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Central Line Dressing Change- Nursing Skills
Central Line Dressing Change- Nursing Skills nurse 221 Views • 3 years ago

Learn what's working for other Nursing Students! Check out our Top 10 Most Popular Lessons Here: https://bit.ly/3nda5u3

Central Line Dressing Change- Nursing Skills

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Central Line Dressing Change - Nursing Skills:

In this video we’re going to talk about central line dressing changes. In this particular video, we’re going to look at a PICC Line, but the same strategy is also used for a Central Line. Remember the dressing should be changed every 7 days or as needed for peeling or soiling
This includes PICC lines. Sterile technique must be maintained to prevent Central-Line Associated Bloodstream Infections (CLABSI)
We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Introduction
0.22 Mask application
0:36 Patient positioning
0:48 Dressing removal
1:20 Sterilization
1:26 Dressing change kit
2:14 Sterile gloves (Lesson link below)
https://nursing.com/lesson/ski....lls-01-04-sterile-gl
2:50 Cleaning the site
3:30 Bio patch application
4:20 Changing infusion caps
4:41 Labeling the dressing
5:00 Outro

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Baby Born with Beating heart outside chest
Baby Born with Beating heart outside chest Scott 21,450 Views • 3 years ago

The baby suffered from ectopia cordis, a rare condition where a baby's heart is located either partially or totally outside the chest. Only 8 out of 1 million babies are born with the condition, and 90 percent of those babies are either stillborn or die within the first three days of life.

Volar Slab Splint
Volar Slab Splint dr_mohamed 18,075 Views • 3 years ago

Volar Slab Splint for Forearm and Wrist Fractures and Sprains

Kidney Transplantation
Kidney Transplantation samer kareem 2,199 Views • 3 years ago

Small cell lung cancer: diagnosis and management
Small cell lung cancer: diagnosis and management samer kareem 1,640 Views • 3 years ago

Small cell lung cancer, which occurs almost exclusively in smokers, is a malignancy characterised by rapid doubling time, high growth fraction and widespread metastasis at presentation. In this presentation, we will briefly discuss the classification of pulmonary Neuro-endocrine tumours by the World Health Organisation followed by a detailed discussion of the clinical features, lab evaluation and management of SCLC, both limited and extended stage. The frontline therapy in small cell lung cancer is etoposide and cisplatin along with thoracic radiotherapy and prophylactic cranial irradiation in patients who have a good response to therapy. Hyperfractionation of radiotherapy may provide some benefit but is also associated with increase incidence of complications. Newer agents for SCLC include Vandetanib and immunotherapy molecules, such as Iplimumab and nivolumab.

Esophageal tear with ulcer
Esophageal tear with ulcer samer kareem 2,590 Views • 3 years ago

Mesenteric Vessel Ligation
Mesenteric Vessel Ligation Mohamed 10,789 Views • 3 years ago

Mesenteric Vessel Ligation

Venipuncture: Butterfly Method
Venipuncture: Butterfly Method Mohamed Ibrahim 27,169 Views • 3 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.

Severe Combined syndrome
Severe Combined syndrome samer kareem 1,778 Views • 3 years ago

Spinal Stenosis, Causes and Treatment
Spinal Stenosis, Causes and Treatment samer kareem 19,971 Views • 3 years ago

Watch Spinal Stenosis Videos Spinal stenosis occurs when the spinal cord in the neck (cervical spine) or the spinal nerve roots in the lower back (lumbar spine) are compressed. Symptoms of lumbar stenosis often include leg pain (sciatica) and leg tingling, weakness, or numbness. Arm pain is a typical symptom of cervical spinal stenosis. For cervical spinal stenosis with myelopathy, difficulty with coordination often occurs. Stenosis treatment may include non-surgical options (exercise, anti-inflammatory medication, epidural injections, and activity modification) or back surgery.

Removing loose skin with a tummy tuck!
Removing loose skin with a tummy tuck! Surgeon 232 Views • 3 years ago

This is the process of a tummy tuck! This procedure gets rid of the extra skin that has been stretched out due to pregnancy, weight loss, etc. You'll see her before, during, and after surgery!

