Per a review of current literature, thoracostomy tubes should initially be placed to -20cm suction (Davis et al. 1994). Hemothorax in trauma patients requiring chest tube placement with >1500mL initial output or >200mL/hour for 3 hours should be taken to the operating room for exploration of the chest for thoracic injury and control of bleeding (Martin et al.…
A little surprised, Brooke acknowledged the meeting and went about her business. “Thanks Jan, I will meet with him as soon as I am finished with the narcotic count”. Brooke felt extremely uncomfortable with this drug-sharing situation. She dispensed the medications to the staff and inconspicuously pocketed a few large vials of narcotics.…
The position of the source is crucial for accurate treatment planning and delivery. The patient needs to be examined (through ultrasound, CT imaging, etc.) before treatment planning begins and before each treatment so that the geometry and positioning of the source to the intended target is precise and accurate. Each day before HDR treatment, the radiation therapist must utilize a departmental QA checklist. There are several components to this checklist.…
. Down’s syndrome is a chromosomal disorder that involves both a certain amount of physical deformity and some degree of mental retardation. 49 Esophageal atresia with tracheoesophageal fistula means that the esophageal passage from the mouth to the stomach ends in a pouch, with an abnormal connection between the trachea and the esophagus. As a result, food and drink pass to the lungs instead of the stomach, eventually resulting in suffocation unless surgery is performed to correct the malformation.50 Surgery to correct esophageal atresia with tracheoesophageal fistula is routinely performed with success, but the parents of Baby Doe refused to consent to the surgery. Shortly after Baby Doe was born, a hearing was held at Bloomington Hospital…
Usage of a Peripherally inserted Catheter and Central Catheter Heather Welschmeyer 12/07/2015 Mrs. Stark Medication Calculation and Administration Abstract Central line care and education is important to the patient as well as the family members. Central lines need special requirements and care to maintain. Patients need to be fully educated on care and usage in order to keep the central line functional and free from infection. Since the central line involves a puncture site, it would be easy for infection to take place at the site or in the bloodstream. Proper care and maintenance is crucial.…
My ability to learn quickly and anticipate was useful during my spine rotation due to the complicated nature of the procedure and the re-positioning after intubation. Aside from having an arterial line set up in the room, I would often have the ultrasound machine in the room in case the anesthesiologist needed assistance in the place of the arterial line. I frequently insisted that the anesthesiologist put an A-line whenever I was in a room with an orthopedic spine surgeon even when the anesthesiologist felt that one wasn’t necessary because they always requested for one to be placed. They often listened to my insistence to prevent any delays to the start of the case.…
In my family there are six kids, and I am the oldest. The youngest sibling is my half-brother, Isaac. Who rarely stays the night (two weekends a month). Our family is into sports and we travel often. Having money for food on away trips is tough at times.…
Hundreds of thousands of animals are sick! Tens of thousands of animals are dying! Not one healthy animal exist on earth.…
Companion Animal Veterinarian Being a companion animal veterinarian requires a veterinary medicine degree or professional degree, getting along and working with all sorts of animals, and traveling to farms, people's homes, and hospitals that need their help. Even though most people do it because they love working with animals, the main priority to the job is saving them in ways that most people can't. First of all, if anyone was even interested in a veterinarian career, they would need a veterinary medicine degree or a professional degree. Usually to earn a doctor of veterinary medicine degree it takes four years.…
It will be used to give you fluids and medicines during the procedure. • You will be given a medicine that makes you go to sleep (general anesthetic). • Your abdomen will be cleaned with a germ-killing solution (antiseptic). • The surgeon will make a small incision in your abdomen and place a tube through the incision.…
The study of Veterinary Medicine involves diagnosis, treatment, and prevention of diseases in animals. Veterinary medicine is a broad field. There are different positions that are within the veterinary field. An interesting one to me is a veterinarian technician. There are many opportunities available for veterinary technicians.…
A potential ethical dilemma that I could face in my chosen advanced nurse practice role as a family nurse practitioner is a large family that disagrees amongst themselves over whether to continue their mothers care. The situation is this: A mother of five children, divorced for over fifteen years, enters the hospital after suffering a massive stroke, was found unresponsive yet breathing in her yard by a neighbor. EMS was called and she was brought into the hospital and placed on advanced life support. The primary ICU physician and neurosurgeon are in agreement that the patient will not regain a significant amount of brain function. It has been a catastrophic injury without hope of recovery.…
I feel Project 231 will allow me to gain valuable experience and knowledge of the real world. This experience will aid in making my decisions regarding life after high school. My long term career is to become a veterinarian. My externship choice is the Troy Animal Clinic because of my passion for animals. This program is a direct path to my career goal.…
One of the main functions of the equine respiratory system is to trap debris. The horses nasal cavity is lined with ciliated epithelium, which produces mucus and is equipped with cilia.1 Air-borne debris gets trapped in the sticky mucus as it enters the nasal cavity and the cilia move from side to side in order to move the mucus toward the throat.1 When the debris-filled mucus reaches the throat, it can then be swallowed and digested or expelled through coughing.1 Research has shown that nearly half of the horse population has obtained some sort of lung disorder that is typically caused by small dust particles and individual hygiene issues that are related to the particles.2 Since these problems are affecting nearly half of the horse population,…
• You will be given a medicine to make you fall sleep (general anesthetic). You may also be given a medicine to help you relax (sedative). • A tube may be inserted through your nose and into your stomach (nasogastric tube). The nasogastric tube removes digestive fluids and prevents you from throwing up or feeling nauseous. • A small, flexible tube (catheter) will be inserted into your bladder to measure your urine production during surgery.…