FG Approves Establishment of 6 New Private Universities

The Federal Government has approved the establishment of six new private universities in the country.

This was part of the decision taken during a meeting of the Federal Executive Council held on Wednesday in Abuja.

The new private universities will be established in Abia, Delta, Rivers, Oyo and Lagos.

The newly-approved private universities are Admiralty University, Ibusa, Delta State; Spiritan University, Nneochi, Abia; Precious Cornerstone University, Ibadan; Pamo University of Medical Sciences, Port Harcourt; Atiba University, Oyo State; and Eko University of Medical and Health Sciences, Lagos.

Read More

SHORT VIDEO CLIP OF DIGESTIVE SYSTEM WITH FULL AND CLEAR EXPLANATION

Download here____________DOWNLOAD

Read More

BLOOD TRANSFUSION AND NURSING INTERVENTIONS

1.Definition
Is the introduction of whole blood or component of the blood, e.g. plasma or erythrocytes into venous circulation.

2.Blood Group
Human blood is classified in to four main groups (A, B, AB and O) on the basic of polysaccharide antigen on the erythrocyte surface. These antigens type A and Type B, commonly cause antibody reaction and are called agglutinogens. In other words group A blood contain type A agglutinogen, group B blood contain type B agglutinogen, group AB contain both A & B agglutinogens, and group O blood containe neither agglutinogen.
In addition to agglutinogens on the erythrocytes agglutinin (antibody) are present in the blood plasma. No individual can have agglutinin and agglutinogen of the same type, that person's system would attack its own cells. Then group A blood does not contain agglutinin A but does contain agglutinin B. Group B blood does not contain agglutinin B but does contain agglutinin A. Group AB blood contain neither agglutinin and group O contain both anti A and anti B agglutinin. Blood transfusion must be match to the patient blood type in term of compatible agglutinogen mismatch blood will cause hemolytic reaction.
Rhesus (Rh) and other factors
Rh antigen also on the surface of erythrocytes are present in about 85% of the population are can be a mayor cause of hemolytic reaction. Persons who possess the Rh factor are referred to as Rh positive those who do not are referred to as Rh negative. 
Unlike the A and B agglitinogen, the Rh factor cannot cause a hemolytic reaction on the first exposure to mismatched blood, because the Rh antibody is not normally present in the plasma of Rh negative person.

3.Transfusion reaction
Transfusion reaction can be categorized as hemolytic, febrile, circulatory over load and allergic. The nurse must asses a client closely for reactions. Sign of an acute reaction include sudden chills or fever, low back pain, drop in blood pressure, nausea, flushing agitation or respiratory disorders. Sign of less severe allergic reaction include hives and itching but no fever.
Nursing management for transfusion reaction:
•Stop the transfusion. Maintain the intravenous line with normal saline solution
through new intravenous tubing, administered at a slow rate.
•Asses the patient carefully, compare the vital sign with those from the base line
assessment.
•Notify the physician of the assessment findings and implement any order obtained.
•Notify the blood bank that a suspected transfusion reaction has occurred.
•Send the blood container and tubing to the blood bank for repeat typing and
culture, the identifying tag and number are verified.

Before commencing a blood transfusion determine:
1.Base line data regarding blood pressure, temperature, pulse and respiration.
2.Any previous reaction to a blood transfusion.
3.The request for blood transfusion form has been completed and send specimen for
typing and cross matching, 3 ml in plain tube/red without wax or gel and 2 ml in
CBC tube.

4.Purpose
1.Restore blood volume after hemorrhage
2.Maintain hemoglobin levels in severe anemia
3.Replace specific blood component.

5. Assessment focus
Clinical signs of reaction (e.g. sudden chills, nausea, itching rash, dyspnea) status of infusion, site, any unusual symptoms.

