Drug Study: HYDROCORTISONE Sodium Succinate (Solu-Cortef)

Generic Name: HYDROCORTISONE Sodium Succinate

Brand Name: (Solu-Cortef)
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Child birth at Risk: Uterine Rupture

  • Occurs when uterus undergoes more strain than it is capable of sustaining.
  • Precipitating factors include the following: Read More »

Child birth at Risk: Ineffective Uterine Force

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Child birth at Risk: Problems with Fetal Position and Presentation

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Child birth at Risk: Shoulder Dystocia

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Child birth at Risk: Developmental Anomalies

Hydrocephalus and anencephaly may also complicate birth.

Child birth at Risk: Multiple Pregnancy

  • Often causes a flurry of excitement in the delivery room due to the health team’s curiosity.  IT MUST be remembered that the focus is the delivering mother and her baby not the curiosity of the DR staff.
  • Usually, it is delivered via a cesarean section due to the higher risk posed to the second fetus when delivered via spontaneous vaginal delivery (SVD).  If it is to be delivered via SVD, instruct mother to go to the hospital earlier.

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Child birth at Risk: Placental Problems

-    It is a must to examine the placenta and the cord after birth for presence of anomalies.
-    Normal placenta weighs approximately 500 grams and is 15-20 cm in diameter and 1.5-30 cm thick.
-    For women with diabetes mellitus, placenta may be exceptionally large.  Normally, placenta weighs 1/6th of the fetus weight.  In abnormal cases such as this, placenta may weigh as much as ½ of the weight of the fetus.

Child birth at Risk: Umbilical Problems

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Child birth at Risk: Cephalopelvic Disproportion

  • Disproportion between size of normal fetal head to the pelvic diameters. It causes failure to progress in labor. Read More »

Child birth at Risk: Disseminated Intravascular Coagulation (DIC)

  • A disorder resulting to a deficiency of clothing ability secondary to vascular injury / excessive trauma. Read More »

Child birth at Risk: Amniotic Fluid Embolism

  • Occurs when amniotic fluid is forced into an open maternal uterine blood sinus through some defect in the membranes or after membranes rupture or abruptio placenta. Read More »

Child birth at Risk: Hydramnios

  • Hydramnios = excessive amniotic fluid formation (volume of > 2000 mL or an amniotic fluid index above 24 cm.

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Phases of Puerperium / Postpartum

What is Postpartum? Read More »

Postpartum Reproductive Changes

The uterus

  • Involution - is the process whereby the uterus returns to its nonpregnant state. Read More »

Postpartum Systemic Changes

Hormonal System Read More »

Maternal Concerns And Feelings In The Postpartum Period

1.    Shifting of role such as that from being a daughter to being a parent and mother herself.
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Advantages of Breastfeeding

a. For the mother: Read More »

Postpartum Risk: Postpartum Hemorrhage

• This is any blood loss from the uterus greater than 500 mL. It may be classified as early postpartum hemorrhage when it occurs on the remaining days of the 6-week puerperium period.
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Postpartum Risk: Mastitis

What is Mastitis?

-    Infection of the breast usually resulting from invasion of nipples by pathogens.
-    Prevention of mastitis comes with the prevention or management of sore nipples.
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Postpartum Risk: Pueperial Infection

After rupture of membranes, the previously sterile uterus of the woman becomes prone to pathogen invasion leading to infection.  This is an emergency situation even though it starts only from a local infection because as it progresses, there is a higher risk for sepsis. Read More »

Postpartum Risk: Thromboembolic Disease

Thrombophlebitis Read More »

Procedure for Gavage Feeding (Pediatric)

Definition: Gavage feeding is a means of providing food via a catheter passed through the nares or mouth, past the pharynx, down the esophagus, and into the stomach, slightly beyond the cardiac sphincter.

Objectives:
a.To provide a method of feeding or administering medication that requires minimal patient’s effort, when the infant is unable to suck or swallow.
b.To provide a route that allows adequate calories or fluid intake.
c.To prvent fatigue or cyanosis that is apt to occur from nipple feeding.
d.To provide a safe method of feeding a limp and listless patient.
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Procedure for Eye Irrigation

Objective: To flush eye(s) with solution to remove secretion and foreign bodies, or to dilute chemicals.
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Procedure for Ear Irrigation

Objective: To cleanse the canal of discharge, to soften and remove impacted cerumen, or to dislodge a foreign object.
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Procedure for Eye Instillation

Objectives:
a.To combat infection
b.To relieve pain and discomfort
c.To dilate or constrict the pupil
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Procedure For Feeding By Gastric Gavage

Objective: To provide a means of alimentation when the oral route is inaccessible.
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Drug Study: Vancomycin HCl (Vancocin CP)

Generic Name: Vancomycin HCl

Brand Name: Vancocin CP
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Procedure On (Hospital) Patient Admission

Objectives:
a.To restore health making the patient feel welcome and at ease in the hospital
b.To initiate nursing care treatment without delay
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Measuring Central Venous Pressure

Objectives:
a.To serve as a guide for fluid replacement in seriously ill patients.
b.To estimate blood volume deficits.
c.To determine pressures in the right atrium and central veins.
d.To evaluate for circulatory failure (in context with total clinical picture of a patient)
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