The intramuscular injection is most common type of drug administration. Because of a single mistake we can do harm to our patient. So, we should know about the right way to administer IM injection. Here, in this slides we discuss details about the topic. It will increase your skill proficiently.
Thanks
INTRAMUSCULAR INJECTION
IM Injection (Introduction, Definition, Purpose, Technique, Rights of Medication, Z-Track Method, Equipment, Procedure and Responsibilities)..
Colostomy is a surgically created open in the colon for the purpose of evacuation of bowel.
Colostomy care is the maintenance of hygiene by regular emptying of colostomy bag and cleaning colostomy site.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
Injections, also known as shots, deliver liquid medications, fluids, or nutrients directly into a person’s body. A healthcare professional can use injections to administer vaccines and other types of medications into a person’s vein, muscle, skin, or bone.
Temperature, pulse, respiration, blood pressure (BP), and oxygen saturation, are measurements that indicate a person’s hemodynamic status. These are the five vital signs most frequently obtained by health care practitioners (Perry, Potter, & Ostendorf, 2014). Vital signs will potentially reveal sudden changes in a patient’s condition and will also measure changes that occur progressively over time. A difference between patients’ normal baseline vital signs and their present vital signs may indicate the need for intervention (Perry et al., 2014). Checklist 15 outlines the steps to take when checking vital signs.
The intramuscular injection is most common type of drug administration. Because of a single mistake we can do harm to our patient. So, we should know about the right way to administer IM injection. Here, in this slides we discuss details about the topic. It will increase your skill proficiently.
Thanks
INTRAMUSCULAR INJECTION
IM Injection (Introduction, Definition, Purpose, Technique, Rights of Medication, Z-Track Method, Equipment, Procedure and Responsibilities)..
Colostomy is a surgically created open in the colon for the purpose of evacuation of bowel.
Colostomy care is the maintenance of hygiene by regular emptying of colostomy bag and cleaning colostomy site.
Back care consists of cleaning and massaging back (from shoulder to lower level of the buttocks) by using scientific form of required strokes for maximizing cutaneous stimulation, comfort and emotional relaxation as well.
Injections, also known as shots, deliver liquid medications, fluids, or nutrients directly into a person’s body. A healthcare professional can use injections to administer vaccines and other types of medications into a person’s vein, muscle, skin, or bone.
Temperature, pulse, respiration, blood pressure (BP), and oxygen saturation, are measurements that indicate a person’s hemodynamic status. These are the five vital signs most frequently obtained by health care practitioners (Perry, Potter, & Ostendorf, 2014). Vital signs will potentially reveal sudden changes in a patient’s condition and will also measure changes that occur progressively over time. A difference between patients’ normal baseline vital signs and their present vital signs may indicate the need for intervention (Perry et al., 2014). Checklist 15 outlines the steps to take when checking vital signs.
Basic Life Support, or BLS, generally refers to the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway. It requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.
A presentation used to train medical professionals to perform BLS in emergency condition. it will provide a better understanding about the steps of BLS and the order in which it should be perfomed.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
7. Response
Ask, “are u all right”?
no response
Tap or squeeze shoulders – gently
no response
activate Emergency medical services
• Check for no breathing or no normal breathing (i.e.,
gasping)
• Gasping without eye opening - failure to respond –
manage as unconscious
8. Pulse check
• The lay rescuer should not check for a pulse
• The healthcare provider should take no more than
10 seconds. If no pulse or doubtful, proceed with CC
- Children and adults – carotid
- Infants - brachial or femoral
• Use two fingers and large surface area to feel over
carotid or femoral
11. Chest compressions
• victim on flat surface
• “push hard and push fast”
• Rate: 100 compressions/min
• Compression depth : 4-5 cm in adults,
: 1/2 - 1/3 of chest in infants
• Landmark:
- lower 1/2 of sternum , between nipples in
children & adults
- just below nipple line in infants
12.
13.
