...Courtesy of L E K A R SPECIAL EDITION Authors: Marino, Paul L. Title: ICU Book, The, 3rd Edition Copyright ©2007 Lippincott Williams & Wilkins ISBN: 0-7817-4802-X Authors Dedication Quote Preface to Third Edition Preface to First Edition Acknowledgments Table of Contents Section I - Basic Science Review Basic Science Review Chapter 1 - Circulatory Blood Flow Chapter 2 - Oxygen and Carbon Dioxide Transport Section II - Preventive Practices in the Critically Ill Preventive Practices in the Critically Ill Chapter 3 - Infection Control in the ICU Chapter 4 - Alimentary Prophylaxis Chapter 5 - Venous Thromboembolism Section III - Vascular Access Vascular Access Chapter 6 - Establishing Venous Access Chapter 7 - The Indwelling Vascular Catheter Section IV - Hemodynamic Monitoring Hemodynamic Monitoring Chapter 8 - Arterial Blood Pressure Chapter 9 - The Pulmonary Artery Catheter Chapter 10 - Central Venous Pressure and Wedge Pressure Chapter 11 - Tissue Oxygenation Section V - Disorders of Circulatory Flow Disorders of Circulatory Flow Chapter 12 - Hemorrhage and Hypovolemia Chapter 13 - Colloid and Crystalloid Resuscitation Chapter 14 - Acute Heart Failure Syndromes Chapter 15 - Cardiac Arrest Chapter 16 - Hemodynamic Drug Infusions Section VI - Critical Care Cardiology Critical Care Cardiology Chapter 17 - Early Management of Acute Coronary Syndromes Chapter 18 - Tachyarrhythmias Section VII - Acute Respiratory Failure Acute Respiratory Failure Chapter 19 - Hypoxemia...
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...INSTRUCTOR GUIDE Human Anatomy & Physiology Laboratory Manual MAIN VERSION, Eighth Edition Update CAT VERSION, Ninth Edition Update FETAL PIG VERSION, Ninth Edition Update ELAINE N. MARIEB, R.N., Ph.D Holyoke Community College SUSAN T. BAXLEY, M.A. Troy University, Montgomery Campus NANCY G. KINCAID, Ph.D Troy University, Montgomery Campus PhysioEx™ Exercises authored by Peter Z. Zao, North Idaho College Timothy Stabler, Indiana University Northwest Lori Smith, American River College Greta Peterson, Middlesex Community College Andrew Lokuta, University of Wisconsin—Madison San Francisco • Boston • New York Cape Town • Hong Kong • London • Madrid • Mexico City Montreal • Munich • Paris • Singapore • Sydney • Tokyo • Toronto Editor-in-Chief: Serina Beauparlant Project Editor: Sabrina Larson PhysioEx Project Editor: Erik Fortier Editorial Assistant: Nicole Graziano Managing Editor: Wendy Earl Production Editor: Leslie Austin Composition: Cecelia G. Morales Cover Design: Riezebos Holzbaur Design Group Senior Manufacturing Buyer: Stacey Weinberger Marketing Manager: Gordon Lee Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings, 1301 Sansome St., San Francisco, CA 94111. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means...
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...THE NERVOUS SYSTEM The nervous system allows the animal to quickly detect, communicate and co-ordinate information about its external and internal environment so it can make efficient appropriate responses for survival and/or reproduction. The two major parts of our nervous system are the central nervous system (CNS) and peripheral nervous system (PNS). The CNS is made of the brain and spinal cord. The cranial nerves, spinal nerves and ganglia make up the PNS. The cranial nerves connect to the brain. The cranial and spinal nerves contain the axons (fibres) of sensory and motor nerve cells. Nerve cells areas are also known as neurons. Neurons are the basic unit of the nervous system. They carry information or impulses as electrical signals from one place to another in the body. There are 3 types of neurons: Sensory Neurons- Sensory neurons carry electrical signals (impulses) from receptors or sense organs to the CNS. Sensory neurons are also called afferent neurons. The cell body of sensory neurons is outside the CNS in ganglia. Motor Neurons- Motor Neurons Carry Impulses From The CNS To Effector Organs Motor Neurons Are Also Called Efferent Neurons. The Cell Bodies Of Motor Neurons Are Inside The CNS. Interneurons- These are also called intermediate, relay, or associative neurons. They carry information between sensory and motor neurons. They are found in the CNS. TOP The Structure of Neurons A Neuron consists of THREE MAIN PARTS: A. CELL...
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...NCSBN ON-LINE REVIEW 1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. reason for the nurse to elevate the casted leg is to A) Promote the client's comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return The most important D: Improve venous return. Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well. 2. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old...
