Midwives life with nipa

Midwives life with nipa đŸ‘Šâ€âš•ī¸I'm midwifeđŸ‘Šâ€âš•ī¸
đŸ‘Šâ€âš•ī¸ I'm proud of it đŸ‘Šâ€âš•ī¸

31/08/2026

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 #āϏāĻŋāύāĻŋ⧟āϰ_āĻ¸ā§āϟāĻžāĻĢ_āύāĻžāĻ°ā§āϏ āĻšāĻŋāϏ⧇āĻŦ⧇ āĻšāĻžāϏāĻĒāĻžāϤāĻžāϞ⧇ āĻ­āĻžāχāĻŦāĻžāϰ āϏāĻŽā§Ÿ āϝ⧇āϏāĻ•āϞ āĻĒā§āϰāĻļā§āύ⧇āϰ āĻŽā§āĻ–ā§‹āĻŽā§āĻ–āĻŋ āĻšāϤ⧇ āĻšā§Ÿ āϏ⧇āϗ⧁āϞ⧋ āϤ⧁āϞ⧇ āϧāϰāĻžāϰ āĻšā§‡āĻˇā§āϟāĻž āĻ•āϰāϞāĻžāĻŽ....... āφāĻļāĻž...
23/08/2026

#āϏāĻŋāύāĻŋ⧟āϰ_āĻ¸ā§āϟāĻžāĻĢ_āύāĻžāĻ°ā§āϏ āĻšāĻŋāϏ⧇āĻŦ⧇ āĻšāĻžāϏāĻĒāĻžāϤāĻžāϞ⧇ āĻ­āĻžāχāĻŦāĻžāϰ āϏāĻŽā§Ÿ āϝ⧇āϏāĻ•āϞ āĻĒā§āϰāĻļā§āύ⧇āϰ āĻŽā§āĻ–ā§‹āĻŽā§āĻ–āĻŋ āĻšāϤ⧇ āĻšā§Ÿ āϏ⧇āϗ⧁āϞ⧋ āϤ⧁āϞ⧇ āϧāϰāĻžāϰ āĻšā§‡āĻˇā§āϟāĻž āĻ•āϰāϞāĻžāĻŽ.......
āφāĻļāĻž āĻ•āϰāĻ›āĻŋ āϝāĻžāϰāĻž āύāϤ⧁āύ āϤāĻžāĻĻ⧇āϰ āϜāĻ¨ā§āϝ āĻ…āύ⧇āĻ• āĻšā§‡āĻ˛ā§āĻĒāĻĢ⧁āϞ āĻšāĻŦ⧇.....👇👇

👉đŸ”ĩāϏāĻŋāύāĻŋ⧟āϰ āĻ¸ā§āϟāĻžāĻĢ āύāĻžāĻ°ā§āϏ (Senior Staff Nurse) āĻšāĻŋāϏ⧇āĻŦ⧇ āĻ­āĻžāχāĻ­āĻž āϏāĻžāϧāĻžāϰāĻŖāϤ āĻ•ā§āϞāĻŋāύāĻŋāĻ•ā§āϝāĻžāϞ āĻœā§āĻžāĻžāύ, āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āύ⧇āĻ“ā§ŸāĻžāϰ āĻ•ā§āώāĻŽāϤāĻž, āϞāĻŋāĻĄāĻžāϰāĻļāĻŋāĻĒ āĻāĻŦāĻ‚ āχāĻŽāĻžāĻ°ā§āĻœā§‡āĻ¨ā§āϏāĻŋ āĻŽā§āϝāĻžāύ⧇āϜāĻŽā§‡āĻ¨ā§āĻŸâ€”āĻāχ āϚāĻžāϰāϟāĻŋ āĻŦāĻŋāώ⧟āϕ⧇ āϕ⧇āĻ¨ā§āĻĻā§āϰ āĻ•āϰ⧇ āĻšā§ŸāĨ¤ āύāĻŋāĻšā§‡ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āĻĒā§āϰāĻļā§āύāϗ⧁āϞ⧋ āĻ•ā§āϝāĻžāϟāĻžāĻ—āϰāĻŋ āĻ…āύ⧁āϝāĻžā§Ÿā§€ āωāĻ¤ā§āϤāϰāϏāĻš āĻĻ⧇āĻ“ā§ŸāĻž āĻšāϞ⧋:

🔷 ā§§. āĻŦ⧇āϏāĻŋāĻ• āĻ“ āĻĒā§āϰāĻĢ⧇āĻļāύāĻžāϞ āĻĒā§āϰāĻļā§āύ :
āĻĒā§āϰāĻļā§āύ: āφāĻĒāύāĻŋ āϏāĻŋāύāĻŋ⧟āϰ āĻ¸ā§āϟāĻžāĻĢ āύāĻžāĻ°ā§āϏ āϕ⧇āύ āĻšāϤ⧇ āϚāĻžāύ?
āωāĻ¤ā§āϤāϰ: āϰ⧋āĻ—ā§€āĻĻ⧇āϰ āωāĻ¨ā§āύāϤ āϏ⧇āĻŦāĻž āĻĻ⧇āĻ“ā§ŸāĻž, āϟāĻŋāĻŽāϕ⧇ āύ⧇āϤ⧃āĻ¤ā§āĻŦ āĻĻ⧇āĻ“ā§ŸāĻž āĻāĻŦāĻ‚ āĻšāĻžāϏāĻĒāĻžāϤāĻžāϞ⧇āϰ āĻŽāĻžāύ āωāĻ¨ā§āύ⧟āύ⧇ āĻ­ā§‚āĻŽāĻŋāĻ•āĻž āϰāĻžāĻ–āĻžāϰ āϜāĻ¨ā§āϝāĨ¤

āĻĒā§āϰāĻļā§āύ: āϏāĻŋāύāĻŋ⧟āϰ āύāĻžāĻ°ā§āϏ āĻ“ āϜ⧁āύāĻŋ⧟āϰ āύāĻžāĻ°ā§āϏ⧇āϰ āĻĒāĻžāĻ°ā§āĻĨāĻ•ā§āϝ āϕ⧀?
āωāĻ¤ā§āϤāϰ:

āϏāĻŋāύāĻŋ⧟āϰ āύāĻžāĻ°ā§āϏ → āύ⧇āϤ⧃āĻ¤ā§āĻŦ āĻĻā§‡ā§Ÿ, āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āĻ¨ā§‡ā§Ÿ

āϜ⧁āύāĻŋ⧟āϰ āύāĻžāĻ°ā§āϏ → āύāĻŋāĻ°ā§āĻĻ⧇āĻļāύāĻž āĻ…āύ⧁āϝāĻžā§Ÿā§€ āĻ•āĻžāϜ āĻ•āϰ⧇

🔷 ⧍. āĻ•ā§āϞāĻŋāύāĻŋāĻ•ā§āϝāĻžāϞ āĻĒā§āϰāĻļā§āύ :

āĻĒā§āϰāĻļā§āύ: āĻ­āĻŋāϟāĻžāϞ āϏāĻžāχāύāϏ āĻ•āĻŋ āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:

Temperature

Pulse

Respiration

Blood Pressure

Oxygen Saturation

āĻĒā§āϰāĻļā§āύ: Shock āĻ•āĻŋ āĻāĻŦāĻ‚ āĻāϰ āĻĒā§āϰāĻ•āĻžāϰāϭ⧇āĻĻ?
āωāĻ¤ā§āϤāϰ:
Shock āĻšāϞ⧋ āĻļāϰ⧀āϰ⧇ āĻĒāĻ°ā§āϝāĻžāĻĒā§āϤ āϰāĻ•ā§āϤāĻĒā§āϰāĻŦāĻžāĻš āύāĻž āĻšāĻ“ā§ŸāĻžāĨ¤
āĻĒā§āϰāĻ•āĻžāϰāϭ⧇āĻĻ:

Hypovolemic

Cardiogenic

Septic

Anaphylactic

Neurogenic

āĻĒā§āϰāĻļā§āύ: CPR āϕ⧀?
āωāĻ¤ā§āϤāϰ:
Cardiopulmonary Resuscitation—āĻšāĻžāĻ°ā§āϟ āĻŦāĻ¨ā§āϧ āĻšāϞ⧇ āĻœā§€āĻŦāύ āĻŦāĻžāρāϚāĻžāύ⧋āϰ āϜāϰ⧁āϰāĻŋ āĻĒāĻĻā§āϧāϤāĻŋāĨ¤

🔷 ā§Š. ICU/CCU āϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ āĻĒā§āϰāĻļā§āύ :

āĻĒā§āϰāĻļā§āύ: ICU āϤ⧇ āύāĻžāĻ°ā§āϏ⧇āϰ āĻĻāĻžā§ŸāĻŋāĻ¤ā§āĻŦ āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Continuous monitoring

Ventilator care

Emergency response

Medication administration

āĻĒā§āϰāĻļā§āύ: Ventilator āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:
āĻāĻ•āϟāĻŋ āĻŽā§‡āĻļāĻŋāύ āϝāĻž āϰ⧋āĻ—ā§€āϰ āĻļā§āĻŦāĻžāϏ-āĻĒā§āϰāĻļā§āĻŦāĻžāϏ⧇ āϏāĻšāĻžā§ŸāϤāĻž āĻ•āϰ⧇āĨ¤

āĻĒā§āϰāĻļā§āύ: ABG āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:
Arterial Blood Gas—āϰāĻ•ā§āϤ⧇āϰ pH, O₂, CO₂ āĻĒāϰāĻŋāĻŽāĻžāĻĒ āĻ•āϰ⧇āĨ¤

