The increase of contracting infections in acute settings and intensive care units is currently of great concern. If these infections go untreated, it can consequently cause the loss of life, and increase mortality and morbidity. Centers for Medicare and Medicaid Services (CMS) will not pay for infections that were acquired during a hospital stay. This affects hospitals, preventing them from being financially fruitful.
I write on behalf of my patient, Phil Robins, who is a sixty-five-year-old male facing acute urinary retention. Phil Robins shows several medical symptoms, including an inability to urinate, severe pain and discomfort in the lower abdomen, and bloating of the lower abdomen. My patient has been previously diagnosed with benign prostatic hyperplasia which has been obstructing his urinary tract. Because of this, he frequently has to use a catheter to empty his bladder.
Patients that are admitted to the hospital frequently require intravenous (IV) fluids. Many hospital policies require IV sites to be changed every 72-96 hours to reduce the risk of complications caused by the IV catheter. There is increasing evidence supporting that routine IV site replacement is ineffective (Rickard, McCann, Munnings, & McGrail, 2010, p. 2).
I am comparing and contrasting a peripherally inserted central catheter (PICC) line, tunneled catheter and an implanted port.
Patricia Douglass is a 28-year-old, gravida I, para 0 at 34 weeks gestation. She is carrying a set of twins. At her most recent office visit with Dr. Sanders, Patricia had an elevated blood pressure of 158/86. She was brought to the hospital by ambulance. Upon arrival Patricia is immediately assessed and states that she has failed to comply with her prescribed blood pressure medication, Labetalol 200mg BID. The paramedic reports a moderate amount of dark red vaginal bleeding, blood pressure 84/46, heart rate of 130, and respiratory rate of 26. The patient complains of severe abdominal pain rating it a 9/10. When the abdomen is palpated by the nurse there is localized uterine tenderness in the upper right quadrant and it is boardlike. Upon observation a large blood clot is seen on the patient’s pad. She is experiencing contractions every 2 minutes. Patricia is placed on the external fetal monitor. The fetal heart rate of baby A is noted in low 80’s, while baby B has a baseline of 120. The nurse suspects abruptio placentae and immediately telephones the physician.
11.1: Of nosocomial infections one of the most common is in the urinary tract, this is do to poor infection control practice. When we are dealing with a sterile environment like the urinary bladder then everything that we use needs to be sterile to prevent infections. This includes any solutions and materials or instruments.
If you have a medical condition or injury that damaged the nerves to your bladder, you may need to use a catheter so you can pass urine properly. Your doctor might insert a permanent catheter for you to wear, but it's also possible you'll have to insert a catheter yourself a few times a day to drain your bladder. Although the thought of inserting a catheter yourself at home may sound daunting, it's actually an easy process once you've had some practice. Here is a quick look at buying and using catheters at home.
This monitors the pressures in the right side of the heart and indirectly measures the left side of the heart. This is the most invasive catheter used in critical care, and routine use of the pulmonary artery (PA) catheter is controversial; it can assess many hemodynamic parameters such as PA systolic and diastolic, pulmonary MAP, pulmonary artery wedge pressure (PAWP), and cardiac output. Cardiac output is used to calculate other parameters such as cardiac index, systemic vascular resistance (SVR), and pulmonary vascular resistance (PVR). PAWP is also known as pulmonary artery occlusive pressure or pulmonary capillary wedge pressure.
A summary of this paper is that of the central line and the peripherally inserted central catheter line. They are both catheters and the both are inserted into an artery going straight to your heart. How these two lines differ are in the periods that they can be left in. This paper will also outline the risks of initiating and having one of these put in, and also the instructions on how to initiate one to begin with. The intention of this paper is to explain the uses of, and differences between PICC lines and Central lines, as they do apply to the patients in today’s ever expanding medical practices. In addition, this paper will also show the steps of insertion, care, risks, applications and advantages of each line.
Endovenous laser treatment is one of the most popular treatments to remove varicose veins and there is good reason for this. It is minimally invasive, requires very little, if any, recovery time and has no post-procedure pain. You can say goodbye to unsightly bulging, twisted veins, swollen legs, itching and pain.
Peripheral intravenous catheter (PIVC) is the invasive procedure that most commonly practised clinical procedure. There are over half of patients admitted to the hospital required peripheral intravascular cannula (PIVC) inserted. However, there is no data reported on the use of PIVC in Malaysia. The surveillance of the estimated used of PIVC in developing countries such as Malaysia is still under evaluated due to lack of resources and trained staff. Since, PIVC required penetration of a catheter into the bloodstream, risk of catheter blood stream infection is existed. Hospital acquired infections estimated that the catheter related infections is up to 19 times higher in low and middle income nations compared to North America in both paediatric
With the help of the bedside nurse we analyzed why I blew two veins and a patient. I walked through the procedure to determine what I did wrong. I identified a critical flaw on my needle insertion technique. The day before I inserted the needle in a 10-15 degree angle, and after inserting the needle I leveled out the needle and pushed the needle forward until I saw blood in the catheter. At this point I pushed the catheter into the vein which led to a successful placement of an IV catheter. During my failed to insertion attempts, I noticed I inserted the needle at a 30 degree angle and I did not level out the needle until I penetrated though the entire vein; thus, blowing the vein. With the help of the bed side nurse, I changed my insertion