Hafiza Afrin

Hafiza Afrin I'm Hafiza Afrin, a seasoned nurse with over a decade of experience. I'm deeply committed to healthcare improvement.

Outside of nursing, I share my insights as a YouTuber and freelance teacher, aiming to empower others through education and advocacy.

Seizure.precaution
04/05/2025

Seizure.precaution

Developmental milestone during the 1st year of life
03/05/2025

Developmental milestone during the 1st year of life

Children beliefs about death
03/05/2025

Children beliefs about death

17/04/2025

Hirschsprung's disease is caused by the absence of ganglion cells (nerve cells) in parts of the colon, which are needed for normal bowel movements. Without these nerves, that segment of the bowel can't relax, leading to blockage

17/04/2025

Treatment for symptoms indicative of hypoglycemia depends on whether the child is conscious or unconscious. Before treatment is initiated, however, the nurse must verify that the child is actually hypoglycemic by immediately monitoring the child’s blood glucose (BG). If decreased serum blood glucose is verified (glucometer reading of less than 70 mg/dL [3.9 mmol/L]), treatment is initiated. The child who is conscious is treated by administering 15 g of a carbohydrate that is fast-acting. The child’s BG is reassessed 15 minutes post intervention with treatment reimplemented, as needed. NOTE: If a glucometer is unavailable, the nurse treats the child based on clinical manifestations.
Examples of Fast-Acting Carbohydrate
Any commercial dextrose products
Honey or syrup: One tablespoon (15 mL)
Hard candy: Six pieces
Low-fat milk: Eight ounces (240 mL)
Regular carbonated beverage or fruit juice: Four ounces (120 mL)

Pediatric dose
17/04/2025

Pediatric dose

17/04/2025

Example:
Give patient 400mg of vancomycin in 300ml of D5W to infuse to 10mg/hr. Calculate flow rate ml/hr.

Formula: IV rate/ volume

Amount per hour
---------------------------- × volume
On hand

10mg/hr
=--------------- × 300ml
400mg

= 7.5ml/hr

17/04/2025

Q. Calculate the IV flow rate for 1500ml NS to be infused in 7 hours.The infusion set is calibrated for a drops factor of 20.

Formula: ml/min=

to be infused
______________ ×gtt factor
Hours×60

1500
--------- × 20
7×60

= 71.4 gtt
=71 (rounded)

17/04/2025

Iv drip rates

~> When calculating how many hours or how long the infusion will run there is no need for a drop factor.

ml/hr
Total ammount to be infused/how many houra should the infusion run.

Example : infuse 500ml over the next 120min by infusion pump.

120min =2hours
So that ml/hr= 500/2
=250ml/hr

16/04/2025

The apical pulse rate for an infant is 90 to 110 beats/min. If the heart rate is less than 90 beats/minute in an infant, the nurse would withhold the digoxin The apical pulse rate for an infant is 90 to 110 beats/min. If the heart rate is less than 90 beats/minute in an infant, the nurse would withhold the digoxin dose and contact the primary health care provider.c dose and contact the primary health care provider.

A tonic-clonic seizure (formerly known as a grand mal seizure) is a type of generalized seizure that affects the entire ...
15/04/2025

A tonic-clonic seizure (formerly known as a grand mal seizure) is a type of generalized seizure that affects the entire brain and body. It usually has two phases:

1. Tonic phase:

Muscles stiffen suddenly.

The person may cry out, lose consciousness, and fall.

The back arches, arms and legs extend, and breathing may be impaired.

2. Clonic phase:

Rhythmic jerking movements of the arms, legs, and sometimes face.

The jerking gradually slows down and then stops.

Other key points:

Duration: Usually 1 to 3 minutes.

After the seizure: The person may be confused, tired, have a headache, or even fall asleep (called the postictal phase).

Possible loss of bladder or bowel control during the seizure.

Causes may include:

Epilepsy

High fever (especially in children)

Brain injury or tumor

Electrolyte imbalance

Drug or alcohol withdrawal

Here’s what to do if someone is having a tonic-clonic seizure:

---

First Aid for Tonic-Clonic Seizure

DO:

1. Stay calm and stay with the person.

2. Time the seizure – if it lasts more than 5 minutes, call emergency services.

3. Protect them from injury:

Gently guide them to the ground if they are standing.

Clear the area of sharp or hard objects.

4. Place something soft under their head – like a folded jacket.

5. Turn them onto their side (if possible) – to help keep the airway clear.

6. Loosen tight clothing around the neck.

7. Stay with them until they are fully awake and alert.

---

DO NOT:

Do not restrain their movements.

Do not put anything in their mouth (they can’t swallow their tongue).

Do not give food, drink, or medicine until they are fully alert.

Do not leave them alone.

---

After the seizure (Postictal phase):

They may be confused, sleepy, or even emotional.

Offer reassurance and let them rest.

If they’re injured, help them get medical care.

Let them know what happened if they don’t remember.

This video is part of Epilepsy Action’s Employer toolkit.Find out more how to support employees with epilepsy at work https://employers.epilepsy.org.uk/To sp...

Intussusception (in-tuh-suh-SEP-shun) is a serious condition in which part of the intestine slides into an adjacent part...
15/04/2025

Intussusception (in-tuh-suh-SEP-shun) is a serious condition in which part of the intestine slides into an adjacent part of the intestine. This telescoping action often blocks food or fluid from passing through. Intussusception also cuts off the blood supply to the part of the intestine that's affected. This can lead to infection, death of bowel tissue or a tear in the bowel, called perforation.

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Shaheed Tazuddin Ahmed Medical College Hospital
Gazipur

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