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Head to Toe Assesment
Head to Toe Assesment samer kareem 28,712 Views • 2 years ago

Head to Toe Assesment

Pulmonary Artery Catheterization
Pulmonary Artery Catheterization samer kareem 1,573 Views • 2 years ago

Any independent vertical movement of the transducer or the patient will affect the hydrostatic column of this fluid-filled system and thus alter the pressure measurements. At some time before or after PAC insertion, the system must therefore be zeroed to ambient air pressure. The reference point for this is the midpoint of the left atrium (LA), estimated as the fourth intercostal space in the midaxillary line with the patient in the supine position. With the transducer at this height, the membrane is exposed to atmospheric pressure, and the monitor is then adjusted to zero. Calibration Once zeroed, the monitoring system must be calibrated for accuracy. Currently, most monitors perform an automated electronic calibration. Two methods are used to manually calibrate and check the system. If the catheter has not been inserted, the distal tip of the PAC is raised to a specified height above the LA. For example, raising the tip 20 cm above the LA should produce a reading of approximately 15 mm Hg if the system is working properly (1 mm Hg equals 1.36 cm H 2 O). Alternatively, pressure can be applied externally to the transducer and adjusted to a known level using a mercury or aneroid manometer. The monitor then is adjusted to read this pressure, and the system is calibrated. Dynamic tuning Central pressures are dynamic waveforms (ie, they vary from systole to diastole) and thus have a periodic frequency. To monitor these pressures accurately, the system requires an appropriate frequency response. A poorly responsive system produces inaccurate pressure readings, and differentiating waveforms (eg, PA from pulmonary capillary wedge pressure [PCWP]) can become difficult. When signal energy is lost, the pressure waveform is dampened. Common causes of this are air bubbles (which are compressible), long or compliant tubing, vessel wall impingement, intracatheter debris, transducer malfunction, and loose connections in the tubing. A qualitative test of the frequency response is performed by flicking the catheter and observing a brisk high-frequency response in the waveform. After insertion, the system can be checked by using the rapid flush test. When flushed, an appropriately responsive system shows an initial horizontal straight line with a high-pressure reading. Once the flushing is terminated, the pressure drops immediately, which is represented by a vertical line that plunges below the baseline. A brief and well-defined oscillation occurs, followed by return of the PA waveform. A dampened system will not overshoot or oscillate, and causes a delay in returning to the PA waveform.

Histology of Tongue Folliate Papilla
Histology of Tongue Folliate Papilla Histology 6,507 Views • 2 years ago

Histology of Tongue Folliate Papilla

Ureteral Stent Procedure
Ureteral Stent Procedure samer kareem 3,775 Views • 2 years ago

The ureter can become obstructed due to conditions such as kidney stones, tumors, infection, or blood clots. When this happens, physicians can use image guidance to place stents or tubes in the ureter to restore the flow of urine to the bladder. A ureteral stent is a thin, flexible tube threaded into the ureter.

Proximal Humerus Plate
Proximal Humerus Plate samer kareem 1,251 Views • 2 years ago

This procedure describes proximal humeral fracture fixation with an angular stable plate (A). Sometimes, these implants are not available. Standard plates provide an alternative option, for example the modified cloverleaf plate (B). Presently, the specific indications, advantages, and disadvantages of angular stable and standard plates are being clarified. There is some evidence that angular stable plate provide better outcomes. In addition to type and technique of fixation, the quality of reduction, the soft-tissue handling, and the characteristics of the injury and patient significantly influence the results. There is no evidence that the use of angular stable plates will overcome these other factors.

STS Workshop on Robotic Cardiac Surgery
STS Workshop on Robotic Cardiac Surgery Surgeon 300 Views • 2 years ago

Hear what course directors Drs. T. Sloane Guy, Joseph A. Dearani, and Husam H. Balkhy have to say about the STS Workshop on Robotic Cardiac Surgery: Hands-on Team Training in Robotic Mitral Valve Repair, Coronary Bypass & More, including program highlights, who should attend, and what to expect on March 29-30, 2019. Visit http://www.sts.org/roboticcardiac to view the agenda and register.

