By Rahul Jandial
Embarking at the first scientific rotation in a clinic is a frightening event for clinicians, as textbook wisdom doesn't unavoidably correlate with the knowledge that's priceless ''''in the trenches'''' on the hospital.Whether you're a nurse tending to a important venous line or an intern placing that line, Code Blue is an critical addition on your arsenal of emergency care wisdom. positioned this guide in your lab coat pocket and position the subsequent details 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
This should be done with the needle under constant, gentle aspiration until pleural fluid is encountered. • Withdraw the 22-gauge needle. • Attach a 10 ml syringe to the 18-gauge needle and insert it into the pleural space in the same manner as for the 22-gauge needle (Fig. 10-4). • Once pleural fluid is encountered, stabilize the needle shaft on the skin with one hand and remove the syringe with the other hand. • Immediately cover the needle head with a finger to prevent air from entering. Fig.
POSTPROCEDURE CHECK The patient should receive cardiac monitoring. See Appendix C for additional helpful information. 10_Jandial-r6_039-044:Layout 1 8/2/12 3:22 PM Page 39 10 THORACENTESIS A 61-year-old female smoker with a right pulmonary nodule presents with dyspnea and orthopnea. A chest radiograph reveals opacification of the right costophrenic recess. INDICATIONS • Pleural effusion leading to dyspnea (Fig. 10-1) • Diagnostic removal of pleural fluid to determine cause of pleural effusion A B Fig.
A B Fig. 9-1 Chest CT scan (A) and chest radiograph (B) showing pericardial effusion. 35 09_Jandial-r5_033-038:Layout 1 36 8/2/12 3:24 PM Page 36 Cardiothoracic INDICATIONS • To obtain pericardial fluid for laboratory evaluation • To relieve cardiac tamponade (cardiac compression by fluid within the pericardial sac). 10 blade scalpel 30 ml syringe Alligator connector 16- or 18-gauge spinal needle (3 inches long) ECG monitor 2-0 nylon suture POSITIONING • Supine, with the head of the bed elevated 30 degrees above horizontal (Fig.