A family history of hypertension may recommend a hereditary predisposition for hypertension. The physical exam may incorporate a few blood pressure readings at various circumstances and in various positions. The doctor utilizes a stethoscope to tune in to sounds made by the heart and blood coursing through the veins. The beat, reflexes, and height and weight are checked and recorded. Inner organs are palpated, or felt, to decide whether they are amplified.
Anesthetics are used in medical process such as during tests and surgical operations to make the patient sleeps. This will prevent pain and discomfort to the patient and enables a wide range of medical procedures to be performed. There are two commonly used types of anesthetics which are local anesthetics and general anesthetics both of the types of anesthetics will cause an unconscious state to the patient. During this state, a medical device is needed to check the level of oxygen in a patient’s bloodstream. In this case, the pulse oximeter is seem to be the best device that can be used as it can detect changes as small as 1% and sounds an alarm as soon as it detects the slightest unsafe change.Another device that had been used before is the electrocardiography (ECG).
“C” is for Circulation – Compressions, Chest Compressions - Circulate the blood within the patient. It 's important to place your hands correctly upon the patient’s chest when performing compressions,to do so, find the point where the patient’s ribs meet (just below both halves) and interlock your fingers with both hands. Make sure you’re kneeling beside the patient’s shoulders (Do Not Lean on Patient). Once in position, lock your elbows and use your body’s weight to compress 2 inches upon the patient’s chest. Make sure to let the patient’s chest rise after each compression.
The ER team consists of nurses, physicians, medical and radiology technicians and more, working in unison to stabilize the patient who makes an unplanned visit to the ER for urgent health care. Emergency rooms are filled with high technology equipment to treat the wide variety of disease. The department is rarely quite as they provide primary and quick care to patients. Emergency doctors should exhibit attributes of professionalism in the hospitals where their practice is based including altruism, accountability, duty, honor, and
Prior to the extubation of the patient, the Anaesthetist checked the patient’s response to verbal command and recalled after the incident that she thought the patient squeezed her hand, though the patient did not open his eyes to her command. According to Royal College of Anaesthetist “It is standard practice for an intubated patient to be extubated awake at the end of the operation. The patient should be given 100 % oxygen and assessed to make sure that they fulfil the following criteria before proceeding to extubation: • Patient is awake and obeying commands • Patient demonstrates recovery from neuromuscular blockade with sustained headlift, tongue protrusion and good grip strength Patient is breathing spontaneously, maintaining oxygenation and not retaining carbon dioxide” (REF) At the time of the extubation, I deflated the endotracheal tube (ETT) cuff as
• Exhale and inhale from your nose with your mouth closed as fast as possible for at least 15 seconds. Take fast but complete breaths. To take help, put your hand on the diaphragm and see it is moving outward and inward as you breathe, and make sure that all your organs must be still when you are taking breaths. • After a small break, now take 20 breaths by following the same procedure. Keep in mind to take breaths from the diaphragm.
Pre-operative Care: o Take a complete health history including any recurrent infections. o Head to toe assessment including cardiovascular, respiratory, and gastrointestinal. o Smoking cessation if the patient smokes. o Blood tests including Blood type and cross matching. o Chest X-ray.
After some hours, the doctor drains the used solution from the abdomen and refills with a fresh cleansing solution to begin the process again. Removing the used solution and adding fresh solution takes about a half hour and is called an exchange. There are two types of peritoneal dialysis which are Continuous Ambulatory Peritoneal Dialysis (the exchange must be done 4-6 times a day) and the second one is Continuous Cycling Peritoneal Dialysis (CCPD). With CCPD, there is a machine called a cycler does the exchanges automatically. Moreover, CCPD can be done while the patient is sleeping.
5.00PM A live female baby was delivered with cord round the neck twice, the baby was handed over to the pediatrician for further resuscitation, 20 I.U of Oxytocin I.V was given immediately and 40 I.U added to the drip of Normal Saline, Diclofenac injection 75mg I. M and Zinacef 1.5GM I.V were administered, while the placenta was delivered by CCT. APGAR SCORE was 7 at 1 minute and 9 at 5 minutes. Birth weight 1.65kg. Heamostasis was secured , uterus was closed back in layers with the appropriate sutures up to the level of the skin. Placenta weighed 0.3 kg.
Do not leave the victim alone for an extensive amount of time. - Care for the person. Caring for someone who has just gone through serious trauma includes both physical treatment and emotional support. Remember to stay calm and try to be reassuring; let the person know that help is on its way and that everything will be alright. The second way is Caring for an unconscious person - Determine responsiveness.