The document summarizes the internship of Ali Gul Bhatti at Dairyland Pvt Ltd from September to November 2018. Key activities included pregnancy diagnosis, artificial insemination, lameness treatment, shed management including feeding, water, labor, and facility maintenance. Common issues treated included mastitis, pneumonia, diarrhea, hemorrhagic septicemia. Suggestions provided to improve practices around feeding schedules, facilities, record keeping and antibiotic use.
Proper perineal care allows for inspection of the skin. It keeps the perineal area clean and less likely to break down. It also decreases the risk for urinary tract infections.
BREAST CARE(PRECEDURE)
PRESENTED BY – M. MANJOT KAUR GILL
DEFINITION
Breast care is the process of cleaning the breast of mother that helps in maintaining hygiene and prevent from cross infection during feeding .
PURPOSES
To clean the breast.
To detect any abnormalities.
To stimulate milk ejection .
To prevent local infection.
To prevent breast complications.
INDICATIONS
Postnatal mothers.
Before and after breastfeeding.
Cracked nipple.
Pt. who are not able to take self care.
Nipple with unhygienic conditions.
PREPRATION OF ARTICLES
Screen
Mackintosh with towel.
A bowel with 2-3 cottons.
A bowel with boiled and cool cotton swabs.(12-15)
A bowel with dry gauze pieces.(12-15)
Kidney tray/Paper bag
Nursing records.
STEPS OF PROCEDURES.
Arrange all articles .
Explain the procedure to the mother about benefit of breast care.
Provide screen for privacy.
Provide comfortable position to the mother preferable sitting position.
Spread the mackintosh with towel over the lap of the mother.
Wash hand
Stand on the right side of the mother whole giving care.
Expose both the Brest firth and check symmetry.
Inspect the Breast for size and any abnormality.
-Inverted nipple
-Cracked nipple.
-Retracted nipples
-Any sign of infection
Palpate the breast from superficial to deep for tenderness, pain, tumors, exaggerated lymph nodes, etc
Squeeze the breast and observe the secretions.
Clean the secretion with the pad and throw In paper bag.
Take the cotton swab and squeeze excess water holding the tail and keeping above the hand.
Clean the breast in the following order—nipple-primary areola-secondary areola- total breast –lower crease-axilla.
Dry the breast with gauze pieces following the same order.
Cover the further breast exposing the near one.
Inspect, palpate and squeeze in the previous manner.
Assist the mother to do hand wash for return demonstration.
Assist the mother to clean the breast in same manner.
Put the baby on to the breast.
Make the mother and baby comfortable after care.
Record any abnormal findings.
SUMMARIZATION
Definition
Purposes
Indications
Articles
Steps of procedure
BIBLIOGRAPHY
Ghai, sandhya .(2018) clinical nursing procedures. New Delhi: satish kumar. Pp.613-616.
Dharitri, swain.(2017) obstetrics nursing procedure manual. New Delhi: jappee brothers. Pp. 158--159.
THANKS
Upon completion of the training, trainees will be able to:
-Determine pregnancy by palpating a cow;
-Determine the stages of pregnancy through palpation;
-Differentiate the pregnancy and abnormal conditions of the uterus;
-Fill and discuss the pregnancy diagnosis test form
Proper perineal care allows for inspection of the skin. It keeps the perineal area clean and less likely to break down. It also decreases the risk for urinary tract infections.
BREAST CARE(PRECEDURE)
PRESENTED BY – M. MANJOT KAUR GILL
DEFINITION
Breast care is the process of cleaning the breast of mother that helps in maintaining hygiene and prevent from cross infection during feeding .
PURPOSES
To clean the breast.
To detect any abnormalities.
To stimulate milk ejection .
To prevent local infection.
To prevent breast complications.
INDICATIONS
Postnatal mothers.
Before and after breastfeeding.
Cracked nipple.
Pt. who are not able to take self care.
Nipple with unhygienic conditions.
PREPRATION OF ARTICLES
Screen
Mackintosh with towel.
A bowel with 2-3 cottons.
A bowel with boiled and cool cotton swabs.(12-15)
A bowel with dry gauze pieces.(12-15)
Kidney tray/Paper bag
Nursing records.
STEPS OF PROCEDURES.
Arrange all articles .
Explain the procedure to the mother about benefit of breast care.
Provide screen for privacy.
