EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

@el_senior1


ู„ูˆ ุจุชุฏูˆุฑ ุนู„ู‰ ุฃุณุฑุน ูˆ ุฃูƒุชุฑ ู…ุนู„ูˆู…ุงุช ุนู† ุดุบู„ ุงู„ุชู…ุฑูŠุถ ุชู‚ุฏุฑ ุชุณุชููŠุฏ ู…ู†ู‡ุง ูŠุจู‚ู‰ ุฃู†ุช ููŠ ุงู„ู…ูƒุงู† ุงู„ุตุญ ! ู„ุงู†ู†ุง ุจู†ู‚ุฏู… ุงู„ู…ุนู„ูˆู…ุงุช ุจุดูƒู„ ุจุณูŠุท ููŠ ุดูƒู„ ุจูˆุณุชุงุช ูˆู…ู‚ุงู„ุงุช ูˆุตูˆุฑ ูˆููŠุฏูŠูˆู‡ุงุช ูŠู‚ุฏุฑ ุงูŠ ุดุฎุต ูŠุณุชูˆุนุจ ุงู„ู…ุนู„ูˆู…ุฉ.

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

23 Oct, 05:45


ูุฑุตุฉ ุนู…ู„ ุฏุงุฎู„ ุงู„ู…ู…ู„ูƒุฉ ุงู„ุนุฑุจูŠุฉ ุงู„ุณุนูˆุฏูŠุฉ...Nursing Home Care ...ูƒู„ ุงู„ู„ูŠ ุญุงุจุจ ูŠุจุฏุฃ ุงู† ุดุงุก ุงู„ู„ู‡ ูŠุฏุฎู„ ุงู„ุฌุฑูˆุจ ุจุงู„ุฑู‚ู… ุงู„ุณุนูˆุฏูŠ...ุงู„ู„ูŠู†ูƒ ๐Ÿ‘‡๐Ÿ’‰
https://chat.whatsapp.com/EVtDKB8D0aPKFnGCwuVIgD

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

22 Oct, 10:50


#ุงู†ุชุฑููŠูˆ

Here are some common clinical questions that might come up in a nursing interview, along with brief explanations or considerations for each:

1. Describe the nursing process.

Answer: The nursing process consists of five steps:

Assessment: Collecting patient data.

Diagnosis: Identifying patient problems.

Planning: Setting goals and outcomes.

Implementation: Carrying out the care plan.

Evaluation: Assessing the effectiveness of the care provided.

2. How do you handle a patient with a sudden change in condition?

Answer: Assess the situation quickly (using ABCโ€”Airway, Breathing, Circulation), stabilize the patient, notify the healthcare provider, and document the change. Use critical thinking to determine the most appropriate interventions.

3. What are the signs and symptoms of shock?

Answer: Common signs of shock include rapid heartbeat, low blood pressure, pale or clammy skin, confusion, and weak pulse. Discuss how you would monitor a patient for these signs.

4. How do you manage pain in patients?

Answer: Discuss various pain management techniques, including medication (analgesics), non-pharmacological methods (e.g., relaxation techniques, heat/cold therapy), and assessing the patient's pain regularly using appropriate scales.

5. What is your approach to infection control?

Answer: Emphasize the importance of hand hygiene, using personal protective equipment (PPE), following sterile techniques, and adhering to facility protocols for preventing and controlling infections.

6. Describe the steps for administering a medication.

Answer: Follow the "Five Rights" of medication administration:

Right patient

Right medication

Right dose

Right route

Right time Also, include checking allergies and patient education regarding the medication.

7. How would you respond to a code blue situation?

Answer: Explain your role in a code blue, such as calling for help, starting CPR, using an AED if necessary, and assisting the healthcare team with any interventions until advanced care arrives.

8. What are the vital signs, and why are they important?

Answer: Vital signs include temperature, pulse, respiration, and blood pressure. They are important indicators of a patientโ€™s physiological status and can help identify potential complications.

9. How do you assess a patientโ€™s pain level?

Answer: Use standardized pain scales (like the Numeric Rating Scale or Wong-Baker FACES scale) and ask open-ended questions to understand the patient's pain, including location, intensity, and duration.

10. What is the significance of patient education in nursing?

Answer: Patient education helps patients understand their conditions, medications, and self-care, leading to improved outcomes, adherence to treatment plans, and enhanced quality of life.

Practice and Preparation:

Think about real-life scenarios youโ€™ve encountered and how you would answer these questions based on your experiences. Practicing with a colleague or mentor can also help solidify your responses.

ูŠุงุฑูŠุช ุชูƒุชุจูˆู„ู†ุง ุงูŠ ุณุคุงู„ ู…ุญุชุงุฌูŠู† ุงุฌุงุจู‡ ู„ู‡...ูˆุงู„ูุชุฑู‡ ุงู„ุฌุงูŠู‡ ู‡ูƒูˆู† ุฏุงูŠู…ุง ู…ุนุงูƒู… ...ูƒูˆู…ู†ุช ู…ู†ูƒ ุจูŠุดุฌุนู†ุง ูƒุชูŠุฑ ุจุฌุฏ๐Ÿ™

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

19 Apr, 11:39


ู‚ุตุฉ ุญูŠุงุฉ ุงู„ุจู„ูŠุฑูˆุจูŠู† ูˆุงุฒุงู‰ ุจุชุญุตู„ ุงู„ jaundice :

ู„ู…ุง ุจุชุชูƒุณุฑ ุงู„ RBCs ุจูŠุทู„ุน ู…ู†ู‡ุง ู‡ูŠู…ูˆุฌู„ูˆุจูŠู† .. ูˆุงู„ู‡ูŠู…ูˆุฌู„ูˆุจูŠู† ูŠุทู„ุน ู…ู†ู‡ ุงู„ุจู„ูŠุฑูˆุจูŠู†.
ุงู„ุจู„ูŠุฑูˆุจู† ุงู„ู„ู‰ ู„ุณู‡ ุทุงู„ุน ุฌุฏูŠุฏ ุฏู‡ ุจู†ุณู…ูŠู‡ unconjugated bilirubin (ุงูˆ ุงุณู… ุชุงู†ู‰ Indirect bilirubin) .
ุงู„ unconjugated bilirubin ุฏู‡ ูŠูุถู„ ู…ุงุดู‰ ูู‰ ุงู„ุฏู… ู„ุญุฏ ู…ุง ูŠูˆุตู„ ู„ู„ูƒู„ูŠุฉ .
ุงู„ูƒู„ูŠู‡ ุงู„ู…ูุฑูˆุถ ุงู†ู‡ุง ุงู„ุนุถูˆ ุงู„ู…ุณุฆูˆู„ ุนู† ุงุฎุฑุงุฌ ุงู„ูุถู„ุงุช ู…ู† ุงู„ุฏู… .. ู„ูƒู† ู…ุน ุฐู„ูƒ ู…ุงุชู‚ุฏุฑุด ุชุชุฎู„ุต ู…ู† ุงู„ unconjugated bilirubin ุฏู‡ ูˆุชู†ุฒู„ู‡ ูู‰ ุงู„ุจูˆู„ . ู„ูŠู‡ ุŸุŸุŸุŸ ู„ุณุจุจูŠู† : ุงูˆู„ุง ุญุฌู…ู‡ ูƒุจูŠุฑ ,,,,,,, ุซุงู†ูŠุง ู„ุง ูŠุฐูˆุจ ูู‰ ุงู„ู…ุงุก !
ุทุจ ุงูŠู‡ ุงู„ุนู…ู„ ุŸุŸ
ุชุฑูˆุญ ุงู„ูƒู„ูŠู‡ ุชุฑุฌุนู‡ ู„ู„ุฏู… ุชุงู†ู‰ ุญุชู‰ ูŠูˆุตู„ ู„ู„ูƒุจุฏ ..
ุงู„ูƒุจุฏ ุจู‚ู‰ ูŠุงุฎุฏู‡ ูˆูŠุนู…ู„ู‡ conjugation ู…ุน ุงู„ุจุฑูˆุชูŠู†ุงุช ูˆู‡ู†ุง ูŠุจู‚ู‰ ุงุณู…ู‡ Conjugated bilirubin ุงูˆ ุงุณู… ุชุงู†ู‰ (Direct bilirubin )..
ุงู„ conjugated bilirubin ูŠู…ุชุงุฒ ุจ 3 ุญุฌุงุช :
ุงูˆู„ุง : ุญุฌู…ู‡ ุตุบูŠุฑ
ุซุงู†ูŠุง : ูŠุฐูˆุจ ูู‰ ุงู„ู…ุงุก ูˆุจุงู„ุชุงู„ู‰ ูŠุณู‡ู„ ุงุฎุฑุงุฌู‡
ุซุงู„ุซุง : ู„ูˆู†ู‡ ุบุงู…ู‚ .