Thoracic Epidural Placement Paramedian Approach
Thoracic Epidural Placement Paramedian Approach Mohamed Ibrahim 26,587 Views • 2 years ago

Thoracic Epidural Placement Paramedian Approach

Vascular Anastomosis
Vascular Anastomosis samer kareem 3,575 Views • 2 years ago

Although techniques of vascular anastomosis after trauma are numerous in type and form, most surgeons will default to the one associated with the greatest comfort and ease. This report offers a rapid and reliable repair using a conceptually and operationally simple technique. Its methodology is appropriate for all repairs, including cases mandating the insertion of vascular conduit. We have employed this technique for the past 15 years in nearly all patients with vascular injuries, regardless of the site and size of the vessel. This has included vessels of the neck, torso, upper and lower extremities. There have been no obvious complications associated with its use. Major advantages include: 1) the operating system is always oriented towards the surgeon, 2) the posterior row of sutures is placed as both ends are readily visualized, avoiding the need for potentially obscuring traction stitches, and 3) flushing is easily performed prior to completing the anterior suture row.

Glucose
Glucose samer kareem 9,501 Views • 2 years ago

Recommended range without diabetes is 70 to 130mg/dL. (The standard for measuring blood glucose is "mg/dL" which means milligrams per deciliter.) If your blood glucose level is above 130mg/dL, that's fasting hyperglycemia. Fasting hyperglycemia is a common diabetes complication.

Gloving, Gowning and Surgical Scrub
Gloving, Gowning and Surgical Scrub Surgeon 20,445 Views • 2 years ago

A video showing the accurate steps of Gloving, Gowning and Surgical Scrub

Penile Implant for Erectile Dysfunction
Penile Implant for Erectile Dysfunction Scott 8,076 Views • 2 years ago

See how the penile implant for erectile dysfunction work

External Jugular Vein IV
External Jugular Vein IV samer kareem 8,077 Views • 2 years ago

External jugular vein cannulation is an integral part of modern medicine and is practiced in virtually every health care setting. Venous access allows sampling of blood, as well as administration of fluids, medications, parenteral nutrition, chemotherapy, and blood products. [1] This topic describes placement of an intravenous (IV) catheter into the external jugular vein. A similar technique can be used for placement of IV catheters at different anatomic sites.

Vital Signs Nursing: Respiratory Rate, Pulse, Blood Pressure, Temperature, Pain, Oxygen
Vital Signs Nursing: Respiratory Rate, Pulse, Blood Pressure, Temperature, Pain, Oxygen nurse 263 Views • 2 years ago

Vital signs help us assess patients in the nursing profession, and there are six common vital signs that we assess as nurses:

1. Heart Rate (Pulse)
2. Respiration Rate
3. Temperature
4. Blood Pressure
5. Pain Rating
6. Oxygen Saturation

This video will demonstrate how to check vital signs (live) on a patient, along with normal rates for each assessment. I also give you a few tips for taking vital signs as a nurse, CNA, or other healthcare profession.

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Popular Playlists:

NCLEX Reviews: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Fluid & Electrolytes: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf
Nursing Skills: https://www.youtube.com/playli....st?list=PLQrdx7rRsKf

Are High Heels Bad For Women?
Are High Heels Bad For Women? Scott 3,293 Views • 2 years ago

Forty-nine percent of women, ages 18- 24, wear high heels. The percentage only goes down slightly to 42 percent for women aged 20- 49, reports The List.

Femoro-Popliteal Bypass with a saphenous vein Graft
Femoro-Popliteal Bypass with a saphenous vein Graft Surgeon 17,365 Views • 2 years ago

A surgical video showing Femoro-Popliteal Bypass with a Saphenous Vein Graft

 Thoracentesis
Thoracentesis dr_mohamed 1,940 Views • 2 years ago

Thoracentesis is used diagnostically to establish the cause of a pleural effusion. It can also be performed to drain large effusions that lead to respiratory compromise

Tonsil Stones Caseum
Tonsil Stones Caseum Anatomist 12,086 Views • 2 years ago

Tonsil Stones Caseum

Anal Fissure
Anal Fissure samer kareem 4,883 Views • 2 years ago

An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements. You also may experience spasms in the ring of muscle at the end of your anus (anal sphincter). Anal fissures are very common in young infants but can affect people of any age. Most anal fissures get better with simple treatments, such as increased fiber intake or sitz baths. Some people with anal fissures may need medication or, occasionally, surgery.

Valsalva's maneuver
Valsalva's maneuver samer kareem 18,085 Views • 2 years ago

The Valsalva Maneuver is any attempt to exhale with the mouth and nose closed. Named after the Italian physician and anatomist, Antonio Maria Valsalva (1666-1723), it is also known as Valsalva's Test and Valsalva's Method.

Dental Abscess Drainage and Extraction
Dental Abscess Drainage and Extraction Dentist 11,545 Views • 2 years ago

Dental Abscess Drainage and Extraction

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