Venue: Parklane Hotel corner Archibishop Reyes and Escario St, Cebu City

The Association of Nursing Service Administrators of the Philippines (ANSAP) Cebu Chapter Inc. will observe its 19th founding anniversary simultaneously with its Annual Regional Convention.

Theme:
“Nurse Administrators: The Driving Force in the Health Care System”

Keynote Speaker:
Dr. Carmelita T. Villanobos, governor, PNA REgion VII will address the assembly with a a message focusing on the theme.

Registration fee is P800.

Foe more details, you may Dr. Alma B. Ungab, ANSAP Cebu Chapter president at tel 2532592 or cell no. 0917-4588853 Mrs. Leila Toledanes, over-all chairman at 2612100 or Lyrma S. Soledad, Board of Director at 2557141 local 123 and cell no. 0916-4829323

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POWERHOUSE TRAINING & REVIEW CENTER  Offers. . .   LOCAL BOARD (NLE) REVIEW FOR NURSES

Features . . .

• Test drills and simulations
• With updated review materials
• Intensive lecture with UST Reviewers
• FREE Online Review
• Free practice tests and kit
• Free exam application processing
• With big discount if honor graduate
• 50% discount in case of failure
• With Powerhouse Membership which entitles a reviewee to have 50% discount in CGFNS, NCLEX-CAT & IELTS review
• With personalized services by fellow nurses

For Inquiries, call (032) 4163224 or visit them at Rm. 307/309 3rd Floor JSP Bldg, Cor. Gen Maxilom Ave. & Echavez St., Cebu City

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RANK NAME SCHOOL RATING (%)

