Select a Category
Horla
Nurse : I Am A Graduate With BScN From American International University West Africa, The Gambia. Wish To Specialize In Mental Health So Will Be Sharing Topics Related To Mental Health And Health Care
Wants to meet Just Friends : People That Will Motivate And Encourage Me
Articles
3
Followers
7 Followers
profile/5311BE8CE0B-36BA-48B6-895A-21FB874E0EC1.jpeg
Horla
10 TIPS FOR SUCCESSFUL WEIGHT LOSS Being Overweight Or Obese ...
~0.8 mins read
10 TIPS FOR SUCCESSFUL WEIGHT LOSS
According to the Centers for Disease Control and Prevention, around 93.3 million adultsTrusted Source in the United States had obesity in 2015–2016. This number is equivalent to 39.8 percent of the population.
Carrying excess body weight can increase the risk of serious health problems, including heart disease, hypertension, and type 2 diabetes.
Crash diets are not a sustainable solution, whatever perks their proponents might claim them to have. To both lose weight safely and sustain that weight loss over time, it is essential to make gradual, permanent, and beneficial lifestyle changes.
In this article, we provide 10 tips for weight control.
1. Eat varied, colorful, nutritionally dense foods
2. Keep a food and weight diary
3. Engage in regular physical activity and exercise
4. Eliminate liquid calories
5. Measure servings and control portions
6. Eat mindfully
7. Stimulus and cue control
8. Seek social support
9. Plan ahead
10. Stay positive
I hope this article is useful. Kindly click the like button if you love the article and make contributions too
profile/5311BE8CE0B-36BA-48B6-895A-21FB874E0EC1.jpeg
Horla

Endotracheal Tube
~1.9 mins read
DEFINITION
An endotracheal tube is a flexible plastic tube that is placed through the mouth into the trachea (windpipe) to help a patient breathe. The endotracheal tube serves as an open passage through the upper airway. The process of inserting the tube is called endotracheal intubation.
PURPOSE
The purpose of endotracheal intubation is to permit air to pass freely to and from the lungs in order to ventilate the lungs. Endotracheal tubes is connected to a ventilator, which delivers oxygen to the lungs.There are many reasons why an endotracheal tube may be placed,this include;
- To support breathing for patient with respiratory distress
- General surgery
- To protect airway against aspiration
- To visualize the airway
- Foreign body removal
PROCEDURE
Equipment needed
- Laryngoscopes
- Endotracheal tube
- Lubricating gel
- Gum elastic
- Mechanical ventilator
- Anesthetic agents
- Ambubag
- Face mask
- Oxygen
- Plaster
- Syringe
- Stethoscope
Intubation
During intubation, a physician usually stands at the head of the bed looking towards the patient's feet and with the patient lying flat. The positioning will vary depending on the setting and whether the procedure is being done with an adult or child. With children, a jaw thrust is often used.
The endotracheal tube with the assistance of a lighted laryngoscope is inserted through the mouth after moving the tongue out of the way. The scope is then carefully threaded down between the vocal cords and into the lower trachea.
When it's thought that the endotracheal tube is in the proper location, the doctor will listen to the patient's lungs and upper abdomen to make sure that the endotracheal tube was not inadvertently inserted into the esophagus. Other signs that suggest the tube is in the proper position may include seeing chest movement with ventilation and fogging in the tube.
When a doctor is reasonably sure the tube is in position, a balloon cuff is inflated to keep the tube from moving out of place. (In infants, a balloon may not be needed). The tube is then taped to the patient's face and patient is connected to a mechanical ventilator.
AFTER PROCEDURE
After the endotracheal tube is in place and a patient connected to a ventilator, health care providers will continue to monitor the tubing, settings, and provide breathing treatments and suctioning as needed. Careful attention to oral care will also be provided. Due to the location of the tube, patients who are conscious will be unable to talk while the tube is in place.
COMPLICATIONS
- Bleeding from the mouth
- Infection
- Temporary hoarseness after removing the tube
- Pneumothorax
- Tracheal stenosis
- Vocal cord paralysis
- Tracheomalacia
- Persistent need for ventilatory support
- Atelectasis
Kindly read and hope it will be useful.
Thanks
An endotracheal tube is a flexible plastic tube that is placed through the mouth into the trachea (windpipe) to help a patient breathe. The endotracheal tube serves as an open passage through the upper airway. The process of inserting the tube is called endotracheal intubation.
PURPOSE
The purpose of endotracheal intubation is to permit air to pass freely to and from the lungs in order to ventilate the lungs. Endotracheal tubes is connected to a ventilator, which delivers oxygen to the lungs.There are many reasons why an endotracheal tube may be placed,this include;
- To support breathing for patient with respiratory distress
- General surgery
- To protect airway against aspiration
- To visualize the airway
- Foreign body removal
PROCEDURE
Equipment needed
- Laryngoscopes
- Endotracheal tube
- Lubricating gel
- Gum elastic
- Mechanical ventilator
- Anesthetic agents
- Ambubag
- Face mask
- Oxygen
- Plaster
- Syringe
- Stethoscope
Intubation
During intubation, a physician usually stands at the head of the bed looking towards the patient's feet and with the patient lying flat. The positioning will vary depending on the setting and whether the procedure is being done with an adult or child. With children, a jaw thrust is often used.
The endotracheal tube with the assistance of a lighted laryngoscope is inserted through the mouth after moving the tongue out of the way. The scope is then carefully threaded down between the vocal cords and into the lower trachea.
