Commonly known as BLEACH, used as a disinfecting agent.
The sodium hypochlorite solution got much popularity in society during COVID-19 pandemic situation
It is frequently uses in health care facility, quarantine centres, isolation centres and even at home.
Its compulsory for everyone that, what is the exact role of solution and correct method of use. It requires awareness.
Many of health care staff /house keeping staff also not much aware how to prepare fresh hypochlorite solution.
Here an effort is taken to describe the topic in practical way
Blood spillage may occur because a laboratory sample breaks in the phlebotomy area or during transportation, or because there is excessive bleeding during
Blood spillage may occur because a laboratory sample breaks in the phlebotomy area or during transportation, or because there is excessive bleeding during
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
Ophthalmic dosage are the preparation designed for application to the eye:-
For treatment
For symptomatic release of symptoms
For diagnostic purpose
As aid to surgical procedures
They are the sterile products meant to instillation in to the eye in the space between eye lid and the eye ball
They are also prepared as parenteral product. Example
Eye drops, Eye lotion, Eye ointment, Eye suspension, Contact lens solution
Ayurveda has a description of many diseases and their treatment including Galganda. The Ayurveda basic principle is helpful for the treatment of hypothyroidism hyperthyroidism. Ayurvedic aspect for treatment of Thyroid disorder. being tried to mention in this slide
Treatment of Thyroid disorders in Ayurveda prospective
Galganda, thyroid disorder, hypothyroidism, hyperthyroidism.
The Avabahuka disease is nearer to Frozen shoulder of musculoskeletal disorders.
Avabahuka is a Vata vikar as per Ayurveda that affects the ansha sandhi i.e. shoulder joint. The description available in Charak samhita, Sushruta samhita, Ashtanga Hridaya etc. The pain, stiffness, and decreased ROM range of motion is a classical feature of a frozen shoulder.
The treatment of frozen shoulder is possible in Ayurveda through drugs and various treatment modalities depending on the stages of the case.
Fp 31-leech therapy-dr mahesh kumar-pdf
Leech therapy or Jalaukavacharan is a bloodletting procedure described in Ayurveda. It is a very useful procedure in the treatment of various medical and surgical diseases.
drmaheshkumar,new delhi
Commonly known as BLEACH, used as a disinfecting agent.
The sodium hypochlorite solution got much popularity in society during the COVID-19 pandemic situation
It is frequently used in health care facilities, quarantine centers, isolation centers, and even at home.
Its compulsory for everyone that, what is the exact role of solution and the correct method of use. It requires awareness.
Many of the health care staff /housekeeping staff are also not much aware of how to prepare fresh hypochlorite solutions.
Here an effort is taken to describe the topic in a practical way
कोरोना सेंटर पर ड्यूटी करने के समय मेडिकल स्टाफ में संक्रमण से बचाव एवं नियंत्रण , साथ ही साथ अस्पताल में संक्रमण वचाव एवं नियंत्रण
This is sensitization for general health care staff like doctors, nurses, attendants, housekeeping regarding infection prevention and control in context to COVID-19 duty. How to protect staff and prevent infection at corona centers. The topic includes standard precautions, hand hygiene, hand washing technique, 5 moment of hand hygiene, 6 steps of hand hygiene, BMW rule 2016, waste management, donning, doffing, PPE, sharp injury management, waste management, etc. Also, have a description of how to clean equipment, oxygen cylinders, lift, linen etc.
This is an educational talk to sensitize and aware the staff while going for duty..
Agnikarma is parasurgical procedure of ayurveda
The AGNIKARMA, DAHAKARMA, DAHANKARMA, DAGDHAKARMA are intentional therapeutic heat burn therapy used for the treatment of diseases caused by vata and kapha doshas..
Here definitions, indications, contraindications, materials required, methods, dahanopkarana, importance, and superiority of agnikarma are mentioned in detail.
Agnikarma is an intentional therapeutic heat burn therapy. It is parasurgical procedure of Ayurveda and indicated in vataja and kaphaja dosha diseases.
