...A nurse should be able to help whenever she can. Even though she might not be doing the main part of the procedure, does not mean she should not know the basics of it and preform the aspects where she can help within his or hers scope of practice. Inserting a central venous catheter is not a nurse's job without formal training. However, it is important for a nurse to know at least the basics of it like where it goes and the correct patient position, and how he or she can assist the doctor or nurse practitioner with inserting it. "Central venous line placement is typically performed at four sites in the body: the right or left internal jugular vein (IJV), or the right or left subclavian vein (SCV). Alternatives include the external jugular...
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...Common Hepatic | 11. Right Radial | 12. Right Renal | 13. Right Ulnar | 14. Right Deep Femoral | 15. Right External Carotid | 16. Left Common Carotid | 17. Left Subclavian | 18. Arch of Aorta | 19. Left Axillary | 20. Thoracic Aorta | 21. Diaphragm | 22. Left Gastric | 23. Splenic | 24. Left Renal | 25. Superior Mesenteric | 26. Left Gonadal (testicular or ovarian) | 27. Inferior Mesenteric | 28. Left Common Iliac | 29. Left External Iliac | 30. Left Internal Iliac | 31. Left Femoral | 32. Left Deep Femoral | 33. Left Popliteal | 34. Left Anterior Tibial | 35. Left Posterior Tibial | 36 Left Fibular (peroneal) | 37. Left Dorsal Artery of foot (dorsalis pedis) | Review of the Veins 1. Superior Sagittal Sinus | 2. Right Internal Jugular | 3. Right External Jugular | 4. Right Subclavian | 5. Right Brachiocephalic | 6. Superior Vena Cava | 7. Right Axillary | 8. Right Cephalic | 9. Right Hepatic | 10. Right Brachials | 11. Right Median Cubital | 12. Right Basilic | 13. Right Radial | 14. Right Median Antebrachial | 15. Right Ulnar | 16. Great Cardiac | 17. Hepatic Portal | 18. Splenic | 19. Superior Mesenteric | 20. Left Renal | 21. Inferior Mesenteric | 22. Inferior Vena Cava | 23. Left Common Iliac | 24. Left Internal Iliac | 25. Left External Iliac | 26. Left Femoral | 27. Left Great Saphenous | 28. Left Popliteal | 29. Left Small Saphenous | 30. Left anterior Tibial | 31. Left Posterior Tibial | 32. Left Dorsal Venous...
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...adductor magmus Content6s: 1. medial muscular branch of femoral nerve 2. Saphanous nerve and its anterior to the femoral 2. Femoral vein which is posterior to the femoral artery Femoral triangle: Is a triangular are located the upper one third of anteromedial region of thigh and bounded by the following borders Superior border: formed by inguinal ligament lateral boder: formed by medial border of the sartorius Medial border: formed by medial border of adductor longus. Anterior border(the roof) formed by Skin, Superficial fascia and fascia lata Poserior border( the floor): formed by adductor longus , pectinus and iliopsoas from medial to lateral Contents: 5Fs: 1-femoral Nerve, femoral artery(lateral) 3- femoral vein( intermediate) 4- femoral canal (medial). 5- femoral lymph nodes and fatty tissue. Femoral sheath: Formation: formed by the continuous part of transverse fascia and iliac fascia which enclose the upper part of the femoral vessels It’s divided into three parts by two longtudinal fibrous septa Lateral part: it’s occupied by femoral artery. Intermediate part: occupied by femoral vein Middle part: occupied by femoral canal Contents:1. Femoral Artery which divides into 1. Superficial epigastric artery 2- superficial iliac circumflec artery , external pudendal artery and deep femoral artey 2- Femoral vein and femoral canal. Humeromuscular...
