Pinoy Blog Machine (Beta)

1. SA Node (normal pacemaker of the heart)
2. AV junction
3. Bundle of His
4. Purkinje fibers

P wave – Atrial depolarization
QRS Complex – Ventricular depolarization
T wave – Ventricular repolarization
U wave – may or may not be seen; repolarization of Purkinje fibers; Hypokalemia
PR Interval – from the onset of P wave to the onset of QRS complex
QRS Complex – amount of time the ventricles depolarize

NURSING INTERVENTIONS:

1. Avoid bony areas/ scar tissues/ skin folds/ increased muscle mass
2. Perform a 10 cm shaving around the area; AVOID if possible
3. Dry the skin with the use of gauze
4. Remove excess skin oils EXCEPT for geriatric pts
5. Dry with gauze
6. Place the electrodes. Make sure the center is moist; otherwise, discard.
7. EQUIPMENT Trouble shooting

• Horizontal axis - represents the time in seconds (sec)
  1 small square = 0.02 seconds
  5 small squares = 1.0 seconds
• Vertical axis - represents the amplitude in millivolts (mv)
  1 small square = 0.1 mv
  5 small squares = 0.5 mv
  2 big squares = 1.o mv

NORMAL SINUS RHYTHM (60-100 bpm)

Sinus Bradycardia
atrial rate of 50 or <60>

Sinus Tachycardia
atrial rate of >100 bpm
due to anxiety, blood loss, Fever, Pain

SINUS ARRYTHMIA:

Paroxysmal Atrial Tachycardia (PAT) or Premature Supraventricular Tachycardia (PSVT)
>150 – 250 bpm
due to CADse, Mitral valve dse, Thyrotoxicosis
INTERVENTION:

• Valsalva maneuver + Exhale slowly
• Rest
• Medications to sedate
• Medications to slow electrical conduction to the heart (VERAPAMIL HCL)

Atrial Flutter
due to inflammation, fluid overload
INTERVENTION:

• Medications to slow ventricular rate (DIGITALIS)
• Anti arrhythmics – Procainamide HCL
• Synchronized cardioversion

Atrial fibrillation
due to alcoholism
350 – 600 bpm
decreased CO
INTERVENTION:

• Administer medications (Digitalis, Verapamil HCL)
• Synchronized cardioversion

1st degree AV Block
damaged hearts due to ischemia, Rheumatic fever, Infection
INTERVENTION:

• Atropine Sulfate (IV- 0.5 mg)

2nd degree AV block
Mobitz Type 1 AV Block/ Wenckebach
due acute RF, MI, Digitalis toxicity

2nd degree AV Block
Mobitz Type 2 AV Block
due to Pulmonary edema, Digitalis toxicity, worsened MI dse
INTERVENTION:

• Atropine Sulfate ( IV – 0.5 mg)
• Isoproterenol

3rd degree AV Block
Pacemakers (Permanent, Delayed, Demand, Fixed rate, AV Pacemaker)

Premature Ventricular Contraction (PVCs)
common in Type A personality
due to CADse, can precede dysrrhythmias, Acute MI/ Ischemia
INTERVENTION:

• Lidocaine HCL (IV bolus, initially then thru Infusion)
• Atropine Sulfate IV

COUPLETS – IV Lidocaine

Multiform/ Multifocal PVCs – Bolus Lidocaine

Ventricular Tachycardia
Due to mild Congestive heart failure
Tachyarrhytmia
>150 bpm / HPN
INTERVENTION:

• IV Lidocaine
• Procainamide
• Precordial thump (obsolete)
  
  
  

WTF

I woke up at 3:30AM, went back to sleep, then woke up at 6AM. I’m downloading like mad now for someone.

A /G = albumin/globulin ratio ABG = arterial blood gases AC = before eating ACE = angiotensin converting enzyme ACL = anterior cruciate ligament ACLS = advanced cardiac life support ACTH = adrenocorticotropic hormone ad lib = as much as needed ADH = anti-diuretic hormone ADL = activities of daily living AFB = acid-fast bacilli AFP = alpha-fetoprotein AGA = appropriate for gestational age

Just what I hinted weeks ago, Freedom Watch, the institutional blog of the Center for Media Freedom of the Responsibility (CMFR), now regularly carries media monitors. Check out Freedom Watch for some of these new monitors.

And it also has something to say on the Gretchen Malalad-Bong Alvarez incident that happened yesterday. Video (including quotes from CMFR deputy director Luis V. Teodoro) below taken from Freedom Watch site.

Malalad's counterattack justified
Source: Freedom Watch

From Ma'am Georgina Encanto: "I am deeply saddened to inform you that our beloved Mervyn passed away at home this morning. Please pray for the repose of his soul. His remains will lie in state at the Della Strada. Details to be announced later."

Our deepest condolences, Ma'am Georgie.

Congratulations to all board exam passers!