🔷 ā§Ē. āĻ“āϟāĻŋ (OT) āϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ āĻĒā§āϰāĻļā§āύ :

āĻĒā§āϰāĻļā§āύ: OT āύāĻžāĻ°ā§āϏ⧇āϰ āĻĻāĻžā§ŸāĻŋāĻ¤ā§āĻŦ āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Sterility āĻŦāϜāĻžā§Ÿ āϰāĻžāĻ–āĻž

Surgical instrument āĻĒā§āϰāĻ¸ā§āϤ⧁āϤ āĻ•āϰāĻž

Surgeon āϕ⧇ āϏāĻšāĻžā§ŸāϤāĻž āĻ•āϰāĻž

āĻĒā§āϰāĻļā§āύ: Scrub nurse āĻ“ Circulating nurse āĻĒāĻžāĻ°ā§āĻĨāĻ•ā§āϝ?
āωāĻ¤ā§āϤāϰ:

Scrub nurse → sterile field āĻ āĻ•āĻžāϜ āĻ•āϰ⧇

Circulating nurse → OT āĻāϰ āĻŦāĻžāχāϰ⧇ āĻĨ⧇āϕ⧇ āϏāĻžāĻĒā§‹āĻ°ā§āϟ āĻĻā§‡ā§Ÿ

🔷 ā§Ģ. āĻŽā§‡āĻĄāĻŋāϏāĻŋāύ āϏāĻŽā§āĻĒāĻ°ā§āĻ•āĻŋāϤ āĻĒā§āϰāĻļā§āύ :

āĻĒā§āϰāĻļā§āύ: Emergency drugs āĻ•āĻŋ āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:

Adrenaline

Atropine

Dopamine

Noradrenaline

āĻĒā§āϰāĻļā§āύ: IV fluid āĻ•āϤ āĻĒā§āϰāĻ•āĻžāϰ?
āωāĻ¤ā§āϤāϰ:

Crystalloid

Colloid

🔷 ā§Ŧ. āχāύāĻĢ⧇āĻ•āĻļāύ āĻ•āĻ¨ā§āĻŸā§āϰ⧋āϞ :

āĻĒā§āϰāĻļā§āύ: Nosocomial infection āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:
āĻšāĻžāϏāĻĒāĻžāϤāĻžāϞ⧇ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāύāĻ•āĻžāϞ⧇ āĻšāĻ“ā§ŸāĻž āϏāĻ‚āĻ•ā§āϰāĻŽāĻŖāĨ¤

āĻĒā§āϰāĻļā§āύ: Hand hygiene āĻāϰ ā§ĢāϟāĻŋ āĻŽā§‹āĻŽā§‡āĻ¨ā§āϟ āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:

Patient āĻ¸ā§āĻĒāĻ°ā§āĻļ⧇āϰ āφāϗ⧇

Procedure āĻāϰ āφāϗ⧇

Body fluid exposure āĻāϰ āĻĒāϰ⧇

Patient āĻ¸ā§āĻĒāĻ°ā§āĻļ⧇āϰ āĻĒāϰ⧇

Surroundings āĻ¸ā§āĻĒāĻ°ā§āĻļ⧇āϰ āĻĒāϰ⧇

🔷 ā§­. āϞāĻŋāĻĄāĻžāϰāĻļāĻŋāĻĒ āĻ“ āĻŽā§āϝāĻžāύ⧇āϜāĻŽā§‡āĻ¨ā§āϟ :

āĻĒā§āϰāĻļā§āύ: āφāĻĒāύāĻŋ āĻ•āĻŋāĻ­āĻžāĻŦ⧇ āϟāĻŋāĻŽ āĻŽā§āϝāĻžāύ⧇āϜ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

āĻ•āĻžāϜ āĻ­āĻžāĻ— āĻ•āϰ⧇ āĻĻ⧇āĻ“ā§ŸāĻž

āϏāĻ āĻŋāĻ• āύāĻŋāĻ°ā§āĻĻ⧇āĻļāύāĻž āĻĻ⧇āĻ“ā§ŸāĻž

āϏāĻŽāĻ¸ā§āϝāĻž āϏāĻŽāĻžāϧāĻžāύ āĻ•āϰāĻž

āĻĒā§āϰāĻļā§āύ: Conflict āĻšāϞ⧇ āϕ⧀ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

āĻļāĻžāĻ¨ā§āϤāĻ­āĻžāĻŦ⧇ āĻļ⧁āύāĻŦā§‹

āφāϞ⧋āϚāύāĻž āĻ•āϰ⧇ āϏāĻŽāĻžāϧāĻžāύ āĻ•āϰāĻŦā§‹

🔷 ā§Ž. āχāĻŽāĻžāĻ°ā§āĻœā§‡āĻ¨ā§āϏāĻŋ āϏāĻŋāĻšā§ā§Ÿā§‡āĻļāύ :

āĻĒā§āϰāĻļā§āύ: Cardiac arrest āĻšāϞ⧇ āĻ•āĻŋ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

CPR āĻļ⧁āϰ⧁

Code call

Oxygen āĻĻ⧇āĻ“ā§ŸāĻž

Emergency drugs āĻĻ⧇āĻ“ā§ŸāĻž

āĻĒā§āϰāĻļā§āύ: āϰ⧋āĻ—ā§€ āĻšāĻ āĻžā§Ž āĻļā§āĻŦāĻžāϏ āύāĻŋāϤ⧇ āύāĻž āĻĒāĻžāϰāϞ⧇?
āωāĻ¤ā§āϤāϰ:

Airway check

Oxygen

Doctor inform

🔷 ⧝. āĻāĻĨāĻŋāĻ•ā§āϏ āĻ“ āĻ•āĻŽāĻŋāωāύāĻŋāϕ⧇āĻļāύ :

āĻĒā§āϰāĻļā§āύ: Patient confidentiality āĻ•āĻŋ?
āωāĻ¤ā§āϤāϰ:
āϰ⧋āĻ—ā§€āϰ āϤāĻĨā§āϝ āĻ—ā§‹āĻĒāύ āϰāĻžāĻ–āĻžāĨ¤

āĻĒā§āϰāĻļā§āύ: āϰāĻžāĻ—āĻžāĻ¨ā§āĻŦāĻŋāϤ āϰ⧋āĻ—ā§€ āϏāĻžāĻŽāϞāĻžāĻŦ⧇āύ āĻ•āĻŋāĻ­āĻžāĻŦ⧇?
āωāĻ¤ā§āϤāϰ:

āĻļāĻžāĻ¨ā§āϤāĻ­āĻžāĻŦ⧇ āĻ•āĻĨāĻž āĻŦāϞāĻž

āϏāĻŽāĻ¸ā§āϝāĻžāϰ āĻ•āĻžāϰāĻŖ āĻŦā§‹āĻāĻž

āϏāĻŽāĻžāϧāĻžāύ āĻĻ⧇āĻ“ā§ŸāĻž

🔷 ā§§ā§Ļ. āĻŦāĻžāĻ¸ā§āϤāĻŦāĻ­āĻŋāĻ¤ā§āϤāĻŋāĻ• (Scenario) āĻĒā§āϰāĻļā§āύ :

āĻĒā§āϰāĻļā§āύ: āϰ⧋āĻ—ā§€āϰ BP āĻšāĻ āĻžā§Ž āĻ•āĻŽā§‡ āϗ⧇āϞ⧇ āĻ•āĻŋ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

Vital check

IV fluid

Doctor inform

Cause identify

āĻĒā§āϰāĻļā§āύ: Medication error āĻšāϞ⧇?
āωāĻ¤ā§āϤāϰ:

āϏāĻžāĻĨ⧇ āϏāĻžāĻĨ⧇ āϰāĻŋāĻĒā§‹āĻ°ā§āϟ

Patient observe

đŸ”Ĩ āϏāĻŋāύāĻŋ⧟āϰ āĻ¸ā§āϟāĻžāĻĢ āύāĻžāĻ°ā§āϏ āĻ­āĻžāχāĻ­āĻž –āϝ⧇āϏāĻŦ āĻĒā§āϰāĻļā§āύ āφāϰ⧇āĻ•āϟ⧁ āĻ—āĻ­ā§€āϰāĻ­āĻžāĻŦ⧇ āĻ•āϰāĻž āĻšā§Ÿ āϤāĻž āύāĻŋāĻšā§‡ āĻĻ⧇āĻ“ā§ŸāĻž āĻšāϞ⧋ 👇👇

đŸŸĸ ā§§. āĻĒāϰāĻŋāϚāĻŋāϤāĻŋ āĻ“ āϞāĻŋāĻĄāĻžāϰāĻļāĻŋāĻĒ (High Weight):

āĻĒā§āϰāĻļā§āύ: āϏāĻŋāύāĻŋ⧟āϰ āĻ¸ā§āϟāĻžāĻĢ āύāĻžāĻ°ā§āϏ āĻšāĻŋāϏ⧇āĻŦ⧇ āφāĻĒāύāĻžāϰ āĻŽā§‚āϞ āĻ­ā§‚āĻŽāĻŋāĻ•āĻž āϕ⧀?
āωāĻ¤ā§āϤāϰ:

āĻ•ā§āϞāĻŋāύāĻŋāĻ•ā§āϝāĻžāϞ āĻ•ā§‡ā§ŸāĻžāϰ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻž

