November 3

Social 30-1

I gave you some more time to complete your Cold War Events booklets, by giving you about 30 minutes to work with the Cold War and After books. I gave you some notes on the Korean War and the Cuban Missile Crisis, and at the end of class you had some time to read them over. I showed you a video from the BBC 20th Century History series on the Cuban Missile Crisis called "Mr. Kennedy and Khrushchev". Please remember that your Chapter 7 Key Terms and Questions are due on Tuesday.

Social 20-1

I went through part of a PowerPoint presentation from the Genocide Watch website called "The Eight Stages of Genocide", and as I was going through it you were to take notes on the lecture. You can find a link to the Genocide Watch website under Social 20-1 Links if you are interested in looking at the entire PowerPoint lecture again. We started watching a CNN Special called "Scream Bloody Murder" that covers genocide in the 20th and 21st centuries. As you are watching this video you are strongly encouraged to take notes on these examples of genocide.

IB 30

I did a quick homework check on the material from the History of the 20th Century textbook and the analysis of the editorial cartoon that illustrated the responsibility of WWI. You spent most of the period working on your IA in the library.

Nice Peraves Monotracer

Berita Otomotif - Peraves Monotracer merupakan sepeda motor dengan body yang sepenuhnya tertutup. Tampilan yang sporty, aerodinamis dan dengan konsumsi bahan bakar yang rendah merupakan keunggulan serta daya tarik utama dari motor ini. Peraves Monotracer adalah Ecomobile versi baru buatan Swiss yang telah diperbarui sehingga lebih menarik.

Spesifikasi :

Tahun pembuatan 2007

Mesin BMW 1200cc dengan 130 Horse power

Transmisi 4 speed shaft drive + reverse

Kecepatan maksimum 155 mph dan dapat menempuh jarak 0-60 mph hanya dalam waktu 5.7 detik.

Berat 460 - 485 kgs / 1014 - 1069 lbs

Sumber

November 2

social 20-1

We finished watching "White Light/Black Rain" today in class, and completed the film study sheet that goes along with this video. Tomorrow we will look at contemporary examples of genocide.

Social 30-1

Today was a busy day since we started working on the Cold War Events booklet by using Perspectives on Ideology and the Cold War and After booklets. You will get some class time tomorrow to work on these booklets as well. We watched a video from the History's Turning Points series on the Korean War and another video on the construction of the Berlin Wall. We'll continue our historical progression through the Cold War by examining the Cuban Missile Crisis tomorrow. Please remember that your Chapter 7 Key Terms and Questions are due on Tuesday.

IB 30

We had a brief discussion on current events, namely Palestine's inclusion in UNESCO and the Israeli government's reaction to this, the Greek referendum issue, and current developments in the Occupy Calgary situation. We then switched gears and finished watching the Assassination of Archduke Franz Ferdinand episode of the BBC series "Days That Shook the World". We then continued looking at the techniques and practices of the First World War, specifically trench warfare. We'll continue this topic on Friday. Please come to Room 111 tomorrow, then we'll go down to the library to work on your IA, so make sure that you have your Internal Assessment materials. Tonight's homework is the following:

• Read pages 204-215 in the 20th Century World History textbook
• Complete the three questions under the chart on page 215
• Complete the cartoon analysis sheet on the WWI cartoon (see below)

(click to enlarge)

November 1

IB 30

Mr. Johnson and I split our large IB group into two groups today, so from now on students assigned to me will meet in Room 111. We started looking at the Causes of World War I today, with a PowerPoint lecture on this topic. We also started watching a video on the assassination of Archduke Franz Ferdinand from the BBC series "Days That Shook the World". We'll finish this video tomorrow, and the proceed to look at techniques and practices in the First World War. For homework tonight, it is recommended that you read pages 204-215 in your 20th Century World History textbook.

Social 30-1

We watched a couple of videos today from the BBC 20th Century History series: "The Road to Berlin" which explored the end of WWII in Europe, and "Cold War Confrontation" which looked at the division of Germany, the Berlin Airlift and the Korean War. I gave you a timeline of key events in the Cold War that you must memorize. I also gave you a Cold War Events package that included a chart of key events in the Cold War and associated key concepts of the Cold War that must be completed using a supplementary book that you will have access to tomorrow. Tomorrow we will be looking at the Korean War in greater detail, and then you will have some more time to work on your Cold War Events notes.

I would like you to go to the World War II Behind Closed Doors website tonight, and read the sections on the Yalta Conference and the Potsdam Conference. This is an excellent site, with tons of information, maps, video clips, timelines and archival footage and re-enactments as well. You do need to really make sure that you understand the Yalta Agreements and the Potsdam Declaration (among other things) and this is a great site to do this. Episode 3 is the one that contains most of the information that you would need to read and watch. There's a great little video clip on this website called "Stalin's Distrust of the West" that might help you see WWII from the Soviet perspective and why the Soviets might wish to extend control over Eastern Europe and be so distrustful of their wartime allies. You can find this video clip in Episode 3 (Dividing the World), scroll down and click on the video clip on the right called "Stalin's Distrust of the West". It's a short little clip, but you'll get the idea. We'll continue our look at the Cold War tomorrow.

Social 20-1

We watched a video today on the development of the atomic bomb from the "History's Turning Points" series. After watching the video you were to copy down the notes that I had written on the board based on the topics covered in the video. If you missed today's class, you'll have to get these notes from a classmate. We then started a film study of the HBO documentary "White Light/Black Rain". We will finish this video off tomorrow.