- ุงู„ู…ู‡ู… .. ุจุนุฏ ู…ุง ุงู„ูƒุจุฏ ุญูˆู„ู‡ ุงู„ู‰ conjugated bilirubin ู‡ูŠูุฑุฒู‡ ุจู‚ู‰ ูู‰ ุงู„ุงู…ุนุงุก ุนู† ุทุฑูŠู‚ ุงู„ bile .
- ูŠูˆุตู„ ุงู„ุงู…ุนุงุก ูŠู„ุงู‚ู‰ ุงู„ุจูƒุชุฑูŠุง ู…ุณุชู†ูŠุงู‡ ุนู„ุดุงู† ุชุญูˆู„ู‡ ุงู„ู‰ stercobilinogen.
- ูˆู‡ู†ุง ูŠู‚ู ุงู„ stercobilinogen ุนู†ุฏ ู…ูุชุฑู‚ ุทุฑู‚ ูˆู„ุฏูŠู‡ 3 ุงุฎุชูŠุงุฑุงุช :
ุงู„ู…ุตูŠุฑ ุงู„ุงูˆู„
ูŠู‚ุนุฏ ุฒู‰ ู…ุงู‡ูˆ ูู‰ ุงู„ุงู…ุนุงุก ูุชู‚ูˆู… ุงู„ุจูƒุชุฑูŠุง ุชุชุณู„ู‰ ุนู„ูŠู‡ ุชุงู†ู‰ ูˆุชุญูˆู„ู‡ ุงู„ู‰ ู†ูˆุน ุชุงู†ู‰ ุงุณู…ู‡ stercobilin ูˆุฏู‡ ุงู„ู„ู‰ ุจูŠุฎู„ู‰ ู„ูˆู† ุงู„ุจุฑุงุฒ ุจู†ู‰ .
ุงู„ู…ุตูŠุฑ ุงู„ุชุงู†ู‰
ุชู„ุช ุงู„ูƒู…ูŠุฉ ุงู„ู…ูˆุฌูˆุฏู‡ ุชุฑุฌุน ุงู„ูƒุจุฏ ุชุงู†ู‰ .
ุงู„ู…ุตูŠุฑ ุงู„ุชุงู„ุช
ูŠุฑูˆุญ ุงู„ูƒู„ู‰ .. ูุชู‚ูˆู… ุงู„ูƒู„ู‰ ุชู†ุฒู„ู‡ ูู‰ ุงู„ุจูˆู„ (ูˆู‡ู†ุง ูŠุจู‚ู‰ ุงุณู…ู‡ urobilinogen ) ูˆู‡ูˆ ุงุตู„ุง ู…ุงู„ูˆุด ู„ูˆู† ูู„ุง ูŠุบูŠุฑ ู„ูˆู† ุงู„ุจูˆู„ .
ุชุนุงู„ูˆุง ุจู‚ู‰ ู†ุชุฎูŠู„ ุงุฒุงู‰ ุจุชุญุตู„ ุงู„ jaundice ุŸุŸุŸ

ุงู„ู†ูˆุน ุงู„ุงูˆู„ : obstructive jaundice :
ุงู„ุณูƒู‡ ุงู„ู„ู‰ ู…ุงุจูŠู† ุงู„ูƒุจุฏ ูˆุงู„ุงู…ุนุงุก ุงุชุณุฏุช: ู…ุนู†ู‰ ูƒุฏู‡ ุงู† ุงู„ direct bilirubin ู…ุด ู‡ูŠุนุฑู ูŠู†ุฒู„ ูู‰ ุงู„ุงู…ุนุงุก ูุงู„ูƒุจุฏ ู‡ูŠุฑุฌุนู‡ ู„ู„ุฏู… ู‡ูŠุฑูˆุญ ูŠูˆุตู„ ู„ู„ูƒู„ู‰ ููŠู†ุฒู„ ูู‰ ุงู„ุจูˆู„ ูˆุจู…ุง ุงู† ู„ูˆู†ู‡ ุบุงู…ู‚ ูู‡ูŠุฎู„ู‰ ู„ูˆู† ุงู„ุจูˆู„ ุบุงุงุงุงุงุงุงุงุงุงุงู…ู‚ .
ูˆู…ุงุชู†ุณุงุด ุจุฑุถูˆ ุงู† ู†ุณุจุฉ ุงู„ stercobilinogen ู‡ุชู‚ู„ ูู‰ ุงู„ุงู…ุนุงุก (ูˆุฏู‰ ุงู„ู„ู‰ ุจุชุฎู„ู‰ ู„ูˆู† ุงู„ุจุฑุงุฒ ุจู†ู‰ ) ูู„ูˆู† ุงู„ุจุฑุงุฒ ู‡ูŠุจู‚ู‰ ูุงุงุงุงุงุงุงุงุงุงุงุชุญ .
ู„ูƒู† ู†ุณุจุฉ ุงู„ indirect ุฒู‰ ู…ุง ู‡ู‰ ู…ุด ู‡ุชุชุงุซุฑ .

ุงู„ู†ูˆุน ุงู„ุชุงู†ู‰ : Hemolytic jaundice :
ู„ู…ุง ุงู„ RBCs ู‡ุชุชูƒุณุฑ ูƒุชูŠุฑ ุงูˆู‰ ู†ุณุจุฉ ุงู„ indirect bilirubin ู‡ุชุฒูŠุฏ ุงูˆู‰ ุงูˆู‰ ุงูˆู‰ ููŠุฑูˆุญ ุงู„ูƒุจุฏ ูˆูŠุนู…ู„ู‡ conjugation ุฒู‰ ู…ุง ู‚ูˆู„ู†ุง ูˆุจุนุฏูŠู† ูŠู†ุฒู„ ูู‰ ุงู„ุงู…ุนุงุก ูˆู‡ูƒุฐุง ุจุงู‚ู‰ ุงู„ู‚ุตู‡ ..
ู„ูƒู† ู‡ู†ุง ู†ุณุจุฉ ุงู„ indirect bilirubin ุนุงู„ูŠู‡ ุงูˆู‰ ููƒู„ ุญุงุฌู‡ ู‡ุชุฒูŠุฏ :
ุงู„ urobilinogen ู‡ูŠุนู„ู‰ ูˆู‡ูŠู†ุฒู„ ูู‰ ุงู„ุจูˆู„ ู„ูƒู†ู‡ ู…ุด ู‡ูŠุบูŠุฑ ู„ูˆู† ุงู„ุจูˆู„ (ู„ุงู† ู„ูˆู†ู‡ ูุงุชุญ).
ุงู„ stercobilinogen ู‡ูŠุนู„ู‰ ูˆู‡ูŠู†ุฒู„ ูู‰ ุงู„ุจุฑุงุฒ (ูˆู‡ูˆ ู„ูˆู†ู‡ ุบุงู…ู‚) ูู„ูˆู† ุงู„ุจุฑุงุฒ ู‡ูŠุจู‚ู‰ ุบุงุงุงุงุงุงุงุงุงุงู…ู‚ .
ุงู„ู†ูˆุน ุงู„ุชุงู„ุช : Hepatocellular jaundice :
ู†ุฌูŠุจ ู…ู† ุงู„ุฃุฎุฑ ู‡ู‰ ู…ุฑุญู„ุฉ ูˆุณุท ู…ุง ุจูŠู† ุงู„ Obstructive jaundice ูˆุงู„ Hemolytic jaundice .
ู‡ู†ุง ุงู„ูƒุจุฏ ุชุนุจุงู† .. ูู„ูˆ ุงูุชูƒุฑุช ุฏูˆุฑุฉ ุญูŠุงุฉ ุงู„ุจู„ูŠุฑูˆุจูŠู†
ุงู„ indirect bilirubin ู‡ูŠุฌู‰ ูŠุฏุฎู„ ุงู„ูƒุจุฏ ู…ุด ู‡ูŠุนุฑู ูู‡ูŠุฒูŠุฏ .
ุดูˆูŠุฉ ุงู„ indirect bilirubin ุงู„ู„ู‰ ุฏุฎู„ูˆุง ุงู„ูƒุจุฏ ุจุตุนูˆุจู‡ ูˆุญูˆู„ู‡ู… ุงู„ู‰ Direct bilirubin ู‡ูŠุฌู‰ ูŠูุฑุฒ ูู‰ ุงู„ุงู…ุนุงุก ู…ุด ู‡ูŠุนุฑู (ู„ุงู† ุงู„ู‡ูŠุจุงุชูˆุณุงูŠุช ู…ู„ุชู‡ุจู‡ ูุณุงุฏุฉ ุงู„ุณูƒู‡) ูู†ุณุจุฉ ุงู„ Direct ุจุฑุถูˆ ู‡ุชุฒูŠุฏ .
ุทูŠุจ ุงูŠู‡ ุงู„ู„ู‰ ู‡ูŠุนู„ู‰ ุงูƒุชุฑ ุงู„ direct ูˆู„ุง ุงู„ indirect ุŸุŸุŸุŸ
ุฌ/ ุงู„ู„ูŠ ุจูŠุนู„ูŠ ุฃูƒุชุฑ ุงู„ direct
ุนุดุงู† ุฏุงูŠู…ุง ู„ู…ุง ุงู„ liver ูŠุจูˆุธ ุฃูƒุชุฑ ุนู…ู„ูŠุฉ ุชุชุฃุซุฑ ู‡ูŠ ุงู„ excretion ูˆู„ูŠุณ ุงู„ uptake .
ูˆุฏู‡ ูƒุงู† ู…ู„ุฎุต ุจุณูŠุท ุงุฒุงูŠ ุจุชุญุตู„ ุงู„ุตูุฑุงุก