The Professional Regulation Commission (PRC) announces that 472 out of 1,119 passed the Physical and Occupational THERAPY Licensure Examinations given by the Board of Physical and Occupational Therapy in the cities of Manila , Baguio and Cebu in July 2007.

The members of the Board of Physical and Occupational Therapy who gave the licensure examinations are Dr. Reynaldo R. Rey-Matias, Chairman; Raul G. Agustin, Marylynn B. Querouz and Bernadette M. Reyes, Members.

Source: Manila Standard

It’s not quite a large number but at least, there are still people taking up these courses even with the outstanding demand for nurses.

Find the complete list of successful examinees in the attached file below.
Physical & Occupational Therapy Licensure Examination Results (July 2007)

I'm not be able to blog for about the next 5 days as I will be on a well-deserved vacation in Kuala Lumpur a.k.a. KL and the pre-colonial trading hub of Melaka a.k.a Malacca in Malaysia. This will be my 3rd time to go to Kuala Lumpur, 1st time in Melaka and 7th time to be in Malaysia but I still look forward to go to this beautiful country every time. This year is Visit Malaysia 2007 as they celebrate their Golden Year as an independent country this coming August 31.

Whenever I write some guides or “how to’s” especially on Blog Tech Tips and on Wordpress stuffs, I always include screen shots because I believe that a picture is worth a thousand words. I can understand something better if I see some visuals and I guess it would also apply to other people.

Anyways, yesterday, my friend Kirby from Kirbitz asked me:

What tool did you use when you had the screenshot of the pages for your last post? Please advise on this one. Ive been looking for good methods for this one but im still using the CTRL+Prinst screen and then edit at Paint.

When I read this question, I smiled. Little does he know, I’m also using the Print-screen + paint combo! Hahaha. So here goes my guide on how I use this combo. ^_^

For this guide, here are the requirements:

• MS Paint (If you are using windows as your operating system, you should have this)
• Keyboard with a functioning Print Screen key (it’s the PrtSc key)

Step 1 : Find something you want to take a screen shot of

For this guide, I’m going to be using my blog homepage. After you found something you want, press the PrtSC or the print screen key on your keyboard.

Step 2 : Open Paint and Click on Edit->Paste

After pasting you will see this. Now you decide if you want to use this image or just a part of this image.
If you want to use the whole image, Proceed to Step 5.
If you want only a part of the image, Proceed to Step 3.

Step 3: Select the area you want only

For this example, I want to use only the Search box in the left side of my blog.

First let me show you the left panel of paint. The only buttons you need there are the two buttons at the top (star with dashed line and box with dashed lines). After pasting your “print screen”, the “box with dashed line” is activated. You can deactivate it by clicking on that box. You have to deactivate it in order to proceed.

After deactivating it, let’s activate it again.

I’m not playing jokes on you. The star and the box with dash lines act like a highlighter. Earlier, what was highlighted by the box was the whole picture but we only need the search box (or the part of the picture you want) right? So we have to deactivate it in order to loss the highlight on the whole picture and re activate it in order to highlight on the search box.

After you activate it, it’s time to select the part in the picture you want. You can do this by clicking on the top-left part on the “part” and dragging it down to make a box with dashed line around it. The part you want should be enclosed in a box of dashed lines.

After making the box with dashed lines, Copy it or Press CTRL+C.

Step 4 : Paste it on another paint program

You can run two instances of paint in your computer. Just open it again just like how you opened Paint before.

Paste it on the other paint program. CTRL-V.

Step 5: Save and you are done

Congratulations! ^_^ Now all you have to do is to upload it somewhere. I usually upload my pics at imageshack and tinypic since they both allow hot linking! hehe

Note: I use an online tool called Shrink Pictures to resize my pictures since if I don’t resize it, it will wreck my layout! haha

I hope this guide has helped you even if it’s just a simple guide.

Now this gives me an idea, if you want to know something and want me to write a guide for it, just tell me. If I’m able to do it successfully, I’ll make a guide on how I did it. If not, then, I’ll hide from you. haha

For Withdrawn clients · Allow client to set pace · Encourage social activities or games For Depressed client · Assess suicide potential · Let client talk about personal problems · Do not leave alone For Suicidal clients Crisis intervention to assess suicide protential. · Communicate intent “ are you tired of living?” · Previous attempts ·

… When your tooth aches.

I had a root canal yesterday. It wasn’t painful at all. Only my jaws hurt because I had to keep my mouth open for long after every gargle. Tita Eileen couldn’t use a bite block because it might remove some of my brackets. I was fine the whole day yesterday, but not today since I woke up. It’s been hurting, but the pain is tolerable. It’s just hard to think. Also with this hot weather. *sighs*



Leah’s on the cover of Men’s Non-no for the month of September. I’m not too happy with her front cover picture. Her bangs are covering her face. Anyway, I hope someone will scan that issue.

We have a gig this Saturday. Do watch us please. The event will be in Greenvine Bar at Malate. (Grammar check?) I’ll post more details later as I have to go out. *waves*

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