Sabtu, 18 Desember 2010

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nurse.rusari.com

Cardio-Pulmonary Resuscitation (CPR) For Children

Posted: 18 Dec 2010 05:58 AM PST

Children

A child is considered to be between one year to puberty for the purposes of these instructions. It is neither necessary nor appropriate to check if a child has reached puberty.

* If you have someone with you, send them to dial 999 (or 112) for an ambulance immediately.
* If you are on your own carry out CPR for one minute before dialling 999 (or 112) for an ambulance.

Give five rescue breaths

* Ensure the airway is open.
* Seal your lips around the child's mouth while pinching the nose.
* Blow gently into the lungs, looking along the chest as you breathe. Take shallow breaths and do not empty your lungs completely.
* As the chest rises, stop blowing and allow it to fall.
* Repeat four more times then check for circulation.

Give 30 chest compressions

* Place one or two hands in the centre of the chest (depending on the size of the child.
* Use the heel of that hand with arms straight and press down to a third of the depth of the chest.
* Press 30 times, at a rate of 100 compressions per minute.
* After 30 compressions, give two rescue breaths.

Continue resuscitation (30 compressions to two rescue breaths) without stopping until help arrives.
Notes:

* If you are alone, carry out rescue breaths and chest compressions for one minute before leaving the child to call an ambulance.
* If you are familiar with adult CPR and have no knowledge of child CPR, use the adult sequence.
* It is possible to identify the correct hand position without removing the child’s clothes.
source http://www.sja.org.uk/sja/first-aid-advice/life-saving-procedures/cpr-for-children.aspx

New resuscitation techniques Cardio-Pulmonary Resuscitation (CPR) for Adult

Posted: 18 Dec 2010 05:53 AM PST

New resuscitation techniques for untrained bystanders' announced.
Adult
Rescue breaths

* If you have someone with you, send them to dial 999 (or 112) for an ambulance immediately
* If you are alone dial 999 (or 112) for an ambulance immediately and then return to help the casualty.

Give 30 chest compressions

* Place heel of your hand in the centre of the chest
* Place other hand on top and interlock fingers
* Keeping your arms straight and your fingers off the chest, press down by four to five centimetres. then release the pressure, keeping your hands in place
* Repeat the compressions 30 times, at a rate of 100 per minute.

Give 2 rescue breaths.

* Ensure the airway is open
* Pinch nose firmly closed
* Take a deep breath and seal your lips around the casualty's mouth
* Blow into the mouth until the chest rises
* Remove your mouth and allow the chest to fall
* Repeat once more.

Continue resuscitation, 30 compressions to two Rescue Breaths.

Do not stop unless:

* Emergency help arrives and takes over
* The casualty breathes normally or
* You become so exhausted that you cannot carry on.

Notes:

* If you are alone, call an ambulance as soon as you know the casualty is not breathing – unless unconsciousness is due to drowning, whereby you should give FIVE initial rescue breaths and perform CPR for one minute before making the call
* If two rescuers with the knowledge of CPR, are available, change every two minutes with minimal disruption
* If you are unable or unwilling to give rescue breaths, give chest compressions only. Continue at a rate of 100 per minute
* It is possible to identify the correct hand position without removing the child’s clothes.
source http://www.sja.org.uk/sja/first-aid-advice/life-saving-procedures/cpr-for-adults.aspx

Life saving procedures

Posted: 18 Dec 2010 05:50 AM PST

New resuscitation techniques for untrained bystanders' announced.

As a first aider the priorities when dealing with a casualty are always the same:

* Airway
* Breathing
* Circulation.

A primary survey of a casualty will establish your priorities. When dealing with an unconscious casualty you should open and maintain their airway as your first priority. If the airway should become obstructed, possibly by the tongue falling to the back of the throat, then the casualty will be unable to breathe and this will lead to death if untreated.

If the casualty is breathing, the simple procedure of placing the casualty into the recovery position should ensure that the airway will remain clear of obstructions.