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

24 Jan, 09:14


ุงู† ุดุงุก ุงู„ู„ู‡ ุทูˆู„ ุงู„ูุชุฑู‡ ุงู„ุฌุงูŠู‡ ู‡ูŠูƒูˆู† ุดุฑุญู†ุง ู…ุนุงูƒู… ู‡ู†ุง ....ุงูƒุชุจูˆู„ู†ุง ุงู„ู…ูˆุงุถูŠุน ุงู„ู„ูŠ ู…ู…ูƒู† ู†ูƒูˆู† ู„ุณู‡ ู…ุชูƒู„ู…ู†ุงุด ููŠู‡ุง ...ูˆู…ุชู†ุณุงุด ุชุถูŠู ุญุจุงูŠุจูƒ ู…ุนุงู†ุง๐Ÿ˜‰

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

27 Oct, 02:17


Fact:-
-
‏ู„ูˆ ุฅุดุชุบู„ุช ุจุงุฎู„ุงุต ู ุงูŠ ู…ูƒุงู†ุŒ ุญุชูŠ ู„ูˆ ู…ุญุฏุด ุณู…ุน ุจูŠูƒ ุงูˆ ุดุงููƒุŒ ู‡ุชู„ุงู‚ูŠ ุงู„ุฑุฒู‚ ุจูŠุฏูŽูˆูŽู‘ุฑ ุนู„ูŠูƒุŒ ุฑุจู†ุง ุจูŠุญุจ ุงู„ู…ุฎู„ุตูŠู†ุŒ ูˆุงู„ู„ูŠ ุฑุจู†ุง ุตุฑู‘ุญ ุจุญุจู‡ ู…ูŠุชุฎุงูุด ุนู„ูŠู‡ โค๏ธ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

08 Sep, 06:25


ุถูŠููˆุง ุฒู…ุงูŠู„ูƒูˆุง ูŠุดุจุงุจ ...ุฒูƒุงุฉ ุงู„ุนู„ู… ุงูŠุตุงู„ู‡...ุฏุนูˆุงุชูƒู… ๐Ÿค๐Ÿ™

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

01 Sep, 16:56


#ุชุฑูƒุงุช_ุงู„ุฑุนุงูŠู‡๐Ÿ™Œ
โˆ†ู„ู…ุงุฐุง ู„ุง ูŠุชู… ุงุนุทุงุก ุงู„ุงู†ุณูˆู„ูŠู† ุนู† ุทุฑูŠู‚ ุงู„ูู…ุŸ

โˆ†ู„ุงู† ุงู„ุงู†ุณูˆู„ูŠู† ู…ู† ุงู„ู‡ุฑู…ูˆู†ุงุช ุงู„ุจุฑูˆุชูŠู†ูŠู‡ ูุฅุฐุง ุชู… ุงุฎุฐู‡ุง ุนู† ุทุฑูŠู‚ ุงู„ูู… ุณูˆู ูŠู‡ุถู… ุนู† ุทุฑูŠู‚ ุงู„ุนุตุงุฑู‡ ุงู„ู…ุนุฏูŠู‡ ูˆุจุงู„ุชุงู„ูŠ ู„ู† ูŠุตู„ ุงู„ูŠ ุงู„ุฏู… ูˆุจุฐู„ูƒ ู„ู† ูŠุณุชููŠุฏ ุจู‡ ุงู„ุฌุณู…...

โˆ†ูˆูŠุญุชุงุฌ ุงู„ุงู†ุณูˆู„ูŠู† ุงู† ูŠู…ุชุต ุจุจุทุฆ ุนู„ูŠ ู…ุฏุงุฑ ูุชุฑู‡ ุฒู…ู†ูŠู‡ ุชุชู†ุงุณุจ ู…ุน ุทูˆู„ ูุชุฑุฉ ุชุฃุซูŠุฑู‡ ู„ุฐู„ูƒ ู†ุนุทูŠ ุงู„ุงู†ุณูˆู„ูŠู† ุชุญุช ุงู„ุฌู„ุฏ..

ุงุดูˆู ูˆุดูƒู… ุนู„ูŠ ุฎูŠุฑ ููŠ ู…ุนู„ูˆู…ู‡ ุฌุฏูŠุฏู‡...ุณู„ุงุงุงุงุงุงู…๐Ÿ™Œ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

28 Aug, 15:58


#ุชุฑูƒุงุช_ุงู„ุฑุนุงูŠู‡๐Ÿ™Œ
โˆ†ู…ู…ู†ูˆุน ู…ู†ุนุง ุจุงุชุง ุชุนู…ู„ ุฌู„ุณุงุช ุงู„ุงุณุชู†ุดุงู‚ ุจู…ุงุก ู…ู‚ุทุฑ ุงูˆ ุบูŠุฑู‡ ู„ุงู† ุงู„ู…ุงุก ุจูŠุฒูŠุฏ ุถูŠู‚ ุงู„ุดุนุจ ุงู„ู‡ูˆุงุฆูŠู‡

โˆ†ุงูˆู…ุงู„ ุชุชุนู…ู„ ุจุฅูŠู‡....ุชุชุนู…ู„ ูŠ ูƒุจูŠุฑ ุจู…ุญู„ูˆู„ ู…ู„ุญ ุงูŠ ุชุฑูƒูŠุฒ ู„ุงู†ู‡ ุจูŠุณุงุนุฏ ุนู„ูŠ ุชููƒุณูƒ ุงู„ุงูุฑุงุฒุงุช ูˆู…ู† ุซู… ู…ุน ุงู„ุชุดููŠุท ุงู„ุฏู†ูŠุง ุจุชุฑูˆู‚ ูˆุฎุฐุช ุจุงู„ูƒ ุจู‚ุง ูƒู„ ู…ุง ุชุฑูƒูŠุฒ ุงู„ู…ู„ุญ ูŠุนู„ูŠ ู…ูุนูˆู„ู‡ ูŠุฒูŠุฏ๐Ÿ™Œ

ุงุดูˆููƒู… ุนู„ูŠ ุฎูŠุฑ ููŠ ู…ุนู„ูˆู…ู‡ ุฌุฏูŠุฏู‡...ุณู„ุงุงุงุงุงุงู…๐Ÿ™Œ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

26 Aug, 19:27


#ุชุฑูƒุงุช_ุงู„ุฑุนุงูŠู‡๐Ÿ™Œ
โˆ†ู„ูˆ ุงู†ุช ุดุบุงู„ ู…ุน ู…ุฑูŠุถ ููŠ ุงู„ุฑุนุงูŠู‡ ูˆู…ุด ุจูŠุชุญุฑูƒ ูˆูŠู…ุดูŠ ๐Ÿง‘โ€๐Ÿฆฏ
โˆ†ูู…ู‡ู… ุนู†ุฏูƒ ุงู†ูƒ ุชู…ู†ุน ุญุฏูˆุซ ุฌู„ุทู‡ ููŠ ุงู„ุงูˆุฑุฏู‡ ุงู„ุนู…ูŠู‚ู‡ ุงู„ู„ูŠ ู‡ูŠ ูŠุนู†ูŠ DVT ูˆุงู„ู„ูŠ ู…ู…ูƒู† ุชุชู†ู‚ู„ ู„ู„ุฑุฆู‡ ูˆูŠุญุตู„ ุฌู„ุทู‡ ุฑุฆูˆูŠู‡ ูˆูŠุจู‚ูŠ ุงู†ุช ุงู„ู„ูŠ ุถูŠุนุช ุงู„ุนูŠุงู†๐Ÿฅฒ
โˆ†ุทุจ ู‡ู†ุนู…ู„ ุงูŠู‡ ู„ู„ู…ุฑูŠุถ ุฏู‡๐Ÿค”ุŸ
ุดูˆูŠุฉ ุญุงุฌุงุช ุจุณูŠุทู‡ ุงู‡ู…ู‡ุง ุงู†ูƒ ุชุนู…ู„ ุฌุฏูˆู„ ุชู‚ู„ูŠุจ ู„ู„ู…ุฑูŠุถ ูƒู„ ุณุงุนุชูŠู†โœŒ๏ธ
ุทุจ ูˆุงูŠู‡ ูƒู…ุงู† ุนู†ุฏูƒ ุงู„ุดุฑุจุงุช ุงู„ุถุงุบุทู‡ ุงู„ุทุจูŠู‡ ูˆู…ู†ู‡ุง ุฌุงุช ููƒุฑุฉ ุงุฌู‡ุฒุฉ foot pump ุงู„ู„ูŠ ุจุชุชู„ู ุญูˆู„ ุณุงู‚ ุงู„ู…ุฑูŠุถ ูˆุงู„ู„ูŠ ุจุชู…ู†ุน ุฑูƒูˆุฏ ุงู„ุฏู… ูˆุชุฌู„ุทู‡ ููŠู‡ุง
โˆ†ูˆุทุจุนุง ู…ุด ู‡ู†ู†ุณูŠ ู…ุถุงุฏุงุช ุงู„ุชุฌู„ุท low molecular wieght heparin ูˆุฏูŠ ุทุจุนุง ุชุญุช ุงุดุฑุงู ุทุจูŠ

