Get Code Blue: Bedside Procedures and Critical Information PDF

Allied Health Services

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 Read more...

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Get Code Blue: Bedside Procedures and Critical Information PDF

Embarking at the first medical rotation in a health center is a frightening event for clinicians, as textbook wisdom doesn't inevitably correlate with the knowledge that's worthy ''''in the trenches'''' on the medical institution. even if you're a nurse tending to a principal venous line or an intern placing that line, Code Blue is an integral addition in your arsenal of emergency care wisdom.

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Extra resources for Code Blue: Bedside Procedures and Critical Information

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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.

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