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Tuesday, May 22, 2007

Are You Still Jobless1

Its sound bad, when we heard many nurses still jobless,but in fact this condition real exist. Most a general commond nurses have high opportunity to get a job if they know how to get it. Almost every day a lot of vacancy of nurses opened and easily try to apply, but the problem is coming from nurses themselves, why, because they don,t have prepared for going to competition. Even a lot of nurses vacancy equaly each nurses competitor was balanced, its means that competition must be do. Competition is good,it could to increase spirit, without motivation, desire, interest how you will be succes, therefore please provide yourself to againts each nurses competitor. You have to be skillful, smart, active and much nursing knowledge if you want to get good job.

Most of nurse agency required which lot of ruquirement like, education background, experience, nurse courses even you you want to go to UK or USA you must be also have IELTS and NCLEX to be done, without that it,s impposible to approved. Important thing you have to be study hard, take many course to support your succesful, there is no say late word, starting today better than nothing to do, go a head,and reach your succes, leaved your jobless.

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How to ECG LearningTest?

What is an ECG Machine?

Electrocardiogram (ECG or EKG, abbreviated from the German Elektrokardiogramm) is a graphic produced by an electrocardiograph, that measures the electrical activity of the heart over time. Analysis of the various waves and normal vectors of depolarization and repolarization yields important diagnostic information.

The signals that make the heart's muscle fibres contract come from the sinoatrial node, which is the natural pacemaker of the heart.

In an ECG test, the electrical impulses made while the heart is beating are recorded and usually shown on a piece of paper. This is known as an electrocardiogram, and records any problems with the heart's rhythm, and the conduction of the heart beat through the heart which may be affected by underlying heart disease.

What is the resting ECG used for?
The information obtained from an electrocardiogram can be used to discover different types of heart disease. It may be useful for seeing how well the patient is responding to treatment.
  1. It is the gold standard for the diagnosis of cardiac arrthyhmias
  2. It guides therapy and risk stratification for patients with suspected acute myocardial infarction (MI)
  3. It helps detect electrolyte disturbances (e.g. hyperkalemia and hypokalemia)
  4. It allows for the detection of conduction abnormalities (e.g. right and left bundle branch block)
  5. It is used as a screening tool for ischemic heart diseases during a cardiac test stress
  6. It is occasionally helpful with non-cardiac diseases (e.g. pulmonary embolism or hypothermia)
  7. It is a good idea to have an ECG in the case of symptoms such as dyspnoea (difficulty in breathing), chest pain (angina), fainting, palpitations or when someone can feel that their own heart beat is abnormal.
  8. The test can show evidence of disease in the coronary arteries. Unfortunately, in many people who have significant narrowing of the arteries supplying the heart muscle, the ECG recording made at rest is often normal. Therefore, if a significant narrowing is suspected, an ECG recording is often made when the patient is exercising (an exercise stress test) as this is more likely to reveal the problem.
  9. An ECG can be used to assess if the patient has had a heart attack or evidence of a previous heart attack.
  10. An ECG can be used to monitor the effect of medicines used for coronary artery disease.
  11. An ECG reveals rhythm problems such as the cause of a slow or fast heart beat.
  12. To demonstrate thickening of a heart muscle (left ventricular hypertrophy), for example due to long-standing high blood pressure
  13. To see if there are too few minerals in the blood.
An ECG may appear normal even in the presence of significant heart disease. Thus, for a full assessment of the heart, other tests may be needed.

How is an ECG performed?

Usually, an ECG is taken while the patient is resting, but if there is concern that a patient's symptoms may be caused by coronary artery disease the test is done while the patient is on an exercise bike or treadmill.

It may also be used to assess the success of drug treatment or coronary revascularisation such as coronary intervention or bypass surgery.

It may be necessary to supplement an ECG with additional tests, such as a radioisotope perfusion scan, which uses low-dosage radioactive dye to show which areas of the heart muscle receive the best and worst blood supply, or angiography (X-ray examination of arteries), to determine the extent of the illness and the cause of symptoms.

How is an ECG performed?
  1. Up to 12 self-adhesive electrodes will be attached to select locations of the skin on the arms, legs and chest. Areas such as the chest where the electrodes will be placed may need to be shaved. First, the skin is cleaned. The test is completely painless and takes less than a minute to perform once the leads are in position. After the test, the electrodes are removed.
  2. The doctor will review the paper print-out of the ECG.
Is an ECG dangerous?
  • When the patient is at rest it is completely harmless.
  • If an exercise test is performed, the patient may get chest pains that will resolve after the exercise is stopped. This examination must be supervised by a medical doctor in addition to the ECG technicians. If necessary, the test will be discontinued at an appropriate time such as in the case of significant chest pain, changes on the ECG, a drop in blood pressure or simply when the patient achieves their target heart rate.
If you want to complete read ECG info, just go to THIS SITE (wikipedia)

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