AsKep Pasien Nyeri Dada

AsKep Nyeri Pasien Dada
Alhamdulillah mengawali hari pertama di Bulan Nopember ini kita akan kembali memposting mengenai Asuhan Keperawatan kembali.Postingan ini adalah postingan sambungan dari postingan pertama kali blog ini online di dunia maya yaitu Angina Pektoris.

Hal ini diangkat kembali karena gejala yang paling sering dirasakan pasien yang terkena serangan jantung ini biasa mengeluh nyeri dada.Silakan menyimak sahabat Asuhan Keperawatan Pasien Dengan Nyeri Dada

A. PENGERTIAN

• Nyeri dada adalah perasaan nyeri / tidak enak yang mengganggu daerah dada dan seringkali merupakan rasa nyeri yang diproyeksikan pada dinding dada (referred pain)
• Nyeri Coroner adalah rasa sakit akibat terjadinya iskemik miokard karena suplai aliran darah koroner yang pada suatu saat tidak mencukupi untuk kebutuhan metabolisme miokard.
• Nyeri dada akibat penyakit paru misalnya radang pleura (pleuritis) karena lapisan paru saja yang bisa merupakan sumber rasa sakit, sedang pleura viseralis dan parenkim paru tidak menimbulkan rasa sakit (Himawan, 1996)

B. ETIOLOGI

a. Cardial

1. Koroner
2. Non Koroner

b. Non Cardial

1. Pleural
2. Gastrointestinal
3. Neural
4. Psikogenik (Abdurrahman N, 1999)

C. TANDA DAN GEJALA 

Tanda dan gejala yang biasa menyertai nyeri dada adalah :

• Nyeri ulu hati
• Sakit kepala
• Nyeri yang diproyeksikan ke lengan, leher, punggung
• Diaforesis / keringat dingin
• Sesak nafas
• Takikardi
• Kulit pucat
• Sulit tidur (insomnia)
• Mual, Muntah, Anoreksia
• Cemas, gelisah, fokus pada diri sendiri
• Kelemahan
• Wajah tegang, m erintih, menangis
• Perubahan kesadaran

D. PEMERIKSAAN PENUNJANG

a. EKG 12 lead selama episode nyeri

• Takhikardi / disritmia
• Rekam EKG lengkap : T inverted, ST elevasi / depresi, Q Patologis

b. Laboratorium

• Kadar enzim jantung : CK, CKMB, LDH
• Fungsi hati : SGOT, SGPT
• Fungsi Ginjal : Ureum, Creatinin
• Profil Lipid : LDL, HDL

c.  Foto Thorax
d.  Echocardiografi
e.  Kateterisasi jantung

E. PENGKAJIAN

1. Pengkajian Primer

a. Airway

• Bagaimana kepatenan jalan nafas
• Apakah ada sumbatan / penumpukan sekret di jalan nafas?
• Bagaimana bunyi nafasnya, apakah ada bunyi nafas tambahan?

b. Breathing

• Bagaimana pola nafasnya ? Frekuensinya? Kedalaman dan iramanya?
• Apakah menggunakan otot bantu pernafasan?
• Apakah ada bunyi nafas tambahan?

c. Circulation

• Bagaimana dengan nadi perifer dan nadi karotis? Kualitas (isi dan tegangan)
• Bagaimana Capillary refillnya, apakah ada akral dingin, sianosis atau oliguri?
• Apakah ada penurunan kesadaran?
• Bagaimana tanda-tanda vitalnya ? T, S, N, RR, HR?

2. Pengkajian Sekunder 

Hal-hal penting yang perlu dikaji lebih jauh pada nyeri dada (koroner) :

1. Lokasi nyeri.Dimana tempat mulainya, penjalarannya (nyeri dada koroner : mulai dari sternal menjalar ke leher, dagu atau bahu sampai lengan kiri bagian ulna)
2. Sifat nyeri.Perasaan penuh, rasa berat seperti kejang, meremas, menusuk, mencekik/rasa terbakar, dll.
3. Ciri rasa nyeri.Derajat nyeri, lamanya, berapa kali timbul dalam jangka waktu tertentu.
4. Kronologis nyeri.Awal timbul nyeri serta perkembangannya secara berurutan
5. Keadaan pada waktu serangan.Apakah timbul pada saat-saat / kondisi tertentu
6. Faktor yang memperkuat / meringankan rasa nyeri misalnya sikap/posisi tubuh, pergerakan, tekanan, dll.
7. Gejala lain yang mungkin ada atau tidaknya hubungan dengan nyeri dada.

F.  DIAGNOSA KEPERAWATAN

1. Perubahan kenyamanan nyeri (nyeri akut) b.d iskemia jaringan sekunder terhadap sumbatan arteri, inflamasi jaringan
2. Perubahan perfusi jaringan (otot jantung) b.d penurunan aliran darah
3. Intoleransi aktivitas b.d ketidakseimbangan antara suplai O2 dan kebutuhan metabolisme jaringan

G.  INTERVENSI KEPERAWATAN 

Prinsip-prinsip Tindakan :

1. Tirah baring (bedrest) dengan posisi fowler / semi fowler
2. Melakukan EKG 12 lead kalau perlu 24 lead
3. Mengobservasi tanda-tanda vital
4. Kolaborasi pemberian O2 dan pemberian obat-obat analgesik, penenang, nitrogliserin, Calcium antagonis dan observasi efek samping obat.
5. Memasang infus dan memberi ketenangan pada klien
6. Mengambil sampel darah
7. Mengurangi rangsang lingkungan
8. Bersikap tenang dalam bekerja
9. Mengobservasi tanda-tanda komplikasi

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