ูŠู„ุง ุฏู…ุชู… ุจุฎูŠุฑ ...ุณู„ุงุงุงุงุงู… ูˆุงุดูˆููƒู… ููŠ ู…ุนู„ูˆู…ู‡ ุฌุฏูŠุฏู‡โค๏ธ๐Ÿ™Œ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

24 Aug, 08:45


#ุชุฑูƒุงุช_ICU๐Ÿ™Œ
โˆ†ูˆุงู†ุช ุจุชู‚ูŠุณ ุงู„ุณูƒุฑ ู„ู„ู…ุฑูŠุถ ุงูˆุนูŠ ุชูƒุณู„ ุงู†ูƒ ุชู…ุณุญ ุจู‚ู†ุทู‡ ุจูƒุญูˆู„ ุงูˆ Alcohl swap ู„ุงู†ูƒ ู„ูˆ ู…ุนู…ู„ุชุด ูƒุฏู‡ ู‡ุชุทู„ุน ู‚ุฑุงูŠู‡ ุบู„ุท ุจู†ุณุจุฉ 90%

โˆ†ูˆู‡ู†ุง ู‡ู†ู‚ูˆู„ ุงูŠู‡ ุงู„ุตุญ ุจู‚ุง ูŠ ุณู†ูŠูˆุฑ ุณู†ุงูŠุฑ ุงู„ุจู„ุฏ ู„ุงุฒู… ุชู…ุณุญ ุจูƒุญูˆู„ ู„ู„ุงุตุจุน ุงู„ู„ูŠ ู‡ุชู‚ูŠุณ ู…ู†ู‡ ูˆุบุงู„ุจุง ุจูŠูƒูˆู† ุงู„ุงุจู‡ุงู… ูˆูŠุงุฑูŠุช ุจุงู„ู…ุฑู‡ ุชุดูƒ ุจุงู„ุดูƒุงูƒู‡ ู…ู† ุฌุงู†ุจ ุงู„ุงุตุจุน ุนู„ุดุงู† ุชู‚ู„ู„ ุงู„ุงู„ู… ู„ู„ู…ุฑูŠุถ ุงูˆ ุชุณุชุฎุฏู… ู‚ู„ู… ุงู„ุดูƒุงูƒุงุช ูŠูƒูˆู† ุงูุถู„ ูˆุจุนุฏ ูƒุฏู‡ ุชู…ุณุญ ุงูˆู„ ู†ู‚ุทุฉ ุฏู… ุชุทู„ุน ุนู„ุดุงู† ุจุชูƒูˆู† Serum ูˆุชู‚ูŠุณ ู…ู† ุชุงู†ูŠ ู†ู‚ุทู‡ ูˆูƒุฏู‡ ูŠ ุบุงู„ูŠ ุฌุจุช ู‚ูŠุงุณุฉ ุณูƒุฑ ุชู…ุงู… ูˆู…ุชู†ุณุงุด ุชุถุบุทูกูฅุซุงู†ูŠู‡ ู„ู…ู†ุทู‚ุฉ ุงู„ุดูƒู‡

ูˆุงุดูˆููƒ ููŠ ู…ุนู„ูˆู…ู‡ ุฌุฏูŠุฏู‡...ุณู„ุงุงุงุงุงุงู…๐Ÿ’—

ุตุญูŠุญ ุงุญุจ ุงู‚ูˆู„ูƒ ุชุชุงุจุนู†ุง ุจุฃุณุชู…ุฑุงุฑ ูˆุชุณูŠุจู„ูŠ ูƒูˆู…ู†ุช ูŠุดุฌุนู†ุง ู„ู„ูŠ ุงู„ุฌุงูŠ ุนู„ุดุงู† ูƒู„ ุงู„ู„ูŠ ุฌุงูŠ ุชู‚ูŠู„๐Ÿ˜‰ ูˆู‡ุชู„ุงู‚ูˆู†ุง ุฏูˆุดู†ูƒู… ูƒู„ ุดูˆูŠู‡ ุจุจูˆุณุช ูˆุฏุนูˆุงุชูƒู… ุจู‚ุง๐Ÿ™Œ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

14 Jul, 04:27


ุจุณู… ุงู„ู„ู‡ ุงู„ุฑุญู…ู† ุงู„ุฑุญูŠู… ูˆุฒูŠ ู…ุง ุจู„ุบุชูƒู… ุงู†ู†ุง ู‡ู†ุจุฏุฃ ู†ุฑุงุฌุน ูˆู†ุฐุงูƒุฑ ุณูˆุง ูƒุฏู‡ ูˆู‡ู†ูุชุญ ุณูˆุง ูุตู„ ู…ู‡ู… ุนู†ุฏู†ุง ูˆู‡ูˆ Central Venous Access

ุนู†ุฏู†ุง ููŠ ุงู„ุฑุนุงูŠู‡ ุงูˆ ุงู„ุทูˆุงุฑุฆ ุงูŠ ู…ุฑูŠุถ ุจูŠุฏุฎู„ูŠ ุจูŠุญุชุงุฌ ูŠุฑูƒุจ ู…ุฌู…ูˆุนุฉ ู‚ุณุงุทุฑ ูˆู‡ู†ุง ุงู„ูุตู„ ุจูŠุชูƒู„ู… ุนู† ู…ุฌู…ูˆุนุฉ ุงู„ู‚ุณุงุทุฑ ุฏูŠ

ูˆู‚ุจู„ ู…ุง ุงุชูƒู„ู… ุนู† ุงู„ุงู†ูˆุงุน ูˆุงู„ุงู…ุงูƒู† ุงูƒู„ู…ูƒู… ุงู„ุงูˆู„ ุนู† CLABSI ุทุจ ูŠุนู†ูŠ ุงูŠู‡ Centeral line Associated blood stream infection ูŠุนู†ูŠ ุงุฒุงูŠ ุงู…ู†ุน ุงู„ุนุฏูˆูŠ ูˆุงู†ุง ุจุฑูƒุจ ุณู†ุชุฑู„ุงูŠู† ู…ุซู„ุง

ุงูˆู„ ุญุงุฌู‡ Hand hygiene ูˆุฏูŠ ุชุญุชู‡ุง hand wash ุจู…ุงุก ูˆุตุงุจูˆู† ุงูˆ hand rub ูˆุฏูŠ ุจุงู„ูƒุญูˆู„

ูˆุจุนุฏู‡ุง ุทุจุนุงbarrier precautions ุฒูŠ ุงู„ุฌู„ุงูุฒ ูˆุงู„ู…ุงุณูƒ ูˆุงู„ุฌุงูˆู† ูˆุบูŠุฑู‡

ูˆุจุนุฏ ูƒุฏู‡ Skin antiseptic ูŠุนู†ูŠ ู†ุทู‡ุฑ ู…ูƒุงู† ุงู„ุชุฑูƒูŠุจ ุจูŠุชุงุฏูŠู† ุงูˆ ูƒู„ูˆุฑู‡ูŠูƒุณุฏูŠู† ูˆุงุณูŠุจู‡ ุฏู‚ูŠู‚ุชูŠู† ู„ุญุฏ ู…ุง ูŠุฌู ูˆุงู„ู†ู‚ุทู‡ ุฏูŠ ู…ู‡ู…ู‡ ู…ุด ุงุญุทู‡ ูˆุงุฑูˆุญ ุงู…ุณุญู‡ ูƒุฏู‡ ูŠุจู‚ูŠ ุจู†ู‡ุฒุฑ