1 AIRA THERESE SALAMANCA JAVIER UNIVERSITY OF SANTO TOMAS 86.00

2 ALRIN FLORES FALGUI FAR EASTERN UNIVERSITY - NICANOR REYES MEDICAL FOUNDATION 85.80

3 KRISTINE MARAVILLA MENDOZA REMEDIOS TRINIDAD ROMUALDEZ MEMORIAL SCHOOL 85.60

JOANNA JACOB QUIRANTE UNIVERSITY OF SANTO TOMAS 85.60

4 ANA RICA CHAN GUTIERREZ UNIVERSITY OF SANTO TOMAS 85.40

DALFON SILVIO BABULAR NAVAJA CEBU INSTITUTE OF TECHNOLOGY 85.40

MARIA ALYSSA YEE POLICARPIO UNIVERSITY OF SANTO TOMAS 85.40

AILEEN GRACE YU SOTYCO UNIVERSITY OF SANTO TOMAS 85.40

5 MICHELLE CRUZ AMOROSO UNIVERSITY OF THE PHILIPPINES-MANILA 85.20

MA. REGINA BASA ANG OUR LADY OF FATIMA UNIVERSITYVALENZUELA 85.20

MICHELLE JOYCE CHEUNG ENCARNACION UNIVERSITY OF SANTO TOMAS 85.20

LYKA ABALAJON GEDE-Y RIVERSIDE COLLEGE 85.20

JASON ALBIA GO UNIVERSITY OF SANTO TOMAS 85.20

KATHERINE ROSE RODRIGO RAQUEL DE LA SALLE UNIVERSITY-DASMARIÑAS HEALTH SCIENCE CAMPUS 85.20

6 REGINA KRYS VILLAFLOR CABANILLA CEBU NORMAL UNIVERSITY (CEBU STATE COLLEGE) 85.00

ASTER ANNIE DE JESUS CALMA UNIVERSITY OF THE PHILIPPINES-MANILA 85.00

TRACY MICHELLE BUAN CATACUTAN CENTRO ESCOLAR UNIVERSITY-MANILA 85.00

DIANA JUSTO CUPINO UNIVERSITY OF SANTO TOMAS 85.00

RACHEL MAE TABUENA DAIGDIGAN MINDANAO STATE UNIVERSITY-MARAWI CITY 85.00

KAREN MARIE GALVEZ FLORES TRINITY UNIVERSITY OF ASIA (TRINITY-QC) 85.00

ELAINE ESTHER SALDUA FUNTANAR CEBU NORMAL UNIVERSITY (CEBU STATE COLLEGE) 85.00

MARION DELOS SANTOS LLAUDER UNIVERSITY OF SANTO TOMAS 85.00

KEVIN BRYAN UY LO UNIVERSITY OF SANTO TOMAS 85.00

ANNE LORRAINE TRINIDAD LORENZO UNIVERSITY OF PERPETUAL HELP RIZAL LAS PIÑAS 85.00

LOUIE JHON ERRACHO LUNARIA UNIVERSITY OF THE PHILIPPINES-MANILA 85.00

JOANNA ROXAS MAALA OUR LADY OF FATIMA UNIVERSITYVALENZUELA 85.00

PATRICK PARAS MEJIA UNIVERSITY OF SANTO TOMAS 85.00

KRISTINE VALINO PICADIZO UNIVERSITY OF PERPETUAL HELP RIZAL LAS PIÑAS 85.00

EIREN ORO REBUTE WEST VISAYAS STATE UNIVERSITY-LA PAZ 85.00

RIZZA ARMAS TAMAYO COLEGIO DE DAGUPAN (COMPUTRONIX COLL) 85.00

ANNA MAE MAQUILING TRINIDAD MINDANAO STATE UNIVERSITY - MARAWI CITY 85.00

JENNIFER LAGGAD UGALDE DR. CARLOS S. LANTING COLLEGE-Q. C. 85.00

7 MA. LEONOR GALVAN BARBOSA MINDANAO SANITARIUM & HOSPITAL COLLEGE OF MED 84.80

JENNIFER BAGUIO GAIT VELEZ COLLEGE 84.80

ARIANE CASTAÑARES LLEVARES CEBU NORMAL UNIVERSITY (CEBU STATE COLLEGE) 84.80

NEIL ANTHONY ESMILLA MANZANO OUR LADY OF FATIMA UNIVERSITYVALENZUELA 84.80

OLIVER NAVAL MENDOZA SAINT BERNADETTE COLLEGE OF HEALTH AND SCIENCES 84.80

MARICOR CORTEZ MONTALBO UNIVERSITY OF THE PHILIPPINES-MANILA 84.80

TARA PATAWARAN PATAWARAN DR. CARLOS S. LANTING COLLEGE-Q. C. 84.80

ROGER CARLO PAYAWAL PINEDA DR. YANGA’S FRANCISCO BALAGTAS COLLEGE 84.80

BARTOLOME ARTHUR MARCAIDA QUINCINA DR. CARLOS S. LANTING COLLEGE-Q. C. 84.80

MARION KATRINA LARA RAGUINI FAR EASTERN UNIVERSITY-MANILA 84.80

8 MA CRISTINA DIESTA ARROYO UNIVERSITY OF THE EAST RAMON MAGSAYSAY MEM. MEDICAL CENTER 84.60

LANCE LAMBERT GATDULA AYSON BULACAN STATE UNIVERSITY (BULACAN COLL. OF ARTS & TRADES) 84.60

