Floppy in appearance
Floppy in appearance means being both soft and flexible and tending to flop. It can also describe a condition called hypotonia, which is abnormally low muscle tone that causes weakness and poor head control. Hypotonia is caused by problems transmitting messages within the central nervous system.
Floppy in appearance means being both soft and flexible and tending to flop. It can also describe a condition called hypotonia, which is abnormally low muscle tone that causes weakness and poor head control. Hypotonia is caused by problems transmitting messages within the central nervous system.
#Postpartum #hemorrhage (PPH) is classified based on when the bleeding occurs after delivery:
Primary (or early) PPH:
➤ Occurs within the first 24 hours after birth.
➤ Most commonly due to uterine atony, trauma, retained placenta, or coagulation issues.
✅ Secondary (or late) PPH:
➤ Occurs after 24 hours and up to 6 weeks postpartum.
➤ Often caused by retained products of conception, infection (endometritis), or subinvolution of the uterus.
Primary (or early) PPH:
➤ Occurs within the first 24 hours after birth.
➤ Most commonly due to uterine atony, trauma, retained placenta, or coagulation issues.
✅ Secondary (or late) PPH:
➤ Occurs after 24 hours and up to 6 weeks postpartum.
➤ Often caused by retained products of conception, infection (endometritis), or subinvolution of the uterus.
Takaloo Nursing Academy
🧴 Examples of Skin Barrier Products:
🧴 Examples of Skin Barrier Products:
✅ Barrier Creams and Ointments:
Cavilon™ Durable Barrier Cream (3M)
Sudocrem® (zinc-based; used in mild cases)
Proshield Plus® (Skin protectant and moisture barrier)
Medihoney Barrier Cream®
AQUACEL® Barrier Cream
✅ Barrier Films (Wipes or Sprays):
Cavilon™ No Sting Barrier Film (available in spray or wipe form)
Silesse® Sting-Free Skin Barrier
Clinisept+ Skin® (used in some trusts for both cleansing and protecting)
These create a thin, breathable, transparent layer over the skin that:
Protects against moisture, friction, and irritants
Is often long-lasting (up to 72 hours)
Can be used with or under dressings
📝 Typical uses:
Preventing moisture-associated skin damage (MASD)
Protecting early pressure areas (e.g., red but intact skin)
Preventing breakdown in patients with incontinence
Under dressings to reduce adhesive trauma
💡 Important note:
Barrier products are not wound dressings — they are for intact skin that is at risk, especially in early pressure damage (Stage 1), and are a core part of preventative skincare protocols.
✅ Barrier Creams and Ointments:
Cavilon™ Durable Barrier Cream (3M)
Sudocrem® (zinc-based; used in mild cases)
Proshield Plus® (Skin protectant and moisture barrier)
Medihoney Barrier Cream®
AQUACEL® Barrier Cream
✅ Barrier Films (Wipes or Sprays):
Cavilon™ No Sting Barrier Film (available in spray or wipe form)
Silesse® Sting-Free Skin Barrier
Clinisept+ Skin® (used in some trusts for both cleansing and protecting)
These create a thin, breathable, transparent layer over the skin that:
Protects against moisture, friction, and irritants
Is often long-lasting (up to 72 hours)
Can be used with or under dressings
📝 Typical uses:
Preventing moisture-associated skin damage (MASD)
Protecting early pressure areas (e.g., red but intact skin)
Preventing breakdown in patients with incontinence
Under dressings to reduce adhesive trauma
💡 Important note:
Barrier products are not wound dressings — they are for intact skin that is at risk, especially in early pressure damage (Stage 1), and are a core part of preventative skincare protocols.
Before administering any medication, the nurse must follow the 6 Rights of Medication Administration:
Right patient – confirm with name, DOB, and hospital number.
Right drug – ensure the prescription is for metronidazole.
Right dose – check what is prescribed.
Right route – e.g., oral.
Right time – ensure it is due at this time.
Right documentation – the prescription must be signed, and you must check when the last dose was given.
Additionally, checking allergies is crucial, especially for antimicrobial drugs.
Right patient – confirm with name, DOB, and hospital number.
Right drug – ensure the prescription is for metronidazole.
Right dose – check what is prescribed.
Right route – e.g., oral.
Right time – ensure it is due at this time.
Right documentation – the prescription must be signed, and you must check when the last dose was given.
Additionally, checking allergies is crucial, especially for antimicrobial drugs.
Takaloo Nursing Academy
The Modified Early Warning Score (MEWS)
The Modified Early Warning Score (MEWS) is a tool used to identify patients who are at risk of clinical deterioration. It helps healthcare professionals recognize early signs of deterioration in a patient’s condition, allowing for timely intervention. The score is based on a series of physiological parameters and observations that are routinely measured, such as:
Respiratory Rate (RR)
Heart Rate (HR)
Systolic Blood Pressure (SBP)
Temperature
Level of Consciousness (Glasgow Coma Scale, GCS)
Each parameter is scored, and the total score is calculated to determine the level of concern.Scoring Interpretation:
0-4 points: Low risk of deterioration.
5-6 points: Moderate risk of deterioration, needs closer monitoring.
7 or more points: High risk of deterioration, immediate intervention required.
Use in Practice:
MEWS is used as a clinical decision support tool in hospitals to guide healthcare professionals in identifying patients who might need further assessment, higher levels of care, or escalation of treatment. It is typically used in the acute care setting (e.g., emergency departments, intensive care units) and can help in making decisions about escalation of care, such as calling for urgent medical support, or transferring patients to higher levels of care.
Respiratory Rate (RR)
Heart Rate (HR)
Systolic Blood Pressure (SBP)
Temperature
Level of Consciousness (Glasgow Coma Scale, GCS)
Each parameter is scored, and the total score is calculated to determine the level of concern.Scoring Interpretation:
0-4 points: Low risk of deterioration.
5-6 points: Moderate risk of deterioration, needs closer monitoring.
7 or more points: High risk of deterioration, immediate intervention required.
Use in Practice:
MEWS is used as a clinical decision support tool in hospitals to guide healthcare professionals in identifying patients who might need further assessment, higher levels of care, or escalation of treatment. It is typically used in the acute care setting (e.g., emergency departments, intensive care units) and can help in making decisions about escalation of care, such as calling for urgent medical support, or transferring patients to higher levels of care.