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...CXA107 2015 CXA107 Fundamentals of Bioscience Practical and Independent Study: Circulatory Systems TO PREPARE FOR THIS PRACTICAL: Begin to familiarise yourself with the organs of the cardiovascular system by completing as many labelling exercises as possible BEFORE you attend. Your lecture notes, A&P Revealed and your Saladin textbook will be of assistance. DURING THE PRACTICAL: Use the time available in class to concentrate on becoming familiar with the structures in three dimensions on models or dissected specimens. You must be able to locate and name each structure that is in bold typeface as you will be examined on a selection of these in your anatomy practical examination at the end of the semester. Ask questions/take notes about the questions or parts of activities in italics INDEPENDENT STUDY AFTER THE PRACTICAL: Complete the questions or parts of activities in italics as part of your independent study. If you set aside 20 minutes, over a few days, for each activity you will make steady progress in developing your knowledge base. Learning Objectives: Completion of these learning activities should assist you in: Identifying the position of the heart and major vessels relative to musculoskeletal structures. Identifying internal and external features of the heart. Relating these anatomical features to the function of the heart. Identifying a selection of systemic blood vessels. References you may find helpful for your learning: ...
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...Critical Appraisal Guidelines: Qualitative - Part 2 Amanda T. Creel Grand Canyon University: NRS – 433V June 9, 2013 The research article reviewed was “Ultrasound – Guided Peripheral Venous Access vs. the External Jugular Vein as the Initial Approach to the Patient with Difficult Vascular Access” by T.G. Costantino MD, J. F. Kirtz MD, and W. A. Satz MD. Intravenous (IV) access is commonly performed in the Emergency Department (ED). In patients with difficult access, physicians are frequently called upon to perform these procedures. Physicians should be familiar with both the external jugular (EJ) IV technique and the ultrasound – guided IV (USIV) peripheral access techniques. Some hospitals have specialized team of nurses that have been educated and trained on the proper way to establish an EJ IV and/or USIV. This study examined both techniques and collected data to establish which techniques was better for the patient. Protection of Human Participants Risks and Benefits Addressed by the Authors The benefit of this study was to spare the ED patient with difficult veins from having to receive a central venous line. The infection rate is higher in a central line than a peripheral IV line. The use of USIV will also decrease the number or IV attempts instead of a central line. While this decreased the actual number of IV attempts, it still had some risks. One major risk is arterial punctures. The other risks include nerve irritation and hematomas at the site of both USIV...
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...Health Assessment Physical Assessment Documentation Form Date: __3/3/16 Patient Information Patient Initials | LD | Age | 30 | Sex | Female | General Survey Does patient appear to be their stated age? | Yes | Level of consciousness | Alert and Oriented x3 | Skin color | Caucasain | Nutritional status | No malnurishment noted, pt she eats three meals a day | Posture and position | Patient maintains good posture and position | Obvious physical deformities | No physical deformities noted | Mobility: gait, use of assistive devices, ROM of joints, no involuntary movement | no problems with mobility noted, patient ambulates w/o assistance, ROM of joints intact, patient pt able to rotate feet, ankles, and arms, no Involuntary twitches or movements noted | Facial expression | No abnormal facial expressions noted, pt has nice smile | Mood and affect | patient appears to be in good spirits, patient has smile on face, pt cooperative and answers questions when prompted | Speech: articulation, pattern, content and appropriate, native language | patient speaks English appropriately, patient articulates and enunciates well, all content related to pt’s health | Hearing | patient denies hearing problems, patient able to hear and follow commands when directed | Personal hygiene | patient appears clean, no dirty skin visible, no foul smells noted | | | | | Measurements and Vital Signs Height | 5 foot...
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...D. Physical Assessment Findings VITAL SIGNS | Normal Finding | Outcome | Analysis | Body Temperature | 36.5-37.5 C | 38.1 C | Hyperthermia indicates sign of infection | Pulse Rate | 60-100 bpm | 68 bpm | Normal | Respiration | 12-20 cpm | 20 cpm | Normal | Blood Pressure | 120/80 mmHg | 160/80 mmHg | Increases Blood Pressure indicateshypertension | HEAD TO TOE ASSESSMENT Area Assessed | Normal Findings | Actual Findings | Analysis | 1. Skull A. Inspects skull for 1. size 2. shape 3. symmetry B. Palpates for tenderness of mass/nodules, depressions and tenderness | Rounded (normocephalic & symmetrical with frontal, parietal, and occipital prominences: smooth skull contour)Smooth, uniform consistency Absence of nodules or masses | My client has a rounded skull usually normocephalic & symmetrical with frontal, parietal, and occipital prominences. She also has a smooth skull contour | The skull is rounded and smooth thus it is normal. | 2. Hair and Scalp A. Inspects for 1. Color of Scalp 2. Odor 3. Presence of dandruff infection 4. Lesions B. Inspects for 1. Color of Hair 2. Distribution 3. Thickness/ Thinness 4. Texture 5. Oiliness 6. Presence of lice, nits, split ends 7. Length | Evenly distributed Thick hair Silky, resilient hair (-) infection(-) infestations | The scalp of my client is slightly...
