A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Care of terminally ill patient full chapter fundamental of nursing pinkijat
Care of terminally ill patient,include concept of loss,grief , grieving,types of losses,type of grief,factors influencing loss and grief ,stage of grief and losses(DABDA) ,sign of clinical death,care of dying patient , palliative and hospice care, advance directive,legal documents related to advance directive,and after death care in fundamental of nursing full chapter.
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
Types of bed in Nursing- easy explanation for Student Nurses
CLOSED BED
OPEN BED
ADMISSION BED
OCCUPIED BED
OPERATION BED/POST ANESTHESIA BED/RECOVERY BED
CARDIAC BED
FRACTURE BED
AMPUTATION BED/STUMP BED
BURN BED
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.
Care of terminally ill patient full chapter fundamental of nursing pinkijat
Care of terminally ill patient,include concept of loss,grief , grieving,types of losses,type of grief,factors influencing loss and grief ,stage of grief and losses(DABDA) ,sign of clinical death,care of dying patient , palliative and hospice care, advance directive,legal documents related to advance directive,and after death care in fundamental of nursing full chapter.
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
Types of bed in Nursing- easy explanation for Student Nurses
CLOSED BED
OPEN BED
ADMISSION BED
OCCUPIED BED
OPERATION BED/POST ANESTHESIA BED/RECOVERY BED
CARDIAC BED
FRACTURE BED
AMPUTATION BED/STUMP BED
BURN BED
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 Intravenous Therapy 3: Fluids And Electrolytes, Balance and Imbalance, ...Ronald Magbitang
Lecture Presentation in Basic Intravenous Therapy Seminar, discussion on Body Fluids and Electrolytes, Normal Values and the Imbalances, the symptomatology and treatment and precautions, and, finally the different types of commonly available, utilized IVF in clinics
Iv fluid therapy (types, indications, doses calculation)kholeif
All what you need to know intravenous fluids, types, indications, contraindications, how to calculate fluid rate and drug dosages.
Embed code (http://www.slideshare.net/slideshow/embed_code/16138690)
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. MRS C. S. HAMWEETE
RN, BscN.
2/28/2021
JONES H.M- MBA/DMS 2
3. Fluid, electrolyte , and acid base balances within the
body are necessary to maintain health and function in
all body systems. These balances are maintained by
the intake and output of water and electrolytes and
regulation by the Renal and pulmonary systems.
Imbalances may result from factors like altered fluid
intake, or prolonged episodes of vomiting or diarrhea.
2/28/2021
JONES H.M- MBA/DMS 3
4. Solute- is a substance that dissolves in a solvent.
There are many solutes, for example:
Plasma proteins (eg. albumin, globulins, fibrinogen)
Ions (sodium chloride, magnesium, calcium,
bicarbonates)
Food molecules (eg. glucose, amino-acids), waste
products as urea
Solvent- is a substance capable of dissolving a
solute.
2/28/2021
JONES H.M- MBA/DMS 4
5. Electrolyte- are charged particles (ions) that are
dissolved in body fluids.
E.g potassium, calcium, magnesium, sodium etc.
Osmolarity-measure of total solute concentration
per liter of solution.
2/28/2021
JONES H.M- MBA/DMS 5
6. Isotonic solution-fluid with the same osmolarity
as the interior of the cell.
Hypotonic -solutions where solutes are less
concentrated than the interior of cell.
Hypertonic -solutions where solutes are more
concentrated than the interior of cell.
2/28/2021
JONES H.M- MBA/DMS 6
7. Water is a major component of our body’s make
up. 60% of an adult male’s body weight is water
while 50% of an adult female weight is water. 70
to 80% of a baby’s weight is water.
2/28/2021
JONES H.M- MBA/DMS 7
8. Body fluids are distributed into two distinct
compartments, that is intracellular fluids
and extracellular fluids.
Intracellular fluid comprises of fluid within
body cells. In adults approx. 40% of body
weight is ICF.
2/28/2021
JONES H.M- MBA/DMS 8
9. Extracellular fluid is all the fluid outside a cell.
It is divided into smaller compartments :
interstitial fluid( lymph), intravascular fluid( blood
plasma) and transcellular fluids( CSF, pleural,
peritoneal, and synovial fluids).
Extracellular fluid makes up 20% of the body
weight.
2/28/2021
JONES H.M- MBA/DMS 9
10. Transport of nutrients and electrolytes to cells
Dissolving and carrying waste products away
from the cell
Regulation of body temperature
Acts as a medium for food digestion
Lubricates joints and membranes.
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JONES H.M- MBA/DMS 10
14. Distribute body water between fluid compartments
Regulate acid-base balance
Maintain body fluid volume and osmolarity
Promote neuromuscular irritability
2/28/2021
JONES H.M- MBA/DMS 14
15. Body fluids are regulated by fluid intake,
hormonal control and fluid output.
Fluid intake is regulated primarily through thirst
mechanism. The thirst control center is found in
the hypothalamus in the brain.
2/28/2021
JONES H.M- MBA/DMS 15
16. Average intake for an adult=2200-2700mls
of fluids per day.