āϜ⧁āύāĻŋ⧟āϰāĻĻ⧇āϰ āϏ⧁āĻĒāĻžāϰāĻ­āĻŋāĻļāύ

āĻĄāĻŋāωāϟāĻŋ āĻŽā§āϝāĻžāύ⧇āϜāĻŽā§‡āĻ¨ā§āϟ

āχāĻŽāĻžāĻ°ā§āĻœā§‡āĻ¨ā§āϏāĻŋ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āύ⧇āĻ“ā§ŸāĻž

āϰ⧋āĻ—ā§€āϰ āϏ⧇āĻĢāϟāĻŋ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻž

āĻĒā§āϰāĻļā§āύ: āφāĻĒāύāĻŋ āĻāĻ•āϜāύ āĻ–āĻžāϰāĻžāĻĒ āĻĒāĻžāϰāĻĢāϰāĻŽāĻŋāĻ‚ āĻ¸ā§āϟāĻžāĻĢāϕ⧇ āĻ•āĻŋāĻ­āĻžāĻŦ⧇ āĻšā§āϝāĻžāĻ¨ā§āĻĄā§‡āϞ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

āĻĒā§āϰāĻĨāĻŽā§‡ āĻŦā§āϝāĻ•ā§āϤāĻŋāĻ—āϤāĻ­āĻžāĻŦ⧇ āφāϞ⧋āϚāύāĻž

āϏāĻŽāĻ¸ā§āϝāĻžāϰ āĻ•āĻžāϰāĻŖ āĻŦ⧇āϰ āĻ•āϰāĻž

āĻĒā§āĻ°ā§Ÿā§‹āϜāύ āĻšāϞ⧇ āĻŸā§āϰ⧇āύāĻŋāĻ‚ āĻĻ⧇āĻ“ā§ŸāĻž

āωāĻ¨ā§āύāϤāĻŋ āύāĻž āĻšāϞ⧇ āϰāĻŋāĻĒā§‹āĻ°ā§āϟ āĻ•āϰāĻž

āĻĒā§āϰāĻļā§āύ (āĻŸā§āϰāĻŋāĻ•āĻŋ): āφāĻĒāύāĻŋ āϝāĻĻāĻŋ āĻĄāĻžāĻ•ā§āϤāĻžāϰ⧇āϰ āϭ⧁āϞ āϧāϰāϤ⧇ āĻĒāĻžāϰ⧇āύ, āϕ⧀ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

āϏāĻŽā§āĻŽāĻžāύ āϰ⧇āϖ⧇ āĻŦāĻŋāώ⧟āϟāĻŋ āϜāĻžāύāĻžāĻŦā§‹

āϰ⧋āĻ—ā§€āϰ āϏ⧇āĻĢāϟāĻŋ āφāϗ⧇ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻŦā§‹

āĻĒā§āĻ°ā§Ÿā§‹āϜāύ āĻšāϞ⧇ āϏāĻŋāύāĻŋ⧟āϰāϕ⧇ āχāύāĻĢāĻ°ā§āĻŽ āĻ•āϰāĻŦā§‹

đŸŸĸ ⧍. āĻ…ā§āϝāĻžāĻĄāĻ­āĻžāĻ¨ā§āϏāĻĄ āĻ•ā§āϞāĻŋāύāĻŋāĻ•ā§āϝāĻžāϞ āĻĒā§āϰāĻļā§āύ :

āĻĒā§āϰāĻļā§āύ: Sepsis āϕ⧀ āĻāĻŦāĻ‚ nursing management āϕ⧀?
āωāĻ¤ā§āϤāϰ:
Sepsis = infection āĻāϰ āĻ•āĻžāϰāϪ⧇ life-threatening organ dysfunction

Management:

Early detection (qSOFA)

IV antibiotic

Fluid resuscitation

Oxygen therapy

Urine output monitor

āĻĒā§āϰāĻļā§āύ: Hypoxia āĻāϰ early sign āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Restlessness

Anxiety

Tachycardia

Late sign: Cyanosis (dangerous)

āĻĒā§āϰāĻļā§āύ: Fluid overload āĻāϰ āϞāĻ•ā§āώāĻŖ?
āωāĻ¤ā§āϤāϰ:

Edema

Crackles

Weight gain

ā¤¸ā¤žā¤‚ā¤¸ āύāĻŋāϤ⧇ āĻ•āĻˇā§āϟ

đŸŸĸ ā§Š. ICU / Critical Care (Very Important) :

āĻĒā§āϰāĻļā§āύ: GCS (Glasgow Coma Scale) āϕ⧀?
āωāĻ¤ā§āϤāϰ:
āĻšā§‡āϤāύāĻžāĻ¸ā§āϤāϰ āĻŽāĻžāĻĒāĻžāϰ āĻ¸ā§āϕ⧇āϞ (3–15)

Eye (4)

Verbal (5)

Motor (6)

āĻĒā§āϰāĻļā§āύ: Ventilator modes āϕ⧀ āϕ⧀?
āωāĻ¤ā§āϤāϰ:

CMV

SIMV

CPAP

BiPAP

āĻĒā§āϰāĻļā§āύ: Weaning criteria āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Stable vitals

Adequate oxygenation

Conscious patient

āĻĒā§āϰāĻļā§āύ: Central line care āĻ•āĻŋāĻ­āĻžāĻŦ⧇ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

Aseptic technique

Dressing change

Infection monitor

đŸŸĸ ā§Ē. OT & Surgical Nursing
āĻĒā§āϰāĻļā§āύ: Surgical asepsis āϕ⧀?
āωāĻ¤ā§āϤāϰ:
Sterile environment āĻŦāϜāĻžā§Ÿ āϰāĻžāĻ–āĻž

āĻĒā§āϰāĻļā§āύ: Pre-op preparation āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Consent

NPO

Vital check

Skin preparation

āĻĒā§āϰāĻļā§āύ: Post-op complication āϕ⧀ āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Bleeding

Infection

Shock

Respiratory āϏāĻŽāĻ¸ā§āϝāĻž

đŸŸĸ ā§Ģ. Drug & Calculation (āϖ⧁āĻŦ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ)
āĻĒā§āϰāĻļā§āύ: 5 Rights of medication āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Right patient

Right drug

Right dose

Right route

Right time

āĻĒā§āϰāĻļā§āύ: Dopamine āĻāϰ āĻ•āĻžāϜ āϕ⧀?
āωāĻ¤ā§āϤāϰ:
BP āĻŦāĻžā§œāĻžā§Ÿ, cardiac output āĻŦāĻžā§œāĻžā§Ÿ

āĻĒā§āϰāĻļā§āύ (Calculation):
Doctor order: 500 ml saline 5 hours āĻ āĻĻāĻŋāϤ⧇ āĻšāĻŦ⧇
Flow rate āĻ•āϤ?

āωāĻ¤ā§āϤāϰ:
500 Ãˇ 5 = 100 ml/hour

đŸŸĸ ā§Ŧ. Infection Control (Must Know)
āĻĒā§āϰāĻļā§āύ: PPE āϕ⧀ āϕ⧀?
āωāĻ¤ā§āϤāϰ:

Gloves

Mask

Gown

Goggles

āĻĒā§āϰāĻļā§āύ: Isolation āĻāϰ āϧāϰāύ?
āωāĻ¤ā§āϤāϰ:

Contact

Droplet

Airborne

đŸŸĸ ā§­. Emergency Management
āĻĒā§āϰāĻļā§āύ: Anaphylactic shock āĻšāϞ⧇ āĻ•āĻŋ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

Adrenaline IM

Oxygen

IV fluid

Emergency call

āĻĒā§āϰāĻļā§āύ: Patient collapse āĻ•āϰāϞ⧇ āĻĒā§āϰāĻĨāĻŽ āĻ•āĻžāϜ?
āωāĻ¤ā§āϤāϰ:

Response check

Call for help

Start CPR

đŸŸĸ ā§Ž. Real Clinical Scenario (Most Important)
āĻĒā§āϰāĻļā§āύ: Patient suddenly desaturating (SpO₂ ↓) – āφāĻĒāύāĻŋ āϕ⧀ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

Airway check

Oxygen increase

Position change

Doctor inform

āĻĒā§āϰāĻļā§āύ: IV line āĻĻāĻŋā§Ÿā§‡ swelling āĻšāĻšā§āϛ⧇?
āωāĻ¤ā§āϤāϰ:

Infusion stop

Cannula remove

New line start

āĻĒā§āϰāĻļā§āύ: Patient chest pain āĻ•āϰāϛ⧇?
āωāĻ¤ā§āϤāϰ:

ECG

Oxygen

Nitrate

Doctor call

đŸŸĸ ⧝. Ethics & Communication
āĻĒā§āϰāĻļā§āύ: Informed consent āϕ⧀?
āωāĻ¤ā§āϤāϰ:
āϰ⧋āĻ—ā§€āϕ⧇ āĻŦ⧁āĻāĻŋā§Ÿā§‡ āĻ…āύ⧁āĻŽāϤāĻŋ āύ⧇āĻ“ā§ŸāĻž

āĻĒā§āϰāĻļā§āύ: Patient refuse treatment āĻ•āϰāϞ⧇?
āωāĻ¤ā§āϤāϰ:

Respect decision

Educate patient

Document āĻ•āϰāĻž

đŸŸĸ ā§§ā§Ļ. Management & Documentation
āĻĒā§āϰāĻļā§āύ: Nursing documentation āϕ⧇āύ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ?
āωāĻ¤ā§āϤāϰ:

Legal proof

Continuity of care

Communication

āĻĒā§āϰāĻļā§āύ: Incident report āĻ•āĻ–āύ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

