This document provides information and guidelines for nurses on collecting various specimen types including urine, stool, sputum, blood, and wound drainage. It describes the proper procedures for collecting midstream urine samples, stool samples, and sputum samples. It emphasizes the importance of using standard precautions, proper labeling of specimens, and timely delivery of specimens to the laboratory. It also provides information on testing of urine, stool, and sputum samples in the laboratory.
Collecting blood samples and other biological specimens is crucial to the understanding, prevention, and treatment of disease. However, from the patient’s perspective, it can also be painful, unnerving, frightening, and inconvenient.
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.
Collecting blood samples and other biological specimens is crucial to the understanding, prevention, and treatment of disease. However, from the patient’s perspective, it can also be painful, unnerving, frightening, and inconvenient.
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.
if you like this kindly give your comment and share to others for a education purpose. and follow to my account on slide share to know the update. i tried to give the all information in this slide in detailed. in hope its helpful for you all.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
if you like this kindly give your comment and share to others for a education purpose. and follow to my account on slide share to know the update. i tried to give the all information in this slide in detailed. in hope its helpful for you all.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Mandibular Growth & Development
يكون حجم الفك السفلي صغيرًا عند الولادة حيث يتألف من جزأين متناظرين يفصل بينهما عند الخط الأوسط للذقن نسيج غضروفي فتي يمثل الدرز الارتفاقي الذي يشكل أحد أجزاء الدروز السهمية المتوسطة التي تفصل بين الأجزاء العظمية المتناظرة لجمجمة الوليد.
تحصل أكبر زيادة في حجم الفك السفلي خلال الستة أشهر الأولى بعد الولادة. ثم ينخفض معدل النمو بالتدريج.
يتيح الدرز الارتفاقي الفرصة للفك السفلي للنمو العرضي السريع حتى يتكلس في النصف الثاني من السنة الأولى. وعند الولادة تكون الشعبتين الصاعدتين للفك السفلي قصيرتين.
وخلال السنة الأولى بعد الولادة ينمو الفك السفلي بشكل يتيح بزوغ الأسنان اللبنية مع وجود فراغات بينها بالإضافة إلى زيادة حجم العظم الداعم للأسنان في جميع الاتجاهات
Slides of histopathology....
It's difficult for medical & dental students to identify slides by just first view on microscope.....
& pathology is difficult sub. also.... so,here I made one ppt which includes a small collection of histo patho slides (18 slides)...I am sure that it will be helpful to medical & paramedical students & also for the teachers... thanks :)
A properly collected and handled specimen is critical to quality test results. Test Information Sheets provide comprehensive instructions, including:
Type of specimen to collect
Collection kit and requisition
Special requirements
Specimen handling
Test methodology and links to relevant Labstracts
Turnaround times
A test to determine how much glucose (sugar) is in a blood sample after an overnight fast.
The fasting blood glucose test is commonly used to detect diabetes mellitus.
A blood sample taken in a lab, physician's office or hospital.
The test is done in the morning, before the person has eaten.
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
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
- 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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
8. Wash hands
Clean meatus, female front to back
Start stream, then stop, collect specimen
Aseptic technique
Bedpan/mexican hat
To lab 15-20min post collection
13. 4. Timed urine specimens
2-72 hr intervals (24hr most common)
Begin after urinating
Note start time on container & requisition
Collect all urine in timed period
Post Reminder Signs
14. Strict aseptic technique
Only from Bag if Brand new
Sampling Port?
Clamp 30 min. prior
Wash hands – Glove
Cleanse port with alcohol swab
Sterile needle
To lab 30 min (may refridge 2hrs)
15. Routine Urinalysis
◦ Examine within 2hrs
◦ 1st
voided specimen in AM
◦ Reagent strip
Specific Gravity
◦ Concentration
◦ 1.010-1.025
Urine glucose
◦ Diabetics
◦ Reagent strips
◦ Double void
16. Glucose
Ketones
Protein
Blood- hematuria
pH
Specific gravity
Microscopic examination
17. Analysis of fecal material can detect pathological
conditions ie: tumors, hemorrhage, infection
Tests
◦ OB
◦ Pus
◦ Ova & Parasites
18.
