Patients suspected overdose coma

          Management of early whether conducted by the ER in coma patients with a suspected drug overdose?  The approach is similar to the approach to every patient who comes into the ER with decreased consciousness, such as the following:    

a. Reviewing the ABC (airway, breathing, and circulation).         

b. Provide 100% oxygen therapy with a heart monitor.     

c. Inserting an IV.

d. Checking for vital signs, including core body temperature monitoring and pulse oximetry.       

e. Giving 2 mg naloxone which is a competitive antagonist of opiates in opiate receptors. Opiates often misused, and is the most commonly used preparations for a suicide attempt. Naloxone may cause withdrawal symptoms-drug.

f. Giving dextrose or glucose measuring fast. Hypoglycemia is a cause of impairment of consciousness that are common and easily treated with dextrose administration. Adult patients should receive 50% dextrose solution (50 ml) and children 0.5 to 1.0 mg / kg of D10-D25 solution (2-4 ml / kg). Medications commonly used, including insulin and oral hypoglycemic preparations, in addition to causing many medical problems can cause hypoglycemia. Because of dextrose can worsen hyperglycemia status and cerebral ischemia, it is recommended dextrose rapid measurements prior to infusion of dextrose.    

g. Thiamine with dextrose to provide adult patients suspected of an alcoholic or malnourished to prevent aggravation of the Wernicke-Korsakoff syndrome. Wernicke-Korsakoff syndrome caused by deficiency of vitamin B1 (thiamine) and is indicated by symptoms of ocular motor abnormalities, ataxia and confusion.      

h. Acetaminophen and salicylate serum levels, serum electrolytes (including blood urea and creatinine levels), and electrocardiography should didapatkanauntuk most patients with coma suspected drug overdose.

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7 Reasons You Need to Wake up Early

             You've heard the slogan "Early to bed, early to rise, makes a man healthy, Wealthy, and wise"? This slogan is right, because when you sleep faster and wake up early, you get enough rest and wake up in the fresh-fit condition. With this condition, you can further enhance the productivity of your life throughout the day.
             So, for you are still not able to get quality time due to always stay up and wake up late, try to consider to better manage your time. Wake up it's fun, you know, because you can get extra time to do the things you want to do.
1. Sharpen your mind and heart            In the morning is a good time for self-development. For example, to read the book Your Job Is Not Your Career Rene Suhardono its not too exhausted to read it. Read this book in the morning. The atmosphere is still quiet would be a gift that you can use to develop yourself professionally, emotionally, physically, mentally, and spiritually. the morning is the time to sharpen the mind and heart.
2. Sport          Bed early, making you able to get up early to fit. The time is still there you can use to exercise, whether at home or at the gym near the office.
3. Care of the little things          Make the little things that you should do first to accomplish a larger task on that day. For example, the first reply to emails that have not opened in the inbox, so rongrongan emails from clients or other departments in the office will not seize your attention.
4. Increase productivity          If you start the day early, you will make the day seem longer. Thus, you can do more in one day than usual. If your work piling up for tomorrow, go to sleep early, get up early, then you can complete tasks more quickly.
5. Using time to think         Financial expert James Citrin once said, "the quietness of the morning often occur when our minds are clear, and allow to solve important problems." His article, Tapping the Power of Your Morning Routine, will provide insight on how valuable your time in the morning. In the article Jim also reported that 80 percent of corporate officers who diwawancaranya woke up at 5:30 or earlier.
6. Doing meditation         Meditation causes emotional balance and well-being. If you start the day with meditation, you will bring a balance in your life all day, and improve the quality of your life. Morning into a better time for meditation because your mind is still fresh, relaxed, and the brain is still sharp.
7. Beat congestion
         People in Jakarta or other big cities in Indonesia certainly know, if you have to take time tens of kilometers to the office every day, you'll save time if you leave for work early. By arriving at work early you can use the remaining time to do the things you love, whether it's reading, sports, call the parents in the village, to plan activities in a day, and so forth. Instead use this time to navigate traffic, better use it for "me time" is a small right?

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Women With Big Ass Helpful Create Heart Health!

          For you ladies, have a great body might make you less confident. However, do not be discouraged once, because, according to a study in the UK, have hips, buttocks and thighs of the proved beneficial for health heart.             

            As reported by the BBC, according to a team of researchers from England, who was in the hip fat contains anti-inflammatory agents (anti-inflammatory) to stop the natural artery. While the big butt is better than the fat piled
around the waist because it does not provide any protection.    