ูˆุทุจุนุง ุจู†ุญุงูˆู„ ู†ุชุฌู†ุจ ุงู„ุชุฑูƒูŠุจ ููŠ ู…ู†ุทู‚ุฉ femoral ู„ุงู† ุงู„ู…ู†ุทู‚ู‡ ุฏูŠ ุจุชุณุงุนุฏ ููŠ ูˆุฌูˆุฏ ุนุฏูˆูŠ
ูˆุงุฎุฑ ุญุงุฌู‡ ุงู†ูŠ ุจุดูŠู„ ุงู„ู‚ุณุทุฑู‡ ุงูˆ ุงู„ูƒุงู†ูŠูˆู„ุง ุงูˆ ุบูŠุฑู‡ ูˆู‚ุช ู…ูƒูˆู†ุด ู…ุญุชุงุฌู‡ุง

ูˆุทุจุนุง PPE ุฏูŠ ุจุชุชู„ุจุณ ููŠ ุงูŠ procedure
ุนู†ุฏู†ุง ู†ู‚ุทู‡ ูƒุฏู‡ ุนู„ูŠ ุฌู†ุจ ุจุชู‚ูˆู„ ุงู† ุงู„ุฏุฑุงุณุงุช ุงุซุจุชุช ุงู† femoral vien area ู„ูˆ ุจุฑูƒุจ ุญุงุฌู‡ ููŠู‡ ุจูŠุญุตู„ septicemia ู…ุฑุชูŠู† ู„ุซู„ุงุซุฉ ู…ุฑุงุช ู„ูƒู„ ูกู ู ู  ู…ุฑู‡ ุชุฑูƒูŠุจ ูˆุงู† ุงู„ุนุฏูˆูŠ ุฏูŠ ุฒูŠู‡ุง ุฒูŠ ู„ูˆ ุจูƒุฑูƒุจ jagular ุงูˆ subclevian ู„ูƒู† ุจุชุฌู†ุจ femoral area

ุชุนุงู„ูˆุง ุจู‚ุง ู†ุชูƒู„ู… ุนู† centeral line catheters ูˆุฏูŠ ู…ู†ู‡ุง ู†ูˆุนูŠู† triple ุงูˆ bilateral ุซู„ุงุซูŠู‡ ุงูˆ ุซู†ุงุฆูŠู‡ ูŠุนู†ูŠ ูˆุจูŠุชุฑูƒุจ ุงู„ุณู†ุชุฑู„ุงูŠู† ุฏู‡ ุงู…ุง jagular or subclevian or femoral ุนู„ุดุงู† ูŠูˆุตู„ูˆุง ู„ูˆุฑูŠุฏ ูƒุจูŠุฑ ุงุณู…ู‡ vena cava ูˆุฏู‡ ู…ุณุฆูˆู„ ุนู† ุชุฌู…ูŠุน ุงู„ุฏู… ุงู…ุง ู…ู† ุงู„ุฌุฒุก ุงู„ุนู„ูˆูŠ ุงูˆ ุงู„ุณูู„ูŠ

ุนู†ุฏู†ุง ู…ู‚ุงุณุงุช ุงู„ุณู†ุชุฑู„ุงูŠู† ุฏู‡ ุงู…ุง 15cm ุงูˆ 20cm ุงูˆ 30cm
ูˆ ุงู„ุณู†ุชุฑู„ุงูŠู† ุฏู‡ ุจุฑูƒุจู‡ ุนู„ุดุงู† ุงุฏูŠ ุงุฏูˆูŠู‡ ู„ุงุฒู… ุชุชุงุฎุฐุช ููŠ ูˆุฑูŠุฏ ู…ุฑูƒุฒูŠ ุฒูŠ ุงู„ุจูˆุชุงุณูŠูˆู… ุงูˆ ุงู„ูƒุงู„ุณูŠูˆู… ุงูˆ ุงุฏูˆูŠุฉ ุงู„ู‚ู„ุจ ุฒูŠ ุงู„ุงุฏุฑูŠู†ุงู„ูŠู† ูˆุบูŠุฑู‡ุง ู…ู† ุงู„ุงุฏูˆูŠู‡ ุงู„ู„ูŠ ู…ู…ูƒู† ุชุณุจุจ ุงู„ุชู‡ุงุจ ุงู„ูˆุฑูŠุฏ ุงู„ุทุฑููŠ ุงูˆ ุงู†ูŠ ู…ุญุชุงุฌ ุงู‚ูŠุณ ูƒู…ูŠุฉ ุงู„ุณูˆุงุฆู„ ููŠ ุงู„ุฌุณู… CVP

ุนู†ุฏู†ุง ุญุงุฌู‡ ุชุงู†ูŠู‡ ุดุจู‡ ุงู„ุณู†ุชุฑู„ุงูŠู† ุงุณู…ู‡ุง PCCI ูˆู‡ูŠ peripheral central catheter insertion ุทุจ ุฏูŠ ูŠุนู†ูŠ ุงูŠู‡ ุฏูŠ ูŠุณูŠุฏูŠ ูƒุงู†ูŠูˆู„ุง ุทูˆูŠู„ู‡ ุดูˆูŠู‡ ู…ู‚ุงุณุงุชู‡ุง ู…ู† 25cm ุงูˆ 70cm
ุจู†ุฑูƒุจู‡ุง ู„ุงู…ุง ููŠ bisilic ุงูˆ cephalic vien ูˆุฏูŠ ู…ู…ูƒู† ู†ุฑูƒุจู‡ุง ู„ู„ู…ุฑุถูŠ ุงู„ู„ูŠ ู…ุทูˆู„ูŠู† ู…ุนุงู†ุง ุดูˆูŠู‡ ุงูˆ ุจูŠุงุฎุฐูˆุง ุนู„ุงุฌุงุช ูˆุฑูŠุฏูŠ ู‡ุชุทูˆู„ ู…ุนุงู†ุง ุดูˆูŠู‡

ุทุจ ู„ุณู‡ ุงู„ู…ูˆุถูˆุน ููŠู‡ ูƒู„ุงู… ูƒุชูŠุฑ ุจุณ ู†ูƒุชููŠ ู„ุญุฏ ูƒุฏู‡ ููŠ ุงู„ุดุฑุญ ุฏู‡ ุนู„ุดุงู† ุงู„ูƒู„ ูŠุณุฃู„ ูˆุงุนุฑู ุงุฑุฏ ุนู„ูŠ ุงู„ุงุณุชูุณุงุฑุงุช...๐Ÿ™Œ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

14 Jun, 21:06


โˆ†ุงู†ุชุธุฑูˆุง ูุชุฑู‡ ู…ู† ุงู‚ูˆูŠ ุงู„ูุชุฑุงุช...ูˆู‡ู†ุนูŠุฏ ู…ู† ุชุงู†ูŠ ุดุบู„ ุงู„ุฑุนุงูŠู‡ ู…ู† ุงู„ุตูุฑ ู…ุด ุนุงูˆุฒ ุบูŠุฑ ุฏุนูˆุงุชูƒู… ุจุฌุจุฑ ุงู„ุฎุงุทุฑ โค๏ธ

โˆ†ูˆุงู†ุณูŠ ุงู„ุฎูˆู ู…ู† ุงูŠ ุงู†ุชุฑููŠูˆ ๐Ÿ–๏ธ

โˆ†ู‡ูŠู†ุฒู„ ุงูˆู„ ุดุฑุญ ู…ู† ุดุฑูˆุญุงุช ุงู„ุฑุนุงูŠู‡ ุงู„ู…ุฑูƒุฒู‡ ู‚ุฑูŠุจ ู‚ูˆูˆูˆูˆูˆูŠ ุชุงุจุน ุงู„ุจูˆุณุช๐Ÿ˜‰

#Soon
#From_A_To_Zโ˜๏ธ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

07 Jun, 11:59


#ุชุฑูƒุงูŠุฉ_ู„ูˆ_ุจุชุณุญุจ_ABG_ู…ู†_ุงู„ู€ radial artery
ู„ูˆ ุนูŠุงู† (conscious) ูˆุงุนูŠ ุงุฏูŠู„ู‡ 30 ุดุฑุทุฉ ุฒูŠู„ูˆูƒูŠู† ุจุณุฑู†ุฌุฉ ุงู†ุณูˆู„ูŠู† (locally) ุงูˆ ุชุฑุด (lidocaine spray) ู„ูŠู‡ุŸ
ุนุดุงู† ุงู„ุฒูŠู„ูˆูƒูŠู† ู‡ูŠุนู…ู„ ุญุงุฌุชูŠู†:
- ู‡ูŠุฎูู ุงู„ุฃู„ู… ู„ุงู† ุงู„ุนู…ู„ูŠุฉ (painful) ุฌุฏุง ุฌุฏุง
- ู‡ูŠุนู…ู„ (dilatation) ู„ู„ุดุฑูŠุงู† ูˆุจุงู„ุชุงู„ูŠ (flow) ู‡ูŠุฒูŠุฏ ูˆุชุนุฑู ุชุณุญุจ ุจุฑุงุญุชูƒ
ูˆุฏู…ุชู… ุจุฎูŠุฑ ุฏุงูŠู…ุง โค๏ธ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

