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19 Cards in this Set
- Front
- Back
procedure for drawing femoral vein blood
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NAVEL
place needle medial to femoral pulse |
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method for a Foley
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BLURI
Betadine to meatus Lubricate catheter catheter into Urethra look for Return of urine Inflate balloon with saline |
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on the Foley which tip is the balloon and which is the urinary drainage
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bigger is drainage
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rough guide for length of the NGT
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from nose, around ear to 5 cm below xyphoid
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how to insert an NGT
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Lubricate the tube
NGT goes STRAIGHT back FLEX the neck to advance the tube |
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how to tell in NGT in place
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blow air in with a Toomey syringe and listen with steth over stomach for a swish
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technique for draining an abscess
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I&D, incision and drainage
Anesthetic Number 11 blad to incise |
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is skin lost in a cyst removal?
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yes, you remove an ellipse of skin, including the pore
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if you need to make an incision in same place as an old, what do you do?
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go through the old incision or excise old incision because its scar tissue will limit collaterals for healing
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how to incise epidermis vs dermis
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scalpel for both; electrocautery can be used for dermis
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Kocher incision
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right subcostal
open cholecystectomy |
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Rocky-Davis incision
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like a McBurney's, but straight across
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Pfannenstiel incision
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low transverse abdominal wiwth retraction of rectus muslces laterally
gyn proedures |
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Kidney transplant incision
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lower quadrant, on one side
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liver transplant incision
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Chevron or Mercedes Benz on upper abdomen
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thoracotomy incision
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4th or 5th intercostal space, anterior or posterior
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probelm with thoracotomy incision
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painful
try to avoid muscles via retraction NOT transection |
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location for CEA incision
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anterior border of SCM, to expose carotid
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trocar incisions for lap chole
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3 along right subcostal
1 just below umbilicus |