Catheter placement is extremely vital for any animal when they are about to go under anaesthetic, this allows the immediate effect of Intravenous drugs and fluids to be administered at the specific times needed and reduces stress in the animal. In Jess’s case placing a catheter was very important, due to her age it allowed instant venous access; should there have been any complications during surgery. Generally catheters are placed in the medial saphenous veins in both cats and dogs to allow…
5. What are the potential contraindications that can prevent someone from having a cardiac catheterization? What is the contraindication that must be considered in Robert Wilson’s case? Why is this of concern? There are potential contraindications to getting a cardiac catheterization, though the only contraindication is the inability to provide an informed consent. There have been unstable patients how have tolerated this procedure but with high risk patients, the nurse has be cautious of…
Example 2: Revision of a Temple East Northeastern Hospital Chemotherapy Infusion Center- “SCRUB THE HUB” PROJECT Practices to Prevent Peripherally and Venous or Central Line-Associated Bloodstream Infections (CLABSI) The impetus of this revision was the request from Temple T3 Transport team for a Curos protector cap on the port of a patient who was being transferred out of the outpatient chemotherapy infusion center. Unknowing what a disinfecting port protector, initiated a literature review…
According to the emergency nurses association (ENA) there are various instances where peripheral access is difficult to obtain, and where other measures are often conflicting in causing infections, such as central venous catheters. Especially with patients with multiple morbidities, such as obesity, diabetes, hypovolemia, sickle cell anemia, and drug abuse, studies have shown significant differences between…
Central venous pressure monitoring and vital signs, in general, is paramount to determine the need for fluid resuscitation. Clinical history as well is vital on the amount of fluid that needs to be replaced. It is also a good practice to determine the patients' ventricular function prior to giving fluid to know the baseline capacity and how much fluid can you give. Physical signs should also be considered in determining hypovolemia. A cold and clammy skin would indicate poor peripheral perfusion…
her. The three main evidence based practices that I will be discussing are healthcare-associated infections (HAIs), intra venous infections in relation…
Safe care needs NP’s to take decisions & actions against situations of risk that threaten the safety of patients and the possible occurrence of incidents that can be from the slightest, that may often go unnoticed, to serious adverse events & consequences which can result in disability, injury, or death. Analyzing incidents in systemic ways based on reflective & systematic models, where errors are investigated from the insecure act of the NP towards decisions at managerial level, replaces a…
Introduction Craniosynostosis is defined as a premature closure of one or more calvarial sutures. Surgical intervention is indicated to improve appearance and prevent complications of increased intracranial pressure such as cognitive impairment, auditory and visual loss. Correction of craniosynostosis includes various surgical techniques, some of which are associated with substantial blood loss. Cranial vault remodeling is the historical gold standard for treating this condition and yields…
TERMINOLOGY CLINICAL CLARIFICATION • Systemic illness due to microbial infection that can lead to acute organ dysfunction or failure and associated with host immune response to infection CLASSIFICATION • There is a disease continuum with increasing severity if not treated or not responsive to treatment o Systemic inflammatory response syndrome (SIRS) - Documented or suspected infection with systemic manifestations of infection - Clinical response to a nonspecific insult of either infectious or…
With the left ventricle’s strong pumping action, blood is ejected to the rest of the body via the aorta. When the left ventricle cannot efficiently pump blood out of the ventricle into the systemic circulation, pulmonary venous blood volume and pressure build up, leading to fluid accumulation in the lung instigating left-sided heart failure. Common causes of left-sided failure comprise excessive alcohol intake, history of heart attack leading to poor left-side function,…