            "Fat around the hips and thighs is good for someone, but if in the vicinity of the stomach to be a bad thing. More and more fat around the thighs, the better, as long as you stay slim stomach, "explained lead researcher Dr. Konstantinos Manolopoulos from Oxford University.            

            The study, written in the International Journal of Obesity reveals that having too little fat in the hips can cause serious metabolic problems such as Cushing's syndrome. This syndrome is caused by the adrenal glands produce excessive corticosteroid   .

            Other evidence shows that fat around the thighs and the back is more difficult to shift than fat around the waist. This is actually beneficial, because the more fat burning, the more cytokines are also missing. Cytokines are usually
associated with cardiovascular disease, insulin resistance and diabetes   

            Not only that, the slower the burning of fat hips, then the hormone production adinopektin become more numerous. Adinopektin hormones can protect arteries and improve blood sugar control and better fat burning process        .

Whereas if you carry excess fat around the abdomen (such as an apple body shape) can increase the risk of diabetes and heart disease. Fotini Rozakeas from the British Heart Foundation said the research could help better understand how to distribute the fat in the body in order to prevent

someone affected by heart disease or diseases associated with blood circulation.

            "But if you are overweight and have a large waist size, it is important to make lifestyle changes such as the consumption of healthy food and physical activity to reduce the risk of cardiovascular health problems,"

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Penyebab perut berbunyi

Perut manusia terkadang suka mengeluarkan bunyi tertentu. Tentu saja ini bisa membuat si empunya perut malu jika sedang berada di ruangan yang sepi. Apa yang menyebabkan perut bisa mengeluarkan suara?

Perut yang berbunyi bisa menjadi pengingat, tapi suara perut yang kadang keras atau pelan bisa juga tanpa alasan sama sekali.

Suara geraman ini berasal dari perut dan usus kecil serta bisa berhubungan dengan fungsi dari pencernaan. Pada dasarnya sistem pencernaan adalah suatu tabung panjang yang dimulai dari mulut dan berakhir pada anus. Tabung ini menghubungkan berbagai macam organ dan bagian-bagian lain yang berhubungan dengan sistem pencernaan.

Cara mendorong makanan dalam sistem pencernan manusia adalah dengan gelombang kontraksi otot yang bergerak terus menerus untuk mendorong isinya ke bawah yang disebut dengan gerakan peristaltik. Selain mendorong makanan, kontraksi ini juga membantu mengaduk makanan dan cairan pencernaan yang berbeda sehingga menjadi campuran lengket yang disebut denganchyme.

Seperti dikutip dari Howstuffworks, Selasa (19/1/2010), perut yang berbunyi merupakan hasil dari proses mendorong makanan ini yaitu pergerakan antara benda padat, cairan chyme serta adanya gas dan udara. Perut yang berbunyi ini bisa terjadi sewaktu-waktu tidak hanya sebatas saat seseorang merasa lapar saja. Tapi jika ada makanan di dalam perut atau usus kecil, maka bunyi yang dihasilkan akan sedikit lebih tenang dan pelan.

Mengapa kontraksi otot sudah terjadi meskipun perut masih kosong?

Alasannya berkaitan dengan rasa kelaparan dan juga nafsu makan. Setelah dua jam perut kosong, maka perut mulai memproduksi lagi hormon yang dapat menstimulasi saraf lokal untuk mengirim pesan ke otak. Selanjutnya otak akan membalas dengan memberi sinyal pada otot pencernaan untuk memulai kembali gerakan peristaltik.

Gerakan peristaltik ini yang pertama untuk membersihkan sisa-sisa makanan yang tidak ikut tercerna, selanjutnya gerakan ini akan membuat seseorang merasa lapar kembali. Kontraksi otot ini akan terjadi setiap jam dan berlangsung 10-20 menit hingga perut terisi oleh makanan.

Tapi jika bunyi yang dihasilkan oleh perut terlalu berlebihan, bisa jadi itu merupakan salah satu tanda ada yang tidak beres di perut seperti sindrom iritasi usus besar. Pada kasus ini biasanya diikuti dengan keluhan lain pada daerah gastrointestinalnya.

Jadi cara untuk mengontrol perut yang bunyi adalah dengan mengonsumsi makanan-makanan kecil dan jangan langsung makan yang berat serta kurangi makanan yang mengandung gas agar bunyinya tidak bertambah besar.