Medication error

Patient fall

Unexpected event

đŸŸĸ ā§§ā§§. āϏ⧁āĻĒāĻžāϰ āĻŸā§āϰāĻŋāĻ•āĻŋ āĻĒā§āϰāĻļā§āύ (āĻŦā§‹āĻ°ā§āĻĄā§‡ āφāϏāϤ⧇ āĻĒāĻžāϰ⧇)
āĻĒā§āϰāĻļā§āύ: āφāĻĒāύāĻŋ duty āϤ⧇ āĻāĻ•āĻž, ⧍ āϜāύ critical patient—āĻ•āĻŋ āĻ•āϰāĻŦ⧇āύ?
āωāĻ¤ā§āϤāϰ:

Priority (ABC)

Help call

Team coordination

āĻĒā§āϰāĻļā§āύ: Patient relative aggressive āĻšāϞ⧇?
āωāĻ¤ā§āϤāϰ:

Calm āĻĨāĻžāĻ•āĻŦā§‹

Security call

Situation control

đŸŽ¯ āĻ­āĻžāχāĻ­āĻž āĻœā§‡āϤāĻžāϰ āĻ¸ā§āĻŽāĻžāĻ°ā§āϟ āϟāĻŋāĻĒāϏ āσ
✔ āϏāĻŦāϏāĻŽā§Ÿ ABC (Airway, Breathing, Circulation) āĻŽāĻžāĻĨāĻžā§Ÿ āϰāĻžāĻ–āĻŦ⧇āύ
✔ āωāĻ¤ā§āϤāϰ āĻĻāĻŋāĻŦ⧇āύ short + confident + clinical approach
✔ "I will inform doctor" — āĻāϟāĻž āϏāĻŦāϏāĻŽā§Ÿ safe answer
✔ Practical example āĻĻāĻŋāϞ⧇ āĻŦ⧇āĻļāĻŋ āύāĻŽā§āĻŦāϰ āĻĒāĻžāĻŦ⧇āύ

āĻĒā§‹āĻ¸ā§āϟ āϟāĻŋ āĻ­āĻžāϞ⧋ āϞāĻžāĻ—āϞ⧇ āĻļā§‡ā§ŸāĻžāϰ āĻ•āϰ⧇ āϰ⧇āϖ⧇ āĻĻ⧇āύ āĻāĻŦāĻ‚ āĻāϏāĻŦ āĻŦāĻŋāώ⧟ āϏāĻ•āϞ⧇āϕ⧇ āĻļā§‡ā§ŸāĻžāϰ āĻ•āϰ⧁āύāĨ¤
āϧāĻ¨ā§āϝāĻŦāĻžāĻĻ

Update EPI Schedule
12/08/2026

Update EPI Schedule

📌   & ICU Viva Questions and Answers (Comprehensive Nursing Viva Preparation) āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϞāĨ¤1. CCU āĻāϰ āĻĒā§‚āĻ°ā§āĻŖāϰ⧂āĻĒ āϕ⧀?Answer: Co...
08/08/2026

📌 & ICU Viva Questions and Answers (Comprehensive Nursing Viva Preparation) āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϞāĨ¤

1. CCU āĻāϰ āĻĒā§‚āĻ°ā§āĻŖāϰ⧂āĻĒ āϕ⧀?
Answer: Coronary Care Unit.

2. ICU āĻāϰ āĻĒā§‚āĻ°ā§āĻŖāϰ⧂āĻĒ āϕ⧀?
Answer: Intensive Care Unit.

3. CCU āĻ“ ICU āĻāϰ āĻŽāĻ§ā§āϝ⧇ āĻĒāĻžāĻ°ā§āĻĨāĻ•ā§āϝ āϕ⧀?
👉CCU: āĻļ⧁āϧ⧁āĻŽāĻžāĻ¤ā§āϰ āϗ⧁āϰ⧁āϤāϰ āĻšā§ƒāĻĻāϰ⧋āϗ⧇āϰ āϰ⧋āĻ—ā§€āĻĻ⧇āϰ āϜāĻ¨ā§āϝāĨ¤
👉ICU: āϝ⧇āϕ⧋āύ⧋ āϗ⧁āϰ⧁āϤāϰ āĻ…āϏ⧁āĻ¸ā§āĻĨ āϰ⧋āĻ—ā§€ (medical, surgical, trauma, sepsis, poisoning āχāĻ¤ā§āϝāĻžāĻĻāĻŋ) āĻ­āĻ°ā§āϤāĻŋ āĻšāϝāĻŧāĨ¤

4. ICU āϤ⧇ āϕ⧋āύ āϧāϰāύ⧇āϰ āϰ⧋āĻ—ā§€ āĻ­āĻ°ā§āϤāĻŋ āĻšāϝāĻŧ?

👉Septic shock
👉Respiratory failure
👉Stroke
👉Polytrauma
👉Post-operative critical patients
👉Poisoning
👉Multi-organ failure

5. CCU āϤ⧇ āϕ⧋āύ āϰ⧋āĻ—ā§€ āĻ­āĻ°ā§āϤāĻŋ āĻšāϝāĻŧ?

👉Acute Myocardial Infarction (AMI)
👉Unstable angina
👉Arrhythmia
👉Heart failure
👉Cardiogenic shock
👉Post-cardiac surgery patient

6. ICU āϤ⧇ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ Nursing Principle āϕ⧀?
Answer: ABCDE approach.
* A – Airway
* B – Breathing
* C – Circulation
* D – Disability (Neurological assessment)
* E – Exposure

7. ICU āϤ⧇ āϰ⧋āĻ—ā§€āϰ Monitoring āϕ⧀ āϕ⧀?

👉ECG
👉Blood pressure
👉SpO₂
👉Respiratory rate
👉Temperature
👉Urine output
👉Central Venous Pressure (CVP) (āϝāĻĻāĻŋ āĻĨāĻžāϕ⧇)

8. Normal SpO₂ āĻ•āϤ?
Answer: 95–100%

9. Normal CVP āĻ•āϤ?
Answer: 2–6 mmHg (āĻ…āĻĨāĻŦāĻž 3–8 cmH₂O)

10. Foley catheter āϕ⧇āύ āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧ?
👉Hourly urine output monitor āĻ•āϰāϤ⧇
👉Fluid balance assess āĻ•āϰāϤ⧇

11. Hourly urine output āĻ•āϤ āĻšāĻ“āϝāĻŧāĻž āωāϚāĻŋāϤ?
Answer: â‰Ĩ0.5 mL/kg/hour (āĻĒā§āϰāĻžāĻĒā§āϤāĻŦāϝāĻŧāĻ¸ā§āĻ•āĻĻ⧇āϰ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇)

12. Glasgow Coma Scale (GCS) āĻ•āϤ?
Answer: 3–15

13. Normal MAP āĻ•āϤ?
Answer: 70–100 mmHg

14. Ventilator āϕ⧇āύ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ?
👉Respiratory failure
👉Severe hypoxia
👉Unconscious patient
👉Cardiac arrest āĻĒāϰ

15. Ventilator-associated pneumonia (VAP) āĻĒā§āϰāϤāĻŋāϰ⧋āϧ āϕ⧀āĻ­āĻžāĻŦ⧇ āĻ•āϰāĻŦ⧇āύ?
👉Head end 30–45°
👉Oral care
👉Hand hygiene
👉Closed suction technique
👉Daily sedation assessment

16. Defibrillation āĻ•āĻ–āύ āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧ
Answer: Ventricular fibrillation (VF) āĻāĻŦāĻ‚ pulseless ventricular tachycardia (VT)-āϤ⧇āĨ¤

17. CPR āĻāϰ Compression : Ventilation Ratio āĻ•āϤ?
Answer: āĻāĻ•āϜāύ āϰ⧇āϏāĻ•āĻŋāωāϝāĻŧāĻžāϰ⧇āϰ āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇ 30:2 (adult basic life support)āĨ¤

18. Cardiac monitor āϕ⧀ āϕ⧀ āĻĻ⧇āĻ–āĻžāϝāĻŧ?
👉Heart rate
👉Cardiac rhythm (ECG)
👉SpO₂
👉Blood pressure
👉Respiratory rate

19. ICU āϤ⧇ Infection Control āϕ⧀āĻ­āĻžāĻŦ⧇ āĻ•āϰāĻŦ⧇āύ
👉Hand hygiene
👉PPE āĻŦā§āϝāĻŦāĻšāĻžāϰ
👉Sterile technique
👉Isolation precautions
👉Equipment disinfection

20. ICU āϤ⧇ Nurse-āĻāϰ āĻĒā§āϰāϧāĻžāύ āĻĻāĻžāϝāĻŧāĻŋāĻ¤ā§āĻŦ āϕ⧀?

👉Continuous monitoring
👉Medication administration
🌱Emergency response
🌱Ventilator care
🌱Documentation
🌱Patient & family education
🌱Infection prevention

🍀🍀āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ ICU/CCU āϝāĻ¨ā§āĻ¤ā§āϰāĻĒāĻžāϤāĻŋ🍀🍀
🌱Cardiac monitor
🌱Defibrillator
🌱Ventilator
👉Syringe pump
👉Infusion pump
👉Suction machine
👉ECG machine
👉Pulse oximeter
👉ABG analyzer
👉Oxygen flowmeter

🍁🍁ICU/CCU Viva: Common Emergency Medicines (Nursing)🍁🍁

1. Adrenaline

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋCardiac arrest
đŸŒŋAnaphylaxis
đŸŒŋSevere hypotension

