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Cleansweep RN

Oath taking ceremony of the successful examinees of November 2008 NLE in Manila as well as the previous ones who have not taken their Oath of Professional will be held before the Board on Monday and Tuesday, April 6 and 7, 2009, with morning (8:00 A.M.) and afternoon (1:00 P.M.) sessions at the SMX Convention Center, SM Mall of Asia, Pasay City.

Reminders to all successful examinees come in their white gala uniform, nurses cap, white duty shoes, without earrings, hair not touching the collar and without corsage. Oathtaking tickets for the National Capital Region (NCR) and nearby regions will be available at the Philippines Nurses Association (PNA) at 1663 F.T. Benitez Street, Malate Manila, starting March 2, 2009.

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Cleansweep RN

A. General Information:

  • Is also called endolymphatic hydrops, it refers to the dilation of endolymphatic system by over production or decreased absorption of endolymphatic fluid.
  • Disease of inner ear characterized by recurrent and usually progressive triad of symptoms: Vertigo, Tinnitus and Unilateral sensorineural hearing loss.
  • Symptoms occur in attacks and last for several days, and the client becomes totally incapacitated duringthe attacks.
  • Incidence highest between ages 30 and 60.
  • Initial hearing loss is reversible but as the frequency of attacks continues, hearing loss becomes permanent.
  • Cause unknown, theories include allergy, toxicity, localized ischemia, hemorrhage, viral infection or edema.
  • Repeated damage of cochlea caused by increased fluid pressure leads to permanent hearing loss.

B. Nursing Assessment

  • Feeling of fullness in the ear
  • Tinnitus, as continuous low pitched roar or humming sound, that is present much of the time but worsens just before and during severe attacks.
  • Sudden attacks of vertigo lasting hours or days; attacks occur several times a year.
  • Vomiting, nystagmus
  • Nausea and vomiting
  • Severe headache
  • Diagnostic test: Audiometry reveals sensoineural hearing loss; Vestibular tests: reveal decreased function.

C. Nursing Interventions

  • Maintain bed rest in a quite, darkened room in position of choice, elevate side rails as needed.
  • Provide kidney basin for vomiting.
  • Monitor intake and output.
  • Provide assistance with walking.
  • Instruct the client to move the head slowly to prevent worsening of the vertigo.
  • Instruct patient to stop smoking.
  • Administer nicotinic acid (niacin) as prescribed for its vasodilatory effect.
  • Administer antiemetics as prescribed.
  • Administer antihistamines as prescribed to reduce the production of histamine and inflammation.

D. Medical Management:

  • Acute Phase: atropine (decreases autonomic nervous system activity), diazepam (Valium), fentanyl, and droperidol (Innovar).
  • Chronic Phase: vasodilators (nicotinic acid), diuretics, mild sedatives and tranquilizers (Valium), Antihistamines (Benadryl), meclizine (Antivert)
  • Low sodium diet; restrict fluid intake, caffeine and nicotine.

E. Surgical Interventions:

  • Surgical destruction of labyrinth causing loss of vestibular and cochlear function
  • Endolymphatic sac decompression or shunt to equalize pressure in endolymphatic space

F. Post Operative Interventions:

  • Assess packing and dressing on the ear
  • Speak to the client on the side of the unaffected ear.
  • Perform neurological assessment
  • Maintain side rails and assist in ambulating.
  • Encourage patient to use bed side commode rather than ambulating to the bathroom

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Cleansweep RN

The performance of schools in the November 2008 Nurse Licensure Examination as per R.A. 8981 otherwise known as the PRC Modernization Act of 2000 Section 7(m) “To monitor the performance of schools in licensure examinations and publish the results thereof in a newspaper of national circulation” is as follows:


A. WITH 100 AND MORE EXAMINEES
RANK
SCHOOL
TOTAL NO. OF EXAM.
TOTAL NO. PASSED
PERCENTAGE PASSED
1
XAVIER UNIVERSITY
(Cagayan de Oro City)
341
336
99.00%
2

SILLIMAN UNIVERSITY
(Dumaguete City)

375
368
98.00%
3

CENTRAL PHILIPPINE UNIVERSITY
(Iloilo City)

512
496
97.00%


SAINT LOUIS UNIVERSITY
(Baguio City)

117
114
97.00%


SOUTHERN LUZON POLYTECHNIC COLLEGE – LUCBAN
(Lucban, Quezon)

141
371
97.00%

B. WITH 30-99 EXAMINEES
RANK
SCHOOL
TOTAL NO. OF EXAM.
TOTAL NO. PASSED
PERCENTAGE PASSED
1

SAINT PAUL UNIVERSITY – ILOILO
(Iloilo City)

97
97
100.00%

UNIVERSITY OF SAINT LOUIS – TUGUEGARAO
(Tuguegarao City)

82
82
100.00%

FOUNDATION UNIVERSITY
(Dumaguete City)

36
36
100.00%
2

CHINESE GENERAL HOSPITAL COLLEGE OF NURSING & LIBERAL ARTS
(Manila)

99
97
98.00%
3

MINDANAO STATE UNIVERSITY – MARAWI CITY
(Marawi City)

81
75
93.00%

The following are the complete performance of each schools in November 2008 Nurse Licensure Examination:



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Cleansweep RN

Below are the top performing examinees of November 2008 Nurse Licensure Examination given last November 2008 by Board Of Nursing. Baguio Central University, Jovie Ann Alawas Decoyna topped the recent 2008 Nurse Licensure Examination with passing rate of 89.00%.