If the casualty has stopped breathing you can assist them by performing a combination of chest compressions and rescue breaths. You breathe out enough oxygen to potentially keep the casualty alive until the emergency services arrive, the oxygen you breathe into the casualty will need to then be pumped around the body using chest compressions.

It is important to remember that in any life threatening situation the emergency services should be called as soon as breathing or absence of breathing has been identified.
source http://www.sja.org.uk/sja/first-aid-advice/life-saving-procedures.aspx

Nursing job :Deputy Nurse Manager

Posted: 18 Dec 2010 05:41 AM PST

Deputy Nurse Manager

The Role:

# To manage Hungate Lodge in the absence of the Registered Manager, with on-call requirements during the week.
# To work with The Registered Manager to ensure compliance to include the preparation and monitoring of audit cycles and inspection reporting processes.
# Provide supervision and/or support to the Qualified Nurses, Support Workers and Support Team in line with the supervision matrix.
# To contribute to the success of the business through the building of positive relationships with all stakeholders and effective marketing strategies.
# To contribute to the success of the business through the building of positive relationships with all stakeholders and effective marketing strategies.

The Person:

# Possesses the relevant qualification RNLD/RMN
# Have excellent communication, organisational and time management skills and be able to work within a busy and pressurised environment.
# Is proactive, motivated, enthusiastic and passionate about providing a service which is person centred, socially inclusive and solution focussed.
# Is motivated to learn the skills of operational and business management with a view to career development within the company. Site Location : Emneth, Wisbech, Cambs Start Date : 17.11.10 Closing Date : 2010-11-26 (for applications)

Candidates must have a valid NMC Pin Number.
Candidates must be authorised to work in the EEC.
Contact Details
Rebecca Webber
Care Principles Ltd
more information, visit http://www.staffnurse.com/nursing-job-vacancies/deputy-nurse-manager_J3I2VP5WLWT2J2K7N3W.html?IPath=JRM

First Aid on Puncture Wound

Posted: 18 Dec 2010 05:34 AM PST

First Aid on Puncture Wound (small hole in the skin that may caused by an object piercing the skin, it can be on the surface of skin or may be deep in which depending on the source and cause).

Ussualy the wounds close fairly quickly on their own and does not result in excessive bleeding, but these wound can be dangerous case. A puncture wound also need a first aid treatment to prevent infection or tetanus.

First aid action on the puncture wound are :

- Stop bleeding by apply gentle pressure with a clean cloth or bandage. If the blood spurts or continues to flow after several minutes of pressure, call emergency medical services (EMS) team or ambulance.
- Check the wound, during the first aid action see that nothing is left from the object (may be a piece is missing and stuck in the wound).

- Clean the wound using clear water. If larger debris still remains more deeply embedded in the wound, see your doctor.

- Apply an antibiotic on the wound area (Neosporin, Polysporin) to discourage infection. Cover the wound with bandages to keep the wound clean and keep harmful bacteria out, try to do the dressing regularly.

- Monitor about signs of infection. See the doctor if the wound doesn’t heal or if you notice any redness, drainage, warmth or swelling.

- If the puncture is deep, on the foot, dirty or contaminated object and the victim haven’t had a tetanus injection within five years, the doctor may recommend a booster within 48 hours of the injury. Puncture is result of an animal (stray dog or a wild animal) or human bite, antibiotics is needed and suggest initiation of a rabies vaccination series.

source : http://nursing-intervention.blogspot.com/2007/06/first-aid-on-puncture-wound.html

High Blood Pressure in Children

Posted: 18 Dec 2010 04:49 AM PST

Hypertension in Children

Hypertension is not only a prerequisite for adults, but can also affect children, children and even infants. If you see high blood pressure in children is the fundamental cause either heart or kidney. But it has been shown that children have high blood pressure, even if they do not have heart or kidney problems, but there is a family history of hypertension and an unhealthy lifestyle to do this – poor diet , obesity, stress and physical inactivity.

Although it is estimated that 4.5% of children suffer from hypertension. Hypertension is very common in adults, but it is also increasingly in children these days, a trend that researchers led to the rise in obesity among children.