27 Mar, 19:20


ุดูŠุฑ ูƒุชูŠุฑ ูˆุถูŠููˆุง ุงุตุญุงุจูƒู… ุดุฌุนูˆู†ุง ุงู„ูุชุฑู‡ ุงู„ุฌุงูŠู‡ ูƒู„ู‡ุง ู…ุนู„ูˆู…ุงุช ุฌุฏูŠุฏู‡ ุงู† ุดุงุก ุงู„ู„ู‡

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

27 Mar, 19:19


*ุฎู„ุงุตุฉ ุงู„ ECG ู„ุบูŠุฑ ุฃุฎุตุงุฆูŠ ุงู„ู‚ู„ุจ*

1๏ธโƒฃ ู‡ู†ุดูˆู ุงู„Rhythm ูˆุฏุง ุจุงู„ู†ุธุฑ ูˆุนุฏุฏ ุงู„ู…ุฑุจุนุงุช ุจูŠู† ูƒู„ 2R ูˆู‡ู†ุนุฑู ู…ู†ู‡ ุฏุง ู…ู†ุชุธู… ูˆู„ุง ุบูŠุฑ ู…ู†ุชุธู…
2๏ธโƒฃ ู‡ู†ุดูˆู ุงู„Rate ูˆุฏุง ุนู„ู‰ ุญุณุจ ุฑู‚ู… 1 ู…ู†ุชุธู… ูˆู„ุง ู„ุฃ ู„ูˆ ู…ู†ุชุธู… ู‡ู†ู‚ุณู… 300/ุนุฏุฏ ุงู„ู…ุฑุจุนุงุช ุงู„ูƒุจูŠุฑุฉ ูˆู„ูˆ ุบูŠุฑ ู…ู†ุชุธู… ู‡ู†ู‚ุณู… 300 ุนู„ู‰ ู…ุชูˆุณุท ุนุฏุฏ ุงู„ู…ุฑุจุนุงุช ุงู„ูƒุจูŠุฑุฉ ุจูŠู† ูƒุฐุง R
3๏ธโƒฃ ู‡ู†ุนู„ู‚ ุนู„ู‰ ุงู„ Axis ูˆุฏุง ุจุงู„ู†ุธุฑ ู„ QRS complex ููŠ lead1 ูˆ Avf ูˆู†ู‚ุงุฑู† ุจูŠู†ู‡ู… (ููŠ ุงู„ุชุนู„ูŠู‚ุงุช ุตูˆุฑุฉ ุชูˆุถูŠุญูŠุฉ)
4๏ธโƒฃ ู‡ู†ุฑูˆุญ ุนู„ู‰ Lead2 ุนุดุงู† ู†ุนู„ู‚ ุนู„ู‰ ุญุงุฌุชูŠู†
โ˜๏ธุงู„P wave ูˆุฏูŠ ุงู„ุทุจูŠุนูŠ ุชูƒูˆู† ูข.ูฅร—ูข.ูฅ ู…ุฑุจุน ุตุบูŠุฑ
ู„ูˆ ุฃุทูˆู„ ู„ููˆู‚ ุชุจู‚ุง p.pulmonale(Rt atrial enlargement)
ู„ูˆ ุฃุนุฑุถ ุชุจู‚ุง p.mitrale(Lt atrial enlargement)
ู„ูˆ ู…ุด ู…ูˆุฌูˆุฏุฉ ูŠุจู‚ุง ุนู„ู‰ ุญุณุจ ุงู„Ryhthm ุงู„ู„ูŠ ุงุชูƒู„ู…ู†ุง ุนู†ู‡ ุฃูˆู„ ุนู†ุตุฑ ู„ูˆ ุบูŠุฑ ู…ู†ุชุธู… ูŠุจู‚ุง ุณูƒุฉ Atrial fibrillation
ู„ูˆ ู…ู†ุชุธู… ูŠุจู‚ุง ู‡ู†ุจุต ุนู„ู‰ QRS
ู„ูˆ wide ูŠุจู‚ุง Vent. tachycardia ุฃูˆ Vent. Fibrillation
ู„ูˆ narrow ูŠุจู‚ุง Supraventricular tachy
ุฃูˆ Nodal
โœŒ๏ธู‡ู†ุจุต ุนู„ู‰ P-R interval ุงู„ุทุจูŠุนูŠ ุงู†ู‡ุง ู…ู† ูฃ-ูฅ ู…ุฑุจุนุงุช ุตุบูŠุฑุฉ ูŠุนู†ูŠ ุญูˆุงู„ูŠ ู .ูก : ู .ูข ุซุงู†ูŠุฉ ู„ูˆ ู„ู‚ูŠุชู‡ุง ุจุณ ุฃูƒุชุฑ ู…ู† ูฅ ู…ุฑุจุนุงุช ุตุบูŠุฑุฉ ูŠุจู‚ุง 1st degree heart block
ู„ูˆ ุจุณ ุฃู‚ู„ ู…ู† ูฃ ู…ุฑุจุนุงุช ุตุบูŠุฑุฉ ูŠุจู‚ุง (wolff Parkinson white)
ู„ูˆ variable ู‡ุชุจุต ุจู‚ุง ุนู„ู‰ ุงู„ QRS
ู„ูˆ ู„ู‚ูŠุชู‡ wide ูŠุจู‚ุง complete heart block
ู„ูˆ ู„ู‚ูŠุชู‡ narrow ูŠุจู‚ุง 2nd degree heart block
5๏ธโƒฃ ู‡ู…ุจุต ุจู‚ุง ุนู„ู‰ QRS
ุงู„Q ุฃูˆู„ negative wave ููŠ ุงู„complex ูˆุงู„ุทุจูŠุนูŠ ุงู†ู‡ุง ุจุชูƒูˆู† ุจุนุฑุถ ุฃู‚ู„ ู…ู† ู…ุฑุจุน ุตุบูŠุฑ ูˆุทูˆู„ ุฃู‚ู„ ู…ู† ุฑุจุน ุงู„ R ุงู„ู„ูŠ ุจุนุฏู‡ุง
ุงู„QRS ู‡ุชุจุต ุนู„ูŠู‡ุง ููŠ V1
ุชุดูˆู ููŠู‡ M shaped(ุฃุฐู† ุฃุฑู†ุจ) ู„ูˆ ููŠู‡ ูŠุจู‚ุง RBBB ู…ู„ู‚ุชุด ุฑูˆุญ ุนู„ู‰ V6 ุฏูˆุฑ ุจุฑุถูˆ ุนู„ู‰ M shaped ู„ูˆ ู„ู‚ูŠุช ูŠุจู‚ุง LBBB
ู„ูˆ ู…ู„ู‚ุชุด ุงูŠ ู…ุดุงูƒู„ ููŠ ุงู„ู†ู‚ุทุฉ ุฏูŠ
ู‡ุชุฑุฌุน ุชุงู†ูŠ ุนู„ู‰ V1 ูˆุชุดูˆู ุงู„Rูˆ ุงู„S ุงู„ุทุจูŠุนูŠ ู‡ู†ุง ุชูƒูˆู† S>R ู„ูˆ ู„ู‚ูŠุชู‡ุง ุจุชุณุงูˆูŠู‡ุง ุฃูˆ ุฃู‚ู„ ู…ู†ู‡ุง ูŠุจู‚ุง Rt Vent enlargement
ู„ูˆ ู…ู„ู‚ุชุด ุฑูˆุญ ุนู„ู‰ V6 ุงู„ุทุจูŠุนูŠ ููŠู‡ุง R>S ู„ูˆ ู„ู‚ูŠุช ููŠู‡ุง ุงู„ R ุฃุทูˆู„ ู…ู† ุฎู…ุณ ู…ุฑุจุนุงุช ูƒุจูŠุฑุฉ ูŠุจู‚ุง Lt vent enlargement
ูˆุทุจุนุง ู…ุนุฑูˆู V2 ู‡ุชูˆุถุญู„ูƒ ุฃูƒุชุฑ ุงู„ู„ูŠ ููŠ V1
ูƒุฐู„ูƒ ู‡ุชู„ุงู‚ูŠ ููŠ V5 ุงู„ู„ูŠ ู…ูˆุฌูˆุฏ ููŠ V6
6๏ธโƒฃ ุจุนุฏูŠู† ู‡ุชุจุต ุนู„ู‰ ุงู„ QRS ููŠ ูƒู„ ุงู„ Leads ูˆุชุฏูˆุฑ ุนู„ู‰ ุงู„ pathological Q ุงู„ู„ูŠ ุนูƒุณ Q ุงู„ุทุจูŠุนูŠุฉ ู„ูˆ ู„ู‚ูŠุชู‡ุง ูŠุจู‚ุง Old MI ูˆุงู„ู…ูƒุงู† ู‡ูŠูƒูˆู† ุญุณุจ ุงู„ topographism (ู‡ูˆุถุญ ููŠ ุงู„ุชุนู„ูŠู‚ุงุช)
ูˆุจุฑุถูˆ ู‡ุชุดูˆู ุนุฑุถ ุงู„ QRS ุงู†ู‡ุง wide ูˆู„ุง narrow ูˆุฏูŠ ุฐูƒุฑู†ุงู‡ุง ููˆู‚
7๏ธโƒฃ ู‡ุชุจุต ุจุนุฏ ูƒุฏุง ุนู„ู‰ ุงู„ S-T segment ููŠ ูƒู„ ุงู„Leads ุจู†ุธุงู… ุงู„ topographism ูˆุงู„ุทุจูŠุนูŠ ุงู†ู‡ุง ุชูƒูˆู† ISO electric ุนู„ู‰ ู†ูุณ ุฎุท ุงู„ P-R ู„ูˆ ู…ุด ูƒุฏุง ูู‡ูŠ ุญุงุฌุฉ ู…ู† ุงุชู†ูŠู†
โ˜๏ธ ุชูƒูˆู† elevated ูˆุฏูŠ ู„ูŠู‡ุง ุฃุณุจุงุจ (MI/Pericarditis/prinzmetal angina)
โœŒ๏ธุชูƒูˆู† depressed ูˆุฏูŠ ู„ูŠู‡ุง ุฃุณุจุงุจ ู†ูุณ ุงู„ุชู„ุงุชุฉ ุงู„ู„ูŠ ู‚ุจู„ู‡ุง ูˆูƒู…ุงู† (cardiac hypertrophy/hypokalemia/BBB)
ูˆุทุจุนุง ู…ู† ุงู„ุจุฏุงูŠุฉ ู„ูˆ ุดุฎุตุช BBB ูˆู„ู‚ูŠุช ููŠู‡ ู…ุดุงูƒู„ ููŠ ุงู„ S-T ู…ุชู‚ูˆู„ุด ุจู‚ุง ischemia ู„ุง ุฏุง ุชุบูŠุฑ ุจูŠูƒูˆู† ู…ุตุงุญุจ ู„ู„ BBB ุจุณ
ูˆุงู„ุชูุฑู‚ุฉ ุจูŠู† ูƒู„ ุงู„ุฃุณุจุงุจ ุฏูŠ ุจูŠูƒูˆู† ุจุญุงุฌุงุช ุชุงู†ูŠุฉ ุบูŠุฑ ุงู„ Ecg
8๏ธโƒฃ ู‡ุชุจุต ุนู„ู‰ ุงู„ T wave ุฅู…ุง ุทุจูŠุนูŠุฉ ุฃูˆ hyper acute ู…ุน ุงู„ elevatedS-t
ุฃูˆ inverted ู…ุน ุงู„ ischemia
9๏ธโƒฃุญู„ ูƒุชูŠุฑ ูˆุจุณ ูƒุฏุง

