d'Amour Baby Love 사 랑

Will blog about adeline's 2 night study stay over at my house only after exams.
For now, i've got the urge to blog but i have to study at the same time.
So i shall write all about what i've studied as well as revising. BINGO!


Paediatrics!

What is Asthma?
- Exposure to irritant which cause constriction of the bronchial smooth muscles
- leading to edema
- increase secrtion of thick mucous and airway narrowing
- expiration through the narrowed lumen is impaired
- result in air trapping and hyperinflation of the aveoli


How is Asthma diagnosed?
1) Diagnostic test
- Chest x-ray ( reveals hyperinflation of airway )
- Pulmonary function test ( reveals reduced peak expiratory flow rates )
2) Wheezing and dry cough indicates Asthma episodes ( Wheezing is a sign of acute asthma attack )
3) Barrel chest - Chronic use of accessory muscles


Nursing Care for Asthma childrens
- Assess cyanosis for low oxygen level
- Assess respiratory rate and SPO2 for signs of respiratory distress
- Administer O2 if needed and monitor pulse oximetry
- Medication ( Bronchodilator - ventoline )
- Sit child in high fowler's position to maximise lung expansion
- Cluster nursing care to conserve child's energy
- Monitor airway response to treatment
- Assess IV infusion to ensure sufficient fluid intake
- Avoid cold liquids to prevent risk of bronchospasms


Child and family education
- Explain the goal to prevent Asthma episode and ensure optimal physical and psychological health
- Teach parents to identify and avoid potential triggers
- Assess family's coping skills, ability and willingness to care for child
- Review parent's knowledge on signs and symptoms of impending attacks
- Monitor child's condition with peak expiratory flow rates


Maternal!


Immediate care for mother post normal delivery
1) Vital signs
- Low B/P, Increase Heart rate ( signs of impending shock ) and increase in temp. >38 degrees ( signs of infection )
2) Check skin colour
- Colour of pallor
3) Check firmness, location and height of the uterine fundus
4) Observe lochia amount, colour, odour and presence of clots
5) IV medication and Infusion
6) Fullness bladder
- Prevents uterine contraction and increase bleeding
7) Check perinieum condition
- edema, haematoma and episiotomy wound
8) Level of sensation and ability to move extremities if epidural used
9) Assess pain location and duration


The difference between true and false contractions


False: Begins irregular and remains irregular
True: Begins irregular and becomes regular and predictable


False: First felt abdominally and stays confined to the abdominal and groins
True: First felt abdominally and sweeps around to the abdominal in a wave


False: Disappears with ambulation and sleep
True: Continues no matter what the woman's level of activity


False: Do not increase frequency, duration and intensity
True: Increase frequency, duration and intensity


False: Do not achieve cervical dilation
True: Achieve cervical dilation


Anticipatory signs of Labour
- Braxton Hicks ( False labour pains )
- Expelling the mucous plug ( Bloody show )
- Ripening and effacement of the cervix
- spontaneous rupture of membranes


END!


These are all the things i remember in my brain okayy.
i didn't refer to the book! :D


Now i've got to study for my next subject! (:
Jia you all my dear peeps!
All the best and best wishes for your exams!