Monday, 10 April 2017

10R Dalam Pemberian Ubatan Bagi Jururawat

1. Right Medication

2. Right Client Education

3. Right Dose

4. Right Documentation

5. Right Time

6. Right Client To Refuse

7. Right Route

8. Right Assessment

9. Right Client

10. Right Evaluation
IV Lactic Cocktail

Cara untuk membetulkan  Hyperkalemia

Normal Range : 3.5 - 5.0
Mild hyperkalemia : 5.1 - 6.4
Hyperkalemia : > 6.5

Cara Dilute :

1. 10 unit (0.1ml) Actrapid
2. 50ml Dextrose 50%
3. 10ml Calcium Gluconate
IV Adrenaline

Cara Dilute :

3mg dalam 50ml D5% / NS, run 1ml/Hr = 1mcg/min

Contoh 1

Doktor order Adrenaline to be infuse at 1mcg/min
Berat pesakit A : 62kg

1ampule = 1mg/ml

Dilute 3 ampule dalam 50ml run 1ml/Hr


Contoh 2

Kemudian Doktor minta naikkan dose adrenaline sampai 3mcg/min

1ml/Hr = 1mcg/min
2ml/Hr = 2mcg/min
3ml/Hr = 3mcg/min

* kepekatan yang tinggi hanya di wad jagaan terapi sahaja

Sunday, 9 April 2017

Senarai Barangan/Items CSSD (Central Sterile Services Department) Di Dalam Wad

1. Basic Procedure Set - 2
2. Multipurpose Set - 3
3. Medium Dressing Set - 3
4. Pneumothorax Set Adult - 1
5. Bladder Irrigation Set - 1
6. Catheterization Set - 1
7. Vaginal Examination Set - 1
8. Protoscope Set - 1
9. Scapel Blade #3 - 1
10. Canister - 2
11. Spencer Wells 334 - 4
12. Stitch Scissor - 1
13. Dressing Scissor - 1
14. Injection Tray - 3
15. Multipurpose Tray - 16

Senarai Untuk Indent IVD Di Dalam Wad

1. Sodium Chloride 0.9% 500ml - 100
2. Sodium Chloride 0.9% 250ml - 50
3. Sodium Chloride 0.9% 100ml - 100
4. Sodium Chloride 0.9% 500ml Screw Cap - 100
5. Sodium Chloride 0.9% Dextrose 5% - 30
6. Sodium Chloride 3% 500ml - 10
7. Sodium Chloride 0.45% 500ml - 20
8. Dextrose 50% 500ml - 5
9. Dextrose 10% 500ml - 5
10. Dextrose 5% 500ml - 30
11. Dextrose 5% 100ml - 20
12. Sodium Lactate (Hartmann) - 10
13. Water For Injection 500ml - 20
14. Sterile Water Screw Cap - 50
15. Gelofusine 4% (Gela) - 10