Provide comfortable position to the mother preferable sitting position.
Spread the mackintosh with towel over the lap of the mother.
Wash hand
Stand on the right side of the mother whole giving care.
Expose both the Brest firth and check symmetry.
Inspect the Breast for size and any abnormality.
-Inverted nipple
-Cracked nipple.
-Retracted nipples
-Any sign of infection
Palpate the breast from superficial to deep for tenderness, pain, tumors, exaggerated lymph nodes, etc
Squeeze the breast and observe the secretions.
Clean the secretion with the pad and throw In paper bag.
Take the cotton swab and squeeze excess water holding the tail and keeping above the hand.
Clean the breast in the following order—nipple-primary areola-secondary areola- total breast –lower crease-axilla.
Dry the breast with gauze pieces following the same order.
Cover the further breast exposing the near one.
Inspect, palpate and squeeze in the previous manner.
Assist the mother to do hand wash for return demonstration.
Assist the mother to clean the breast in same manner.
Put the baby on to the breast.
Make the mother and baby comfortable after care.
Record any abnormal findings.
SUMMARIZATION
Definition
Purposes
Indications
Articles
Steps of procedure
BIBLIOGRAPHY
Ghai, sandhya .(2018) clinical nursing procedures. New Delhi: satish kumar. Pp.613-616.
Dharitri, swain.(2017) obstetrics nursing procedure manual. New Delhi: jappee brothers. Pp. 158--159.
THANKS
Upon completion of the training, trainees will be able to:
-Determine pregnancy by palpating a cow;
-Determine the stages of pregnancy through palpation;
-Differentiate the pregnancy and abnormal conditions of the uterus;
-Fill and discuss the pregnancy diagnosis test form
nurses/doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.
Upon completion of the training, trainees will be able to:
Determine pregnancy by palpating a cow;
Determine the stages of pregnancy through palpation;
Differentiate the pregnancy and abnormal conditions of the uterus;
Fill and discuss the pregnancy diagnosis test form
procedure -skin care of baby(oil massage)
subject - Obstertics nursing and child health nursing
presented by -miss manjot kaur
clinical instructor at kalar college of nursing
Guide to Gastrostomy Tubes, developed by a pediatric NICU nurse as an educational and take-home tool for patient families. (c) Rady Children\'s Hospital-San Diego, 2012
Diapers have become such a part and parcel of daily new-born care that the area comprising the genitalia and bum of the baby came to be known as ‘diaper area’ and the rash that develops in that area ( most commonly due to the injudicious use of diapers) as diaper rash.
Successful management of delayed case of mastitis in cowsuren vet
In this we tried & eliminated pathogens with low antibiotics. The withdrawl period of milk is decreased. Treatment is of low cost. Easily applicable in field condition....
First Stage of Labour nsg management.pptxitisha prasad
first stage of labour is the time period from the time of true labour to the full dilation of the cervix. it is most crucial time which requires proper and efficient care and support. Nursing managment during this time is very essential in order to procced with the normal labour. Partograph is one of the biggest tool to asess the progress of labour . It is very important to know the care to be provided during labour to the mothers including the care of bowel, bladder, ambulation, rest, positions, all of this help to keep a track of labour and they assist in the progress of labour.
nurses/doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.
Upon completion of the training, trainees will be able to:
Determine pregnancy by palpating a cow;
Determine the stages of pregnancy through palpation;
Differentiate the pregnancy and abnormal conditions of the uterus;
Fill and discuss the pregnancy diagnosis test form
procedure -skin care of baby(oil massage)
subject - Obstertics nursing and child health nursing
presented by -miss manjot kaur
clinical instructor at kalar college of nursing
Guide to Gastrostomy Tubes, developed by a pediatric NICU nurse as an educational and take-home tool for patient families. (c) Rady Children\'s Hospital-San Diego, 2012
Diapers have become such a part and parcel of daily new-born care that the area comprising the genitalia and bum of the baby came to be known as ‘diaper area’ and the rash that develops in that area ( most commonly due to the injudicious use of diapers) as diaper rash.
Successful management of delayed case of mastitis in cowsuren vet
In this we tried & eliminated pathogens with low antibiotics. The withdrawl period of milk is decreased. Treatment is of low cost. Easily applicable in field condition....