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

17 Dec, 23:10


"ู…ู† ุงู„ุฅูŠู…ุงู† ุจุงู„ุบูŠุจ ุฅู†ู‘ูŽูƒ ู„ู…ุง ุชู‚ูˆู„ "ุณุจุญุงู† ุงู„ู„ู‘ูฐู‡ ูˆุจุญู…ุฏูู‡" ุชูƒูˆู† ู…ูˆู‚ูู† ุฅู† ุฏู„ูˆู‚ุชูŠ ุจูŠุชุฒุฑุน ู„ูƒ ู†ุฎู„ุฉ ููŠ ุงู„ุฌู†ุฉ๐Ÿค"

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

07 Nov, 11:40


#NCLEX_Quations๐Ÿ‘‡
ุชุทุจูŠู‚ ุนู„ูŠ Level Of Cognitive๐Ÿ™Œ

โˆ†ู„ูˆ ุนู†ุฏูƒ ู…ุฑูŠุถ ูˆู…ุฑูƒุจ ู„ู‡ ู…ุญู„ูˆู„ ูˆู„ู‚ูŠุช ููŠ ู…ูƒุงู† ุงู„ูƒุงู†ูŠูˆู„ุง blanching ู…ู†ุทู‚ุฉ ุงู„ูƒุงู†ูŠูˆู„ุงุงุจูŠุถ ูˆedema ููŠู‡ุง ุชูˆุฑู… ุงูŠู‡ ุงู„ู…ูุฑูˆุถ ุชุนู…ู„ู‡๐Ÿค”

#Answer๐Ÿ™Œ
1*ุงูˆู„ ุญุงุฌู‡ ู‡ุชุนู…ู„ู‡ุง ู‡ุชูˆู‚ู ุงู„ู…ุญู„ูˆู„ ูˆุชูุตู„ู‡
2*ุชุงู†ูŠ ุญุงุฌู‡ ุชุนุชู…ุฏ ุนู„ูŠ Hospital Policy ูƒุงู„ุงุชูŠ:-
*ู…ู…ูƒู† ู†ุนู…ู„ ุดูุท aspiration ู„ู„ุณูˆุงุฆู„ ุงู„ู…ุณุจุจู‡ ู„ู„ุชูˆุฑู… ุฏู‡
*ุงูˆ ุงู†ู†ุง ู†ุฏูŠ antidote interval ุญุณุจ medication ุฏู‡
*ูˆุงุฎูŠุฑุง ู‡ู†ุฑูุน ุงู„ุทุฑู ุงู„ู„ูŠ ุญุตู„ ููŠู‡ ุชูˆุฑู… ุฏู‡ ู„ุงู†ู‡ ู‡ูŠุณุงุนุฏ ููŠ ุงุฒุงู„ุฉ ุงู„ูˆุฑู… ุฏู‡โœ‹

#NCLEXโœ๏ธ
ู„ูˆ ูˆุตู„ูƒ ุงู„ุดุฑุญ ุงุณุชู†ูŠ ุงู„ุดุฑุญ ุงู„ุฌุงูŠ๐Ÿ˜˜ ู…ุชู†ุณุงุด ุฏุนู…ู†ุง ุจุงู„ุดูŠุฑ ุนู„ุดุงู† ู†ูƒู…ู„๐Ÿ’ฅ

EL_SeNioR๐Ÿ’‰ุงู„ุณู†ูŠูˆุฑ

07 Nov, 11:11


ุณู„ุงู… ุนู„ูŠูƒู… ูˆุฑุญู…ู‡ ุงู„ู„ู‡ ๐Ÿ™Œ
ุงุญุจ ุงุจุฏุฃ ู…ุนุงูƒู… ุดุฑุญ ูƒุชุงุจ ุงู„ู†ูƒู„ูƒุณ๐Ÿ’ฅ

โˆ†ูˆู‡ูŠูƒูˆู† ุงูˆู„ ุดุฑุญ ู…ุนุงู†ุง ุงุณุงุณูŠุงุช ู„ุงุฒู… ู†ุญุงูุธ ุนู„ูŠู‡ุง ู„ู„ู…ุฑูŠุถ ุฒูŠ ุงูŠู‡ ุจู‚ุงุŸ!
ุนู†ุฏู†ุง ุญุงุฌู‡ ุงุณู…ู‡ุง Level Of Cognitive Ability ุทุจ ุฏูŠ ูŠุนู†ูŠ ุงูŠู‡ ...ูŠุนู†ูŠ ู…ุณุชูˆูŠุงุช ุงู„ู‚ุฏุฑุงุช ุงู„ุนู‚ู„ูŠู‡ ุงู„ู„ูŠ ุงู„ู…ูุฑูˆุถ ุชุชูˆูุฑ ููŠ ุงู„ู…ู…ุฑุถ ูˆุฏูŠ ุชุดู…ู„๐Ÿ‘‡

1*knowledge
ู…ุนู„ูˆู…ุงุช ูˆ ุฎุจุฑุฉ ุงู„ู…ู…ุฑุถ ุงู„ู„ูŠ ู‡ูŠ ุฒูŠ ุงู† ุงู„ู†ุณุจู‡ ุงู„ุทุจูŠุนูŠู‡ ู„ู†ุณุจุฉ ุงู„ุฌู„ูˆูƒูˆุฒ ููŠ ุงู„ุฏู… ู…ู† 70-110mg/dl