Fracture & dislocation is well described in Ayurveda. Sushruta Samhita have a separate chapter for bhagna etiology, features, types, prognosis, Management by name of Bhagna-Kandabhagna-Sandhimukta. The basics principles and management of fracture are accurate as per modern orthopedics.
Pain management of Anorectal disorders ARD
Ksharasutra Ksharsutra therapy
Anorectal disorders are piles, fistula etc
Post therapy care especially pain management
Dr Mahesh Kumar 18 aug2020
More from CBPACS, Khera Dabar, Najafgarh New Delhi- 73 (20)
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
1. SODIUM HYPOCHLORITE SOLUTION
(SHS, WHAT ? HOWTO USE IN HOSPITAL? )
(सोडियम हाइपोक्लोराइट घोल क्या है, ताज़ा घोल क
ै से बनाते है, क्या यपयोह है)
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 1
2. Overview
• Commonly known as BLEACH, used as a disinfecting agent.
• The sodium hypochlorite solution got much popularity in
society during COVID-19 pandemic situation
• It is frequently uses in health care facility, quarantine
centres, isolation centres and even at home.
• Its compulsory for everyone that, what is the exact role of
solution and correct method of use. It requires awareness.
• Many of health care staff /house keeping staff also not much
aware how to prepare fresh hypochlorite solution.
• Here an effort is taken to describe the topic in practical way.
24-09-2020 Dr Mahesh Kumar 2
3. Overview…………………….
• Commonly k/a Bleach, antiformin, chloride of soda
• Chemical compound
• Mostly Pale greenish-yellow dilute solution
• Chemical formula NaOCl
• IUPAC name- sodium hypochlorite
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 3
4. What is sodium hypochlorite?
•A laboratory
reagent
•Danger,
poison,
corrosive,
oxidizer.
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 4
5. What are the various strength
1% sodium hypochlorite solution
2% sodium hypochlorite solution
3% sodium hypochlorite solution
4% sodium hypochlorite solution
5% sodium hypochlorite solution.
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 5
6. How to prepare fresh hypochlorite
solution
• If the sodium
hypochlorite solution
is have 5% strength
and you wish to
prepare 1% then
take 200 ml hypo
+ 800 ml water
(for preparation of
1 litre)
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 6
• If
• If
7. Where to Use ?
•Frequently use as a disinfecting agent.
•Broad spectrum disinfectant.
•Effective in viruses, bacteria, fungus,
mycobacterium
•Not effective on bacterial spores
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 7
8. How to use ?
• Use judiciously, Don’t use excessively .
• At home diluted SHS used by soaking a cloth, wipes ,
spray bottle.
• Never mix with other solutions
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 8
MINIMUM
CONTACTTIME
Surface disinfection
1 minute
Liquid waste
disinfection 20 min.
The appropriate
concentration
General liquid biological
waste = 0.5%
waste have high organic load
= 1%
9. Precautions while using
• Stored it separately from corrosives, detrgentts etc
• Avoid to sprinkle on body parts and especially face, eye, nose
• Don’t try to bath/spray all over the body of patient
• Highly irritating to skin, eye respiratory tract.
• Causes cough, difficulty in breathing, stomatitis, pulmonary
odema, circulatory collapse, convulsion
• Strong oxidizer
• Corrosive to metal, so wipe down metal surface with water after
use of SHS.
• Accidental exposure case to eye or skin= flush with running water
locally for 15-20 minutes.
• .
11/10/2021 सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 9
•Use PPE while
handling SHS
• Use gloves, Nitrile rubber
gloves
• Safety glasses
• Safety Mask
• Lab coat/PPE
10. THANK YOU
सोडियम हाइपोक्लोराइट घोल - Dr Mahesh Kumar 10
11/10/2021
THANK YOU
THANK
YOU
THANK
YOU •(सोडियम हाइपोक्लोराइट घोल क्या
है, ताज़ा घोल क
ै से बनाते है, क्या
यपयोह है)