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...CHAPTER I INTRODUCTION We are what we eat! It's all very well claiming that you eat freshly-cooked meat and vegetables. But how is it cooked? Eating fried food, however recently it was picked, dug up, caught or slaughtered, isn't exactly the healthiest way of dining. Especially if was exposed to chemicals while it was growing, or being reared. Eating healthy is not just about having a salad in fact it is a field of a multi-disciplined culinary arts. The most important factor about a spa cuisine is that it focuses on your health, with a balanced diet on order to help you in the long term. A good diet will help you to be productive, and will enable you to deliver better results in any field of productivity, be it professional or personal. It’s not only the food we eat but it is the method of cooking that matters as well, over-cooking can destroy the nutrients therefore grilling, wok-cooking are good recommendations as far as cooking is concerned and of course microwave cooking is another way of cooking food without applying much fat or oil in it. Food that was exposed to chemicals while it was growing or being reared is not a choice for healthy food either. And in these days, when taking care of the outside of your body with innumerable spa treatments is so popular, doesn't it make sense to think more seriously. Many people are beginning to think so. And that's why there's an ever-increasing demand for Spa Cuisine. Spa cuisine is essentially taking our...
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...------------------------------------------------- March 2013 APPROVAL SHEET This thesis entitled “Utilization of Characterized Activated Carbon Prepared from Corn Cobs in Sugar Decolorization”, prepared by Dyle Angellowe B. Mapagu, Aurilyn A. Ramirez and Roxanne L. Soriano, in partial fulfilment of the requirements for the degree Bachelor of Science in Chemical Engineering, is hereby recommended for oral examination. Approved by the Tribunal on Oral Examination with a grade of _________. Engr. Ma. Haidee A. Mabborang Member Engr. Monico U. Tenedor Member Engr. Marianne DC. Calica Member Engr. Caesar P. Llapitan Chairman Accepted in partial fulfilment of the requirements for the degree Bachelor of Science in Chemical Engineering. Engr. Ernesto D. Marallag Dean, College of Engineering ACKNOWLEDGEMENT We, the authors, convey our gratefulness and appreciation to the people who have given valuable assistance in the completion of this study. To Engr. Policarpio Mabborang, Jr. for providing a perceptive and logical evaluation of our research, for his corrections and suggestions in the improvement of the study, and for his patience towards us; To Engr. Caesar Llapitan, Engr. Marianne Calica, Engr. Monico Tenedor, and Engr. Ma. Haidee Mabborang, who served as our panelists in the defense, pointed out mistakes and gave good suggestions in revising our thesis; To Engr. Gina Consigna, head of the Feed Laboratory...
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...with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley or...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...Essentials Ruth E. McCall, BS, MT (ASCP) Retired Program Director and Instructor Central New Mexico Community College Albuquerque, New Mexico President, NuHealth Educators, LLC Faculty, Emeritus Phoenix College Phoenix, Arizona Fifth Edition Cathee M. Tankersley, BS, MT (ASCP) Acquisitions Editor: Peter Sabatini Product Manager: Meredith L. Brittain Marketing Manager: Shauna Kelley Designer: Holly McLaughlin Production Services: Aptara, Inc. Fifth Edition Copyright © 2012, 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Two Commerce Square 2001 Market Street Philadelphia, PA 19103 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...Practice Examination One Part One You will have two hours and 30 minutes to complete Part One. 1. The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions? A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. " B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. " C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. " D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. " 2. Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I'm going to need lots of help with breastfeeding. I'm worried that I won't be able to do this. " Which of the following should the nurse include when assessing the client? A. Determine the client's level of motivation to breast-feed. B. Perform a complete physical examination to determine her need for help. C. Assess her body-to-fat ratio and nutritional status before beginning...
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...TENNIS RECOVERY A Comprehensive Review of the Research Editors: Mark S. Kovacs, PhD Todd S. Ellenbecker, DPT W. Ben Kibler, MD A United States Tennis Association Sport Science Committee Project Tennis Recovery: A Comprehensive Review of the Research Copyright © 2010 United States Tennis Association Inc. ISBN 978-0-692-00528-6 Editors: Mark S. Kovacs, Todd S. Ellenbecker, W. Ben Kibler TENNIS RECOVERY A Comprehensive Review of the Research A United States Tennis Association Sport Science Committee Project Editors: Mark S. Kovacs, PhD Todd S. Ellenbecker, DPT W. Ben Kibler, MD Introduction In the last two decades, physical training and competitive opportunities have increased dramatically in junior, collegiate and professional tennis. This arose due to a multitude of factors, but much of it has stemmed from an increase in knowledge and understanding of scientifically based training programs focused on improving performance. As this focus on performance has increased, the area of recovery has received relatively limited focus. Recovery is a multi-faceted paradigm focusing on recovery from training—session to session, day to day and week to week. Recovery is also vitally important during training as well as in competition between matches and between days during multi-day tournaments. As more information is needed in the area of tennis specific recovery, the Sport Science Committee of the United States Tennis Association (USTA) sponsored an extensive evidence-based...
