Free Download 3rd edition of the Immunization Handbook - Sri Lanka

 
You can download english version pdf from HERE
If anybody want sinhala version please contact me  , i'll send it.

Respiratory Disease

patient's  management

1.       A 56-year-old businessman is planning a trip to east Asia for a period of 3 weeks. He is in generally good health except for chronic bronchitis. His medicines control his illness fairly well, but he asks if he should carry antibiotics with him in case he should develop an exacerbation. He agrees not to take anything with him, but on his return from the trip he calls from the airport sounding very short of breath and coughing. On examination that day, he has a fever of 38.3 °C and loud rhonchi and some wheezes. A chest radiograph shows some patchy lesions that look worse than on his baseline radiograph. His capillary oxygen saturation is the same as his baseline level.

                In addition to treatment for his airway disease, which of the following is the next step in this patient's management?

1. Anticoagulation for pulmonary embolus
2. Oral amoxicillin-clavulanate
3. Oral azithromycin
4. Oral gatifloxacin
5. Intravenous ceftazidime

Assessing a Peripheral Pulse & Respiration

1. Check physician’s order or nursing care plan for frequency of pulse assessment. More frequent pulse measurement may be appropriate based on nursing judgment.

2. Identify the patient.

3. Explain the procedure to the patient.

4. Close curtains around bed and close door to room if possible.

5. Perform hand hygiene and put on gloves as appropriate.

6. Select the appropriate peripheral site based on assessment data.

7. Move the patient’s clothing to expose only the site chosen.

8. Place your first, second, and third fingers over the artery. Lightly compress the artery so pulsations can be felt and counted.

9. Using a watch with a second hand, count the number of pulsations felt for 60 seconds.

10. Note the rhythm and amplitude of the pulse.

Health information litaracy

Health  information literacy

Health literacy is the degree to which individual have the capacity to obtain, process & understand basic health information &services needed to make appropriate health decisions.

Health literacy is dependent on both individual and systemic factors. like

1. communication skills of lay people and professionals.

2. Knowledge of lay people &professionals of health topics.

3. cultures.

4. Demand of the health care and public health care systems.

5. Demand of the situation.

Health literacy is important, because