Get Code Blue: Bedside Procedures and Critical Information PDF
By Rahul Jandial
Embarking at the first medical rotation in a medical institution is a frightening adventure for clinicians, as textbook wisdom doesn't inevitably correlate with the knowledge that's valuable ''''in the trenches'''' on the hospital.Whether you're a nurse tending to a significant venous line or an intern putting that line, Code Blue is an imperative addition in your arsenal of emergency care wisdom. placed this instruction manual in your lab coat pocket and position the next info at your fingertips: fundamentals on physique platforms, illnesses, and drugsCritical in. Read more...
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Extra resources for Code Blue: Bedside Procedures and Critical Information
Esophageal perforation requires an emergent surgical consultation. 03_Jandial-r5_011-014:Layout 1 14 8/2/12 3:35 PM Page 14 Abdominal POSTPROCEDURE CHECK Check esophageal pressure at a minimum of every 4 hours. Order daily radiographs to verify proper placement. See Appendix A for additional helpful information. 04_Jandial-r4_015-018:Layout 1 8/2/12 3:34 PM Page 15 4 PARACENTESIS A 21-year-old woman presents with liver failure and a distended, nontender abdomen. INDICATIONS • • • • Ascites (Fig.
10-2 10_Jandial-r6_039-044:Layout 1 8/2/12 3:22 PM Page 41 Thoracentesis 41 TECHNIQUE • Attempt to identify the upper and lower margins of the pleural effusion by percussion. Marking with a sterile marker may be helpful. • Prepare and drape in sterile fashion. • Locate the rib two interspaces below the top of the effusion—but not below the eighth rib. • In the midclavicular line on the identified rib, anesthetize the skin with 1% lidocaine using the 25-gauge needle. • Using the 22-gauge needle, anesthetize the deeper subcutaneous tissue and periosteum of the rib (Fig.
The J-wire will be in the peritoneal space and the IV catheter can be removed. • Nick the skin adjacent to the entry point of the J-wire and dilate the skin, abdominal tissue, and peritoneum (do insert the dilator past the peritoneum) using the dilator over the J-wire. • Remove the dilator and place a 16-gauge central line catheter over the J-wire and into the peritoneal space. • Remove the J-wire and connect the central line catheter to IV tubing and to a vacuum or drainage bag. Fig. 4-3 04_Jandial-r4_015-018:Layout 1 18 8/2/12 3:34 PM Page 18 Abdominal PEARLS • Oblique needle entry allows the abdominal wall to collapse when the needle is removed.