14. Chest compressions
• Allow complete recoil of chest after each
compression
• Minimize interruptions in chest compressions
• Swap rescuers every 2 minutes (6-8 cycles) to
avoid exhaustion
• Compressions should be paused for ventilations
till airway is secured
15. Ventilation
• Head tilt and chin lift to open airway unless cervical
injury is suspected
• Rescue breaths
16.
17.
18. Rescue breathing
• Give 2 breaths each over 1 second
• Sufficient tidal volume to produce visible chest
rise
• Low minute ventilation can maintain effective
oxygenation during CPR
• Avoid rapid or forceful breath
19. Rescue breathing
• Mouth to mouth breathing
- open victim’s airway
- pinch the nose , airtight mouth-mouth seal
give 1 breath over 1 second
- take regular (not a deep ) breath
• Mouth to barrier device
• Bag and mask
• Ventilation with advanced airway
“No pause in compressions for ventilation if
advanced airway is placed”
27. Rescue breathing without CC
• Pulse is felt but no breath then
give breath
children/adults : 10-12
breaths/min
infants : 12-20
breath/min.
• Reassess the pulse every 2 min
• No more than 10 seconds in
doing so
28. Compressions only CPR
• If you are not able or are unwilling to give
rescue breaths, give chest compressions only
• If patient is gasping immediately start
compressions Intra-thoracic pressure won’t
increase and RR also will become low
• Should be continuous, at a rate of 100 /min
• Stop to recheck the victim only if he starts
breathing normally
29. Phone first or CPR first?
• This confusion occurs when rescuer is single
• Adult collapsing suddenly - mostly cardiac
arrest----call first then start CPR
• If the likely cause of unconsciousness is a
breathing problem e.g., drowning, trauma,
chocking, intoxication or victim is an infant
then do CPR for 2 mins or 5 cycles then call for
help
30. When to Stop CPR ???
CPR should be continued till :
• Qualified help arrives and takes over
• Return of spontaneous circulation (ROSC)
• The patient recovers
• An authorised person pronounces life extinct
• Rescuer becomes exhausted
31. Special occasion - Pregnancy
• CPR in pregnant victim:
- In pregnant woman the uterus causes pressure
on the major abdominal organs when she lies
flat, reducing the venous return to the heart
- give pelvic tilt to left using pillow/wedge as
blood supply to fetus should not be jeopardized
32. Special occasion - chocking
• Responsive Adult/Child
Abdominal thrusts until object is removed
or victim becomes unresponsive
• Unresponsive Adult/Child
Lower them to the ground and begin the
steps of CPR
Look in the mouth before each breath
If you see the object, you can remove it
33.
34. Early defibrillation
• Early defibrillation implies that defibrillation
carried out within 5 mins of cardiac arrest
• Survival decreases by 10% for every minute that
passes without defibrillation
36. AED
(Automated External Defibrillator)
• AEDs are computerized devices that allow
laypersons to attempt defibrillation safely.
• AEDs are recommended for all ages >1 yr
• AHA has approved low energy defibrillation
with biphasic waveform AED for VT/VF
• AEDs are highly accurate in rhythm detection
• It delivers fixed three shock sequence of 150
or 200j
37. AED contd…
• Power on the AED
• Apply pads to the victim's bare chest
• Plug the pads into the AED
• "Clear" the victim and allow it to analyze
• If a shock is advised, "clear" the victim again
and press the shock button
42. Take home message
– Compressions are vital
– Minimal interruption of chest compressions
– Push hard and fast
– 8-10 breaths per minute
– Delivered over one second duration
– 30/2 compression ventilation ratio
– Compressions immediately after
defibrillation
43. Cough CPR/ Prone CPR
• Cough cpr-Recommended only for awake
monitored victim getting VF/VT
• Prone cpr – when supine position cannot
be given
blood pressure is raised in
prone CPR than supine CPR.
Editor's Notes
Pulse is a sign of maintained circulation and perfusion
