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Puberty In Girls Changes and Stages
Puberty In Girls Changes and Stages hooda 48,436 Views • 2 years ago

All you need to know about Puberty In Girls Changes and Stages

Venipuncture: Butterfly Method
Venipuncture: Butterfly Method Mohamed Ibrahim 26,979 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.

How to Increase Your Chances of Getting Pregnant?
How to Increase Your Chances of Getting Pregnant? hooda 23,037 Views • 2 years ago

Watch that video to know How to Increase Your Chances of Getting Pregnant?

What Are Damaged Nerves?
What Are Damaged Nerves? samer kareem 1,550 Views • 2 years ago

What is peripheral neuropathy? Your peripheral nervous system connects the nerves from your brain and spinal cord, or central nervous system, to the rest of your body. This includes your: arms hands feet legs internal organs mouth face The job of these nerves is to deliver signals about physical sensations back to your brain.

Breech presentation
Breech presentation samer kareem 3,666 Views • 2 years ago

In breech position, the baby's bottom is down. There are a few types of breech: Complete breech means the baby is bottom-first, with knees bent. Frank breech means the baby's legs are stretched up, with feet near the head. Footling breech means one leg is lowered over the mother's cervix. You are more likely to have a breech baby if you: Go into early labor Have an abnormally shaped uterus, fibroids, or too much amniotic fluid Have more than one baby in your womb Have placenta previa (when the placenta is on the lower part of the uterine wall, blocking the cervix)

Breast  implant removed with capsule
Breast implant removed with capsule samer kareem 6,185 Views • 2 years ago

case of capsular contracture and shows how the abnormal capsule tightens around the implant and the problems this causes

Biggest Ingrown Hair Removed
Biggest Ingrown Hair Removed samer kareem 36,593 Views • 2 years ago

Heart dissection Explaination
Heart dissection Explaination samer kareem 14,564 Views • 2 years ago

Heart dissection Explaination

Synthol shoulder leaking
Synthol shoulder leaking hooda 2,135 Views • 2 years ago

A bodybuilder gets his shoulder leaking because of synthol use on the stage while posing back double biceps

Amputated Hand Reattachment Surgery
Amputated Hand Reattachment Surgery hooda 77,661 Views • 2 years ago

Watch that video of Amputated Hand Reattachment Surgery

Blood Sugars and Diabetes
Blood Sugars and Diabetes samer kareem 2,507 Views • 2 years ago

Cervicofacial Advancement Flap for SCC
Cervicofacial Advancement Flap for SCC Doctor 13,232 Views • 2 years ago

This video shows a patient with a large squamous cell carcinoma that has eroded through his external ear. The lesion has also infiltrated the parotid gland. We show the resection of this lesion with associated reconstruction.

How to Read a CT Scan of the Head
How to Read a CT Scan of the Head samer kareem 2,244 Views • 2 years ago

Head CT Interpretation Made Easy

Warning: Diabetic Ulcer Debridement
Warning: Diabetic Ulcer Debridement Scott 16,797 Views • 2 years ago

Debridement is the removal of necrotic tissue, foreign debris, bacterial growth, callus, wound edge, and wound bed tissue from chronic wounds in order to stimulate the wound healing process. Stimulation of wound healing mediated by debridement is thought to occur by the conversion of a chronic non-healing wound environment to an acute healing environment through the removal of cells that are not responsive to endogenous healing stimuli. Debridement is used commonly in standard wound treatment of diabetic foot ulcers (DFUs). Methods of debridement include surgery (sharp debridement), chemical debridement (antiseptics, polysaccharide beads, pastes), autolytic (hydrogels, hydrocolloids and transparent films), biosurgery (maggots), mechanical (hydrodebridement), and biochemical debridement (enzyme preparations). Callus is a buildup of keratinized skin formed under conditions of repeated pressure or friction and may contribute to ulcer formation by creating focal areas of high plantar pressure. The debridement of callus has been proposed to be relevant for both treatment and prevention of DFU. The purpose of this report is to retrieve and review existing evidence of comparative clinical effectiveness of different methods of debridement for the treatment of DFUs. Additionally examined in this report is the clinical effectiveness for treatment and prevention of DFU using callus debridement. Cost-effectiveness, and existing debridement guidelines for the treatment of DFUs will also be reviewed.

USMLE Step 2 CS - Acute  Abdomen
USMLE Step 2 CS - Acute Abdomen usmle tutoring 9,222 Views • 2 years ago

USMLE Step 2 CS - Acute Abdomen- This is just preview video. To get full access please visit our website : www.usmletutoring.com

Pediatric Surgical Services - Fort HealthCare
Pediatric Surgical Services - Fort HealthCare hooda 84 Views • 2 years ago

As you consider Fort HealthCare and our Pediatric Surgical Services, here is a quick tour to give you and your child an idea of what to expect.

We look forward to helping you.

To find out more information, please visit forthealthcare.com/PediatricSurgery


Video production by Highlights Media, LLC

Cervical Biopsy Overview
Cervical Biopsy Overview samer kareem 6,544 Views • 2 years ago

A cervical biopsy is a procedure that is sometimes done on women during an exam called a colposcopy to remove cervical tissue for examination. It is also called a punch biopsy. It is usually performed when a Pap smear result is either inconclusive or abnormal and a doctor wants to screen further for any cervical dysplasia or cervical cancer.

Axillary Artery to Vein AV Graft for Dialysis Access (M. Rahimi, MD, M. Zubair MD, L. Gomez, MD)
Axillary Artery to Vein AV Graft for Dialysis Access (M. Rahimi, MD, M. Zubair MD, L. Gomez, MD) Scott 157 Views • 2 years ago

"Axillary Artery to Vein AV Graft for Dialysis Access"

Houston Methodist DeBakey Heart & Vascular Center, presents a cardiovascular procedure featuring Maham Rahimi, MD, M. Mujeeb Zubair, MD, and Louis Gomez, MD, as they demonstrate “Axillary Artery to Vein AV Graft for Dialysis Access".

Surgery: Maham Rahimi, MD, M. Mujeeb Zubair, MD, and Louis Gomez, MD
Narration: M. Mujeeb Zubair, MD

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Examination of Inguinal Hernia,Direct Inguinal Hernia,Indirect Inguinal Hernia, Inguinal Lymph Nodes
Examination of Inguinal Hernia,Direct Inguinal Hernia,Indirect Inguinal Hernia, Inguinal Lymph Nodes DrPhil 156 Views • 2 years ago

#final #fumc #mbbs #medicalstudents #mbbsabroad #doctor #fcps #fcpspart #surgeryeducation #surgeryreview #trainee #exampreparation

Vaginoplasty
Vaginoplasty samer kareem 24,158 Views • 2 years ago

A vaginoplasty is a surgical procedure that tightens the vagina. This is done by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. During delivery of a baby the vagina and surrounding tissues and muscles become stretched. After delivery the vagina may return to a more “normal” size, but it often fails to return to its’ pre pregnancy diameter. Generally, the more vaginal deliveries, the worse the condition gets. Many women will complain of decreased sensation and sexual satisfaction during intercourse. Commonly this is due to a lack of friction. Often their partner may notice a change although he may say nothing. Kegel exercises are often recommended but rarely succeed in restoring vaginal tightness.

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