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ACE INHIBITORS  MECHANISM OF ACTION
ACE INHIBITORS MECHANISM OF ACTION samer kareem 3,286 Views • 3 years ago

ACE Inhibitor Mechanisms. Angiotensin converting enzyme (ACE) inhibitors are agents used to relax blood vessels and lower blood pressure. They prevent an enzyme from producing angiotensin II, which narrows blood vessels and raises blood pressure, meaning the heart has to work harder to pump blood around the body.

Tracheostomy procedure 3D animation
Tracheostomy procedure 3D animation Scott 255 Views • 3 years ago

https://bit.ly/3HIStRc #shorts


Tracheotomy and tracheostomy are surgical procedures that create an opening in the trachea (windpipe) to help patients breathe when they have difficulty doing so through the nose or mouth. Though they are similar in purpose, there are some key differences between them.

Tracheotomy is a temporary procedure that involves creating a small incision in the trachea to insert a breathing tube. The tube is typically removed once the patient no longer requires it, and the incision heals on its own. Tracheostomy, on the other hand, is a more permanent solution that involves creating a hole in the trachea and inserting a tracheostomy tube, which remains in place for an extended period.

Indications for these procedures include:

Airway obstruction due to trauma, tumors, or infection
Severe respiratory distress or failure
Prolonged mechanical ventilation
Inability to protect the airway due to neurological disorders or impaired consciousness
Steps for performing a tracheotomy and tracheostomy:

Preparation: The patient is positioned, and the neck area is cleaned and draped. Local anesthesia is often administered, although general anesthesia may be used in some cases.
Incision: A small incision is made in the neck, and the muscles and tissues are carefully separated to expose the trachea.
Tracheal opening: A small opening is made in the trachea, typically between the second and third tracheal rings.
Tube insertion: A tracheotomy tube is inserted through the incision and into the trachea for a tracheotomy, while a tracheostomy tube is inserted for a tracheostomy. Both tubes are secured in place.
Confirmation: Proper placement of the tube is confirmed by listening for breath sounds and checking for adequate ventilation.
Pre-operative care typically involves a thorough assessment of the patient's medical history, as well as any necessary imaging studies or lab tests to ensure the procedure is appropriate and safe. Informed consent should be obtained from the patient or their legal representative.

Post-operative care includes monitoring the patient's vital signs, ensuring the tube remains secure and patent, and managing any pain or discomfort. For tracheostomy patients, regular cleaning and maintenance of the stoma (the opening in the trachea) and the tracheostomy tube are essential to prevent infection and other complications. Long-term care may involve speech therapy, respiratory therapy, and support from a multidisciplinary team to address any ongoing needs.

It's crucial to remember that these procedures should only be performed by trained medical professionals in a clinical setting.



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Adult tonsillectomy
Adult tonsillectomy samer kareem 57,867 Views • 3 years ago

Tonsillectomy using coblation technique by wand Evac 70

Minimally Invasive Bypass: A Better Way. Sanger Heart & Vascular Institute
Minimally Invasive Bypass: A Better Way. Sanger Heart & Vascular Institute Surgeon 382 Views • 3 years ago

Dr. Joseph McGinn explains minimally invasive bypass, the procedure he pioneered as an alternative to open heart surgery.

Indirect Inguinal Hernia Repair
Indirect Inguinal Hernia Repair DrHouse 69,749 Views • 3 years ago

Right indirect (Gilbert II)inguinal hernia has been repared using PHSe prosthetic device

Deviated Septum Surgery (Septoplasty)
Deviated Septum Surgery (Septoplasty) Scott 12,909 Views • 3 years ago

Septoplasty (SEP-toe-plas-tee) is a surgical procedure to correct a deviated septum — a displacement of the bone and cartilage that divides your two nostrils. During septoplasty, your nasal septum is straightened and repositioned in the middle of your nose.

Lipid Lowering Agents
Lipid Lowering Agents samer kareem 2,907 Views • 3 years ago

Lipid-Lowering Agents HMG-CoA reductase inhibitors (statins) These agents inhibit the rate-limiting step in cholesterol biosynthesis by competitively inhibiting HMG-CoA reductase. Note the following: Low-density lipoprotein (LDL) reduction of 25%-60% Examples include Atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin Contraindications include hypersensitivity, active liver disease, pregnancy, lactation, coadministration with strong CYP3A4 inhibitors (selected statins) Vitamin B3 Vitamin B3 inhibits very-low-density lipoprotein (VLDL) synthesis. Note the following: LDL reduction of 10% High-density lipoprotein (HDL) increase of 20% Example includes Niacin (nicotinic acid) Contraindications include hypersensitivity, liver disease, active peptic ulcer, severe hypotension, arterial bleeding Fibrates Fibrates enhance lipoprotein lipase, resulting in increased VLDL catabolism, fatty acid oxidation, and triglycerides elimination. They decrease hepatic extraction of free fatty acids. Note the following: LDL reduction of 15% Triglyceride reduction of 35% Examples include Gemfibrozil, fenofibrate, fenofibrate (micronized), fenofibric acid Contraindications include active liver disease, renal disease, primary biliary cirrhosis, gallbladder disease 2-Azetidiones These agents inhibit sterol transporter at brush border and, consequently, intestinal absorption of cholesterol. LDL reduction of 15% Example includes Ezetimibe Contraindications include hypersensitivity, coadministration with statins (if active liver disease) Bile acid sequestrants These agents lower cholesterol and LDL via bile duct sequestration. Note the following: LDL reduction of 15% Examples include Cholestyramine, colesevelam, colestipol Contraindications include biliary/bowel obstruction, serum triglycerides >300-500 mg/dL, history of hypertriglyceridemia-induced pancreatitis

Spleen Anatomy and Physiology
Spleen Anatomy and Physiology samer kareem 3,100 Views • 3 years ago

The spleen is an organ in the upper far left part of the abdomen, to the left of the stomach. The spleen varies in size and shape between people, but it’s commonly fist-shaped, purple, and about 4 inches long. Because the spleen is protected by the rib cage, you can’t easily feel it unless it’s abnormally enlarged. The spleen plays multiple supporting roles in the body. It acts as a filter for blood as part of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight certain kinds of bacteria that cause pneumonia and meningitis.