First Stage of Labour nsg management.pptxitisha prasad
first stage of labour is the time period from the time of true labour to the full dilation of the cervix. it is most crucial time which requires proper and efficient care and support. Nursing managment during this time is very essential in order to procced with the normal labour. Partograph is one of the biggest tool to asess the progress of labour . It is very important to know the care to be provided during labour to the mothers including the care of bowel, bladder, ambulation, rest, positions, all of this help to keep a track of labour and they assist in the progress of labour.
normal newborn ppt by Shrutika Dhongade.pptxRaniDhongade
normal newborn or assessment of normal newborn
definition of a normal newborn
characteristics of a normal newborn
care of a normal newborn
anthropometric assessment of a normal newborn
terminologies used to describe the abormalities in the newborn
nursing care to be provided to the newborn
seminar on newborn
ppt on normal newborn
examination of newborn
care of nweborn given at birth
cord clamping and ligate the cord
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2. Presented By : Ali Gul Bhatti
2K14-AV-10
Final year DVM student
SBBUVAS Sakrand
Final internship report presentation
3. Introduction of internship
Internship is compulsory of completion of 5 year
DVM degree program.
Total duration of internship was 9 weeks from 03
September to 05 November 2018
Place of my internship was Dairyland Pvt Ltd.
Thatta.
4. BREEDING AND LAMENESS SECTION
In this section two works were performed ;
One was pregnancy diagnosis and artificial
insimination
2nd was regarding lameness of animals.
In this section the cows which were in heat brought by
labours two times in a day (morning, evening) for
artificial insemination, after AI cows allowed back to
their respected corals.
5. Estrus synchronization
Different estrus synchronization protocols were
followed;
OVI SYNCH:
At first day GnRH (8 am), after seven days PG (8
am) then after 24hrs again PG (8 am) then after
about 32hrs again a dose of GnRH (4 pm) and in
last doing AI after about 16hrs (8 am)
6. Lameness
Then went to lameness pen and observed
some cows having lameness, and treated.
injection and fluid therapy if needed were
performed then pushed cows in copper
sulphate tank for about 10 minutes.
7. SHED MANAGEMENT & FEEDING SECTION
In this section following works was performed
Checking of the water tank,
Labour management,
Feed of animals
Lights and fans etc,
8. Cont…
Checking of Water Tank:
Following things were checked in a water tank on a daily routine
basis,
Water is present or not
Water is clean or dirty
Removal of faeces around the water tank through labour
Daily cleaning of the Water tank
Labour Management:
During duty at shed management, the main focus was on labour
management
Monitoring of labours either they work or just waste time
Labours push feed or not in the feeding area
As at night time mostly labours were sleeping during their duty
time, so how to engaged & convince them to do their duty
actively
9. Cont…
Checking of feed:
Present or not,
fresh or old,
dry or wet,
To monitor cleaning of all corals through
tractor:
Once a day & once at night cleaning of all corals
was done through tractor.
10. Cont…
Checking of Fans & Lights
Fans and light were working or not Switch ON
and Switch Off on time
Checking of temperature & Humidity:
Checking of Temperature and humidity of New &
Old shed After every Hour & finally reported to the
farm executive (Admin).
11. Maternity Section
Maternity means hospital of dairyland Pvt Ltd in
which all sick animals of dairyland which have
different problems or disease are brought in
maternity section and Veterinary doctor diagnosis
their problems and treat them.
12. Schedule of Maternity section
Daily Routine:
Check all sick animals and treat them
Do fluid therapy of dehydrated animal and off feed animal
Do dressing of injured animals
Observe calving animals in calving pen for Parturition.
Weekly Routine(this practice is for those who works In
daytime only)
On every Monday: Pregnancy Diagnosis/checking of fresh
cow
Every Thursday: Pregnancy Confirmation through Ultra
Sound
Handling of dystocia
Vaccination of all Herd
13. Daily Routine: treatment of sick animals about 80-90
daily
Mastitis Animal treatment:
Signs are Serum like (neither blood nor water)
secretion, teat becomes sponge-like.
Inj. Trioxyl(Amoxicillin) …………………30ml
Inj. Aagent 10%(Gentamycin) …………25ml
Inj. Vetafenac(meloxicam)……………… 30ml
fybrofit DS 150ml
Note: Gentamycin through I/v route have a very good
result in mastitis.
