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Integrative Physical Examination Lecture
Integrative Physical Examination Lecture Medical_Videos 11,994 Views • 2 years ago

Integrative Physical Examination Lecture

Laparoscopic Liver Surgery | UPMC
Laparoscopic Liver Surgery | UPMC Surgeon 394 Views • 2 years ago

UPMC liver surgeons are among the most experienced in the world in performing minimally invasive liver surgery. Most patients benefit from less trauma and pain, minimal scarring, a shorter hospital stay, and faster recovery than from traditional surgery.
To learn more, please visit https://www.upmc.com/services/....liver-cancer/treatme

Vasectomy instead of Condoms
Vasectomy instead of Condoms Doctor 141,749 Views • 2 years ago

Vasectomy is a minor surgical procedure wherein the vasa deferentia of a man are severed, and then tied or sealed in a manner such to prevent sperm from entering the seminal stream (ejaculate). Typically done in an outpatient setting, a traditional vasectomy involves numbing (local anesthetic) of the scrotum after which 1 (or 2) small incisions are made, allowing a surgeon to gain access to the vas deferens.

Learn how to give an intramuscular injection
Learn how to give an intramuscular injection samer kareem 3,055 Views • 2 years ago

Learn how to give an intramuscular injection

New Hemorrhoids Treatment Method
New Hemorrhoids Treatment Method Scott 19,708 Views • 2 years ago

New Hemorrhoids Treatment Method

Pediatric 4-Step Basic Technique
Pediatric 4-Step Basic Technique samer kareem 1,502 Views • 2 years ago

Pediatric 4-Step Basic Technique

Venipuncture: Butterfly Method
Venipuncture: Butterfly Method Mohamed Ibrahim 27,011 Views • 2 years ago

What is Venipuncture? While venipuncture can refer to a variety of procedures, including the insertion of IV tubes into a vein for the direct application of medicine to the blood stream, in phlebotomy venipuncture refers primarily to using a needle to create a blood evacuation point. As a phlebotomist, you must be prepared to perform venipuncture procedures on adults, children, and even infants while maintaining a supportive demeanor and procedural accuracy. Using a variety of blood extraction tools, you must be prepared to respond to numerous complications in order to minimize the risk to the patient while still drawing a clean sample. In its entirety, venipuncture includes every step in a blood draw procedure—from patient identification to puncturing the vein to labeling the sample. Patient information, needle placement, and emotional environment all play a part in the collection of a blood sample, and it's the fine details that can mean the difference between a definite result and a false positive. After placing the tourniquet and finding the vein, it's time for the phlebotomist to make the complex choice on what procedure will best suit the specific situation. Keeping this in mind, it should be noted that the following information is not an instructional guide on how to perform these phlebotomy procedures. Rather, the information below is intended to serve as an educational resource to inform you of the equipment and procedures you will use. Venipuncture Technqiues Venipuncture with an Evacuated or Vacuum Tube: This is the standard procedure for venipuncture testing. Using a needle and sheath system, this procedure allows multiple sample tubes to be filled through a single puncture. This procedure is ideal for reducing trauma to patients. After drawing the blood, the phlebotomist must make sure the test stopper is correctly coded and doesn't contact exposed blood between samples. Venipuncture with a Butterfly Needle : This is a specialized procedure that utilizes a flexible, butterfly needle adaptor. A butterfly needle has two plastic wings (one on either side of the needle) and is connected to a flexible tube, which is then attached to a reservoir for the blood. Due to the small gauge of the needle and the flexibility of the tube, this procedure is used most often in pediatric care, where the patients tend to have smaller veins and are more likely to move around during the procedure. After being inserted into a vein at a shallow angle, the butterfly needle is held in place by the wings, which allow the phlebotomist to grasp the needle very close to the skin. Phlebotomists should be careful to watch for blood clots in the flexible tubing. Venipuncture with a Syringe: This technique is typically only used when there is a supply shortage, or when a technician thinks it is the appropriate method. It uses the classic needle, tube, and plunger system, operating in a similar manner to the vacuum tube but requiring multiple punctures for multiple samples. Additionally, after the blood is drawn it must be transferred to the appropriate vacuum tube for testing purposes. If you choose to use this method, remember to check for a sterile seal, and use a safety device when transferring the sample. Fingerstick (or Fingerprick): This procedure uses a medical lance to make a small incision in the upper capillaries of a patient's finger in order to collect a tiny blood sample. It is typically used to test glucose and insulin levels. When performing a Fingerstick, the phlebotomist should remember to lance the third or fourth finger on the non-dominant arm. Never lance the tip or the center of the finger pad; instead, lance perpendicular to the fingerprint lines. Heelstick (or Heelprick): Similar to the Fingerstick procedure, this process is used on infants under six months of age. A medical lance is used to create a small incision on the side of an infant's heel in order to collect small amounts of blood for screening. As with a Fingerstick, the incision should be made perpendicular to the heel lines, and it should be made far enough to the left or right side of the heel to avoid patient agitation. Before performing a Heelstick, the infant's heel should be warmed to about 42 degrees Celsius in order to stimulate capillary blood and gas flow. Therapeutic Phlebotomy: This involves the actual letting of blood in order to relieve chemical and pressure imbalances within the blood stream. Making use of a butterfly needle, this therapy provides a slow removal of up to one pint of blood. Though the blood removed is not used for blood transfusions, the procedure and concerns are the same as with routine blood donation. As with any phlebotomy procedure, one should pay close attention to the patient in order to prevent a blood overdraw. Bleeding Time: A simple diagnostic test that is used to determine abnormalities in blood clotting and platelet production. A shallow laceration is made, followed by sterile swabbing of the wound every 30 seconds until the bleeding stops. Average bleed times range between one and nine minutes. As a phlebotomist, you should familiarize yourself with the application and cross-application of these procedures in order to recognize when a procedure is necessary, and what the risks are for each.