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Melihat kondisi kesehatan seseorang dengan perutnya

Menilai kondisi kesehatan seseorang bisa dilakukan secara sepintas dengan melihat perutnya saja. Jika perutnya besar dan bentuknya bulat, itu tandanya ada gangguan metabolisme yang menyebabkan perlemakan di hati.

Dr Grace Julio-Kahl, MSc, MH, CHt menegaskan tubuh tidak pernah bohong, sehingga konsumsi makanan harus benar-benar seimbang dengan aktivitas dan kebutuhan energi.

Jika perut sudah membulat, maka kemungkinannya hanya 2 yakni kurang olahraga atau makannya yang masih terlalu banyak. Nah, jika terjadi gangguan metabolisme akan menyebabkan perlemakan di hati.

"Perlemakan hati dipicu oleh konsumsi alkohol dan lemak jenuh yang terlalu banyak. Akibatnya hati dipenuhi bercak-bercak lemak lalu membengkak, bahkan bisa membentuk batu kolesterol di kantung empedu," kata Dr Grace Julio-Kahl, seorang pemerhati gaya hidup sekaligus dokter konsultan pengaturan berat badan dari SHAPE Indonesia, dalam talk show 'Menangkal Penyakit dengan Pola Makan yang Sehat' di FX Plaza, Jl Sudirman, Senin (18/10/2010).

Normalnya hati berwarna merah karena banyak pembuluh darah, tapi hati yang mengalami perlemakan akan berwarna kekuningan. Dr Grace menggambarkan pada tingkat keparahan tertentu hati akan makin keras dan menjadi seperti hati ayam yang telah digoreng.

Pada kondisi seperti itu, hati tidak akan optimal menjalankan fungsi metabolisme. Akibatnya bisa bermacam-macam, namun yang paling fatal adalah stroke dan serangan jantung karena terjadi penyumbatan pembuluh darah oleh gumpalan lemak.

Menurutnya, lemak-lemak jenuh yang berbahaya itu sebagian besar berasal dari lemak nabati. Ciri-cirinya adalah berbentuk padat atau menggumpal pada suhu kamar dan hanya mencair jika dipanaskan dalam suhu tinggi.

Apabila disimpan di jaringan bawah kulit, lemak-lemak itu tidak terlalu bermasalah. Bahaya yang serius baru muncul ketika lemak tersebut disimpan di perut bagian dalam, karena akan mempengaruhi keseimbangan hormon terutama insulin.

"Selama timbunan lemak itu bisa dicubit, risikonya hanya bentuk tubuh menjadi tidak enak dilihat. Tapi kalau sudah menumpuk di dalam dan menyebabkan perut membulat, risikonya bermacam-macam mulai dari diabetes hingga darah tinggi," tambah Dr Grace.

Dr Grace menjelaskan dampak pola makan yang tidak sehat melalui berbagai spesimen asli tubuh manusia yang diawetkan dengan teknologi polymer impregnation yang dipamerkan dalam The Anatomy Show yang digelar di tempat yang sama.

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Tips untuk menghindari perut kembung

Rasanya resah dan tidak enak saat penyakit ini datang, semua serba salah. Perut kembung atau masuk angin, tentu akan menyita sedikit waktu kita untuk berkeluh kesah ‘Ugh gak enak banget rasanya perut’. Hal ini bisa dipicu karena beberapa faktor antara lain telat makan, dan bisa disebabkan oleh makanan yang Anda konsumsi mengadung gas yang dapat menyebabkan perut kembung.

Dibawah ini ada beberapa tips untuk menghindari perut kembung

1. Jangan minum terlalu banyak ketika Anda makan.
2. Hindari alkohol dan tembakau (rokok)
3. Sayuran kubis juga bisa menjadi penyebab perut kembung, karena kandungan gasnya yang tinggi
4. Jangan memakan makanan terlalu panas dan makanan terlalu dingin
5. Hindari makanan yang ada campuran pengembang roti

6. Perhatikan makanan yang Anda konsumsi secara bersamaan : buatlah catatan kecil setiap kombinasi yang  ada konsumsi. Jangan salah pilih dan pastikan perut Anda dalam keadaan baik-baik saja selalu.

