Contraindication

give medications to the patient e.g. vasopressors, chemotherapy, antibiotics1 Parentral nutrition (PEN) Hemodynamic monitoring – e.g. central venous pressure (CVP) In case of difficult or poor peripheral venous access CONTRAINDICATION: some of the relative contraindications are Anatomic distortion at insertion site Coagulopathy Already existing intravascular devices SITES Internal juglar vein (IJV) Suvclavian vein ( SCV) Femoral vein MONITORING: – Essential monitoring required –…

outlines the administration of aerosolized Pentamidine. II. INDICATION Aerosolized Pentamidine is used prophylactically to reduce the incidence of infection Pneumocystis Carinii Pneumonia (PCP) among patients that are immunocompromised. III. CONTRAINDICATION Patients with known allergies to Pentamidine and other ingredients found in the solution. IV. PRECAUTIONS A. Premedication: A bronchodilator, such as Albuterol, must be given 15 minutes prior to administering Pentamidine to avoid the…

Under the principle of clinical equipoise, individual providers may have beliefs about the superiority of one treatment over another in a randomized clinical trial but the trial is still ethical so long as there is no consensus in the community of medical experts. Stated by Freedman (as cited by Hey.): Instead of emphasizing the lack of evidence favoring one arm over another that is required by [individual] equipoise, clinical equipoise places the emphasis in informing the patient on the honest…

3.4 Radiological manifestations: In our study, radiological examination showed that diffuse brain damage and brainstem injuries were present in 34 (51.5%) and 23 (34.9%) patients, respectively, and it was associated with increased mortality rate. 3.4.1 Computerized tomography (CT) scan: Different types of imaging studies are used in TBI patients due to missile wounds. In a hemodynamically stable patient, non-contrast enhanced CT scan is the preferred imaging modality.4-7,13,14,19, 20, 23,…

1) Briefly, in a sentence or two, give the usual or common description of your concept and cite 1 or 2 references. The common description of beneficence is to do “good” onto other (Kissinger, 2009). Autonomy generally means allowing someone to make his or her own independent decision (Varelius, 2006). In the nursing world, we typically promote beneficence by allowing people to be autonomous. 2) What are some underlying assumptions of your concept? The traditional portrayal of the sweet, doting…

An 18-year-old male is brought to the emergency department after suffering from yet another headache. The headaches are abrupt in onset, last for about an hour or so, and then subside for some time before the next episode occurs. The patient has had about three to five episodes per day for the past week and describes the pain as a 10/10 that localizes to either side of his head during an episode but never is felt on both sides at the same time. Associated symptoms during these episodes include a…

Lung transplantation is a complex surgical procedure that a diseased lung is removed and replaced with a donor lung through anastomosis. In context of transplantation, a patient will receive either a single or bilateral lung transplant from a deceased donor. The current concern for lung transplantation is the shortage of lungs donor. Fortunately, some cases could be relieved by receiving donation from living donors. This procedure involved the removal of one lower lobes of lungs each from two…

Many athletic trainers use a modality called therapeutic ultrasound to help with the healing process of various kinds of injuries. Athletic trainers use ultrasound on a specific injury called patellar tendinopathy. Patellar tendinopathy is also referred to as “jumper’s knee” or patellar tendinitis. Patellar tendinopathy is a degenerative injury that could be caused by overuse. Athletes who have this injury usually have pain on the inferior pole of the patella. This condition usually develops…

medical belief that you should should not be immunised, and has been much more actively pursued in Australia since it was linked to receiving government benefits. Some people have also said that they cant immunise their children due to medical contraindication, and could be put at high risk of death or serious injury.…

all patients should be aggressively hydrated with the first 24-48 hours with isotonic crystalloids unless they are contraindications. Patients with concurrent acute cholangitis should undergo endoscopic retrograde cholangiography (ERCP). Antibiotics is only recommended if there is an extra-pancreatic infection such as bacteremia or cholangitis. If the patient has mild acute…