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INP Reviewer

The document outlines the procedures, purposes, indications, contraindications, and techniques for suctioning in medical settings, emphasizing the importance of maintaining airway patency and preventing complications. It also discusses central venous pressure (CVP) monitoring, complications associated with central venous catheters (CVC), and the principles of hemodialysis. Additionally, it covers reproductive health, family planning, breastfeeding techniques, and vaccination schedules for infants.

Uploaded by

Mackie Morales
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
24 views14 pages

INP Reviewer

The document outlines the procedures, purposes, indications, contraindications, and techniques for suctioning in medical settings, emphasizing the importance of maintaining airway patency and preventing complications. It also discusses central venous pressure (CVP) monitoring, complications associated with central venous catheters (CVC), and the principles of hemodialysis. Additionally, it covers reproductive health, family planning, breastfeeding techniques, and vaccination schedules for infants.

Uploaded by

Mackie Morales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Suctioning

- Invasive what by introducing ____ into pt’s airway through ____


- ____ aspiration of ______ by the use of ____ suction machine

Purpose:
- Maintain _____ by removing _____
- Facilitate _____ by improve ______
- Obtain _____ for ________
- Prevent _____ that may result from accumulated _____
- Stimulate ______

Indications:
- _____ or ____ signs of secretions in the tube
- Signs of _____
- Inability to clear or _____
- Suspicion of a ____ or partially ____ tube
- _____ of pulse oximetry

Contraindications:
- BD
- B
- L
- A H, F, or NI
- TF
- O NP
- S HI

3 Primary Suctioning Teknik:


A. Op and Np
-extends behind the ____ from the ___ palate above the level of ___ and
contains the tonsil
-____ is located behind the nose and extends to the level of the soft
palate.

B. Ot and Nt
-necessary when_____
-cath is passed through ____ or ___ into the trachea
-_____ is the preferred route
-______ should be placed during rest periods

C. Suctioning an Artificial Airway


-ET
-TT

Suction Pressure:
Adult =
Child=
Infant=

Potential Adverse Outcomes


-
-
-

Principles of Suctioning:
- _____ technique is required during suctioning
- Suction ____ and ___ first, then ____
- Each type of suctioning require use of ____ with _____ along the side of the
cath to the ____
- Frequency of suctioning us determined by _____
- If secretions are identified by ____ or ____ techniques, suctioning is required
- _____ is not produced continuously or every _____ but occurs as response to
the ______. Therefore, routine suctioning of all clients every _____ is NOT
performed.

Type of Suction Catheters:


A. Open-ended
-___ opening, with __ openings in the side
Advantage: for ___ and tenacious mucus
Disadvantage: tendency to pull ____
B. Whistle tip
-___ opening in the end
Advantage: ___ tendency to grab or pull tissue

Size in FG Color
5
6
8
10
12
14
16
18
20
22
24

Most common complications of suctioning:


Hypoxia
-can happen atleast through how may routes?
-First if suction is?
-ensure to utilize what?
-most recommended guidelines?
-stimulate what nerve triggering what and what?
-pre-oxygenate

Airway Trauma
-what is common suctioning injury esp in pt with difficult or swollen airways?
-What and other physiological changes among geriatric populations make them
vulnerable to airway trauma?
-important to proceed what?
-ensure you can what?

Psychological Trauma
-resistance prevent?
-may exp what?
-suctioning can be overwhelming to what age group?
-carefully what to avoid using force or restraint unless doing so is the only way to
save a patient’s life.

Pain
-painful in a person with?
-what and diligent technique reduces the risk of pain.
-what to do ahead of time and how many seconds does suction takes?

Bradycardia
-related symptoms of brady
-ask for history of what as it can get dangerous

Infection
-raawwwr given ah

Ineffective Suctioning
-raawr

CVP
-pressure in?
-near where?
-reflects what?
-measured by and through what?
Normal CVP:

CVC or aka
-it is what inserted into a vein, usually below where and guided into large vein
above the right side of the heart called what?
Purpose:
-Assess _____ and volume status in critically ill patients
-Assist in diagnosis of ____
-Assess _____ and systemic fluid status
Indications:
-Frequent venous
-CVP measurement
-Drug and fluid
-Nutrition and Feeding
-Cardiac pacing
-Fluid resuscitation
-Fluid replacement
-Lack of peripheral access
Common Sites for CVC Insertion:
-
-
-
-
Contraindication:
-Distorted
-Infection
-Proximal
-Bleeding disorder

Complications:
H
C
P
A
Serious Complications:
B
I
V
N
P
Materials needed:
-Infusion set
-3 or 4 way stopcock
-IV pole attached to bed
-Arm board
-Adhesive tape
-ECG monitor
-Manometer (for establishing zero point)
Two Methods of CVP:
-
-
NSG Considerations:
-Monitor for?
-Assess for what of the CVP line?
-Dressing should be done every when to avoid infection?
-Length of indwelling cath should be?
-What to do with CVP lines to minimize risk of accidental bolus injection?
-Ensure what are secured?
Factors increasing CVP:
-Raised
-Circulatory
-Veno
-Impaired

Factors decreasing CVP:


-Reduced
-Hypo
-Veno

Potential Complications:
-_____ from cath site if it ______ and who are at risk
-_____ occlusion by _____ ; regular flashing and secured dressing
-_____ redness, pain; careful asepsis, swabs for MC&S taken
-_____ if the infusion or monitoring lines becomes disconnected; lines should be
checked at the start of every shift to minimize risk
-_______ may cause cardiac arrhythmias and should be reported.

