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- Prevention of PPH (if oxytocin not available): 3 Tabs (600mcg) within 1 minute of delivery of the baby
- Treatment of PPH: 4 Tabs (800mcg) stat (sublingual)
- Pregnancy termination: 800mcg 24–48 hours after mifepristone
5-6 weeks
- Axillary method is commonly used as a site for newborns, infants and children.
- Oral method is contraindicated in children under 6 years of age because a child may bite the thermometer.
- Rectal method gives the most accurate reading but it should not be used in child younger than 3 years as much as possible because chronic use may damage anal sphincter.
5-6 weeks
Ringer Lactate solution contains lactate, which is converted to bicarbonate in the liver and kidneys. In patients with lactic acidosis, the body is already producing an excess amount of lactate and cannot effectively metabolize additional lactate from the Ringer Lactate solution, which can worsen the acidosis.
Depression
According to the Constitution of Nepal, there are 31 fundamental rights guaranteed to the Nepalese people, outlined from Article 16 to Article 46.
According to the IYCF guideline, the
breastfeeding should be started within 1 hour of birth. This acts as a
protective food for the child and also helps mother to recover as soon as
possible.
7.35-7.45
Overview
Yellow fever is an epidemic-prone mosquito-borne vaccine preventable disease that is transmitted to humans by the bites of infected mosquitoes. Yellow fever is caused by an arbovirus (a virus transmitted by vectors such mosquitoes, ticks or other arthropods) transmitted to humans by the bites of infected Aedes and Haemagogus mosquitoes.
These day-biting mosquitoes breed around houses (domestic), in forests or jungles (sylvatic), or in both habitats (semi-domestic). Yellow fever is a high-impact high-threat disease, with risk of international spread, which represents a potential threat to global health security.
Symptoms
The incubation period for yellow fever is 3 to 6 days. Many people do not experience symptoms. Common symptoms include fever, muscle pain, headache, loss of appetite, nausea or vomiting. In most cases, symptoms disappear after 3 to 4 days.
A small percentage of patients enter a second, more toxic phase within 24 hours of recovering from initial symptoms. High fever returns and several body systems are affected, usually the liver and the kidneys. In this phase, people are likely to develop jaundice (yellowing of the skin and eyes, hence the name yellow fever), dark urine, and abdominal pain with vomiting. Bleeding can occur from the mouth, nose, eyes, or stomach. Half of the patients who enter the toxic phase die within 7–10 days.
Pharmacodynamics: The study of how drugs act at target sites of action in the body.
Pharmacokinetics: The study of how the body absorbs, distributes,
Types of hand washing and duration
- Hand washing with soap and water (40-60 sec)
- Alcohol-based hand rub (20-30 sec)
- Surgical hand scrub/wash (3-5 min)
Source: IP protocol
Rabies Risk
Zones in Nepal
|
High Risk |
Districts of Terai region (26) |
|
Moderate Risk |
Districts of Hilly region (35) |
|
Low Risk |
Districts of Mountain region (16) |
Generally, for sterilization using a
glutaraldehyde solution, the items must be immersed in the solution for 10
hours. Once the time has started, no equipment or other items should be added
or removed from the solution.
The longest bone in the human body is the femur, also known as the thigh bone.
- Proportional mortality rate: No. of deaths due to a particular cause (or in a specific age group) per 100 (or 1000) total deaths.
- Is the simplest measure of estimating the burden of a disease’ in the community
- Is a useful health status indicator: Indicates magnitude of preventable mortality

Energy value
1 gm fiber ® 2 Kcal
1 gm carbohydrate ® 4 Kcal
1 gm protein ® 4 Kcal
1 gm alcohol ® 7 Kcal
1 gm fat/lipid ® 9 Kcal
100 gm Milk ® 60-70 Kcal
Egg ® 70 Kcal/piece
100 gm Sarbottam Pitho ® 350-370 Kcal
For an adult or a child older than 3 years of age, pull the pinna up and back. For an infant or a child younger than 3 years of age, pull the pinna down and back. this helps straighten the S-shape of the canal.
Control
