In order to check if a patient is suffering from hypertension or abnormal levels of blood pressure, there are four indirect and non-invasive methods to assess the patient. The methods are auscultation, oscillometric, through the wrist type method or through the finger cuff method. 2. Auscultation Method Auscultation method are often used in the clinics and hospitals by the doctors manually. This method requires the observer to listen to the Korotkoff sounds produced when the blood flow is constricted.
The first way would be to check the 5 rights more than once and very carefully. The right patient determination is essential, and typically two-forms of identification are required. This can include checking the patients identification bracelet, asking the patient to state their name and date of birth, or scanning the barcode on the ID bracelet. The nurse must also confirm any allergies. The nurse must have the knowledge to determine if the drug prescribed is the correct drug, correct dose, correct route, and the correct time.
Hand hygiene must occur immediately before and after insertion and with any manipulation of the catheter device or site. Facilities should ensure that only properly trained staff who have been trained on the correct technique of aseptic catheter insertion and maintenance is given this responsibility. Competency check offs are a way to ensure proper insertion technique of
Specifically using a sedative 1-2 minutes prior to a paralytic so that the patient does not wake up while paralyzed (Mason et al., 2013). Also the medications should be pushed through a patent IV line, and flushed with normal saline between medications to avoid adverse reactions (Mason et al., 2013). Additionally, all RSI patients should have cardiac and respiratory monitoring before, during and after the procedure (Mason et al., 2013). Other factors in selecting RSI medication should be addressed, including patient-specific factors. Finally, medication availability can be a factor in choosing medications as drug-shortages can cause limited supplies of certain medications (Mason et al.,
The reasoning behind assessing the concerns in this order is to address the most crucial concerns first. With type 1 diabetes checking blood sugar and giving insulin injections is going to become a part of the patient’s daily routine so it is imperative that they properly know how to do this. Side effects are always a big concern when giving medication and it is important that the patient knows what is expected and what is not expected from a medication so that they can come in to see a doctor is any adverse symptoms arise with taking the Insulin for type diabetes or Bactrim for urinary tract infection. It is also important that the patient knows what foods are going to help or hurt them with type 1 diabetes. Lastly, it would be important to address the patients concern about if they will be able to run cross-country because this is something that is important to them (Gentile, 2011,
Perfusion : Perfusion is the process of a body delivering blood to a capillary bed in itsbiological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through". Tests verifying that adequate perfusion exists are a part of a patient's assessment process that are performed by medical or emergency personnel. The most common methods include evaluating a body's skin color, temperature, condition and capillary refill. Perfusionists employ artificial blood pumps to propel open-heart surgery patients' blood through their body tissue, replacing the function of the heart while the cardiac surgeon operates.
The three areas of the tutorial I notice that I am confident in is the Phlebotomy, Part 1: Collections tutorial on Equipment Assembly 1 tutorial, demonstrates procedures before and then assembling the equipment to the patient. These procedures includes identifying yourself, greet the patient, explain the procedures to the patient, and then assembling the equipment by place the equipments next to the patient, making sure you are washing your hands. Equipment Assembly 2 tutorial, demonstrates how to performing a venipuncture by figuring out which arm to use on a patient and how to position infusion sets, or arrange the equipment. Equipment Assembly 3 tutorial, demonstrates the seven ways to perform the venipuncture by wearing disposable latex
A doctor selects the appropriate diagnostic tool based on the age of the patient, the overall health and the presence of other known abnormalities (Piatt, 2011). The most standard thing to do in order to treat hydrocephalus is to surgically insert a shunt system. The shunt system changes the course of the flow of the CSF to a different area in the body, where it can be absorbed normally into the circulatory
One of the primary concerns for administering DN is needle aversion or phobia. “Physical therapists must recognize when patients present with significant needle phobia or other anxiety about being treated with needles” (APTA, 2013). Additionally, patients with local skin lesions, local systemic infections, vascular disease, and metal allergies are contraindicated. Patients with compromised immune systems and abnormal bleeding tendencies should be needled with caution, as should women in the first trimester of pregnancy (APTA, 2013). All patients must give consent for DN especially when language barriers and cognitive impairments can interfere.
• A sigmoidoscopy or colonoscopy to look at your colon. These procedures involve passing an instrument through your rectum to look at the inside of your colon. TREATMENT Treatment for this condition includes: • Taking antibiotics that keep C. diff from growing. • Stopping the antibiotics you were on before the C. diff infection began. Only do this as instructed by your health care provider.
Administer a shock if it says shock. If the AED does not advise a shock, then you should keep doing CPR. How To Use An Automated External Defibrillator An AED is a device that can save the life of a person who experiences sudden cardiac arrest. Before you use an AED, you should check to make sure that no water is nearby. You will need to turn on the AED and then follow the instructions it recommends.
Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.
Postoperatively, the vascular surgeon refers these patients to physical therapy for early ambulation training. As a physical therapist, thorough physical assessment including vital signs is necessary; especially blood pressure determination to assure that the bypass graft is getting enough perfusion. Low BP reading can result in low blood flow to the graft site; conversely, high BP can damage the graft due to elevated pressure. Equally important, assessing the skin color, temperature and the pulse of the surgical limb by using a Doppler ultrasound and report findings to the bedside nurse
Another frequent procedure done by a phlebotomist is the capillary puncture. According to DeLaet (2014), “capillary puncture is performed when no veins are accessible”(p. 131). Other responsibilities and duties of a phlebotomist include maintaining a clean and safe working environment, keeping records using a computer, and labeling blood samples correctly. According to Delaet (2014), “Phlebotomist duties