Bradyarrythmias
Bradyarrythmias M_Nabil 7,960 Views • 3 years ago

Bradyarrythmias

Understanding Breast Augmentation Procedure
Understanding Breast Augmentation Procedure Stuart Linder 9,738 Views • 3 years ago

There many concerns and questions about how a breast augmentation procedure works. Dr. Linder a highly qualified plastic surgeon based in Beverly Hills, demystifies those worries. Dr. Stuart Linder is a Beverly Hills board certified plastic surgeon, specializing in body sculpting and reconstructive procedures including breast augmentation, reduction, lift, liposuction and tummy tuck. He is board-certified by the American Board of Plastic Surgery and is affiliated with the American College of Surgeons, the American Society of Plastic and Reconstructive Surgeons and the American Medical Association. Website: www.drlinder.com

PE: Shoulder Pain - OSCE Prep (Pulm, Cardiac, Pulses, Screening OSE, UE Neuro, MSK, Special Tests)
PE: Shoulder Pain - OSCE Prep (Pulm, Cardiac, Pulses, Screening OSE, UE Neuro, MSK, Special Tests) DrPhil 158 Views • 3 years ago

This particular video is intended as a demonstration of a physical exam that may be useful in evaluating a patient with shoulder pain.

It is not intended as a complete instructional video and should not be considered a source of complete physical examination instruction. It is also intended not as a perfect example of a physical exam that would be performed for a patient in clinical practice, but is designed to optimize function and efficiency for a OSCE testing setting.

Instead, it should be treated as a supplement to independent learning using primary Osteopathic Physical Examination instructional resources. Clinical skills are best learned and developed with support from faculty in the context of a complete Osteopathic Medical School Curriculum.

Osteopathic Clinical Skills is a channel dedicated to discussing and exploring Osteopathic Clinical Skills concepts for medical students, residents, and clinicians and presenting them in an easy to understand manner.

Attributions:
Many thanks to the University of North Texas Health Science Center Texas College of Osteopathic Medicine (UNTHSC - TCOM) for permitting use of the Medical Education Training (MET) facilities and equipment during the production of this video.

Additional thanks to the UNTHSC-TCOM learner and faculty volunteers who participated in this production and provided permission for the use of their image in this video.

Poisoned Human Body Medical Dissect
Poisoned Human Body Medical Dissect hooda 52,151 Views • 3 years ago

Watch that Poisoned Human Body Medical Dissect

Ewing's sarcoma Surgery
Ewing's sarcoma Surgery samer kareem 2,158 Views • 3 years ago

Ewing's sarcoma typically occurs in children and young adults. It often begins in the legs, bones of the pelvis, and arms. Bone pain, localized swelling, and tenderness are symptoms. In rare cases bone fractures may also be found. Treatments include chemotherapy, surgery, and radiation.

Upper Eyelid Reconstruction
Upper Eyelid Reconstruction samer kareem 2,211 Views • 3 years ago

Live Surgery: Upper Eyelid Reconstruction - Tenzel Flap

Brazilian Butt  Lift
Brazilian Butt Lift samer kareem 3,335 Views • 3 years ago

The surgical procedure uses your own fat, so it is the most natural way to augment your buttocks. Over the last few years, the buttocks have received more press coverage than ever before. People of all ages and body types are having the Brazilian Butt Lift procedure.

Colonoscopy displaying a Colon Cancer
Colonoscopy displaying a Colon Cancer Mohamed Ibrahim 21,243 Views • 3 years ago

Adenocarcinoma of the Transverse Colon taken by Dr. Julio Murra Saca This is the case of a 42 year-old male, with no significant past medical history presented with abdominal pain and no weight loss was reported. Adenocarcinoma of the colon is a primary cause of mortality and
morbidity in North America and Western Europe. Colonic cancers are the most common GI carcinomas and have the best prognosis. The 5-year survival rate is approximately 50%.
Survival rates may be improved by screening and removal of adenomatous polyps. Almost all colonic cancers are primary adenocarcinomas.

Surgery for Baby Born with Adult Sized Tongue
Surgery for Baby Born with Adult Sized Tongue samer kareem 3,702 Views • 3 years ago

This baby was born with an adult sized tongue - and she just completed a surgery that will change her life.

Shocking Hernia Repair 😱 #shorts
Shocking Hernia Repair 😱 #shorts DrPhil 297 Views • 3 years ago

Doctor Ricky Brown reacts to this surgery simulation of an inguinal hernia repair where they repair the hernia sack and create a mesh for the organ to comfortably rest on.

3D Animation powered by:
3DMedWorld - 3dmedworld.com

#shorts #doctor #education #surgery #medical

Tibial Bone Transport Over an Intramedullary Nail
Tibial Bone Transport Over an Intramedullary Nail samer kareem 4,976 Views • 3 years ago

Tibial Bone Transport Over an Intramedullary Nail Using Cable and Pulleys

Intramuscular Injection Techniques (Nursing Skills)
Intramuscular Injection Techniques (Nursing Skills) nurse 308 Views • 3 years ago

FREE Nursing School Cheat Sheets at: http://www.NURSING.com

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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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