14. A CASE OF UREA TOXICITY
CASES
Many cases were brought to maternity having sign of toxicity due
to excessive intake of urea in feed signs were,
Salivation
Dull depressed
abdominal pain
rapid abdominal breathing
Abnormal gate
NOTE: Signs almost confused with pneumonia
Treatment of Urea Toxicity.
Inj. Normal Saline……………………..1000mlx2
(in one add Loxin 30ml & other Genta 30 ml)
Inj. Ringer lactate ………………………1000mlx2
Inj.Dextrose 25%..........................1000mlx2
Out of 8-10 cases of urea toxicity, one cow death occurred.
15. FRESH COWS MANAGEMENT
Shift the cow near to calving to the calving pens
Soon after calving, inject oxytocin, milfon C, B complex
and vit AD3E.
Check for mastitis.
Milking the colostrum and checking colostrum with
colostrometer.
Keep the cow in maternity for 1st three days.
Fresh cow protocol:
Inj. Oxytocin……………………….15ml (Pre-milking)
(I/M)
Inj. B-Complex………………………30ml (Post-milking)
(I/M)
Inj.AD3E………………………………….20ml (Post-milking)
(I/M)
Inj.Melfon-C………………………..450ml (Half) (Post
16. Calf Section
From (22-10-2018 to 05-11-2018) worked at calf
section, where observed basic management of all
ages of calves and also observed some diseases in
calves like pneumonia, hemorrhagic septicemia,
diarrhea, joint ill, a tympony and viral infection of the
mouth and also their treatment of these cases.
Daily Routine:
Check all calf and diagnose disease and treat
Do Dressing of injured Calf
Do spray in calf mouth after suckling
Monitor Calf Suckling
Give treatment of tympany to tympanic calf
17. Weekly:
Every Monday: Dehorning of calf
Every Tuesday: Separate weaning calf and in
ivermectin 3 ml S/C
Every Wednesday: Weight the grower calf and
shift to heifers
Every Thursday: Do Multivitamins to weak calf
Monthly: Vaccination to all calf
18. Female Calf Growing Process form newborn to till
Pregnant
New Born Calf
(Suckling 2-3 month)
Weaning
(3-6 Month)
Growing
(6-11 Month)
Under Service
(11 -13)
Pregnant
19. Diagnosis and treatment:
In the early morning in calf section, my duty was
to diagnosis the diseases and giving treatment
Following disease was diagnosed and treated:
Pneumonia
Diarrhea
HS
3 days sickness
Tympany
Entritis
20. Weaning of Calf:
the calf was weaned at the age of 2 to 3 month.
Weaning protocol
Weight is above 200 kg
Height is above 100cm
Weaned calf injected ivermectin 3 ml s/c
The monitor of suckling Protocol
Suckling Time: 3 times suckling daily with 8 hrs
interval
21. Monitoring and handling tympanic calf:
After suckling I monitor all calf section
for tympany if any calf has tympany then it was
removed by passing stomach tube from the
mouth if not removed then calf may die within few
time.
22. Newborn Calf Management
Licking by mother
Shifting in calf section
Sexing
Removing 1/3 naval cord
Tagging of calf
Feeding of colostrum
Weighing of calf
23. CONCLUSION
In conclusion, this internship has given
professional skills and practical approach, and
ability to gain ever-growing momentum in any
organization, during an internship at dairy land
following cases were recorded; mastitis, HS,
tympany, pneumonia, enterotoxaemia, diarrhea,
metritis, uterine prolapse, dystocia, and retained
placenta.
Mastitis, metritis and toxicity problems were most
commonly found there.
24. SUGGESTIONS
Feeding should be done at the time.
Hoof trimming should be done.
Proper fencing system.
Close drains should be constructed
Corral feed trough should be under shady place.
There should be proper control for keeping away wild
animals like dogs, rodents, and snakes.
A trained person should be appointed to detect heat
to gain high conception rates.
Calving pen should be maintained in reference to
bedding, hygiene, and space.
25. Cont…
Ultrasonography should be practiced in
Pregnancy diagnosis and for reproductive
problems.
As dairyland dairy farm produces milk for human
consumption, so there should be a proper
protocol for Antibiotic withdrawal period to lessen
the residues of antibiotics in milk which can be
harmful to human health.
Antibiotic usage for more than 3 weeks should
be minimized to avoid the antibiotic resistance
produced by the micro-organisms.
Medicines should be properly stored in the calf
section.