Most commonly used method of dialysis?


Objective are to extract what substances from the blood and remove what?
Principles of Hemodialysis:
- Diffusion
What are removed?
Move from an area of?
What is the solution made up of all important electrolytes in their
extracellular concentrations?

- Osmosis
What is removed?
Water moves from an area of?

- Ultrafiltration
Water moves from?
Much more efficient at what than osmosis?
Accomplished by?
This force is necessary to?
Body’s buffer system is maintained using?
Most common bicarbonate?
Artificial kidneys?
Two types of dialyzers?
Exchange of wastes from the blood to the dialysate occurs through?
System rate of vascular access?
2 types of catheters inserted to achieve immediate access?
More permanent access created surgically?
Usually where?
Time for fistula to mature?
Size of needle?
Created by subcutaneously interposing keneme?
Most commonly used synthetic graft?
Graft is created when?
Grafts are usually placed in?
Keeping the fistula clean:
Look for?
If there’s pain--?
Fever is a sign of?
What to do thoroughly after each treatment?

Proper blood flow:


Do not wear?
When carrying things--?
BP is taken where?
When sleeping or sitting--?
Checking the fistula blood flow:
When to check?
How is it done?
Motion/sensation of blood flow?
Sound you hear?
Change in pitch may indicate?
Sound may change from?

Perinatal/ infant health perinatal mortality


FHSIS report showed that women seek prenatal when? And at what weeks of
gestation?
MNCHN
Service delivery network:
-
-
-
Reproductive Health
Reproductive Health care
Responsible parenthood
Reproductive Health Rights:
-Life
-Liberty and Security of the Person
-Equality
-Privacy
-Freedom of Thought
-Information and Education
-Choose whether or not to Marry
-Decide whether to have children
-Health care and health protection
-Benefits of Scientific Progress
-Freedom of Assembly
-Free from Torture
-Development

Family Planning
4 Pillars of Family Planning
-Responsible parenthood
-Child Spacing
-Respect for Life
-Informed Choice
Benefits of Family Planning:
-To mother
-To children
-To father
Reproductive age do not use modern approach because of:
-limited choice of method
-limited access to contraception
-fear of experience of side-effects
-cultural of religious opposition
-poor quality of available services
-users and providers bias
-gender-based barriers

Modern Contraceptive methods:


COC
POP
Implants
Male sterilization
Female sterilization
CVR
LAM
Emergency Contraception Pills
BBT
Two-day Method
Sympto-Thermal Method
Traditional Methods:
Calendar
Withdrawal
Antenatal Care
How may visits does WHO recommends to achieve positive pregnancy?
Bantay Buntis

Prenatal Visits Period of Pregnancy


1st Visit
2nd Visit
3rd Visit
Every 2 Weeks

Dose (DDT) Schedule Percentage of Duration of


Protection Protection
1
2
3
4
5

Vit. A is not given during when?


Two corticosteroids given who are at risk for preterm delivery:
Partograph Tool
4 Core Steps of NBC:
-
-
-
-
After first breastfeed:
-
-
-
-
-
Dry baby for?
Exclusive breastfeeding for?
Extend breastfeeding for?
Advantages of breastfeeding:
B
R
E
A
S
T
F
E
E
D
I
N
G
Techniques of Breastfeeding:
-Cradle Hold (Paduyan or Pahele)
-Cross-Cradle Hold
-Football, Clutch or Underarm Hold (Salumkipkip)
-Side-lying Hold (Pahigang nakatigilid)
Signs of Properly Latched on Infant
-mouth is?
-baby and mother are in what position?
-areola is? And visible above?
-lower lip is?
-baby’s chin is?
-mother does not feel..?
-baby is?
Signs that baby is getting enough milk:
-baby’s swallowing can…?
-baby’s cheeks are…?
-baby looks…?
Breastmilk Storage:
Room Temp:
Refrigerator’s body:
Refrigerator’s freezer:
Chest freezer:
KMCI
NB Screening Test
Specimen for NBS is obtain through?

Vaccine Age Dose Route Site


BCG
Hepa B
Pentavalent
OPV
MMR
IPV
PCV

Observe what in utilizing vax?


What vax should be discarded 6 hours after reconstitution?
Vax sensitive to light?
Vax that must be frozen?
VAD or?
S/Sx of Xeropthalmia:
-
-
-
-
-
-
IDA
Major sign of IDA?
IDD
Cretinism
Deworming done every and for what age?
General Danger Signs: (Indi ko sure sa churva)
C
U
V
A

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