Nursing points:
đŸŒŋECG āĻ“ BP āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤
đŸŒŋIV āĻĻ⧇āĻ“āϝāĻŧāĻžāϰ āφāϗ⧇ āϏāĻ āĻŋāĻ• dilution āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰ⧁āύāĨ¤

2. Noradrenaline

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋSeptic shock
đŸŒŋSevere hypotension

Nursing points:
đŸŒŋInfusion pump āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤
đŸŒŋCentral line āĻšāϞ⧇ āĻ­āĻžāϞ⧋āĨ¤
đŸŒŋBP āϘāύ āϘāύ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

3. Dopamine

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋHypotension
đŸŒŋCardiogenic shock

Nursing points:
đŸŒŋHeart rate āĻ“ BP āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤
đŸŒŋExtravasation āĻāĻĄāĻŧāĻŋāϝāĻŧ⧇ āϚāϞ⧁āύāĨ¤

4. Dobutamine

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋHeart failure
đŸŒŋCardiogenic shock

Nursing points:
đŸŒŋECG āĻ“ BP āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤
đŸŒŋCardiac output āωāĻ¨ā§āύāϤ āĻ•āϰāϤ⧇ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āĻšāϝāĻŧāĨ¤

5. Nitroglycerin

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋChest pain (Angina)
đŸŒŋAcute coronary syndrome
đŸŒŋHypertensive emergency

Nursing points:
đŸŒŋBP āĻ•āĻŽā§‡ āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇āĨ¤
đŸŒŋChest pain āĻ•āĻŽāϛ⧇ āĻ•āĻŋ āύāĻž āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

6. Furosemide

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋPulmonary edema
đŸŒŋHeart failure
đŸŒŋFluid overload

Nursing points:
đŸŒŋUrine output āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤
đŸŒŋPotassium āĻ•āĻŽā§‡ āϝ⧇āϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

7. Amiodarone

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋVentricular tachycardia
đŸŒŋVentricular fibrillation
đŸŒŋAtrial fibrillation

Nursing points:
đŸŒŋECG āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤
đŸŒŋBP āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

8. Atropine

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋSymptomatic bradycardia

Nursing points:
đŸŒŋHeart rate āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤
đŸŒŋECG āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤

9. Heparin

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋDVT
đŸŒŋPulmonary embolism
đŸŒŋAcute coronary syndrome

Nursing points:
đŸŒŋBleeding-āĻāϰ āϞāĻ•ā§āώāĻŖ āĻĻ⧇āϖ⧁āύāĨ¤
đŸŒŋaPTT (āϝāĻĻāĻŋ unfractionated heparin āĻšāϝāĻŧ) āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

10. Enoxaparin

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋDVT prophylaxis
đŸŒŋAcute coronary syndrome

Nursing points:
đŸŒŋSubcutaneous injection āĻĻāĻŋāύāĨ¤
đŸŒŋInjection site āϘāώāĻŦ⧇āύ āύāĻžāĨ¤
đŸŒŋBleeding āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

11. Aspirin

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
đŸŒŋAcute myocardial infarction
đŸŒŋStroke prevention

Nursing points:
đŸŒŋāĻ–āĻžāĻŦāĻžāϰ⧇āϰ āĻĒāϰ⧇ āĻĻāĻŋāύ (āϝāĻĻāĻŋ āϜāϰ⧁āϰāĻŋ āĻĒāϰāĻŋāĻ¸ā§āĻĨāĻŋāϤāĻŋ āύāĻž āĻšāϝāĻŧ)āĨ¤
đŸŒŋBleeding-āĻāϰ āϞāĻ•ā§āώāĻŖ āĻĻ⧇āϖ⧁āύāĨ¤

12. Clopidogrel

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Acute coronary syndrome
* Post-PCI/Stent

đŸŒŋNursing points:
* Bleeding āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤
* Aspirin-āĻāϰ āϏāĻžāĻĨ⧇ āĻĒā§āϰāĻžāϝāĻŧāχ āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧāĨ¤

13. Insulin

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Hyperglycemia
* Diabetic ketoacidosis (DKA)

đŸŒŋNursing points:
* Blood glucose āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻ•āϰ⧁āύāĨ¤
* Hypoglycemia-āĻāϰ āϞāĻ•ā§āώāĻŖ āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇ āϏāϤāĻ°ā§āĻ• āĻĨāĻžāϕ⧁āύāĨ¤

14.Dexamethasone

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Cerebral edema
* Severe allergic reaction
* āĻ•āĻŋāϛ⧁ āϗ⧁āϰ⧁āϤāϰ āĻĒā§āϰāĻĻāĻžāĻšāϜāύāĻŋāϤ āĻ…āĻŦāĻ¸ā§āĻĨāĻž

đŸŒŋNursing points:
* Blood glucose āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤
* āϏāĻ‚āĻ•ā§āϰāĻŽāϪ⧇āϰ āϞāĻ•ā§āώāĻŖ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

15.Hydrocortisone

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Septic shock
* Adrenal insufficiency
* Severe allergy

đŸŒŋNursing points:
* BP āĻ“ blood glucose āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤

16.Pantoprazole
āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Stress ulcer prophylaxis
* Peptic ulcer
* GI bleeding

đŸŒŋNursing points:
* IV āϧ⧀āϰ⧇ āĻĻāĻŋāύāĨ¤
* GI bleeding-āĻāϰ āϞāĻ•ā§āώāĻŖ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

17.Tranexamic acid

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Excessive bleeding
* Trauma
* Post-operative bleeding

đŸŒŋNursing points:
* āύāĻŋāĻ°ā§āĻĻ⧇āĻļāύāĻž āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āϧ⧀āϰ⧇ IV āĻĻāĻŋāύāĨ¤
* Thromboembolic āĻā§āρāĻ•āĻŋ āĻŦāĻŋāĻŦ⧇āϚāύāĻž āĻ•āϰ⧁āύāĨ¤

18.Calcium gluconate

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Hyperkalemia (cardiac membrane stabilization)
* Hypocalcemia

đŸŒŋNursing points:
* ECG āĻŽāύāĻŋāϟāϰ āĻ•āϰ⧁āύāĨ¤
* IV āϧ⧀āϰ⧇ āĻĻāĻŋāύāĨ¤

19.Magnesium sulfate

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Torsades de Pointes
* Eclampsia
* Severe hypomagnesemia

đŸŒŋNursing points:
* Respiratory rate, BP āĻ“ deep tendon reflex āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

20.Potassium chloride

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Hypokalemia

🍁🍁Viva point🍁🍁
* IV push āĻ•āĻ–āύāĻ“ āĻĻ⧇āĻ“āϝāĻŧāĻž āϝāĻžāĻŦ⧇ āύāĻžāĨ¤
* āϏāĻŦāϏāĻŽāϝāĻŧ dilute āĻ•āϰ⧇ infusion pump āĻĻāĻŋāϝāĻŧ⧇ āĻĻāĻŋāύāĨ¤

21.Sodium bicarbonate

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Severe metabolic acidosis
* āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ āĻĒāϰāĻŋāĻ¸ā§āĻĨāĻŋāϤāĻŋāϤ⧇ hyperkalemia

đŸŒŋNursing points:
* ABG āϰāĻŋāĻĒā§‹āĻ°ā§āϟ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰ⧁āύāĨ¤

22.Mannitol

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Raised intracranial pressure
* Cerebral edema

đŸŒŋNursing points:
* Urine output āĻ“ serum osmolality āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

23.Midazolam

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Sedation
* Ventilated patient
* Status epilepticus

đŸŒŋNursing points:
* Respiratory depression-āĻāϰ āϜāĻ¨ā§āϝ āϏāϤāĻ°ā§āĻ• āĻĨāĻžāϕ⧁āύāĨ¤
* Sedation level āύāĻŋāϝāĻŧāĻŽāĻŋāϤ āĻŽā§‚āĻ˛ā§āϝāĻžāϝāĻŧāύ āĻ•āϰ⧁āύāĨ¤

24.Fentanyl

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Severe pain
* ICU analgesia

đŸŒŋNursing points:
* Respiratory rate āĻ“ BP āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

25.Meropenem

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Severe sepsis
* ICU-acquired infection

đŸŒŋNursing points:
* Culture report āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ antibiotic āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āωāĻ¤ā§āϤāĻŽāĨ¤
* Allergy history āĻœā§‡āύ⧇ āύāĻŋāύāĨ¤

26.Piperacillin/tazobactam

āĻŦā§āϝāĻŦāĻšāĻžāϰ:
* Broad-spectrum antibiotic
* Severe bacterial infection

đŸŒŋNursing points:
* Renal function āĻŦāĻŋāĻŦ⧇āϚāύāĻž āĻ•āϰ⧁āύāĨ¤
* Allergy āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰ⧁āύāĨ¤

🍀🍀āϖ⧁āĻŦ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ Viva One-liners🍀đŸĨš