To download Dr. Youn's FREE ebook, "Ten Things Every Plastic Surgery Patient Must Know," visit http://www.dryoun.com

Please visit Dr. Youn's online store at http://www.dryounonline.com for the latest in skin care products, nutritional supplements, and holistic health aids!

Calcium Channel Blockers
Calcium Channel Blockers samer kareem 1,593 Views • 3 years ago

Calcium channel blockers prevent calcium from entering cells of the heart and blood vessel walls, resulting in lower blood pressure. Calcium channel blockers, also called calcium antagonists, relax and widen blood vessels by affecting the muscle cells in the arterial walls. Some calcium channel blockers have the added benefit of slowing your heart rate, which can further reduce blood pressure, relieve chest pain (angina) and control an irregular heartbeat. Examples of calcium channel blockers Some calcium channel blockers are available in short-acting and long-acting forms. Short-acting medications work quickly, but their effects last only a few hours. Long-acting medications are slowly released to provide a longer lasting effect. Several calcium channel blockers are available. Which one is best for you depends on your health and the condition being treated. Examples of calcium channel blockers include: Amlodipine (Norvasc) Diltiazem (Cardizem, Tiazac, others) Felodipine Isradipine Nicardipine Nifedipine (Adalat CC, Afeditab CR, Procardia) Nisoldipine (Sular) Verapamil (Calan, Verelan) In some cases, your doctor might prescribe a calcium channel blocker with other high blood pressure medications or with cholesterol-lowering drugs such as statins.

Large Pulmonary Clot Removal
Large Pulmonary Clot Removal samer kareem 2,460 Views • 3 years ago

The removal of a clot is called an embolectomy. An embolectomy might be done during a surgery. Or it might be done with a minimally invasive procedure that uses a catheter (a thin tube that is guided through a blood vessel). This type of treatment for pulmonary embolism is used only in rare cases.

Laser Acne Scar Removal
Laser Acne Scar Removal Mohamed Ibrahim 10,909 Views • 3 years ago

Removing acne scars with laser

Human Histology | A Complete Course | 19 Chapters, 33 Videos, 6 hours | Link below | Med Madness
Human Histology | A Complete Course | 19 Chapters, 33 Videos, 6 hours | Link below | Med Madness DrPhil 260 Views • 3 years ago

Website : https://www.udemy.com/course/h....istology/?referralCo

Human Histology is one of the basic subject in a Medical Student career. By learning Histology in a proper way, this will help you to get a Visual memory of the Human body. Using this Visual memory, you can Learn any other subjects with little effort. 

This Course is very well organized with lot of Histology images, Line diagrams, simple presentations and clear Explanations. This course has 33 videos, 19 chapters, 6 hours long covering all topics. Every topic is made Simple and Complete. Dr Ram has a great teaching style and has a good experience in teaching medical subjects to students.

After finishing this course, you will be better in your basics, with ability to visualize the human body and this will create an intense thirst to learn more. We give 100% guarantee that you will have a complete and in-depth understanding in short time, You will start to enjoy Learning Medicine because of the visualization of human body you get from this course and you will be ready to face any Medical exams in world. 

Course features:

- Complete Histology lectures covering all chapters

- 19 chapters | 33 Videos | 6 Hours

- Clear Histology images

- Line diagrams for easy understanding

- Lot of memory tips

- High quality audio and Videos

- Can be viewed in Pc, or Phones or TV

Course content: ( 19 Chapters, 33 videos )

I The Cell - 3 Lessons

1. Nucleus

2. Cytoplasm

3. Cell Junctions

II Tissues - 11 Lessons

4. Epithelial tissues

5. Connective tissues

6. Muscular tissues

7. Nervous tissues

8. Bones

9. Cartilage

10. Lymphoid tissues

III Organ systems - 19 Lessons

11. Cardiovascular system

12. Respiratory system

13. Gastrointestinal system

14. Liver and Exocrine pancreas

15. Endocrine system

16. Urinary system

17. male reproductive system

18. Female reproductive system

19. The skin

Instructor : Dr Ram , Med Madness

Gerstmann Syndrome
Gerstmann Syndrome samer kareem 2,411 Views • 3 years ago

Testing for the four features of Gerstmann Syndrome in this patient with two separate left sided strokes (left frontoparietal ischaemic stroke followed by left posterior parietal haemorrhagic stroke). He exhibits (i) acalculia, (ii) agraphia, (iii) left-right disorientation, and (iv) finger agnosia. Complicating the issue is his obvious nonfluent aphasia (expressive dysphasia) with paraphasic errors (replacing words with associated words (e.g. says 'fork' instead of 'spoon')) and some comprehension issues.