2*Understanding
ู‚ุฏุฑุฉ ุงู„ู…ู…ุฑุถ ุงู†ู‡ ูŠูƒูˆู† ูุงู‡ู… ุงู„ู…ุนู„ูˆู…ุงุช ุงู„ู„ูŠ ุนู†ุฏู‡ ุจู…ุนู†ูŠ ุงู† ู„ูˆ ุณูƒุฑ ุงู„ู…ุฑูŠุถ ุงู‚ู„ ู…ู† 60 ู‡ูŠูƒูˆู† ุงู„ู…ุฑูŠุถ ุจูŠุนุงู†ูŠ ู…ู† hypoglycemia ู†ู‚ุต ู†ุณุจุฉ ุงู„ุฌู„ูˆูƒูˆุฒ ููŠ ุงู„ุฏู…

3*applying
ู‚ุฏุฑุฉ ุงู„ู…ุฑูŠุถ ุงู†ู‡ ูŠู‚ุฏุฑ ูŠุทุจู‚ ู…ุนู„ูˆู…ู‡ ุนู†ุฏู‡ ุฒูŠ ู…ุฑูŠุถ ุนู†ุฏู‡ hypoglycemia ูŠุจู‚ูŠ ุงู„ู…ุฑูŠุถ ู…ุญุชุงุฌ ู†ุนูˆุถ ู„ู‡ ุฌู„ูˆูƒูˆุฒ ู‚ุจู„ ู…ุง ูŠุฏุฎู„ ููŠ Coma

4*Analyzing
*ุจุฅุฎุชุตุงุฑ ุชุญู„ูŠู„ ุญุงุฌู‡ ูƒุจูŠุฑู‡ ู„ุดูˆูŠุฉ ุญุงุฌุงุช ุตุบูŠุฑู‡
ู‚ุฏุฑุฉ ุงู„ู…ุฑูŠุถ ุนู„ูŠ ุชุญู„ูŠู„ ุงู„ุชุดุฎูŠุต ุงู„ูƒุจูŠุฑ ู„Signs and Symptoms ุนู„ุงู…ุงุช ูˆุงุณุชู†ุชุงุฌุงุช ุจุชุธู‡ุฑ ุนู„ูŠ ุงู„ู…ุฑูŠุถ ู†ูู‡ู… ู…ู†ู‡ุง ุงู„ู…ุฑูŠุถ ุจูŠุนุงู†ูŠ ู…ู† hypoglycemia ุจูŠูƒูˆู† ุงู„ู…ุฑูŠุถ ุนู†ุฏู‡ ุตุฏุงุนheadache ูˆู‡ูŠูƒูˆู† ุถุนูŠู ูˆุฌุนุงู† weakness ูˆ hunger ูˆู…ุด ู‚ุงุฏุฑ ูŠุดูˆู ูƒูˆูŠุณ ุงูˆ ู…ู…ูƒู† ูŠูƒูˆู† irritability ุจูŠูุฑูƒ ููŠ ุงู„ุณุฑูŠุฑ ุงูˆ ุงู„ุงุณุงุณ ุนู†ุฏู†ุง ู†ุณุจุฉ ุงู„ุฌู„ูˆูƒูˆุฒ ููŠ ุงู„ุฏู… ุงู‚ู„ ู…ู† ุงู„ู…ุนุฏู„ ุงู„ุทุจูŠุนูŠ

5*Synthezing
ุจุงุฎุชุตุงุฑ ุชุฌู…ูŠุน ุงู„ุญุงุฌุงุช ุงู„ุตุบูŠุฑู‡ ู„ุชุดุฎูŠุต ูƒุจูŠุฑ
ูˆุฏูŠ ูŠ ุบุงู„ูŠ ุนูƒุณ analyzing ุจู†ุงุฎุฐ ุงู„ุนู„ุงู…ุงุช ูˆุงู„ุงุณุชู†ุชุงุฌุงุช ุงู„ู„ูŠ ุจุชุธู‡ุฑ ุนู„ูŠ ุงู„ู…ุฑูŠุถ ูˆู†ูู‡ู… ู…ู†ู‡ุง ุงู„ุชุดุฎูŠุต ุฒูŠ ู„ูˆ ู…ุฑูŠุถ ุนู†ุฏูƒ ุจูŠุฌูŠุจ ุจูˆู„ ูƒุชูŠุฑ polyuria ูˆ ุนุทุดุงู†polydepsia ูˆ ููŠู‡ ุชุฑุฌูŠุน vomiting ูˆ ุฏุฑุฌุฉ ุงู„ูˆุนูŠ ู…ุด ู…ุธุจุทู‡ DCL ูˆุงุฑุชูุงุน ููŠ ู…ุนุฏู„ ุงู„ุชู†ูุณ Kussmual respiration ู†ู‚ุฏุฑ ู†ูู‡ู… ู…ู† ูƒู„ ุฏู‡ ุงู† ุงู„ู…ุฑูŠุถ ุจูŠุนุงู†ูŠ ู…ู† DKA...Diabetic Keton Acidosis

5*Evaluating
ูŠุนู†ูŠ ู†ู‚ุฏุฑ ู†ู‚ูŠู… ุงู† ูƒุงู† action ุงูˆ ุงู„ู„ูŠ ุงุญู†ุง ุนู…ู„ู†ุงู‡ ููˆู‚ ุฏู‡ ุฌุงุจ ู†ุชูŠุฌู‡ ู…ุน ุงู„ู…ุฑูŠุถ ูˆู„ุง ู„ุฃ๐Ÿค”

6*Creating
ูŠุนู†ูŠ ู†ู‚ุฏุฑ ู†ุตู…ู… ูˆ ู†ู†ุดุฃ ุฎุทุฉ ุนู„ุงุฌ ูุฑุฏูŠู‡ ู„ูƒู„ ู…ุฑูŠุถโœ๏ธ

โˆ†ูˆูƒุฏู‡ ู†ูƒูˆู† ุฎู„ุตู†ุง ุงู„ู…ู…ุฑุถ ู†ู†ุชู‚ู„ ุงูŠู‡ ุงู„ู…ูุฑูˆุถ ู†ุญุงูุธ ุนู„ูŠู‡ ู„ู„ู…ุฑูŠุถ๐Ÿ’ฅ

1*Safe and Effective Care
ูŠุนู†ูŠ ุงูƒูˆู† ูุงู‡ู… ุจุนู…ู„ ุงูŠู‡ ู„ู„ู…ุฑูŠุถ management for care ูˆุงุญูุงุธ ุนู„ูŠ ุณูŠุงูŠุงุช ุงู†ุชู‚ุงู„ ุงู„ุนุฏูˆูŠinfection Control

2*Health promotion and maintenance
ุงุญุงูุธ ู„ู„ู…ุฑูŠุถ ุนู„ูŠ ู†ู…ูˆู‡ ุงู„ู…ุณุชู…ุฑ ูˆ ุทุฑูŠู‚ ุดูุงุกู‡wellness

3*Psychosocial integrity
ูˆุชุถู…ู† ุชุฃู‡ูŠู„ ุงู„ู…ุฑูŠุถ ุนู„ูŠ ุญู„ ุงู„ู…ุดุงูƒู„ ููŠ ูˆู‚ุช ุถุบุท ูˆุชุถู…ูŠู†ู‡ ุฏุงุฎู„ ุงู„ุงุญุฏุงุซ ูˆุงู„ุนู„ุงู‚ุงุช ุงู„ุงุฌุชู…ุงุนูŠู‡

4*Physiological integrity
ุงู„ุญูุงุธ ุนู„ูŠ ุงุณุงุณูŠุงุช ุฑุงุญุฉ ุงู„ู…ุฑูŠุถBasic care and comfort ูˆ ุงุนุทุงุก ุนู„ุงุฌ ุฏูˆุงุฆูŠ ุงูˆ ูˆุฑูŠุฏูŠ pharmacological and parenteral therapies ุงู…ู† ูˆุชู‚ู„ูŠู„ ุงูŠ ู…ุถุงุนุงูุงุช ุงุญุชู…ุงู„ูŠุฉ ุงู„ุญุฏูˆุซ

ูˆู„ุญุฏ ู‡ู†ุง ูŠูƒูˆู† ุฏู‡ ุงูˆู„ ุดุฑุญ ู…ุนุงู†ุง ููŠ ุทุฑูŠู‚ ุงู„ู†ูƒู„ูƒุณ๐Ÿ™Œ
ู„ูˆ ูˆุตู„ูƒ ุงู„ุดุฑุญ ูˆู…ุณุชู†ูŠ ุงู„ุดุฑุญ ุงู„ุฌุงูŠ ู…ุชู†ุณุงุด ุชุดุฌูŠุนู†ุง ุนู„ุดุงู† ู†ูƒู…ู„...ุฏุนูˆุงุชูƒู…๐Ÿ’Œ
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