2/28/2021
JONES H.M- MBA/DMS 16
17. Antidiuretic hormone (ADH) is released in
response to blood osmolarity. It works directly on
the renal tubules making them more permeable to
water thereby causing more water to return to the
systemic circulation.
2/28/2021
JONES H.M- MBA/DMS 17
18. Output occurs through four organs of water loss,
kidneys, skin , lungs and gastrointestinal tract.
Kidneys produces and excretes between 1200-
1500mls of urine per day.
Skin loses water through sweat.
On average 500-600mls of fluids is lost through
the skin.
Lungs expires on average 400mls of water per
day
2/28/2021
JONES H.M- MBA/DMS 18
19. Maintenance ( to supply daily needs).
Maintenance therapy is usually undertaken when the
individual is not expected to eat or drink normally for a
longer time (eg, perioperatively or patient on a ventilator)
Resuscitation ( to correct an IV or extracellular
deficit ). Correction of existing abnormalities in
volume status or serum electrolytes (as in
hypovolemic shock).
Replacement ( to replace deficit and on-going
losses ). E.g Diarrhoea or vomiting.
2/28/2021
JONES H.M- MBA/DMS 19
20. History taking. The history will reveal any
risk factor that may cause disturbance of
fluid and electrolyte balance.
Physical assessment . You look out for
signs of fluid deficit and fluid excess .
2/28/2021
JONES H.M- MBA/DMS 20
21. Sunken eyes.
Cold clummy skin.
Loss of skin turgor.
Dry mucus membranes.
Weak pulse.
Low Blood pressure.
Oliguria or anuria.
Decreased body temperature.
2/28/2021
JONES H.M- MBA/DMS 21
22. The fluids used in clinical practice are usefully
classified into colloids, crystalloids and blood
products.
1.Colloid
Solutions that contain large molecules that don't
pass the cell membranes.
When infused, they remain in the intravascular
compartment and expand the intravascular volume.
They draw fluid from extravascular spaces via their
higher oncotic pressure
2/28/2021
JONES H.M- MBA/DMS 22
23. 2.Crystalloid
Solutions that contain small molecules that flow easily
across the cell membranes, allowing for transfer from the
bloodstream into the cells and body tissues.
This will increase fluid volume in both the interstitial and
intravascular spaces (Extracellular)
It is subdivided into:
* Isotonic
* Hypotonic
* Hypertonic
2/28/2021
JONES H.M- MBA/DMS 23
24. A solution is considered isotonic When the concentration
of the particles (solutes) is similar to that of plasma, So it doesn't
move into cells and remains within the extracellular
compartment thus increasing intravascular volume.
Types of isotonic solutions include:
0.9% sodium chloride (0.9% NaCl)
lactated Ringer's solution
5% dextrose in water (D5W)
Ringer's solution
2/28/2021
JONES H.M- MBA/DMS 24
25. A- 0.9% sodium chloride (Normal Saline)
Simply salt water that contains only water, sodium
(154 mEq/L), and chloride (154 mEq/L).
It's called "normal saline solution" because the
percentage of sodium chloride in the solution is
similar to the concentration of sodium and chloride
in the intravascular space.
2/28/2021
JONES H.M- MBA/DMS 25
26. When to be given?
1- to treat low extracellular fluid, as in fluid volume deficit from
- Hemorrhage - Severe vomiting or diarrhea - Heavy drainage from
GI suction, or wounds
2- Shock
3- Mild hyponatremia
4- Metabolic acidosis (such as diabetic ketoacidosis)
5- It’s the fluid of choice for resuscitation efforts.
6- it's the only fluid used with administration of blood products.
2/28/2021
JONES H.M- MBA/DMS 26
27. B- Ringer's lactate or Hartmann solution.
o is the most physiologically adaptable fluid because
its electrolyte content is most closely related to the
composition of the body's blood serum and
plasma.
o Another choice for first-line fluid resuscitation for
certain patients, such as those with burn injuries.
2/28/2021
JONES H.M- MBA/DMS 27
28. When to be used?
To replace GI tract fluid losses ( Diarrhea or
vomiting )
Fistula drainage
Fluid losses due to burns and trauma
Patients experiencing acute blood loss or
hypovolemia due to third-space fluid shifts.
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JONES H.M- MBA/DMS 28
29. Note: Both 0.9% sodium chloride and LR may be
used in many clinical situations, but patients
requiring electrolyte replacement (such as surgical
or burn patients) will benefit more from an
infusion of LR.
2/28/2021
JONES H.M- MBA/DMS 29
30. D- Dextrose 5% in water
It is considered an isotonic solution, but when the dextrose is
metabolized, the solution actually becomes hypotonic and
causes fluid to shift into cells.
How does it work?
D5W provides free water that pass through membrane
pores to both intracellular and extracellular spaces. Its
smaller size allows the molecules to pass more freely
between compartments, thus expanding both
compartments simultaneously.
2/28/2021
JONES H.M- MBA/DMS 30
31. It provides 170 calories per liter, but it doesn't replace
electrolytes.
The supplied calories doesn't provide enough nutrition for
prolonged use. But still can be added to provide some
calories while the patient is NPO.