CARLA EMILLE DALANGIN BARBON UNIVERSITY OF THE PHILIPPINES-MANILA 84.60

ROSAURO CRUZ BRIONES MANUEL S. ENVERGA UNIV. FOUNDATIONLUCENA CITY 84.60

JAN PAOLO SANTIAGO CAPARAS DE LA SALLE UNIVERSITY-DASMARIÑAS HEALTH SCIENCE 84.60

SOZEIN SOLIEL BACENA BUSTAMANTE UNIVERSITY OF SANTO TOMAS 84.60

LOURDES CLAIRE RODRIGUEZ DAVID UNIVERSITY OF SANTO TOMAS 84.60

ANA JOY ALMIE CRUZ DIZON UNIVERSITY OF SANTO TOMAS 84.60

LORRAINNE YU EMBAY UNIVERSITY OF THE VISAYAS-MANDAUE CITY 84.60

KRISTINE MARIE LEE INDIONGCO PERPETUAL HELP COLLEGE OF MANILA 84.60

IMEE LOREN CHAN LIM UNIVERSITY OF SANTO TOMAS 84.60

SIM PAMA PANIZA WEST VISAYAS STATE UNIVERSITY-LA PAZ 84.60

ROCHELLE-ANNE ORDINANZA PRIMAVERA UNIVERSITY OF SANTO TOMAS 84.60

RAICHEL FAYE MALLARI RINGOR UNIVERSITY OF SANTO TOMAS 84.60

ROXAN SALVADORA ROMAN OUR LADY OF FATIMA UNIVERSITY VALENZUELA 84.60

CZARINA ANN ARELLANO SEVILLA UNIVERSITY OF SANTO TOMAS 84.60

JEFFREY DE JUSTO SILVA SAINT PAUL UNIVERSITY-ILOILO 84.60

ZYENA JOYCE PALINES UNTALASCO UNIVERSITY OF THE PHILIPPINES-MANILA 84.60

PAOLA SARONA YOUNG UNIVERSITY OF THE EAST RAMON MAGSAYSAY MEM. MEDICAL CENTER 84.60

9 BLAKE WARREN COLOMA ANG CEBU DOCTORS’ UNIVERSITY 84.40

TRISHA CARMELLI GONZALES BAUTISTA UNIVERSITY OF THE PHILIPPINES-MANILA 84.40

DANICA BIANCA BERNAD CAGALAWAN SAINT MICHAEL’S COLLEGE-ILIGAN CITY 84.40

JANNA BIANCA ALBANO CAJIGAL UNIVERSITY OF SANTO TOMAS 84.40

KATHRYN KAYE AQUINO CARPIO UNIVERSITY OF SANTO TOMAS 84.40

GLYNNIS DOREEN OLEGARIO CORPUZ CAPITOL MEDICAL CENTER SCHOOL OF NURSING 84.40

KATRINA RAE LIMJOCO DAZA UNIVERSITY OF SANTO TOMAS 84.40

JEAN DAISY CAMACHO DE GUZMAN UNIVERSITY OF THE PHILIPPINES-MANILA 84.40

FRITZIE PRAXIDIO DELA CRUZ UNIVERSITY OF PERPETUAL HELP SYSTEMLAGUNA 84.40

WILLENBURGH WONG DUCUSIN MANILA CENTRAL UNIVERSITY-CALOOCAN CITY 84.40

GWEN ATIENZA LEGASPI SAINT PAUL UNIVERSITY-MANILA 84.40

JOHN PHILIP TECSON LIM UNIVERSITY OF SANTO TOMAS 84.40

STEPHANIE ANNE CHAN LOPEZ DE LOS SANTOS-STI COLLEGE,INC-(DELOS SANTOS S.N.) 84.40

MYRON MARCO MIRANDA MARIANO UNIVERSITY OF SANTO TOMAS 84.40

JOHN VINCENT LIM OMO HOLY NAME UNIVERSITY (DIVINE WORDTAGBILARAN) 84.40

MARIA WELLA BALBONA PICHON UNIVERSITY OF THE VISAYAS-CEBU CITY 84.40

MAY STEPHANIE GO PUA NAGA COLLEGE FOUNDATION 84.40

DARYLE JOIE MASOCOL RAGASA MANILA DOCTORS’ COLLEGE 84.40

GIRLIE LAZARO REPUYAN UNIVERSITY OF SANTO TOMAS 84.40

MELUDEE JOY MADRIGAL ROCHE CEBU NORMAL UNIVERSITY (CEBU STATE COLLEGE) 84.40

MARIA AILEEN CUSTODIO SANTIAGO DR. CARLOS S. LANTING COLLEGE-Q. C. 84.40

ARTHUR MICHAEL ARIS CAMU SUNICO FAR EASTERN UNIVERSITY-MANILA 84.40

JOHN HIROGIE ABAD TOKU TRINITY UNIVERSITY OF ASIA (TRINITY-QC) 84.40

ANGELA SOLAYAO TIU VELEZ COLLEGE 84.40

CATHERINE DASMARIÑAS UY SOUTHEAST ASIAN COLLEGE (UDMC) 84.40

10 ROMINA PAULA PARREÑO BARRAMEDA UNIVERSITY OF SANTO TOMAS 84.20

JOHN ROBERT RAZOTE BAUTISTA TRINITY UNIVERSITY OF ASIA (TRINITY-QC) 84.20

JERIEL BAYHONAN BESAGAS CEBU NORMAL UNIVERSITY (CEBU STATE COLLEGE) 84.20