When it's thought that the endotracheal tube is in the proper location, the doctor will listen to the patient's lungs and upper abdomen to make sure that the endotracheal tube was not inadvertently inserted into the esophagus. Other signs that suggest the tube is in the proper position may include seeing chest movement with ventilation and fogging in the tube.
When a doctor is reasonably sure the tube is in position, a balloon cuff is inflated to keep the tube from moving out of place. (In infants, a balloon may not be needed). The tube is then taped to the patient's face and patient is connected to a mechanical ventilator.
AFTER PROCEDURE
After the endotracheal tube is in place and a patient connected to a ventilator, health care providers will continue to monitor the tubing, settings, and provide breathing treatments and suctioning as needed. Careful attention to oral care will also be provided. Due to the location of the tube, patients who are conscious will be unable to talk while the tube is in place.
COMPLICATIONS
- Bleeding from the mouth
- Infection
- Temporary hoarseness after removing the tube
- Pneumothorax
- Tracheal stenosis
- Vocal cord paralysis
- Tracheomalacia
- Persistent need for ventilatory support
- Atelectasis
Kindly read and hope it will be useful.
Thanks
profile/5311BE8CE0B-36BA-48B6-895A-21FB874E0EC1.jpeg
Horla
Arterial Blood Gas (ABG)
~2.7 mins read
The arterial blood gas (ABG) measures the acid-base balance (pH) and oxygenation of an arterial blood sample. An ABG can be used to assess respiratory compromise, status peri- or post-cardiopulmonary arrest, and medical conditions that cause metabolic abnormalities (such as sepsis, diabetic ketoacidosis, renal failure, toxic substance ingestion, drug overdose, trauma or burns). An ABG can also be used to evaluate the effectiveness of oxygen therapy, ventilatory support, fluid and electrolyte replacement.
CLINICAL SIGNIFICANCE
pH
7.35-7.45
The pH tells you if your patient is acidotic or alkalotic. It is a measurement of the acid content or hydrogen ions [H+] in the blood. Low pH indicates a higher concentration of hydrogen ions (acidosis) while a high pH indicates a lower concentration of hydrogen ions (alkalosis).
PaCO2
35-45 mm Hg
The PaCO2 level is the respiratory component of the ABG. It is a measurement of carbon dioxide (CO2) in the blood and is affected by CO2 removal in the lungs. A higher PaCO2 level indicates acidosis while a lower PaCO2 level indicates alkalosis.
HCO3-
22-26 mEq/L
The HCO3- level is the metabolic component of the ABG. It is a measurement of the bicarbonate content of the blood and is affected by renal production of bicarbonate. A lower HCO3- level indicates acidosis while a higher HCO3- level indicates alkalosis.
PaO2
80-100 mm Hg
The PaO2 level is a measurement of the amount of oxygen dissolved in the blood. A PaO2 level less than 60% results in tissue hypoxia.
SaO2
95-100%
SaO2, or oxygen saturation, refers to the number of hemoglobin binding sites that have oxygen attached to them. How easily oxygen attaches to hemoglobin can be affected by body temperature, pH, 2,3- diphosphoglycerate levels, and CO2 levels.
ABG ANALYSIS
Steps
Clinical significance
Step 1: Analyze the pH
pH < 7.35 = acidosis pH > 7.45 = alkalosis
Determine if the pH is within the normal range, or reflects acidosis or alkalosis.
Step 2: Analyze the PaCO2
PaCO2 > 45 = acidosis PaCO2 < 35 = alkalosis
Carbon dioxide is produced in the tissues of the body and eliminated in the lungs. Changes in the PaCO2 level reflect lung function.
Step 3: Analyze the HCO3-
HCO3- < 22 = acidosis HCO3- > 26 = alkalosis
Bicarbonate is produced by the kidneys. Changes in the HCO3- level reflect metabolic function of the kidneys.
Step 4: Match the PaCO2 or HCO3- with pH
If pH < 7.35 and PaCO2 > 45 and HCO3- level is normal, the patient has
respiratory acidosis.
If pH < 7.35 and HCO3- < 22 and PaCO2 level is normal, the patient has
metabolic acidosis.
If pH > 7.45 and PaCO2 < 35 and the HCO3- level is normal, the patient has respiratory alkalosis.
If pH is > 7.45 and HCO3- > 26 and the PaCO2 level is normal, the patient has metabolic alkalosis.
Step 5: Assess for compensation by determining whether the PaCO2 or the HCO3- go in the opposite direction of the pH
When a patient has an acid-base imbalance, the respiratory and metabolic systems try to correct the imbalances the other system has produced.
If pH 7.35-7.40, PaCO2 > 45, and HCO3- > 26, the patient has
compensated respiratory acidosis.
If pH 7.35-7.40, PaCO2 <35, and
HCO3- <22, the patient has compensated metabolic acidosis.
If pH 7.40-7.45, PaCO2 <35, and
HCO3- < 22, the patient has compensated respiratory alkalosis.
If pH 7.40-7.45, PaCO2 > 45, and
HCO3- > 26, the patient has compensated metabolic alkalosis.
To compensate for respiratory acidosis, the kidneys excrete more hydrogen ions and elevate serum HCO3-, in an effort to normalize the pH.
To compensate for metabolic acidosis, the patient's respiratory center is stimulated and the patient hyperventilates to blow off more CO2, raising the pH.
To compensate for respiratory alkalosis, the metabolic system is activated to retain hydrogen ions and lower serum HCO3-, in an effort to raise the pH.
To compensate for metabolic alkalosis, the patient’s respiratory center is suppressed; decreased rate and depth of respiration causes CO2 to be retained, lowering the pH.
I hope you will find this helpful. Thanks

Paste links to your social accounts below