19. ? Chemical preservatives
Medical aseptic technique
To lab on time
Labelling
Documentation
Guaiac Test
Colorectal cancer screening test
FOBT
Hemoccult slide test
20. Color
◦ melena
Odor
Consistency
Frequency
Amount
Shape
Constituents
21. Single positive test result does not confirm
bleeding or colorectal cancer.
Repeat test 3X
Meat free, high residue diet
22. Normally thin, nonpurulent, whitish or clear, small
in amount
S&S STD’s, UTI
Not Delegated
Assess external genitalia
If STD record sexual history
Physician’s order- vaginal/urethral
25. Tests to determine abnormal cells or infection
◦ Throat cultures
◦ Sputum specimens
◦ Skin testing
◦ Thoracentesis
26. Upper respiratory/ throat infections
Should Not be delegated
Throat swabs
◦ ac meal or 1 hr pc meal
◦ Wash hands, glove
◦ Tilt head backward
◦ “ah” ( if pharynx not visualized, tongue depressor,
anterior 1/3 of tongue)
◦ Don’t contaminate
27. Oropharynx & tonsillar
Sterile swab
Culture determines pathogenic microorganisms
Sensitivity determines the antibiotics to which the
microorganisms are sensitive or resistant
28. Insert swab into pharyngeal region
Reddened areas/ exudate
Gag reflex if client sitting and leaning forward
slightly
Inform client re procedure
29. Blow nose, check nostril patency
Rotate Swab inflamed mucosa or exudate
Swab must advance into nasopharynx to ensure
culture properly obtained
30. Ordered to identify organisms growing in
sputum
C&S
AFB
3 consecutive, early am
Cytology
Abnormal lung cancer by cell type
3 early am
31. May be delegated
Cough effectively
Mucus from bronchus
Not Saliva
Record
◦ Color
◦ Consistency
◦ Amount
◦ Odor
◦ Document date & time sent to lab.
33. Determines pulmonary diseases
◦ Bacterial
◦ Fungal
◦ Viral
Antigen injected intradermally
Injection site circled
Instructions not to wash site
34. Induration – palpable, elevated, hardened area
around site. Edema and inflammation from
antigen –antibiotic reaction. Measured in
millimeters
Reddened flat areas are neg.
The elderly freq. display false neg. or false positive
TB skin test
35. Complete history risk factors
Symptoms
◦ Weight loss
◦ Night sweats
◦ Hemoptysis
◦ Fatigue
Early am sputum for AFB
Chest xray
36. Insert needle through chest wall into pleural space
Aspirate fluid
• Diagnostic
• Therapeutic
• Biopsy
40. 1. Explain procedure, gain client’s participation
2. Collect right amt. of specimen at the right time
3. Place specimen in correct container
4. Label container accurately
(addressograph), plastic bag
41. 5. Complete lab. Req.
6. Place the specimen in the appropriate place for
pick up.
7. Document/record specimen sent and anything
unusual about the appearance of specimen
42. Capillary Puncture
Reduces Venipunctures
Clients can perform
Glucometers
Chemical reagent strip
Delegated to those instructed in skill if client’s
condition stable
43. Ordered ac, pc, hs, fasting, before insulin (sliding
scale)
? Risks for skin puncture
Assess area of skin
◦ Sides of fingers, toes, heels
Client’s ability
Normal fasting Bld. Sugar
70-120 mg/100ml
44.
45. Wash hands, glove
Client wash hands, warm water
Follow instructions on meter
Massage /milk finger or puncture site
Antiseptic swab ( allow to dry completely)
Wipe away first droplet of blood with
tissue/cotton ball
46. Dispose of lancet in sharps container
Wash hands
Check puncture site
◦ Can share reading with client
Record results
Proceed as indicated by results
47. 3 benefits to measuring progress and results
Shows where we are now
Tells if we are heading toward our goal
Allows us to make improvements along the way
48. Heightens our awareness
Helps us focus on what we value and where we
are going
Keeps us on track
Gives info what is happening along the way and
enables us to continue or change depending on
desired results