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nkylosing spondylitis (pronounced ank-kih-low-sing spon-dill-eye-tiss), or AS, is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort
Renal transplantation is the treatment of choice for a minority of patients with end-stage renal disease (ESRD). Most adult patients with ESRD are never referred for evaluation for transplantation, and have a 70% 5-year mortality on dialysis. Marked improvements in early graft survival and long-term graft function have made kidney transplantation a more cost-effective alternative to dialysis. In the United States, over 375,000 kidney transplants have been performed, and in 2012, 191,400 patients were alive and with a functioning transplanted kidney; currently, more than 101,000 patients are waiting for kidney transplants.[1, 2] Before the advent of immunosuppression, renal transplantation was limited to identical twins and was not applicable to the vast majority of patients with ESRD. The introduction of combined azathioprine-steroid therapy in 1963 produced encouraging results and became the mainstay of immunosuppression. Although this therapy improved the results of transplantation, acute rejection and complications associated with steroid therapy persisted. The introduction of cyclosporine in 1983 significantly improved the outcomes of all solid-organ transplants by reducing the risk of rejection. Further innovations, including anti–T cell antibodies (both monoclonal and polyclonal preparations), as well as other maintenance immunosuppressants (eg, tacrolimus, mycophenolate, sirolimus), have made a significant impact on both patient and graft survival. Currently, 1-year patient and graft survival rates exceed 90% in most transplant centers. For patient education information, see Kidney Transplant and the Mayo Clinic's kidney transplant information Web page.
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Intramuscular Injection Techniques (Nursing Skills)
In this video, we’re going to look at proper administration techniques for intramuscular medication administration. Of course, always follow your 5 rights and calculate the correct volume for administration. We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Introduction to Intramuscular injections
0.16 site and needle selection
0.35 site sterilization
0.43 Z track method
0.58 needle insertion
1.10 medication injection
1.14 needle removal
1.25 bandaging and needle disposal
1.30 documentation and patient monitoring
1.35 Outro
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Describe pre-procedure considerations for administering a subcutaneous injection.
Describe and demonstrate the preparation for administering a subcutaneous injection.
Describe and demonstrate needle and blood safety.
Describe and demonstrate suitable injection sites for subcutaneous injections.
Discuss the appropriate needle and syringe sizes for subcutaneous injection.
Describe and demonstrate the preparation of the substance to be injected.
Describe and demonstrate safe and correct administration of a subcutaneous injection.
Understand and apply Occupational Safety and Health Administration (OSHA) guidelines.
Understand and apply drug administration safety guidelines (seven rights).
Understand correct post-procedure considerations.
Describe and demonstrate correct documentation.
Define and demonstrate correct recording and reporting procedures.
Define and use related medical terminology.
Explain the Patient Privacy Rule (HIPAA), Patient Safety Act, and Patients' Bill of Rights.
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Upper gastrointestinal bleeding (sometimes upper GI, UGI bleed, Upper gastrointestinal hemorrhage, gastrorrhagia) refers to bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the esophagus, stomach, or duodenum. In fact, the proportion of UGIB cases caused by peptic ulcer disease has declined, a phenomenon that is believed to be due to the use of proton pump inhibitors (PPIs) and H pylori therapy. Duodenal ulcers are more common than gastric ulcers, but the incidence of bleeding is identical for both.
Possible causes are a blocked milk duct or bacteria entering the breast. It usually occurs within the first three months of breast-feeding. Symptoms include breast pain, swelling, warmth, fever, and chills. Antibiotics are required. Mild pain relievers can help with discomfort.
Ever heard medical terms like MRI or EKG? Funny speaker for nurses and doctors and all-around healthcare speaker Dr. Brad Nieder discusses the funny medical jargon he's encountered during his medical career.
He jokes about medical acronyms and big healthcare terms. His funny medical humor makes the conference attendees burst with laughter and he reads the medical definition for "laugh."
As an experienced physician and keynote speaker, he's perfect for any in-person or virtual conference or event. He's also a great healthcare speaker to bring in for continuing medical education (cme) units!
Learn more about Brad's keynote and virtual speaking, and book him for your next conference or virtual event: https://www.HealthyHumorist.com
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Brad Nieder, MD, CSP*
The Healthy Humorist
Doctor, Keynote Speaker, Clean Comedian
*CSP=Certified Speaking Professional
"Medical Lingo"
From the DVD "The Healthy Humorist in Orlando: Laughter is the Best Medicine"