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...Respiratory/cardio Assessment. Fall 2012 CHIEF COMPLAINT (1/1): “heaviness on the chest, and shortness of breath” Symptom Analysis (History of present illness): 43 year old male presents today for evaluation with complains of chest heaviness and shortness of breath and Associated signs and symptom including nausea, and feeling of tiredness. The patient has been treated with similar symptoms before. Patient reports that he has had these symptoms for 2 days. Patient describes the heaviness on the chest as a feeling like someone is stepping on the chest. He describes the SOB as feeling out of air, and gasping for air when taking the stairs to his apartment, or doing daily chore at home. Patient reports of having to stop his daily activities and unable to do anything that he usually does. Patient reports of not getting any relief from his nebulizer. He denies having any pain. Past medical History: Patient’s problem list includes Dx of COPD in 2010 and CHF in 2007. Patient has no known medical allergies, or any allergies to food, denies any previous surgeries has previously been hospitalized for CHF and COPD. He reports receiving yearly flu shot; he also reports having not received Tetanus and Tdap immunizations. He is currently taking Lasix 20 mg daily for CHF and he is also taking albuterol Neb PRN for SOB SOCIAL HISTORY: Patient reports that he quit smoking 3 years ago; he had been a smoker for 15 years smoking an average of 7 cigarettes per day. Patient previously...
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...Critical Pathway: Case Study of Chronic Renal Failure Advanced Pathophysiology NURS 5104 October 4, 2013 Critical Pathway: Case Study of Chronic Renal Failure I. Introduction Mr. P. J., a 38-year-old African American male, presented to the Emergency Department by the rescue squad team, with a six day old complaint of increased swelling of the bilateral lower extremities, unusual weight gain, and a feeling of ‘I can not breathe’ per patient. Patient was sent as a direct admit to the Intensive Care Unit (ICU) and placed on 2 liters NC with hydration and adult special care monitoring. Vital signs were taken by the paramedic enroute revealing the following: Ambulance Vitals: * BP 202/112 * Pulse 101 * Respirations 20 * O2 86% before O2 * Temp. 98.4 * Height 5’10 Patient stating * Weight 222 lbs. Patient stating (weighed the day before) The paramedic started a 20 gauge IV into Mr. J’s right antecubital and started him on 2 liters nasal cannula; due to the “presence of crackles no Procardia was administered” (J. Madden, personal communication, August 14, 2013). The paramedic monitored the vitals and reported to medical control the situation and estimated time of their arrival in five minutes. Mr. P. J. has been married to K for twenty years and they have one child, a twelve-year-old daughter. Mr. P. J. has worked in construction for twenty years; Mr. J stated working on his feet all day he noticed the swelling six days ago...
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...Introduction This paper explain the Accountability of a nursing professional based on an evidence report from Agency for Healthcare Research and Quality Assessment(AHRQ) , the report is " Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 6: Prevention of Healthcare–Associated Infections)" under the head Quality Improvement and Patient Safety What is Accountability? In Fundamentals of Nursing it says “The ability and willingness to assume responsibility for ones’ actions and accepting the consequences of one's behavior.” Accountability of nursing professional is a legal obligation; for a professional nurse it is relating to ethics and moral responsibility. Within the kingdom of professional accountability, there are many factors. The American Nursing Association (ANA) states in its code that the nurse will assume accountability for nursing judgment and actions. A professional nurse has the responsibility to take decisions and practice within the scope of care, calling upon his/her information and skills to make judgments in favor of the patient. A professional nurse is accountable to their profession, their patients, employer, and other health care team members and to themselves. Nurses are accountable to provide safest care for their patient based on evidence based practice and safe nursing interventions. Nursing profession as a whole is build up on accountability, unselfishness, integrity and social justice. A professional...