Vaginal Discharge
Vaginal Discharge samer kareem 4,989 Views • 3 years ago

Vaginal discharge serves an important housekeeping function in the female reproductive system. Fluid made by glands inside the vagina and cervix carries away dead cells and bacteria. This keeps the vagina clean and helps prevent infection. Most of the time, vaginal discharge is perfectly normal. The amount can vary, as can odor and hue (its color can range from clear to a milky white-ish), depending on the time in your menstrual cycle. For example, there will be more discharge if you are ovulating, breastfeeding, or are sexually aroused. The smell may be different if you are pregnant or you haven't been diligent about your personal hygiene. None of those changes is cause for alarm. However, if the color, smell, or consistency seems significantly unusual, especially if it accompanied by vaginal itching or burning, you could be noticing an infection or other condition. What causes abnormal discharge? Any change in the vagina's balance of normal bacteria can affect the smell, color, or discharge texture. These are a few of the things that can upset that balance:

Thalassaemia is simple
Thalassaemia is simple samer kareem 18,866 Views • 3 years ago

Thalassemia (thal-uh-SEE-me-uh) is an inherited blood disorder characterized by less hemoglobin and fewer red blood cells in your body than normal. Several types of thalassemia exist, including alpha-thalassemia, beta-thalassemia intermedia, Cooley's anemia and Mediterranean anemia. Hemoglobin is the substance in your red blood cells that allows them to carry oxygen. The low hemoglobin and fewer red blood cells of thalassemia may cause anemia, leaving you fatigued. If you have mild thalassemia, you may not need treatment. But, if you have a more severe form of thalassemia, you may need regular blood transfusions. You can also take steps on your own to cope with fatigue, such as choosing a healthy diet and exercising regularly.

CyberKnife: Treatment of Lung Cancer
CyberKnife: Treatment of Lung Cancer samer kareem 6,102 Views • 3 years ago

Radiosurgery: Radiosurgery devices, such as the CyberKnife Robotic Radiosurgery System, offer patients a new option for the treatment of lung cancer. The CyberKnife® System is used to treat lung cancer patients who cannot tolerate surgery, have an inoperable tumor, or are seeking an alternative to surgery.

Skin Histology: Epidermis Layers (stratum basale, spinosum, granulosum, lucidum & corneum)
Skin Histology: Epidermis Layers (stratum basale, spinosum, granulosum, lucidum & corneum) DrPhil 269 Views • 3 years ago

Excerpt from my Normal Skin Histology video: https://kikoxp.com/posts/3660.

A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: https://kikoxp.com/posts/5084 (dermpath) & https://kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).

Please check out my Soft Tissue Pathology & Dermatopathology survival guide textbooks: http://bit.ly/2Te2haB

Also, in the past I used "keratinocyte" and "squamous cell" interchangeably (this is because in dermatopathology, we see and talk about squamous cell carcinomas all the time, and those tumors are composed of keratinocytes). But technically, in normal skin histology, "squamous cell" refers only to the flattened keratinocytes in the superficial epidermis. Thankfully, a histology PhD colleague pointed this out to me and corrected my lazy nomenclature!

This video is geared towards medical students, pathology or dermatology residents, or practicing pathologists or dermatologists. Of course, this video is for educational purposes only and is not formal medical advice or consultation.

Presented by Jerad M. Gardner, MD. Please subscribe to my channel to be notified of new pathology teaching videos.

Follow me on:
Snapchat: JMGardnerMD
Twitter: @JMGardnerMD
Instagram: @JMGardnerMD
Kiko: https://kikoxp.com/profile/jer....ad_gardner1/content?
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