Intramuscular Injection Demonstration | Nursing Skills Demo
Intramuscular Injection Demonstration | Nursing Skills Demo nurse 108 Views • 2 years ago

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This video illustrates an IM injection for deltoid muscle.
Note that vaccines and other medications can be administered through the deltoid muscle. I will give you some tips through this video.

It is important to check your client’s details such as their medication, time, dose, and the route to be used. Different research works are subject to change the protocols for insertion thus, it is necessary to be up to date with the current changes.

Assemble all the supplies and conduct hand sanitation. Usually, I wear gloves before giving any injection in as much as the CDC may state it is optional unless the patient has an open lesion and contact of body fluids is likely to happen.

Use the acromion process landmark to locate the deltoid muscle. Move your fingers about two widths below the landmark. The patient’s adipose tissue determines the choice of needle length. Note that the needle gauge is determined by the type of medication you plan to give to the patient.

The Z-track technique is recommended rather than pinching the patient’s skin. Pull the patient’s skin to the side using one hand. Use a 90 degree angle to insert the needle to the patient’s skin. At the rate of 10 seconds per mL gently depress the plunger.

Remove the needle carefully and engage the safety precautions then dispose of the needle appropriately in the sharps container. Gauzing helps to cover the injection site.

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Replantation after amputation of 5 fingers
Replantation after amputation of 5 fingers samer kareem 18,338 Views • 2 years ago

Since the first replant more than 50 years ago, thousands of severed body parts have been reattached, preserving the quality of life for thousands of patients through improved function and appearance that the void remaining after amputation cannot provide. Ronald Malt performed the first replantation on May 23, 1962 at Massachusetts General Hospital on a 12-year-old boy who had his right arm amputated in a train accident. [1, 2] This amputation occurred at the level of the humeral neck.

Baby Born With Two Heads
Baby Born With Two Heads Scott 22,251 Views • 2 years ago

- A baby born with two heads is expected to survive after doctors removed the parasitic twin that was “feeding off” her blood supply. The baby girl, who is yet to be named, was born via C-section at Ram Snehi Hospital in northern India last month

Brain tumor surgery: What to expect
Brain tumor surgery: What to expect Scott 126 Views • 2 years ago

: Frederick Lang, M.D., and Jeffrey Weinberg, M.D., neurosurgeons at MD Anderson Cancer Center, answer frequently asked questions about what to expect when you’re having brain tumor surgery.