MARIENNE SUNGCAD BRAVO STI COLLEGE CEBU, INC 84.20

EVELYN CUARES CASEÑAS UNIVERSITY OF BOHOL 84.20

BRIDGEL AVILA GALORIO CEBU NORMAL UNIVERSITY (CEBU STATE COLLEGE) 84.20

MA. BERNADETTE VALDIVIA LOPEZ-DEE UNIVERSITY OF SANTO TOMAS 84.20

MAY FLOR LLEGO MARCOLINO LARMEN DE GUIA MEMORIAL COLLEGE 84.20

KRISTIAN SANTOS NOCHE CENTRO ESCOLAR UNIVERSITY-MANILA 84.20

DIANNE MAE LAGMAN NOTARIO OUR LADY OF FATIMA UNIVERSITYVALENZUELA 84.20

KRISTINE ANN TAGUPA PANAL MOUNTAIN VIEW COLLEGE 84.20

MARNELA KATHLEEN VELUYA PASAMBA SACRED HEART COLLEGE OF LUCENA CITY, INC. 84.20

RUBY JOMA FADRI RAFANAN ADVENTIST UNIVERSITY OF THE PHILIPPINES 84.20

RAZEILLE KRISTINE ASISTIO RAZON UNIVERSITY OF SANTO TOMAS 84.20

DARRA MAY RAPADA RIANO FAR EASTERN UNIVERSITY-MANILA 84.20

JOMAR PACLEB RONQUILLO COLUMBAN COLLEGE-OLONGAPO CITY 84.20

JEFFREY RAMOS SALAZAR UNIVERSITY OF THE PHILIPPINES-MANILA 84.20

FREDERICK ABAD SAMPANG UNIVERSITY OF SANTO TOMAS 84.20

MARNELEE GRACE RIVERA SEMILLA TRINITY UNIVERSITY OF ASIA (TRINITY-QC) 84.20

JANELLE GRACE TEO SIA UNIVERSITY OF SANTO TOMAS 84.20

JEANETTE MARTINEZ VILLAR WEST VISAYAS STATE UNIVERSITY-LA PAZ 84.20

NOTHING FOLLOWS———————-

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Case Study Psychiatric Nursing 101

A 29-year-old man is brought to the emergency center in a drunken stupor. He is accompanied by his wife, who states that he hasn’t been himself at all for the past few months. According to his wife, he was evaluated for depression by his personal physician about 3 months ago and started on an SSRI. He responded quite well to this therapy over the subsequent 2 months. He started feeling so good and so energetic that he stopped taking his medication. He found that he needed less and less sleep, to the point where he is now only sleeping 2-3 hours a day. He has been showering his wife with very expensive gifts and has hit the maximum limit on all of their credit cards. He has been extremely romantic and more interested in sexual relations than at any time before. He has also started drinking heavily and has passed out drunk more than once. His work has suffered, and his boss said that he is in danger of being fired if things don’t straighten out. Other than being drunk, his physical examination and blood tests are normal. He is admitted to the psychiatric unit with a diagnosis of bipolar disorder and started on lithium.

• What is the mechanism of action of lithium?
• What are the common side effects of lithium?
• What is the mechanism of lithium-induced polyuria?

Mechanism of action of lithium: Not entirely known but may be related to inhibition of membrane phospholipid turnover with a reduction in key second messengers, important in the overactivity of catecholamines thought to be related to mood swings characteristic of bipolar disorder.

Common side effects of lithium: Nausea, vomiting, diarrhea, tremor, edema, weight gain, polydipsia, and polyuria.

Mechanism of lithium-induced polyuria: Renal collecting tubule becomes resistant to antidiuretic hormone.

