Heparin

CVC General Consideration INDICATIONS To 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…

1) What differential diagnoses should be considered for this individual? When addressing this question, the provider may feel overwhelmed with volume and possibility. Consequently, a thorough knowledge of disease pathology, presentation, and an understanding of the establishment and ranking of the most likely differential diagnoses is of immense importance. Like with any presenting complaint, the history and physical should serve as the guidepost for the differential diagnosis. Every disease…

Several studies have evaluated how to prevent CVC dialysis infection. One of these studies is that of Rickard & Ray-Barruel (2009) who performed a review of 11 dialysis CVC dressing infection-control practices. The assessment revealed that the handling of the dressing is very important in infection control especially in avoiding the spread of bacteria from an unknown colony. The study observed that catheter dressings treated with chlorhexidine have a 52% reduction in bacterial infections as…

Effect of Platelet Rich Plasma in acne scars: comparison with pretreatment condition Nadia Zakir (MD), Tarang Goyal, MD, Dr Zakir is from Muzaffarnagar medical college, Muzaffarnagar. Dr Goyal is from Muzaffarnagar medical college, Muzaffarnagar. Department of Dermatology, Venereology & Leprology, Muzaffarnagar Medical College and Hospital, Muzaffarnagar (U.P), India The authors report no conflict of interest Correspondence: ABSTRACT: The objective of the study was to evaluate the effect of…

DEEP VEIN THROMBOSIS (DVT) COURTNEY BENHAM PHLEBOTOMY AND HEMATOLOGY SEPTEMBER 1,2015 Deep Vein Thrombosis (DVT) is a condition that will happen when a thrombosis (blood clot) forms in the deep veins in the muscles of your body. Most commonly DVT is found in the legs, but can occur anywhere in the body. DVT can restrict blood flow through the vein, causing pain and swelling. Signs and symptoms of DVT include; swelling in your foot, ankle or leg, cramping in the affected leg felt mostly in the…

Medical marijuana is a big debate in the United States on whether it should be legalized for medical purposes. There are certain states that have already passed the law and made it possible for people who have a chronic disease to get their medication, if the patient is in a state that does not have medical marijuana then the patient does not have the right to consume the drug and they could actually face legal charges. When consuming medical marijuana it is different than when people consume…

The practice of internal medicine in a conflict zone is a unique challenge. In counter insurgency/ counter terrorism (CI/CT) areas, the hostile environment, austere conditions and limited logistics makes the decision making more difficult. There is enough literature available on the role of surgeon in combat zone both internationally and in Indian armed forces1,2, however there is paucity of literature on the role of internal medicine specialists in combat zone 3, 4. This article is aimed at…

Cell penetrating peptides are proteins or peptides that typically consist of 5-30 amino acids. These peptides are unique in that they are able to cross cell membranes and other barriers throughout the body such as the blood brain barrier, intestinal and nasal mucosa, and even skin. Using CPPs, scientists are now able to explore their potential as a means of transporting cargo into cells and across bio barriers. With their ease of preparation and generally nontoxic nature, CPPs have gained a…

Payment using QR Codes is gaining popularity fast due to its low barriers of entry and the convenience it provides to consumers as consumers do not need to carry credit cards or cash for their purchases. Merchants can also save cost by saving themselves the need to invest in expensive equipment, such as the EDC machine. Furthermore, merchants do not need to adhere to strict rules like the requirement of business permits and documents for the purchase of EDC machines. However, everything in…

integration of programmed reminders and alerts. With a computerized management system, reminders and alerts can be integrated into the system. For example the system will alert a physician to remind him to order a PTT when placing an order for a Heparin drip or a PT/INR when placing an order for Coumadin. Alerts can provide drug-drug and drug-allergy…