HIGH PRIORITY DINNER - DISCUSSION - DECEMBER 14 2021.pptx
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A high protocol dinner is perhaps the best social environment for people involved in dominance and submission. High protocol dinners provide a positive and stimulating environment for teaching an S type their place and reinforcing the status of Dominants. Life’s Hierarchy is the exclusive club for serious people who live or want to explore the ‘dominance and submissive lifestyle’ and its many manifestations and associated fantasies. We cater for the experienced, beginners and everything in between. Life's Hierarchy offers all members a safe place to pursue their interests in privacy and with anonymity - in a moderated environment where respect matters. All members are expected to abide by a strict code of conduct.
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Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
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●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
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Depolarization- contraction of muscle
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ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
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- 1. High Protocol Dinners Dining as it is meant to be. December 14, 2021.
- 2. SIR D – Mestra – and friends.
- 3. No participant in this discussion is an expert. We are students rather than teachers and therefore not the font of all knowledge. There is no claim that the content of this discussion is comprehensive. The purpose of this discussion is to explore an interesting issue and encourage listeners to explore some more. There is a great deal more that can be said about high protocol dinners – and we hope others say it on Life’s Hierarchy.
- 4. What is a high protocol dinner? What are the protocols? Other issues.
- 5. What is a high protocol dinner?
- 6. There is a difference between a dinner and a High Protocol Dinner
- 7. There is never one way of doing anything and there will always be variations on the theme
- 11. Dinner At night At the table With multiple courses
- 12. Sophisticated fun - providing an opportunity for submissive people to provide service to dominant people in a formal setting
- 13. What are the protocols?
- 14. Courses, menu and wine list. Cutlery, napery and crockery. Guest and service presentation. Silver service. Entertainment.
- 15. Courses, menu and wine list Minimum 3 complementary courses plus an aperitif. Documented menu at each setting. Wines matched to food – with spirits to finish. Plain and sparking water – and no soft drink.
- 17. Cutlery, napery and crockery. Correct table setting for 3 courses plus aperitif. Linen napkins. Matching crockery – brought to the table with the food. Complimentary glassware.
- 19. Guest and service presentation Guests in formal attire – encouraged by not mandatory. Service staff naked or dressed in wait staff uniforms. Service staff well groomed – hair and make up. Service staff wearing complimentary food wear.
- 21. Guest and service manners. Guests should be well mannered and polite. Service staff should be seen and not heard. Service staff should speak when spoken to. Service staff should use titles and obey.
- 24. Silver service Serve from the left and take from the right. All courses plated in the kitchen. Guests served before hosts. Serve table in a clockwise direction.
- 26. Entertainment Music. Demonstrations. Punishment more than acceptable. Playing with service staff.
- 28. Other issues
- 29. Two formats Less formal – service staff assigned to their partners More formal – service staff serving as required.
- 31. Manual If there is interest – Life’s Hierarchy will develop a High Protocol Dinner manual.
- 32. Classes Life’s Hierarchy will run classes if members are interested.
- 33. Events Life’s Hierarchy will certainly hold regular events.
- 35. Thank you Happy holiday season See you in 2022