Equipment
1.Unit of whole blood
2.Blood administration set either a straight line or a Y set ( Y set is preferred)
3.Normal saline solution
4.IV dressing
5.Vena puncture set containing a 18 needle or catheter, or if blood is to be
administered quickly no 16 needle or a larger.
6.Alcohol swab
7.Tape
8.Disposable gloves (Sterile)

6.Initiating, Maintaining and Terminating a Blood Transfusion

* Nursing Intervention
a.Pre Procedure

1.Obtain patient’s base line data before the transfusion.
•Asses base line data: Temp, Pulse, Respiration and Blood Pressure.
•Determine any known allergies or previous adverse reaction to blood.
Note specific signs related to the client's pathology and reason for transfusion
(e.g. an anemic client, note the hemoglobin level less than 10g/L).
2.Obtain the correct blood component for the patient.
•Check the physician's order with the requisition. See that doctor check and write
to start.
•Check the requisition form and the blood bag label with a specially check the
patient name, identification number, blood type and Rh group the blood donor
number, and the expiration date of blood.
•Ensure that doctor’s counter check and sign
•With another nurse (RN) compare the laboratory blood type round with :
•The client's name and identification number. Ask the patient to state the full name
as a double check.
•The number on the blood bag label
•The patient’s blood group and label, amount of blood, calculate and adjust.
•Check blood for any abnormalities, gas bubles dark color or cloudiness, clots and
excess air

•Make sure that the blood is left at room temperature for no more than 30 minutes
before starting the transfusion. RBCs deteriorate and lose their effectiveness
after 2 hours at room temperature. Agencies may designate different times at which
the blood must be returned to the blood bank if it has not been started. As blood
component warm, the risk of bacterial growth also increases.

Rational :
If the patient’s Clinical status permits, delay transfusion if baseline temperature is greater than 38.50 C

b.Procedure
1.Wash and dry hands
2.If any pre medication order, give before transfusion
3.Prepare the patient
•Identify the patient and explain the procedure and its purpose to the patient such
as blood product to be transfused, approximate length of time, and desired outcome
of transfusion.
4.Assemble the equipment and bring to the patient
5.Wear gloves.
6.Positioning the patient comfortably
7.Prime the tubing with saline solution.
Establish the saline infusion See that the set used in appropriate, as sometimes
attached filteris not suitable for some product
8.If the patient has an intravenous solution infusing check whether the needle and
solution are appropriate to administer blood. The needle should be no. 18 gauge or
larger and the solution must be saline. If solution is not compatible remove it
and dispose of it according to hospital policy. Dextrose which causes lysis of
RBCs, Ringer's Solution, medication and other additives and hyper alimentation
solution are incompatible.
9.If patient does not have an intravenous solution infusing, in the case you will
need to perform veni puncture on a suitable vein. Select a large vein that allows
patient some degree of mobility and place bed protector under the site. Start the
prescribed intravenous infusion
10.Establish the blood transfusion.
Invert the blood bag gently several times to mix the cell within the plasme
11.Start infusion slowly at 2 ml/mnt. Remain at bed side for 5-30 minutes. If there
are not sign of circulatory overloading, the infusion rate may be increased
12.Observe the patient closely for chilling, nausea, vomiting, skin rashes
tachycardia as they early sign and symptom reaction and check vital sign at
least hourly until 1 hour post transfusion. Report sign and symptoms of reaction
immediately to physician to minimize consequences. Acute reaction may occur at
anytime during the transfusion.If any reaction: close clamp & run normal saline,
report to doctor, save urine and observe.

Rational :
The majority of acute fatal transfusion reaction are caused by clerical errors. Patient and product verification is the single most important fucntion of the nurse. It is strongly recommended that two qualified individuals perform this task. Do not proceed with the transfusion if there is any discrepancy. Contact the blood bank immediately

cPost procedure
Obtain vital sign and compare with base line assessment.
Document procedure in patient's medical record including:
•Product , blood type Rh, volume transfused, rate, site infused.
•Product identification number
•Name of individual verifying, patient ID, name of person starting and ending
transfusion.
•Patient assessment findings and tolerance to procedure.
•Monitor patient for response to and effectiveness of the procedure.
Terminate the transfusion
Discard administration set according to policy procedure.
(i.e. If any reaction, save the set for further investigations)

Rational :
Rationale it must be possible to trace each transfusion product to the original blood donor.