The only way to know if your child has high blood pressure is checked regularly. Doctors usually start measuring blood pressure during routine examinations when a child older than 3 years, old.If untreated, hypertension can damage the heart, brain, kidneys and eyes. But if it was morning, monitored, recorded, processed, and a child with hypertension may be an asset to have a normal life.

The long-term complications of hypertension

If a child with high blood pressure, heart and arteries have a workload much higher. Heart plays against excessive force, the heart must pump harder and the arteries are exposed to higher levels of pollution, as they blood. If blood pressure continues for a long period, the heart and arteries may not function as well as it should. Once hypertension is a child with an increased risk of stroke, transient ischemic attack, stroke, heart attack, kidney failure, blindness and atherosclerosis (hardening of the arteries).

Even if a child can not show symptoms of high blood pressure, it continues to affect the body and places the child at risk for health problems long term. In rare cases, severe hypertension, headache, dizziness, nosebleeds, heart palpitations, blurred vision and nausea. If your child has high blood pressure and experiences these symptoms, contact your doctor immediately.

If you go to a doctor with your children, it is too high not to measure blood pressure at first, because the child is nervous, the doctor probably three or four readings unusual – and an average of determine if your child has high blood pressure or at risk of developing hypertension.

Causes of Hypertension

The causes of hypertension vary by age of the child. The youngest child is more likely in blood pressure by another state. Hypertension in young children is more common in premature babies. Some newborns have high blood pressure due to problems with heart or vascular system, kidneys and lungs. Often these problems by bronchopulmonary dysplasia, an immaturity of the lungs in premature babies, or problems with vessels such as coarctation of the aorta, a narrowing of a part of the large blood vessel that carries blood from the heart are body parts. Among school-age children and adolescents, hypertension is generally associated with obesity. Obesity is highly prevalent among school children in those days. In some cases it is caused by a problem with the kidneys, but other conditions – to answer for – abnormalities in blood vessels and hormonal disorders. Certain medications (like steroids or oral contraceptives) can lead to high blood pressure, as can alcohol and illegal drugs.

Diagnosing hypertension in children

Such as blood pressure often causes no symptoms, the diagnosis of disease in children can be difficult. The only reliable way to know if your child has high blood pressure to it regularly measured at routine examinations. It is therefore important not to miss the deadlines, especially if your child is overweight or if family history of hypertension. There is also a new test called ambulatory measurement of blood pressure in which a child with a blood pressure cuff all day. Some think it's more accurate than urine tests in the doctor's office because the child is less likely to be affected by all the stress of a doctor visit and monitor blood pressure on a longer period.

Hypertension

If an underlying disease causes high blood pressure, treatment may be enough of this disease to restore blood pressure back to normal levels. For example, can improve the treatment of coarctation of the aorta significantly blood pressure. If no underlying disease, the child's doctor will try to control blood pressure with natural measures and may recommend weight loss, increased consumption of fruit and vegetable consumption salt reduces more exercise, and relaxation techniques. Children with hypertension should also stop or never start smoking in the long term will worsen heart problems such as smoking is a major risk factor for heart attack. Most doctors prefer not to prescribe medications for children with mild hypertension. In cases where changes do not improve the life of the state, so the doctors are drugs.

Make exercise and participation in organized sports is encouraged for all children whose blood pressure is not serious or well controlled. In fact, staying fit is the key blood pressure and weight should be checked. If your child is overweight, monitors a running program to lose weight by the doctor of your child and at least 30 minutes of endurance exercise every day can play a very important role in blood pressure. Children who participate severe hypertension should not have a weight and power lifting, bodybuilding or strength training until the blood pressure under control and a doctor's OK.

Remember, once you have hypertension and its complications sooner you face. So try to keep your blood pressure checked in the normal limits and enjoy the normal, healthy lives.
source : http://kidscozycottages.com/high-blood-pressure-in-children/
Diposting oleh always think twice di 09.16

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