Learn more about the MD Anderson Brain and Spine Center: www.mdanderson.org/brainandspine

Request an appointment at MD Anderson by calling 1-877-632-6789 or online: https://my.mdanderson.org/RequestAppointment

Histology of Small Intestine Jejunum
Histology of Small Intestine Jejunum Histology 6,037 Views • 2 years ago

Histology of Small Intestine Jejunum

Stoma Care- Changing a Colostomy Bag (Nursing Skills)
Stoma Care- Changing a Colostomy Bag (Nursing Skills) nurse 128 Views • 2 years ago

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Stoma Care- Changing a Colostomy Bag (Nursing Skills)

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Stoma Care- Changing a Colostomy Bag (Nursing Skills)

In this video, we’re going to talk about stoma care. Now, the wafer and bag for an ostomy only NEEDS to be changed every 3 days, or if it’s leaking. But, you still need to be able to assess the stoma itself. In this case we’re going to show you how to replace the bag and clean and assess the stoma. Start by putting a towel under the patient on the side of the stoma. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Introduction to Stoma Care
0:20 Assessing the stoma
0:47 Cleaning the stoma
1:12 Inspecting the stoma
1:25 Measuring and cutting the stoma
2:00 Applying and sealing the bag
2:35 Documentation
2:41 Outro

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NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.

Pregnancy Stretch Marks Removal
Pregnancy Stretch Marks Removal Scott 2,272 Views • 2 years ago

Pregnancy Stretch Marks Removal Treatment

Innovations in Minimal Access Pediatric Surgery and Technology - Stanford Children's Health
Innovations in Minimal Access Pediatric Surgery and Technology - Stanford Children's Health hooda 124 Views • 2 years ago

Sanjeev Dutta, MD, FACS discusses the fascinating new world of surgical technology. The pediatric general surgeon shares how medicine and technology have combined to achieve less invasive procedures and healthier outcomes for surgical patients.

Dr. Dutta is a pediatric general surgeon at Lucile Packard Children's Hospital. He is also an Associate Professor of Surgery at Stanford School of Medicine and Surgical Director of the Multidisciplinary Initiative for Surgical Technology Research.

Learn more about Stanford Children's Health. http://www.stanfordchildrens.org.

Watch How Snake Poison Could Turn Human Blood Into Jelly
Watch How Snake Poison Could Turn Human Blood Into Jelly hooda 13,535 Views • 2 years ago

Watch How Snake Poison Could Turn Human Blood Into Jelly

Laparoscopic Excision of Endometriosis - Brigham and Women's Hospital
Laparoscopic Excision of Endometriosis - Brigham and Women's Hospital Surgeon 107 Views • 2 years ago

The video demonstrates complete excision of endometrosis in a variety of challenging situations.

Recovery position
Recovery position Doctor 11,684 Views • 2 years ago

Recovery position

Ultrasound of the Breast
Ultrasound of the Breast Colin Cummins-White 25,115 Views • 2 years ago

Identify the anatomy and explain the physiology of the breast on diagrams and sonograms.

Describe and demonstrate the protocol for sonographic scanning of the breast, including the clock and quadrant methods, and targeted examinations based on mammographic findings.

Describe the various diagnostic pathways that may lead to a sonographic breast examination, and explain how the ultrasound findings are correlated with other imaging modalities.

Identify and describe sonographic images of benign and malignant features and common breast pathologies.

Explain biopsy techniques for breast tumors.

Define and use related medical terminology.

Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act (see reference

Production of Continuous Hemodialysis Solution
Production of Continuous Hemodialysis Solution Scott 158 Views • 2 years ago

In this instructional video, Director of Critical Care Nephrology, Sevag Demirjian, MD goes over the steps for in-hospital production of ultra-pure continuous hemodialysis fluid.

By using the information in this video and/or any other materials made available by Cleveland Clinic related to the dialysate solution, you agree to comply with and be bound by the terms of the Permissive Use Agreement, a copy of which is available at https://bit.ly/3f9lN4j

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