Friday, 18 May 2018

LOPERAMIDE HCL (Imodium)


Side Effects
Nausea, vomiting                               Drowsiness
Abdominal pain/distention                           Dry mouth
Dizziness
Nursing Considerations
◾ Used for control of diarrhea, including diarrhea in travelers
◾ Take with a full glass of water
◾ Encourage 6–8 glasses of fluid per day
◾ Use caution with potentially hazardous activities
◾ If abdominal distention in acute ulcerative colitis, stop med
◾ Avoid use with alcohol, CNS depressants
◾ Follow clear liquid or bland diet until diarrhea subsides
◾ Do not use OTC if fever over 101°F (38°C) or if bloody diarrhea
◾ OTC, Rx; Preg Cat C

HYOSCYAMINE (Anaspaz, Gastrosed)

Side Effects
Confusion, stimulation                       Blurred vision
In elderly                                  Tachycardia
Dry mouth, constipation                     Rash
Urinary retention, hesitancy               Headache
Palpitations                               Drowsiness
Nursing Considerations
◾ Treatment of peptic ulcer, other GI disorders, other spastic disorders, urinary incontinence
◾ PO: onset 20–30 minutes, duration 4–6 hours
◾ IM, IV, subQ: onset 2–3 minutes, duration 4–6 hours
◾ Avoid activities requiring alertness until stabilized on med
◾ Avoid alcohol, CNS depressants
◾ Use sunglasses to prevent photophobia
◾ Take 30–60 minutes before meals
◾ Avoid antacids within 1 hour
◾ Rx; Preg Cat C

INSULIN-ISOPHANE SUSPENSION (NPH) (Humulin N, Novolin N)

INSULIN-ISOPHANE
SUSPENSION (NPH)
(Humulin N, Novolin N)
Side Effects
Hypoglycemia                           Alergic reactions
Lipodystrophy
Nursing Considerations
◾ Management of diabetes
◾ Comes in 100 units per milliliter vial, as well as in combination
with regular insulin in a 50/50 proportion and 75/25 proportion
◾ subQ: onset 1–1.5 hours, peak 4–12 hours, duration 18–24 hours
◾ Read administration instructions carefully

◾ Do not give IV
◾ Monitor blood sugar
◾ OTC, Rx; Preg Cat B








INSULIN GLARGINE (Lantus)


Side Effects
Hypoglycemia                                     Pruritus
Lipodystrophy                                    Rash
Allergic reactions
Nursing Considerations
◾ Management of diabetes in type 1 diabetics or adults with type 2
requiring a long-acting insulin to control hyperglycemia
◾ No pronounced peak, duration 24 hours
◾ Must inject at same time each day
◾ Not the drug of choice for diabetic ketoacidosis (use a
short-acting insulin)
◾ Higher incidence of injection site pain compared with NPH
insulin
◾ Monitor blood sugar

◾ Do not administer IV or via insulin pump
◾ Do not mix with any other insulin
◾ Rx; Preg Cat C





Gimel Review for NMC CBT Test

Wednesday, 18 April 2018

Get a copy of this book from www.amazon.com.


GIMEL Comprehensive Self Study Program!
This study is designed to give you Core Contents in a simple easy to understand structure. It will help you identified your strengths and deal with areas of weakness. You will then begin to comprehend many of the major areas of Core contents that are essential to Pass NMC PART 1, CBT TEST.
Whether this is your first attempt or that you have attempted this test several times. I want to encourage you to stay focused on your goals. Cast away feelings of inadequacy and doubt which does not support this effort now. Stay focused and you shall achieve success and your dreams.
GIMEL Study guide is a review for International nurses preparing for registration as nurses in the UK.

NMC Test of Competence - Part 1 Test Revision
The NMC Test of Competence Part 1 exam is a computer-based test (CBT) questions consisting of 120 Multiple Choice Questions. It is intended for applicants trained outside the EU (European Union) and European Economic Area seeking employment as a nurse in the UK.
This Part 1 test preparatory review contents covers randomly on all four of the domains and questions specific to adult nursing. These topics are: Professional values, Communication and interpersonal skills, Nursing practice and decision making Leadership management and team working as outlined and stated by NMC.
 Thereafter, practice with about 70 questions to test your knowledge with correct answers.
Success is guaranteed if you devote your short time to go through the reviewed contents and the questions.
This is the opportunity you have been waiting for. Go through the contents. You can be sure of passing your CBT test at First sitting.



Tuesday, 12 July 2016


                   WHAT ARE THE BLOOD TYPES REALLY FOR?

When Landsteiner mixed the blood from different people together, he discovered it followed certain rules. If he mixed the plasma from group A with red blood cells from someone else in group A, the plasma and cells remained a liquid. The same rule applied to the plasma and red blood cells from group B. But if Landsteiner mixed plasma from group A with red blood cells from B, the cells clumped (and vice versa).
The blood from people in group O was different. When Landsteiner mixed either A or B red blood cells with O plasma, the cells clumped. But he could add A or B plasma to O red blood cells without any clumping.


The blood type groups as we know them today.
The blood type groups as we know them today.

It’s this clumping that makes blood transfusions so potentially dangerous. If a doctor accidentally injected type B blood into my arm, my body would become loaded with tiny clots. They would disrupt my circulation and cause me to start bleeding massively, struggle for breath and potentially die. But if I received either type A or type O blood, I would be fine.
Landsteiner didn’t know what precisely distinguished one blood type from another. Later generations of scientists discovered that the red blood cells in each type are decorated with different molecules on their surface. In my type A blood, for example, the cells build these molecules in two stages, like two floors of a house. The first floor is called an H antigen. On top of the first floor the cells build a second, called the A antigen.
People with type B blood, on the other hand, build the second floor of the house in a different shape. And people with type O build a single-storey ranch house: they only build the H antigen and go no further.
Each person’s immune system becomes familiar with his or her own blood type. If people receive a transfusion of the wrong type of blood, however, their immune system responds with a furious attack, as if the blood were an invader. The exception to this rule is type O blood. It only has H antigens, which are present in the other blood types too. To a person with type A or type B, it seems familiar. That familiarity makes people with type O blood universal donors, and their blood especially valuable to blood centers.
Landsteiner reported his experiment in a short, terse paper in 1900. “It might be mentioned that the reported observations may assist in the explanation of various consequences of therapeutic blood transfusions,” he concluded with exquisite understatement. Landsteiner’s discovery opened the way to safe, large-scale blood transfusions, and even today blood banks use his basic method of clumping blood cells as a quick, reliable test for blood types.
But as Landsteiner answered an old question, he raised new ones. What, if anything, were blood types for? Why should red blood cells bother with building their molecular houses? And why do people have different houses?
Solid scientific answers to these questions have been hard to come by. And in the meantime, some unscientific explanations have gained huge popularity. “It’s just been ridiculous,” sighs Connie Westhoff, the Director of Immunohematology, Genomics, and Rare Blood at the New York Blood Center. Get the details from www.bewellbuzz.com/what are blood types for/