Read More

#SHOCKING: Pastor Adeboye Asks Members To Donate N1 Billion: See How Freeze, Davido, Jude Okoye React (Video)

 Yes, it is not a mistake, though it is shocking and accidental.You got it right, 1 billion Naira! RCCG Pastor Adeboye is dragging lots to criticism to himself after he was videod during a recent church service asking his members to donate N1billion naira, And as expected Daddy Freeze shared the video on his page reacting to it, calling it the highest form of duping, Its already enough that people are worried about paying tithes, and this just even adds to the fire, cos people will even be more scared, to pay offering, talk more of tithes..

And Davido commented on the video, even Jude Okoye.. see below plus the video

Read More

###BREAKING NEWS: Fire destroys 50 shops in Calabar market – SEMA

Cross River State Emergency Management
Agency (SEMA) has confirmed the
destruction of over 50 shops after Monday’s
fire incident at the Yoruba section of Watt
market in Calabar.
Mr John Inaku, SEMA Director General, who
disclosed this after an assessment visit to
the area on Tuesday, said the cause of the
fire was still unknown.
“Up till now, the cause of the fire is still
unknown; over 50 shops were affected
during the tragic incident.
“I am here on the directives of the State
Government to ascertain the cause of the
outbreak and to report back so that
something can be done to alleviate the
plights of the victims.

Read More

JAMB gives update on 2017/2018 admission process

The Joint Admissions and Matriculation Board,
JAMB, on Sunday, said it would partner with
the Ministry of Foreign Affairs to conduct
public examination through Computer Based
Test, CBT, for Nigerians abroad.
The examination board also said universities
that charged more than N2,000 from applicants
for its post-UTME examination will be made to
refund the excess payment.
JAMB’s Head of Public Relations, Fabian
Benjamin, made these known in an interview
with the News Agency of Nigeria, NAN, in
Abuja.
Mr. Benjamin said that the collaboration was to
enhance the conduct of Unified Tertiary
Matriculation Examination, UTME, for foreign
candidates in 2018.
He said 2017 UTME was conducted for foreign
candidates on September 30 in Gambia, Saudi
Arabia, United Kingdom, Ghana, Ivory Coast,
Benin Republic, Ethiopia, South Africa and
Cameroun.
According to him, although the conduct of the
examination was not justifiable, in terms of
monetary value, there is need for JAMB to
collaborate, to promote growth in the education
sector.
45 Year old Banker Reveals His Secret to
Lasting 25minutes and Getting Stronger
Erections using Natural Herbs. Click Here!
“We are already promoting CBT in line with
international best practices; we have taken it
to some countries in Africa, we need to do
more to encourage the practice.
“We have even gone ahead to see how we can
put some countries on the global map by
conducting our public examination there
through CBT.
“What we want to do is to partner with the
ministry to be able to key into the global
technology revolution as part of our foreign
policy.
“We must be able to maximise profit, especially
from West African countries that we are
offering assistance, through scholarship, to
school in Nigeria.
“We cannot achieve much by looking at things
from naira and kobo, but through diplomatic
relations there will be adequate room to gain
through conduct of examination abroad,” he
said.
The head of public relations explained that
foreign candidates sat for examination in one
session based on local time of their various
countries, adding that the questions were
deployed from the Board’s headquarters.
He decried message on the social media that
the Minister of Education, Adamu Adamu, had
directed the refund of post UTME fee,
describing the information as false and could
create confusion in the public domain.
Mr. Benjamin urged the public to disregard the
information, saying that institutions that had
charged more than N2,000 would be asked to
make refund of the excess.
He described as unfortunate a situation where
some institutions could not adhere to the
minister’ directive about the payment of post-
UTME.

Read More

Nigeria Russia-bound as Africa'sfirst qualifiers

Nigeria have become the first African side to
book their place at 2018 FIFA World Cup
Russia™ after a 1-0 win over Zambia in Uyo
earned them an unassailable lead at the head of
Group B.
Alex Iwobi repeated his feat of being the thorn
in the Zambians' side, once again finding
himself on the scoresheet against the
Chipolopolo. Having scored in the first Group B
game between the sides, he came off the
bench in the second half to end Zambian hopes
of creating a final day climax on 6 November,
instead seeing the Super Eagles book a spot at
their sixth finals.

Read More