👉Shock-āĻ āĻĒā§āϰāĻĨāĻŽ āĻĒāĻ›āĻ¨ā§āĻĻ⧇āϰ vasopressor? → Noradrenaline
👉Symptomatic bradycardia? → Atropine
👉VF/Pulseless VT? → Defibrillation + Adrenaline (ACLS āĻ…āύ⧁āϝāĻžāϝāĻŧā§€)
👉Pulmonary edema? → Furosemide
👉Raised ICP? → Mannitol
👉Stress ulcer prophylaxis? → Pantoprazole
👉Hypokalemia? → Potassium chloride (IV push āύāϝāĻŧ)
👉Hyperkalemia-āϤ⧇ cardiac membrane stabilize āĻ•āϰāϤ⧇? → Calcium gluconate
👉Ventilated patient-āĻāϰ sedation? → Midazolam
👉Septic shock-āĻ common vasopressor? → Noradrenaline
👉ICU-āϤ⧇ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻŦ⧇āĻļāĻŋ āĻŦā§āϝāĻŦāĻšā§ƒāϤ vasopressor āϕ⧋āύāϟāĻŋ? → Noradrenaline
👉Cardiac arrest-āĻ āĻĒā§āϰāĻĨāĻŽ āϏāĻžāϰāĻŋāϰ āĻ“āώ⧁āϧ? → Adrenaline
👉Bradycardia-āϤ⧇ āϕ⧋āύ āĻ“āώ⧁āϧ? → Atropine
👉Pulmonary edema-āϤ⧇ āϕ⧋āύ diuretic? → Furosemide
👉VT/VF-āĻ āϕ⧋āύ antiarrhythmic? → Amiodarone
👉ACS-āĻ dual antiplatelet therapy āϕ⧀? → Aspirin + Clopidogrel

āĻœā§€āĻŦāύ⧇āϰ āĻĒā§āϰāĻĨāĻŽ āĻ…āĻ­āĻŋāĻœā§āĻžāϤāĻž đŸĨ°āϰāĻŋāĻŸā§‡āύ+āĻ­āĻžāχāĻ­āĻž+āĻ“ā§Ÿā§‡āϟāĻŋāĻ‚ āφāϰ āĻšā§ŸāϤ⧋ āĻāϰ āωāĻĒāϰ⧇ āωāĻ āĻŦ⧇ āύāĻžđŸ˜‘āϤāĻžāĻ“ āϝāĻž āĻšā§Ÿā§‡āϛ⧇ āĻāϤ⧇āχ āφāĻŽāĻŋ āϖ⧁āĻļāĻŋ āĻ•āĻžāϰāύ āĻĒāϰ⧀āĻ•ā§āώāĻž āĻĻ⧇āĻ“ā§ŸāĻžāϟāĻž āĻŽā§‚āϞ āĻŦāĻŋ...
07/08/2026

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02/08/2026

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āĻ•ā§āϝāĻžāύ⧋ āĻāĻŽāύāϟāĻž āĻ•āϰāϞāĻŋ,,,āϏāĻŦāϟāĻž āϏāĻŦāĻžāχāϕ⧇ āĻŦāϞāϤ⧇ āĻĒāĻžāϰāϤāĻŋ,āĻāĻŽāύ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āύ⧇āĻ“ā§ŸāĻžāϰ āφāϗ⧇ āĻāĻ•āĻŦāĻžāϰ⧋ āϤ⧋āϰ āĻŽāĻž āĻŦāĻžāĻŦāĻžāϰ āĻ•āĻĨāĻž āĻ­āĻžāĻŦāϞāĻŋ āύāĻžđŸ˜ĨāĻŽā§ƒāĻ¤ā§āϝ⧁āχ āĻ•āĻŋ āϏāĻŦāĻ•āĻŋāϛ⧁āϰ ...
01/08/2026

āĻ•ā§āϝāĻžāύ⧋ āĻāĻŽāύāϟāĻž āĻ•āϰāϞāĻŋ,,,āϏāĻŦāϟāĻž āϏāĻŦāĻžāχāϕ⧇ āĻŦāϞāϤ⧇ āĻĒāĻžāϰāϤāĻŋ,āĻāĻŽāύ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āύ⧇āĻ“ā§ŸāĻžāϰ āφāϗ⧇ āĻāĻ•āĻŦāĻžāϰ⧋ āϤ⧋āϰ āĻŽāĻž āĻŦāĻžāĻŦāĻžāϰ āĻ•āĻĨāĻž āĻ­āĻžāĻŦāϞāĻŋ āύāĻžđŸ˜ĨāĻŽā§ƒāĻ¤ā§āϝ⧁āχ āĻ•āĻŋ āϏāĻŦāĻ•āĻŋāϛ⧁āϰ āϏāĻŽāĻžāϧāĻžāύ āĻ›āĻŋāϞ⧋,āφāϜ āϝ⧇ āĻŦāĻž āϝāĻžāĻĻ⧇āϰ āĻ•āĻžāϰāύ⧇ āĻāĻŽāύāϟāĻž āĻ•āϰāϞāĻŋ āϤāĻžāĻĻ⧇āϰ āĻ•āĻŋ āφāĻĻ⧌ āĻ•āĻŋāϛ⧁ āĻšāĻŦ⧇, āĻļ⧇āώ āĻšāĻŦ⧇ āϤ⧋āϰ āĻŽāĻž āĻŦāĻžāĻŦāĻžāϰ āĻŦ⧇āρāĻšā§‡ āĻĨāĻžāĻ•āĻžāϟāĻžāĨ¤āϏ⧇āχ āϛ⧋āϟāĻŦ⧇āϞāĻž āĻĨ⧇āϕ⧇ āĻĻ⧇āϖ⧇ āφāϏāĻ›āĻŋ āĻšā§‹āϖ⧇āϰ āϏāĻžāĻŽāύ⧇ āĻŦ⧜ āĻšā§Ÿā§‡āϛ⧋ āφāϜ āĻāĻŽāύ āĻĻāĻŋāύ āĻĻ⧇āĻ–āϤ⧇ āĻšāĻŦ⧇ āĻ•āĻ–āύ⧋ āĻ­āĻžāĻŦāĻŋāύāĻŋāĨ¤āĻšā§‹āĻ–āϟāĻž āĻŦāĻ¨ā§āϧ āĻ•āϰāϞ⧇āχ āϤ⧋āϰ āĻšā§‡āĻšāĻžāϰāĻžāϟāĻž āϭ⧇āϏ⧇ āĻ“āϠ⧇āĨ¤āĻšā§ŸāϤ⧋ āϕ⧋āύ⧋ āϏāĻŽāĻ¸ā§āϝāĻžāϰ āĻ•āĻžāϰāύ⧇ āĻāϤāϟāĻžāĻ“ āĻ­āĻžāϞ⧋ āĻ•āϰ⧇ āϚāϞāĻž āĻšā§ŸāύāĻŋ āϤ⧋āϰ āϏāĻžāĻĨ⧇ āĻ•āĻŋāĻ¨ā§āϤ⧁ āϏāĻŦāϏāĻŽā§Ÿ āϤ⧋ āĻšā§‹āϖ⧇āϰ āϏāĻžāĻŽāύ⧇āχ āĻ›āĻŋāϞāĻŋāĨ¤āĻ•āĻŋāĻ­āĻžāĻŦ⧇ āĻāχ āĻļā§‹āĻ• āϏāχāĻŦ⧇ āϤ⧋āϰ āĻŽāĻž āĻŦāĻžāĻŦāĻžāĨ¤ āĻāĻ•āϰāĻžāĻļ āĻ¸ā§āĻŦāĻĒā§āύ āύāĻŋā§Ÿā§‡ āĻāϏ⧇āĻ›āĻŋāϞāĻŋ āĻĒ⧜āϤ⧇ āϤ⧋āϰ āĻŽāĻž āĻŦāĻžāĻŦāĻžāϰ ā§Ē āϜāύ āĻŽā§‡ā§Ÿā§‡ āϤ⧋āϰāĻž, āϤāĻžāϰāĻž āϤ⧋āϕ⧇ āύāĻŋā§Ÿā§‡āχ āĻŦ⧇āĻļāĻŋ āĻ¸ā§āĻŦāĻĒā§āύ āĻĻ⧇āĻ–āϤ⧋, āφāϜ āϏ⧇āϟāĻž āĻāĻ• āύāĻŋāĻŽāĻŋāώ⧇āχ āĻļ⧇āώ āĻ•āϰ⧇ āĻĻāĻŋāϞāĻŋđŸ˜Ĩāϝ⧇āĻ–āĻžāύ⧇āχ āĻĨāĻžāϕ⧋ āĻ­āĻžāϞ⧋ āĻĨāĻžāĻ•āĻŋāϏāĨ¤āϕ⧇āω āϕ⧋āύ⧋āĻĻāĻŋāύ āĻāĻŽāύ āϕ⧋āύ⧋ āϏāĻŋāĻĻā§āϧāĻžāĻ¨ā§āϤ āύāĻŋā§Ÿā§‡āύ āύāĻž āϝ⧇āϟāĻžāϰ āĻ•āĻžāϰāύ⧇ āĻĒ⧁āϰ⧋ āĻĒāϰāĻŋāĻŦāĻžāϰ āĻļ⧇āώ āĻšā§Ÿā§‡ āϝāĻžā§ŸđŸ™
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âœŗī¸āύāĻŋāĻšā§‡ BPSC Senior Staff Nurse āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ 100 āϟāĻŋ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ MCQ āωāĻ¤ā§āϤāϰāϏāĻš āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϞ⧋āĨ¤âœŗī¸âœŗī¸BPSC Nursing MCQ âœŗī¸âœŗī¸1. Normal ad...
26/07/2026

âœŗī¸āύāĻŋāĻšā§‡ BPSC Senior Staff Nurse āĻĒāϰ⧀āĻ•ā§āώāĻžāϰ 100 āϟāĻŋ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ MCQ āωāĻ¤ā§āϤāϰāϏāĻš āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϞ⧋āĨ¤