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Noel RN


The Professional Regulation Commission (PRC) announces that 39,455 out of 88,649 or 44.51% passed the Nurse Licensure Examination given by the Board of Nursing in the cities of Manila, Baguio, Cagayan de Oro, Cebu, Davao, Iloilo, Legazpi, Lucena, Tacloban, Tuguegarao, Sulu and Zamboanga last November 2008.
November 2008 NURSE LICENSURE EXAM Results

CONGRATULATIONS TO NEW REGISTERED NURSES!!!!

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Cleansweep RN

A. General Information:
  • Transient, paroxysmal chest pain produced by insufficient blood flow to the myocardium resulting to myocardial ischemia.
  • Angina is caused by an in balance between oxygen supply and demand.
  • Cases includes obstruction of coronary blood flow resulting from atherosclerosis, coronary artery spasm or conditions increasing myocardial oxygen consumption
  • Risk factors includes CAD, atherosclerosis, hypertension, diabetes mellitus thromboangitis obliterans, severe anemia, and aortic insufficiency
  • Precipitated by physical excretion, consumption of heavy meal, extremely cold weather, strong emotions, cigarette smoking and sexual activity

B. Classifications of Angina:

  1. STABLE ANGINA (exertional angina) - occurs with activities that involve exertion or emotion and increases in occurrence, duration and severity and relieving factors.
  2. UNSATBLE ANGINA (pre-infarction angina) – occurs with an unpredictable degree of exertion or emotion and increases in occurrence, duration and severity over time.
  3. VARIANT ANGINA (prinzmetal or vasospastic angina) – results from coronary artery spasm and may occurs at rest. Attacks may associated with ST segment elevation noted on ECG.
  4. INTRACTABLE ANGINA – chronic incapacitating angina and unresponsive to interventions.
  5. PREINFARCTION ANGINA – associated with acute coronary insufficiency. Last longer than 15 mins. Occurs after an MI, when residual ischemia may cause episodes of angina.

C. Assessment Findings:

  • Pain - can develop slowly and quickly, usually described as mild or moderate. Substernal squeezing and crushing pain and may radiate to shoulders, arm, jaw, neck or back.
  • Dyspnea, Palpitations and Tachycardia
  • Pallor, Sweating, Dizziness and faintness
  • Hypertension and digestive disturbances
  • Increased serum lipid levels
  • Diagnostic Tests: ECG may reveals ST segment depression and T wave invertion. Stress test may reveal abnormal ECG during exercise. Cardiac enzymes and troponin levels are normal.

D. Nursing Interventions:

  • Assess the pain, its location and severity
  • Administer oxygen at 3L/ min by nasal cannula as prescribed
  • Administer Nitrogycerin as prescribed to dilate the coronary arteries, reduce the oxygen requirements of the myocardium anf relieve chest pain.
  • Monitor vital signs and cardiopulmonary status
  • Monitor ECG and obtain a 12-lead ECG
  • Place the patient of a semi to high Fowlers position
  • Provide client teachings and discharge instructions
  • Provide instructions on how to use nitroglycerin: (sublingual) allow tablet to dissolve and relax for 15 mins after taking the tablet to prevent dizziness, if no relief take additional tablets at 5 min intervals, but no more than 3 tablets with in 15 min period. Prevent exposure to air and light and check the expiration date of the drug. Transient headache is the frequent side effect of the drug. (Topical) rotate the sites to prevent dermal inflammation and remove first the previously applied ointment. Avoid massaging and rubbing as this increases absorption and interferes with the drug actions.
  • Instruct the patient to minimize precipitating events like reducing stress and axiety, avoid over exertion and smoking.
  • Gradual increase in activities and exercise by participating in regular exercise program and allow rest periods.

E. Medical Management:

  • Drug Therapy: Nitrates, beta-adrenergic blocking agents, or calcium channel blockers, lipid reducing agents when lipid levels increases.
  • Modification of diets and other risk factors
  • Coronary bypass surgery to improve blood flow to the myocardial tissue.
  • Percutatneous transluminal coronary angioplasty (PTCA) to compress the plaque against the walls of artery and dilates the vessel.

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Cleansweep RN
The Philippine Heart Center through their Education and Training program will conduct a regular training seminars and symposium for nurses and other medical professional which will aid the growth of nursing and medical profession in the country. The center is currently accepting applicants/trainees for their Continuous Renal Replacement Therapy Training (CRRT). This three-day program aimed to prepare Filipino registered nurses to become competent in caring of patients with renal failure who are managed and treated using continuous renal replacement therapy. The center needs only 15 trainees per slot course. To those who are interested please be reminded that you need reserve a seat ahead of time. The training seminar will start at 7Am to 4PM. The venue will be posted once available. The following are the schedules of the said training seminar.

DATE OF SEMINAR -----------------------
DATE OF SUBMISSION
Jun 02, 2009-Jun 04, 2009 ---------------- May 18, 2009-May 25, 2009
Sep 08, 2009-Sep 10, 2009 ---------------- Aug 17, 2009-Aug 24, 2009

Requirements: Original and photocopy of current PRC License and Intravenous Therapy Card

Registration Fee:
P4,400.00

Announcements:
Online registrations schedules will be announced / posted once available. Dates for submission of requirements are the same for on-line pre-enlistment. Applicants should report to the DNER within 3 days from on-line enlistment for verification of requirements prior to payment and pre-registration.
For more information please do visit their office at Philippine Heart Center East Avenue, Quezon City, Philippines 1100 Tels: (632) 925-2401 to 50 or log on their website at http://www.phc.gov.ph/

For instruction on how to register pls click here


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