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...Project report on “An organization study at Kerala soaps LTD “ Submitted as a part of MBA I year Course Requirement By KANNAN PRAKASH 3511040070 Under the guidance of Mr. SHANKAR Asst. Professor – MBA Department SRM University SRM B-SCHOOL FACULTY OF ENGINEERING AND TECHNOLOGY SRM UNIVERSITY (RAMAPURAM II) VADAPALANI, CHENNAI BONAFIDE CERTIFICATE This is to certify that MR. KANNAN PRAKASH is a Bonafide Student of SRM B-School, SRM University, Vadapalani, Chennai. He is in the 1st year of Masters Degree Program in Business Administration (MBA). He has done this project under my guidance and supervision towards part fulfillment of I year MBA course. Project Guide HOD Mr. SHANKAR Prof. T.P NAGESH Date: 05/08/2011 Place: CALICUT DEPARTMENT SEAL DECLARATION I KANNAN PRAKASH Reg No: 3511040070 studying in I year MBA program at SRM B-School, SRM University, Vadapalani, Chennai, hereby declare that this project is an original work of mine and I have not verbatim copied / duplicated any material from sources like internet or from print media, excepting some vital company information / statistics, which are provided by the company itself. Signature of the Student Date: 05/08/2011 Place: CALICUT ACKNOWLEDGEMENT With a grateful heart, I like to thank and praise God for his faithfulness and love in my life. First I would like to thank MR.PRAKASH, Manager - Human Resources, SRA Systems Ltd., Chennai., for...
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...Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India CONTENTS Message Foreword Preface Acknowledgements Executive Summary Indian Public Health Standards (IPHS) for Community Health Centres v vi vii viii 1 3 Introduction�������������������������������������������������������������������������������������������������������������������������������������������������������� 3 Objectives of Indian Public Health Standards (IPHS) for CHCs���������������������������������������������������������������������������� 3 Service Delivery in CHCs�������������������������������������������������������������������������������������������������������������������������������������� 3 Manpower����������������������������������������������������������������������������������������������������������������������������������������������������������� 8 Equipment��������������������������������������������������������������������������������������������������������������������������������������������������������� 11 Drugs�����������������������������������������������������������������������������������������������������������������������������������������������������������������...
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...1 General Science General Science CHAPTER I. CHAPTER CHAPTER CHAPTER I CHAPTER I CHAPTER I CHAPTER II CHAPTER II CHAPTER II CHAPTER III CHAPTER III CHAPTER III CHAPTER IV CHAPTER IV CHAPTER IV CHAPTER V CHAPTER V CHAPTER V CHAPTER VI CHAPTER VI CHAPTER VI CHAPTER VII CHAPTER VII CHAPTER VII CHAPTER VIII CHAPTER VIII CHAPTER VIII CHAPTER IX CHAPTER IX 2 CHAPTER IX CHAPTER X CHAPTER X CHAPTER X CHAPTER XI CHAPTER XI CHAPTER XI CHAPTER XII CHAPTER XII CHAPTER XII CHAPTER XIII CHAPTER XIII CHAPTER XIII CHAPTER XIV CHAPTER XIV CHAPTER XIV CHAPTER XV CHAPTER XV CHAPTER XV CHAPTER XVI CHAPTER XVI CHAPTER XVI CHAPTER XVII CHAPTER XVII CHAPTER XVII CHAPTER XVIII CHAPTER XVIII CHAPTER XVIII CHAPTER XIX CHAPTER XIX CHAPTER XIX CHAPTER XX CHAPTER XX CHAPTER XX CHAPTER XXI CHAPTER XXI CHAPTER XXI CHAPTER XXII CHAPTER XXII CHAPTER XXII CHAPTER XXIII CHAPTER XXIII CHAPTER XXIII CHAPTER XXIV CHAPTER XXIV CHAPTER XXIV CHAPTER XXV CHAPTER XXV CHAPTER XXV CHAPTER XXVI CHAPTER XXVI CHAPTER XXVI General Science CHAPTER XXVII CHAPTER XXVII CHAPTER XXVII CHAPTER XXVIII CHAPTER XXVIII CHAPTER XXVIII CHAPTER XXIX CHAPTER XXIX CHAPTER XXIX CHAPTER XXX CHAPTER XXX CHAPTER XXX CHAPTER XXXI CHAPTER XXXI CHAPTER XXXI CHAPTER XXXII CHAPTER XXXII CHAPTER XXXII CHAPTER XXXIII CHAPTER XXXIII CHAPTER XXXIII CHAPTER XXXIV CHAPTER XXXIV CHAPTER XXXIV CHAPTER XXXV CHAPTER XXXV CHAPTER XXXV General...
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