âœŗī¸âœŗī¸BPSC Nursing MCQ âœŗī¸âœŗī¸

1. Normal adult pulse rate āĻ•āϤ?
A. 40–60/min
B. 60–100/min ✅
C. 100–120/min
D. 120–140/min

2. Heparin-āĻāϰ antidote āϕ⧋āύāϟāĻŋ?
A. Vitamin K
B. Protamine sulfate ✅
C. Naloxone
D. Atropine

3. ECG-āϤ⧇ P wave āϕ⧀ āύāĻŋāĻ°ā§āĻĻ⧇āĻļ āĻ•āϰ⧇?
A. Ventricular depolarization
B. Atrial depolarization ✅
C. Ventricular repolarization
D. Bundle branch block

4. Glasgow Coma Scale-āĻāϰ āϏāĻ°ā§āĻŦā§‹āĻšā§āϚ āĻ¸ā§āϕ⧋āϰ āĻ•āϤ?
A. 12
B. 13
C. 15 ✅
D. 18

5. Normal Saline-āĻ NaCl-āĻāϰ āϘāύāĻ¤ā§āĻŦ āĻ•āϤ?
A. 0.45%
B. 0.9% ✅
C. 3%
D. 5%

6. Adult CPR-āĻ compression rate āĻ•āϤ?
A. 60–80/min
B. 80–100/min
C. 100–120/min ✅
D. 140/min

7. MI-āĻāϰ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āύāĻŋāĻ°ā§āĻĻāĻŋāĻˇā§āϟ biomarker āϕ⧋āύāϟāĻŋ?
A. CK-MB
B. LDH
C. Troponin I/T ✅
D. SGOT

8. Hyperkalemia-āϤ⧇ ECG-āϤ⧇ āϕ⧀ āĻĻ⧇āĻ–āĻž āϝāĻžāϝāĻŧ?
A. Tall peaked T wave ✅
B. Short QT
C. Delta wave
D. Inverted P wave

9. IM injection-āĻāϰ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āύāĻŋāϰāĻžāĻĒāĻĻ site āϕ⧋āύāϟāĻŋ?
A. Deltoid
B. Ventrogluteal ✅
C. Dorsogluteal
D. Forearm

10. Blood transfusion-āĻāϰ āĻĒā§āϰāĻĨāĻŽ ā§§ā§Ģ āĻŽāĻŋāύāĻŋāĻŸā§‡ āϕ⧀ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇?
A. āĻĻā§āϰ⧁āϤ āϚāĻžāϞāĻžāϤ⧇ āĻšāĻŦ⧇
B. āϰ⧋āĻ—ā§€āϕ⧇ āύāĻŋāĻŦāĻŋāĻĄāĻŧāĻ­āĻžāĻŦ⧇ āĻĒāĻ°ā§āϝāĻŦ⧇āĻ•ā§āώāĻŖ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇ ✅
C. Saline āĻŦāĻ¨ā§āϧ āĻ•āϰāϤ⧇ āĻšāĻŦ⧇
D. Antibiotic āĻĻāĻŋāϤ⧇ āĻšāĻŦ⧇
11. Vitamin K-āĻāϰ āĻŦā§āϝāĻŦāĻšāĻžāĻ°â€”
āωāĻ¤ā§āϤāϰ: Warfarin toxicity
12. Normal SpO₂—
āωāĻ¤ā§āϤāϰ: 95–100%
13. Insulin āϕ⧋āύ hormone?
āωāĻ¤ā§āϤāϰ: Pancreatic hormone
14. Universal donor—
āωāĻ¤ā§āϤāϰ: O negative
15. Universal recipient—
āωāĻ¤ā§āϤāϰ: AB positive
16. Digoxin toxicity-āĻāϰ āĻāĻ•āϟāĻŋ āϞāĻ•ā§āώāĻŖâ€”
āωāĻ¤ā§āϤāϰ: Bradycardia
17. Normal adult respiratory rate—
āωāĻ¤ā§āϤāϰ: 12–20/min
18. Defibrillation āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ—
āωāĻ¤ā§āϤāϰ: VF/Pulseless VT
19. IV cannula-āĻāϰ āϏāĻŦ⧁āϜ (Green) gauge—
āωāĻ¤ā§āϤāϰ: 18G
20. Normal body temperature—
āωāĻ¤ā§āϤāϰ: 36.5–37.5°C
21. Atropine āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ— Bradycardia ✅
22. Furosemide āĻāĻ•āϟāĻŋ— Loop diuretic ✅
23. Diabetes āύāĻŋāĻ°ā§āĻŖāϝāĻŧ⧇ HbA1c— â‰Ĩ6.5% ✅
24. Normal platelet count— 150,000–450,000/mmÂŗ ✅
25. BCG vaccine āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧ— āϜāĻ¨ā§āĻŽā§‡āϰ āĻĒāϰ ✅
26. ABG-āϤ⧇ pH āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ•â€” 7.35–7.45 ✅
27. Hypoglycemia-āϰ āĻĒā§āϰāĻĨāĻŽ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻžâ€” Glucose ✅
28. Oxygen saturation āĻŽāĻžāĻĒāĻžāϰ āϝāĻ¨ā§āĻ¤ā§āĻ°â€” Pulse oximeter ✅
29. CPR-āĻāϰ āĻĒā§āϰāĻĨāĻŽ āϧāĻžāĻĒ— Response āĻ“ Breathing āĻĒāϰ⧀āĻ•ā§āώāĻž ✅
30. ECG paper speed— 25 mm/sec ✅
31. Warfarin monitor āĻ•āϰāĻž āĻšāϝāĻŧ— INR ✅
32. Heparin monitor āĻ•āϰāĻž āĻšāϝāĻŧ— aPTT ✅
33. Normal serum potassium— 3.5–5.0 mmol/L ✅
34. Normal sodium— 135–145 mmol/L ✅
35. Adrenaline 1:1000 āϏāĻžāϧāĻžāϰāĻŖāϤ āĻŦā§āϝāĻŦāĻšā§ƒāϤ āĻšāϝāĻŧ— Anaphylaxis ✅
36. STEMI-āϤ⧇ āĻĒā§āϰāϧāĻžāύ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻžâ€” Primary PCI/Thrombolysis ✅
37. Pneumonia āύāĻŋāĻ°ā§āĻŖāϝāĻŧ⧇ āϗ⧁āϰ⧁āĻ¤ā§āĻŦāĻĒā§‚āĻ°ā§āĻŖ āĻĒāϰ⧀āĻ•ā§āώāĻžâ€” Chest X-ray ✅
38. Cardiac output = Heart Rate × Stroke Volume ✅
39. āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻŦāĻĄāĻŧ artery— Aorta ✅
40. āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻŦāĻĄāĻŧ vein— Inferior vena cava ✅
41. Vitamin D-āĻāϰ āĻ…āĻ­āĻžāĻŦā§‡â€” Rickets ✅
42. Iron deficiency anemia-āϤ⧇ Hb āĻ•āĻŽā§‡ āϝāĻžāϝāĻŧāĨ¤ ✅
43. Normal urine output— â‰Ĩ0.5 mL/kg/hour ✅
44. COPD āϰ⧋āĻ—ā§€āϕ⧇ oxygen āϏāϤāĻ°ā§āĻ•āϤāĻžāϰ āϏāĻ™ā§āϗ⧇ āĻĻāĻŋāϤ⧇ āĻšāϝāĻŧāĨ¤ ✅
45. Stroke FAST-āĻāϰ F āĻ…āĻ°ā§āĻĨ— Face drooping ✅
46. Endotracheal tube-āĻāϰ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāύ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϏāĻ°ā§āĻŦā§‹āĻ¤ā§āϤāĻŽ āωāĻĒāĻžāϝāĻŧ— Capnography ✅
47. Aspirin āĻāĻ•āϟāĻŋ— Antiplatelet ✅
48. Ceftriaxone āĻāĻ•āϟāĻŋ— 3rd generation cephalosporin ✅
49. Nosocomial infection āĻ…āĻ°ā§āĻĨ— Hospital-acquired infection ✅
50. Hand hygiene-āĻāϰ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ āωāĻĒāĻžāϝāĻŧ— Alcohol-based hand rub (āϝāĻĻāĻŋ āĻšāĻžāϤ āĻĻ⧃āĻļā§āϝāϤ āĻŽāϝāĻŧāϞāĻž āύāĻž āĻĨāĻžāϕ⧇) ✅

51. Normal CVP āĻ•āϤ?
A. 0–2 cmH₂O
B. 5–10 cmH₂O ✅
C. 15–20 cmH₂O
D. 20–25 cmH₂O

52. Shock-āĻāϰ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āϏāĻžāϧāĻžāϰāĻŖ āϞāĻ•ā§āώāĻŖ āϕ⧋āύāϟāĻŋ?
A. Bradycardia
B. Hypotension ✅
C. Hypertension
D. Fever

53. ECG-āϤ⧇ QRS complex āϕ⧀ āύāĻŋāĻ°ā§āĻĻ⧇āĻļ āĻ•āϰ⧇?
A. Atrial depolarization
B. Ventricular depolarization ✅
C. Ventricular repolarization
D. Atrial repolarization

54. Myocardial infarction-āĻāϰ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āϏāĻžāϧāĻžāϰāĻŖ āĻ•āĻžāϰāĻŖâ€”
A. Coronary artery thrombosis ✅
B. Valve disease
C. Pneumonia
D. Anemia