2/28/2021
JONES H.M- MBA/DMS 31
32. Compared with intracellular fluid (as well as compared
with isotonic solutions), hypotonic solutions have a
lower concentration of solutes (electrolytes). And
osmolality less than 250 mOsm/L .
Hypotonic crystalloid solutions lowers the serum
osmolality within the vascular space, causing fluid to
shift from the intravascular space to both the
intracellular and interstitial spaces.
These solutions will hydrate cells, although their use
may deplete fluid within the circulatory system.
2/28/2021
JONES H.M- MBA/DMS 32
33. TYPES OF HYPOTONIC FLUIDS
0.45% sodium chloride (0.45% NaCl), 0.33% sodium
chloride, 0.2% sodium chloride, and 2.5% dextrose in water
Hypotonic fluids are used to treat patients with
conditions causing intracellular dehydration, when fluid
needs to be shifted into the cell , such as:
1. Hypernatremia
2. Hyperosmolar hyperglycemic state.
2/28/2021
JONES H.M- MBA/DMS 33
34. Hypertonic solutions are those that have a higher
tonicity or solute concentration. Hypertonic fluids
have an osmolarity of 375 mOsm/L or higher.
The osmotic pressure gradient draws water out of
the intracellular space, increasing extracellular fluid
volume, so they are used as volume expanders.
2/28/2021
JONES H.M- MBA/DMS 34
35. Some examples and Indications:
1- 3% sodium chloride (3% NaCl):
May be prescribed for patients in critical situations of
severe hyponatremia.
Patients with cerebral edema may benefit from an infusion
of hypertonic sodium chloride
2- 5% Dextrose with normal saline (D5NS): which replaces
sodium, chloride and some calories.
2/28/2021
JONES H.M- MBA/DMS 35
36. How do they work?
They expand the intravascular volume by drawing fluid
from the interstitial spaces into the intravascular
compartment through their higher oncotic pressure.
They have the same effect as hypertonic crystalloids
solutions but they require administration of less total
volume and have a longer duration of action because
the molecules remain within the intravascular space
longer.
Their effect can last for several days if capillary wall
linings are intact and working properly.
2/28/2021
JONES H.M- MBA/DMS 36
38. • Fluid balance is essential in determining
hydration, and ideally fluid intake should be
equal to fluid output.
• A fluid balance chart is a tool devised to
monitor fluid balance .
2/28/2021
JONES H.M- MBA/DMS 38
39. Actual or potential dehydration
Commencing IV fluid
Routine post op management
Acutely ill patients.
Fluid restriction
Cardiac failure
Acute renal failure
2/28/2021
JONES H.M- MBA/DMS 39
40. Goal of fluid therapy is to provide the right amount
of the right fluid at the right time.
Drops /minute= Total volume to be infused X
drops per/min ( drop factor) on a giving set over
the Total time for infusion in minute.
2/28/2021
JONES H.M- MBA/DMS 40
41. Drops /minute= Total volume to be infused X drop factor
Total time for infusion in minutes
2/28/2021
JONES H.M- MBA/DMS 41
42. What is a drop factor?
Drop factor is the number of drops in one milliliter used in IV
fluid administration (also called drip factor). A number of
different drop factors are available but the Commonest are:
1- 10 drops/ml (blood set)
2- 15 drops / ml (regular set)
3- 60 drops / ml (microdrop set)
2/28/2021
JONES H.M- MBA/DMS 42
43. CLASS EXERCISE
1500 ml IV Saline is ordered over 12 hours. Using a
drop factor of 15 drops / ml, how many drops per
minute need to be delivered?
2/28/2021
JONES H.M- MBA/DMS 43
44. • A fluid balance chart is a tool devised to monitor
fluid intake and output.
Fluid balance chart is essential in determining
level of hydration.
2/28/2021
JONES H.M- MBA/DMS 44
45. In maintaining of a fluid balance chart you
record all fluid intake and output in a period of
24hours.
Intake includes all liquids taken by mouth (e.g.
ice cream, soup, juice, and water), through NG
tube, and , IV fluids.
2/28/2021
JONES H.M- MBA/DMS 45
46. Output includes fluid loss through urine,
diarrhoea, vomitus, gastric suction, and
drainage from postsurgical wounds (for
surgical patients).
2/28/2021
JONES H.M- MBA/DMS 46
47. The process whereby fluids are lost through
sweating, breathing and so on.
New fluid balance charts will have an averaged
amount stencilled into the output
Insensible loss is added to the patients output
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JONES H.M- MBA/DMS 47
48. The health care provider must sign to say
he/she has started the chart
Record the amount of fluid ordered, the period
of time it is supposed to run and the Rate of flow
calculated.
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JONES H.M- MBA/DMS 48
49. Complete the total intake
Complete the output
Add in the insensible loss
Add the output & insensible loss together
Subtract the output from the intake to enable the
final amount in the balance box
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JONES H.M- MBA/DMS 49
50. The health care provider completing the chart
and working out the balance has to sign for
completion at the end of the 24 hour period.
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JONES H.M- MBA/DMS 50