7. Saat perut Anda sedang kembung, minumlah air hangat untuk menetralisirnya
8. balurkan minyak angin pada perut Anda.

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Have Bruises

Why We Can Have Bruises?

all must have felt that his bruised dong? if after hit or fall would have injured and skin color changed to blue. And skin who experience memarpun very long time to get back into the original. Skin needs time to return to its original color. Well here are all about bruises explanations, ranging from understanding to how to eliminate them.


What is a bruise?



Bruising or hematoma is a type of injury to biological tissue because the blood capillaries that cause damage to blood seeping on the surrounding tissue which is usually caused by blunt impact. These lesions cause local bluish or blackish on the skin. If there was bleeding enough, the emergence of a limited area of bleeding is called hematoma.
Bruising can cause pain but usually not dangerous. Bruising can sometimes cause serious consequences, causing a life-threatening form of the more known by the name of the hematoma and can also be associated with other more serious injuries such as broken bones or internal bleeding. Small bruise easily recognizable because of the characteristic blue or purple a few days after the injury.
Pain in the usually mild to moderate bruising and swelling that accompany moderate to severe. The bruising that may occur in the head, shoulders, elbows, hands, chest, abdomen and legs. Conflicts are hard on the head can cause bruising and possible cuts.


Various kinds of bruises.

Quote:
1. Bruising of the brain: Concussion


When the human brain is very loud knock on the skull, it may experience bruising. The process begins when the first of three pouch pockets plindung lacerated brain. Blood flow out of the brain and into the second bag. It was like wrapping pudding with 3 bags and pudingnya torn. So lumpy pudding came out and trapped in a second bag. People who suffered a brain hemorrhage could be passed out or lost consciousness in the long term.
Quote:
2. Skin Bruise


This is the most common. Stamp-sized patch of skin can be stuffed by a fine vein of about one meter long. When the blood vessels that collided, their broken and dripping blood into the lowest layers of the skin.
Very top layer of skin devoid of blood vessels. He was in charge of keeping the blood do not seep out. If blood to come out, his name wound. Sometimes the wound can also surrounded by a bruise.
Quote:
3. Bruised eyes: eyes or periorbital ecchymosis Panda


Peri-means around, referring to the eye orbital. Ecchymosis is what happens when blood vessels leading to the escape from the surrounding tissue.
The eyes themselves are not really turned into a purple or blue, just the skin around the eyes that change color. Sometimes the delicate blood vessels in the eye can rupture and make the eyes so red.
Quote:
4. Bruised nails: subungual hematoma



Sub means "under" and ungual means associated with the claws, or nails. Hematoma is a swelling of blood (the term is often really using that in movies such as CSI to show cause death, usually hematoma that occurred in the brain or internal organs).
For example, when your hands wedged the door or hit with a hammer. Nails themselves are not bruises, the bleeding was the skin under the nail. The problem with this bruise is the pressure, the pressure causes pain.

The cause bruising.
* Injury accidents
* Physical violence
* Fall
* Bleeding disorders
* Hemophilia
* Impaired immune
* Aplastic Anemia
* Sprue abdominal
* Inflammation of blood vessels


How to cope with bruises.
1. To speed up the healing process (bruised skin), ice cube bunagkusan adlah one effective way on the first day. Tersebuat ice pack you can paste it directly into the skin. After passing the first day, hangatkanlah part.
2. Vitamin K cream or arnica cream can help relieve bruising faster. Although the bruise on the bottom of the body (eg: feet) is usually slower than the bruise on the arm healed.
3. Dressing a bruise on foot with an elastic bandage to stop bleeding more quickly, so do not be too severe.
4. To bruise the nail, which is rarely used this way, namely by removing the pressure from under the nail. Usually the doctor will use a hot needle to make a small hole under the nail, so that blood can flow out (Hiih ....!). However, this method should not be tried for those who wear fake nails, because the heat from the needle to make the fake nails caught fire.


Natural Medicine.
* Consumption of vitamin K or alfafa tablet form. This is to open the blood clots.
* Consumption of vitamin C to prevent bruising due to thickening of blood vessel walls. Vitamin C helps restore skin problems and internal bleeding.
* Mix the cayenne pepper and vaseline with a ratio of 1:5. Mix, chill and apply once daily.
* Pipihkan cabbage and put on bruises. Cabbage contains anti-inflammatory substances.
* Leaf parsley has a few vitamins that will work as a wound therapy. Parsley mash then apply on the wound until a blue or black bruises disappear.

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