55. CPR-āĻ compression depth (Adult)—
A. 2 cm
B. 3 cm
C. 5–6 cm ✅
D. 8 cm

56. Normal ejection fraction (EF)—
A. 20–30%
B. 35–45%
C. 55–70% ✅
D. 80–90%

57. Pulseless VT-āĻāϰ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻžâ€”
A. Atropine
B. Defibrillation ✅
C. Digoxin
D. Adenosine

58. ST elevation āĻĻ⧇āĻ–āĻž āϝāĻžāϝāĻŧ—
A. STEMI ✅
B. Asthma
C. COPD
D. Pneumonia

59. Aspirin-āĻāϰ āĻĒā§āϰāϧāĻžāύ āĻ•āĻžāĻœâ€”
A. Pain relief
B. Antiplatelet action ✅
C. Antibiotic
D. Sedative

60. Nitroglycerin-āĻāϰ āĻĒā§āϰāϧāĻžāύ āĻ•āĻžāĻœâ€”
A. Bronchodilation
B. Vasodilation ✅
C. Anticoagulation
D. Diuresis

61. Normal Hb (āĻĒ⧁āϰ⧁āώ)—
A. 8–10 g/dL
B. 13–17 g/dL ✅
C. 18–22 g/dL
D. 22–25 g/dL

62. Normal Hb (āύāĻžāϰ⧀)—
A. 8–10 g/dL
B. 12–16 g/dL ✅
C. 18–20 g/dL
D. 20–22 g/dL

63. Normal WBC count—
A. 2,000–4,000/mmÂŗ
B. 4,000–11,000/mmÂŗ ✅
C. 12,000–20,000/mmÂŗ
D. 25,000–30,000/mmÂŗ

64. Normal serum creatinine—
A. 0.6–1.3 mg/dL ✅
B. 2–3 mg/dL
C. 4–5 mg/dL
D. 6–7 mg/dL

65. Hypokalemia-āϤ⧇ ECG-āϤ⧇ āϕ⧀ āĻĻ⧇āĻ–āĻž āϝāĻžāϝāĻŧ?
A. Tall T wave
B. U wave ✅
C. Delta wave
D. ST elevation

66. Hypernatremia āĻŦāϞāϤ⧇ āĻŦā§‹āĻāĻžāϝāĻŧ—
A. Naâē 145 mmol/L ✅
C. Kâē >5.5 mmol/L
D. Ca²âē āĻ•āĻŽā§‡ āϝāĻžāĻ“āϝāĻŧāĻž

67. āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āϏāĻžāϧāĻžāϰāĻŖ IV fluid—
A. Normal Saline ✅
B. D50
C. Mannitol
D. Dextran

68. Mannitol āĻšāĻ˛ā§‹â€”
A. Antibiotic
B. Osmotic diuretic ✅
C. Steroid
D. Antacid

69. Furosemide-āĻāϰ āĻĒāĻžāĻ°ā§āĻļā§āĻŦāĻĒā§āϰāϤāĻŋāĻ•ā§āϰāĻŋāϝāĻŧāĻžâ€”
A. Hyperkalemia
B. Hypokalemia ✅
C. Hypercalcemia
D. Bradycardia

70. ABG-āϤ⧇ PaO₂-āĻāϰ āĻ¸ā§āĻŦāĻžāĻ­āĻžāĻŦāĻŋāĻ• āĻŽāĻžāĻ¨â€”
A. 20–40 mmHg
B. 80–100 mmHg ✅
C. 120–150 mmHg
D. 150–200 mmHg

71. Airborne isolation-āĻāϰ āϰ⧋āĻ—â€” Tuberculosis ✅

72. Droplet isolation-āĻāϰ āϰ⧋āĻ—â€” Meningitis ✅

73. Contact isolation-āĻāϰ āϰ⧋āĻ—â€” MRSA ✅

74. āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āĻ•āĻžāĻ°ā§āϝāĻ•āϰ āϏāĻ‚āĻ•ā§āϰāĻŽāĻŖ āĻĒā§āϰāϤāĻŋāϰ⧋āĻ§â€” Hand hygiene ✅

75. Sterile glove āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ— Sterile procedure-āĻ ✅

76. Needle stick injury āĻšāϞ⧇ āĻĒā§āϰāĻĨāĻŽ āĻ•āϰāĻŖā§€āϝāĻŧ— āϏāĻžāĻŦāĻžāύ āĻ“ āĻĒāĻžāύāĻŋ āĻĻāĻŋāϝāĻŧ⧇ āϧ⧋āϝāĻŧāĻž ✅

77. Hepatitis B vaccine āĻ•āϝāĻŧāϟāĻŋ āĻĄā§‹āϜ?
A. ā§§
B. ⧍
C. ā§Š ✅
D. ā§Ģ

78. HIV āĻĒā§āϰāϧāĻžāύāϤ āĻ›āĻĄāĻŧāĻžāϝāĻŧ— āϰāĻ•ā§āϤ āĻ“ āĻ…āϏ⧁āϰāĻ•ā§āώāĻŋāϤ āϝ⧌āύ āϏāĻŽā§āĻĒāĻ°ā§āϕ⧇āϰ āĻŽāĻžāĻ§ā§āϝāĻŽā§‡ ✅

79. Biomedical waste-āĻāϰ Yellow bag-āĻ āϝāĻžāϝāĻŧ— Infectious waste ✅

80. Sharp disposal āĻ•āϰāĻž āĻšāϝāĻŧ— Puncture-proof container-āĻ ✅

81. Glasgow Coma Scale-āĻāϰ Eye opening-āĻāϰ āϏāĻ°ā§āĻŦā§‹āĻšā§āϚ āĻ¸ā§āϕ⧋āĻ°â€” 4 ✅

82. Verbal response-āĻāϰ āϏāĻ°ā§āĻŦā§‹āĻšā§āϚ āĻ¸ā§āϕ⧋āĻ°â€” 5 ✅

83. Motor response-āĻāϰ āϏāĻ°ā§āĻŦā§‹āĻšā§āϚ āĻ¸ā§āϕ⧋āĻ°â€” 6 ✅

84. Total GCS— 15 ✅

85. Endotracheal tube-āĻāϰ āĻ…āĻŦāĻ¸ā§āĻĨāĻžāύ āύāĻŋāĻļā§āϚāĻŋāϤ āĻ•āϰāĻžāϰ āϏāĻ°ā§āĻŦā§‹āĻ¤ā§āϤāĻŽ āωāĻĒāĻžāϝāĻŧ— Capnography ✅

86. Suction-āĻāϰ āφāϗ⧇ āϕ⧀ āĻĻāĻŋāϤ⧇ āĻšāϝāĻŧ? Oxygen (Pre-oxygenation) ✅

87. Oxygen-āĻāϰ nasal cannula flow rate— 1–6 L/min ✅

88. Simple face mask flow rate— 5–10 L/min ✅

89. Non-rebreather mask flow rate— 10–15 L/min ✅

90. Bag-valve-mask (BVM) āĻŦā§āϝāĻŦāĻšāĻžāϰ āĻ•āϰāĻž āĻšāϝāĻŧ— āϜāϰ⧁āϰāĻŋ ventilation-āĻāϰ āϜāĻ¨ā§āϝ 🌱

91. Digoxin toxicity-āĻāϰ āϞāĻ•ā§āώāĻŖâ€” āĻŦāĻŽāĻŋ, āĻĻ⧃āĻˇā§āϟāĻŋāϰ āĻĒāϰāĻŋāĻŦāĻ°ā§āϤāύ, Bradycardia ✅

92. Warfarin contraindicated in— Pregnancy ✅

93. Insulin subcutaneous injection-āĻāϰ āϏāĻžāϧāĻžāϰāĻŖ āĻ¸ā§āĻĨāĻžāĻ¨â€” Abdomen ✅

94. Adrenaline IV cardiac arrest-āĻ āĻĻ⧇āĻ“āϝāĻŧāĻž āĻšāϝāĻŧ— 1 mg āĻĒā§āϰāϤāĻŋ 3–5 āĻŽāĻŋāύāĻŋāϟ āĻ…āĻ¨ā§āϤāϰ ✅

95. Normal platelet count— 150,000–450,000/mmÂŗ ✅

96. Anaphylaxis-āĻāϰ āĻĒā§āϰāĻĨāĻŽ āĻ“āώ⧁āĻ§â€” Adrenaline (Epinephrine) IM ✅

97. Acute pulmonary edema-āϤ⧇ āĻŦā§āϝāĻŦāĻšā§ƒāϤ diuretic— Furosemide ✅

98. MI āϰ⧋āĻ—ā§€āϰ āĻĒā§āϰāĻĨāĻŽ ECG āĻ•āϤ āϏāĻŽāϝāĻŧ⧇āϰ āĻŽāĻ§ā§āϝ⧇ āĻ•āϰāĻž āωāϚāĻŋāϤ?
A. ā§Šā§Ļ āĻŽāĻŋāύāĻŋāϟ
B. ā§§ā§Ļ āĻŽāĻŋāύāĻŋāĻŸā§‡āϰ āĻŽāĻ§ā§āϝ⧇ ✅
C. ā§§ āϘāĻŖā§āϟāĻž
D. ⧍ āϘāĻŖā§āϟāĻž

99. Cardiac enzyme-āĻāϰ āĻŽāĻ§ā§āϝ⧇ āϏāĻŦāĻšā§‡āϝāĻŧ⧇ āϏāĻ‚āĻŦ⧇āĻĻāύāĻļā§€āĻ˛â€” Troponin ✅

100. Nursing process-āĻāϰ āĻĒā§āϰāĻĨāĻŽ āϧāĻžāĻĒ— Assessment ✅

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