1 HOMEWORK
1a
1. 3. Please see Other Course Information in Blackboard for details about your grade.
2. Answers to 2:
a. Amount of Food this is a quantity and has units, so QUANT
b. Age of Shark this is a quantity and has units, so QUANT
c. Type of Sh
WEEK 7 HOMEWORK
7a
1.
2.
3.
4.
5.
P(morning)+P(afternoon)+P(evening)+P(nighttime) = 1 since they are disjoint and comprise all
possible events. Substituting one has .15+.10+.20+P(nighttime) = 1 so P(nighttime) =
1 (.15+.10+.20)=.55
The P( 3 accidents in t
WEEK 8 HOMEWORK
8a
1. P(O|V) = P(O and V)/P(V) = .15/.30 =.50.
2. P(V|O) = P(O and V)/P(O) = .15/.40 =.375
3. No. 80% Like Chocolate in total. Liking vegetables changes the probability of liking chocolate to
60%, so it has an effect, hence not independent
WEEK 12 HOMEWORK
12a
1. Standard deviation is
2
=.283 .
50
95% confidence interval is 7 +/- 2*.283 = 6.43 to 7.57.
2. Standard deviation is
15
=1.5 .
100
95% confidence interval is 76 +/- 2*1.5 = 73 to 79.
3. Increasing confidence widens a confidence in
WEEK 10 HOMEWORK
10a
1. 95% are within +/- 2 standard deviations of the mean, so 32 2*7 to 32+2*7 or 18 to 46.
2. Standard score = (value-mean)/SD , so (21.5-32)/7 = -10.5/7 = -1.5
3. 2.1=(value-32)/7 , so 2.1*7 = value-32, so value = 32+2.1*7 (Note that
WEEK 11 HOMEWORK
11a
1. The standard deviation decreases as the sample size increases and the mean of the sample
proportion is the population proportion.
2. The expected value of the sample proportion is the population proportion, so .45.
3. The standard
WEEK 13 HOMEWORK
13a
1. The claim is that the mean is greater than 850, so the alternate hypothesis is too.
2. The null hypothesis is always an equality, so mean =850.
3. P value is greater than the significance level, so the results are not significant a
WEEK 14 HOMEWORK
14a
1. The null is the equality (always the equality). The alternative is what is to be shown, so that the
mean is greater than 16.
2. z = (17.1-16)/(6/sqrt(43)= 1.20.
3. 1 table value for 1.20 is 1-.8849 = .1151. This is bigger than the
WEEK 15 HOMEWORK
15a
1. Adults and children comprise the two samples. Population standard deviation unknown, so ttest.
2. Different means not equal to in the alternative. The null is always equality.
3.
102 14 2
+
=3.62
30 20
4. P-value is less than the s
Using Generic Names of Drugs to Help Identify Drug Class*
Prefix or Suffix of Generic Name
-azepam or azolam
Example
diazepam (Valium)
-barbital
-caine
cef- or ceph- (prefix)
-capone
-cillin
coles- or choles- (prefix)
phenobarbital (Luminal)
lidocaine (Xy
TYPES OF DIET
A. Regular Diet pertains to food & fluids that contain all the essential nutrients (CHO,
CHON, Fats) necessary for tissue growth, repair, and recovery.
B. Clear Liquid Diet contains water and CHO, but has insignificant amounts of CHON, fats,
Kaplan Review Course
www.ncsbn.org is a website that has good practice test questions (the hard ones) (the knockout
questions)
safe and effective are the two key points (is what I am going to do going to be effective?
Median number of questions is 118 (75
Dexamethasone suppression test determine presence of major depression
Thyroid studies see if symptoms caused by endocrine and not dementia
Drug toxicology screen see if symptoms relate to alcohol
Trendelenburg test used for clients who have varicose veins