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...surgery or if loose teeth and surgical instruments are found in the airway (10). Likewise, medical management after adenotonsillectomy may result in airway obstruction. For example, promethazine, an antihistamine used as an antiemetic to treat postoperative nausea, vomiting and pain has been recognised to have adverse side effects including cardiac arrest, respiratory depression, apnea and seizures. However, this drug should rarely if ever be used in paediatric patients. Also, obesity can increase the risk of respiratory complications and a recent report identified that almost 21% of patients undergoing adenotonsillectomy in 2012 were overweight and obese. As a result this greatly increased the risk of attempts at laryngoscopy. In addition an analysis in 2012 demonstrated that...
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...Aims and Objectives Aims On the completion of the seminar students gain the knowledge regarding hemodialysis and peritoneal dialysis and will utilize this knowledge with a positive attitude. Specific Objectives The group will able to; * Define dialysis * Describe the history of dialysis * Explain the principles of dialysis * Enumerate the indication of dialysis * Explain details about hemodialysis * Describe details about peritoneal dialysis * List down the Psychosocial Issues In ESRD Patients * Dietary Management Dialysis Patient * Nursing Responsibilities Introduction The introduction of dialysis as a lifesaving treatment for kidney failure was not the result for any large scale research programme, rather it emerged from the activities of a new pioneering individuals who were able to utilize ideas, materials, and methods from a range of developing technologies. Hemodialysis as a routine treatment for renal failure was introduced in the late 1970s. The recognition for the need for immunosuppression in the transplantation and the lack of availability of transplant in the 1960s enabled it to become the preferred treatment for many patients. Definition Dialysis is the movement of fluid and molecules across a semipermeable membrane from one compartment to another. Clinically dialysis is a technique in which substances move from the blood through a semipermeable membrane and in to a dialysis solution called dialysate. Historical Evolution...
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...Prospective Randomized Trial of 3 Antiseptic Solutions for Prevention of Catheter Colonization in an Intensive Care Unit for Adult Patients Author(s): By J. Vallés , MD; I. Fernández , RN; D. Alcaraz , RN; E. Chacón , RN; A. Cazorla , RN; M. Canals , RN; D. Mariscal , MD; D. Fontanals , PharmD; A. Morón , PharmD Source: Infection Control and Hospital Epidemiology, Vol. 29, No. 9 (September 2008), pp. 847853 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America Stable URL: http://www.jstor.org/stable/10.1086/590259 . Accessed: 30/09/2013 10:14 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. . The University of Chicago Press and The Society for Healthcare Epidemiology of America are collaborating with JSTOR to digitize, preserve and extend access to Infection Control and Hospital Epidemiology. http://www.jstor.org This content downloaded from 115.165.210.196 on Mon, 30 Sep 2013 10:14:09 AM All use subject to JSTOR Terms and Conditions infection control and hospital...
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...Instructor’s Manual for the Laboratory Manual to Accompany Hole’s Essentials of Human Anatomy and Physiology Eighth Edition Terry R. Martin Kishwaukee College [pic] [pic] Instructor’s Manual for the Laboratory Manual to Accompany Hole’s essentials of human anatomy and physiology, eighth edition David shier, jackie butler, and ricki lewis Published by McGraw-Hill Higher Education, an imprint of The McGraw-Hill Companies, Inc., 1221 Avenue of the Americas, New York, NY 10020. Copyright © The McGraw-Hill Companies, Inc, 2003, 2000, 1998. All rights reserved. The contents, or parts thereof, may be reproduced in print form solely for classroom use with Hole’s essentials of human anatomy and physiology, eighth edition, provided such reproductions bear copyright notice, but may not be reproduced in any other form or for any other purpose without the prior written consent of The McGraw-Hill Companies, Inc., including, but not limited to, in any network or other electronic storage or transmission, or broadcast for distance learning. www.mhhe.com Contents PREFACE V An Overview vi Instructional Approaches viii Correlation of Textbook Chapters and Laboratory Exercises ix Suggested Time Schedule xi Fundamentals of Human Anatomy and Physiology Exercise 1 Scientific Method and Measurements 1 Exercise 2 Body Organization...
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...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
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