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Acetyl Salicylic Acid (Aspirin) Overdose

Acute and chronic (elderly with renal insufficiency)

Important Assessment:

• hyperventilation (central stimulation of respiratory drive)
• increased anion gap (AG) metabolic acidosis (increased lactate)
• tinnitus, confusion, lethargy
• coma, seizures, hyperthermia, non-cardiogenic pulmonary edema, circulatory collapse
• ABG’s possible:
  • respiratory alkalosis
  • metabolic acidosis
  • respiratory acidosis

Management

• decontamination
• 10:1 charcoal:drug ratio
• whole bowel irrigation (useful if enteric-coated ASA)
• close observation of serum level, serum pH
• alkalinization of urine
• may require K supplements for adequate alkalinization
• consider hemodialysis when:
  • severe metabolic acidosis (intractable)
  • level continues to increase
  • end organ damage (unable to diurese)

to view the complete list of antidote just click here

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Human Chorionic Gonadotropin

Source: Trophoblast of placenta

Function:

• Maintains the corpus luteum for the 1^st trimester because it acts like LH but is not susceptible to feedback regulation from estrogen and progesterone. In the 2^nd and 3^rd trimester, the placenta synthesizes its own estrogen and progesterone. As a result, the corpus luteum degenerates.
• Used to detect the pregnancy because it appears in the urine 8 days after successful fertilization (blood and urine tests available). But the presence of hCG in pregnancy test will still be classified as probably sign of pregnancy. (Read number 3 for another reason why it’s considered to as probably sign.
• Elevated hCG in women with hydatidiform mole or choriocarcinoma.
• It is used medically to induce ovulation and to treat male hypogonadism and cryptorchidism, and is produced in certain cancers (as of the testes). The fact that exogenous HCG has characteristics almost identical to those of the luteinizing hormone (LH) which, as mentioned, is produced in the hypophysis, makes HCG so very interesting for athletes. In a man the luteinizing hormone stimulates the Leydig’s cells in the testes; this in turn stimulates production of androgenic hormones (testosterone). For this reason athletes use injectable HCG to increase the testosterone production.

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Antipsychotics (neuroleptics)

formerly called major tranquilizers. Used to relieve psychotic symptoms ( delusions, hallucinations, and looseness of association)

Common Medications: Thioridazine, haloperidol, fluphenazine, chlorpromazine

Mechanism of action: Most antipsychotics block dopamine D2 receptors (excess dopamine effect connected with schizophrenia). Also acts as antiemetic, anticholinergic and histaminic effects.

Contraindications: hypersensitivity, glaucoma, convulsive disorder, pregnancy and lactation, elderly clients.

Indications: schizophrenia, psychosis

Toxicity:

Pseudoparkisonism-tremor: mask-like faces, drooling

Akathisia: restlessness

Dystonia: grimacing, torticoilis, intermittent muscle spasms

Tardive Dyskinesia: Stereotypic oral - facial movements probably due to dopamine receptors sensitization results of long-term antipsychotic use. , usually irreversible

Seizure

Extrapyramidal system side effects, sedation, endocrine side effects, and side effects arising from blocking muscarinic, alpha, and histamine receptors.

Neuroleptic malignant syndrome: rigidity, autonomic instability or hyperactivity, hyperpyrexia (treat with dantrolene and dopamine agonists)

Nursing Mnemonics: Ultimate 4 (U4)

Evolution of EPS side effects

4 h acute dystonia

4 d akinesia

4 wk akathisia

4 mo tardive dyskinesia (often irreversible)

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Vitamin A (Retinol)

Food Sources: Ingested in a precursor form. Found in animal sources such as milk and eggs. Also found in carrots and spinach (contain pro Vitamin A carotenoids)

Functions: Vitamin A is a fat-soluble vitamin. It helps cells differentiate, also lowering your risk of getting cancer. Vitamin A helps to keep your vision healthy. It is required during pregnancy. Vitamin A also influences the function and development of sperm, ovaries and placenta and is a vital component of the reproductive process.

Problems When Deficient: Night blindness, impaired growth of bones and teeth.

Problems With Taking Too Much: Headache, dizziness, nausea, hair loss, abnormal development of fetus.

Just a TIP:

Fat soluble vitamins A, D, E, K
With fat soluble vitamins you need the presence of fat in your diet to absorb them, this is because the bile will not be secreted to help with emulsification and therefore the fat vitamins will not be broken down for absorption. Fat soluble vitamins are stored in organs such as the liver, spleen, and other fatty tissues in the body. Because of this excessive amounts of fat-soluble vitamins can accumulate in the body resulting in toxicity, but this rarely comes form excessive dietary intake but rather from improper use of vitamin supplements.

More Vitamin Tips to Come!!!!

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