Diagnosis: Recurrent right pneumothorax. Postoperative Diagnosis: Same. Operative Procedure: Right chest tube thoracostomy‚ pleura drainage. Anesthesia: Xylocaine 1%. Specimen Removed: Pleural fluid sent for cytology. INDICATIONS: This 61-year-old white male presents with recurrent pneumothorax on the right and increasing subcutaneous emphysema‚ despite earlier insertion of two small caliber chest tubes. Also‚ interval change in position of the right lower chest tube catheter has been noted
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Peripheral Intravenous Insertion Introduction Undoubtedly‚ one of the most challenging procedures bedside nurses have to perform is peripheral intravenous (IV) catheter insertion. This procedure not only causes difficulty for nurses but it is also painful and uncomfortable for patients as well. During my clinical rotation‚ I was able to witness different methods being used for intravenous catheter placement. My clinical setting is a 39 bed medical-surgical unit in which IV insertions is a common procedure
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Tubes & Drains Questions 1. A nurse assesses the functioning of a client’s nasogastric suction following abdominal surgery. Which one of the following indicates that a problem exists with the suction? a. Aspirated gastric contents have a pH of 3.0. b. Suction is functioning at 100mmHg. c. The air vent tube is open at the level of the waist. d. The gastric drainage is a yellow-green mucous liquid. 2. A nurse assesses the functioning of a client’s nasogastric suction following abdominal
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Analysis of Amplification of Alu insertion polymorphism by PCR Introduction Alu elements have been accumulated in human genome throught mankind evolution‚ reaching over 1 million copies in genome. They are short‚ and repetitive DNA fragments found in primates. Each Alu element is known to have 300 base pairs in length. DNA repeats contribute to partial gene deletion or duplications in many cases of hereditary diseases.Alu insertion polymorphisms consists of absence or presence of Alu elements
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artificial nutrition and hydration as a form of life support is one decision that some people have to make. I feel that tube feedings‚ while okay for short term use are fine‚ but they should not be used as a form of long term care because the risks outweigh the benefits of having a feeding tube. A tube feeding is a medical procedure that people can accept or deny. Feeding tubes provide a chemically balanced mix of nutrients and fluid to those who are unable to swallow‚ eat‚ or drink enough nutrition
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PIER + ABCDEFGH Identify your pt: DOB‚ CC‚ HPI PIER Use the "PIER" mnemonic to assess for adequacy of the film. * Position: Typically‚ upright PA and lateral. Sick patients will have the fuzzier supine AP (because the film is slid under their chest as they are lying down). Size of the heart is exaggerated in AP view compared to PA. Edge of the medial border of scapula is at the midline of lung field in AP. * Inspiration: Count the visible ribs. Lung fields should extend to about the 10th
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been made in the thoracic cross-section imaging‚ chest radiography remains the main diagnostic concept applied in dealing with pulmonary diseases. It is the frequent diagnosis performed for patient suspected of thoracic abnormalities. Since the discovery of X-ray‚ much technological advances have been made to improve chest radiography. Progresses in film based imaging have led to development in excellent screen film systems that are designed for chest radiography. More recent advancement in computer
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Pneumothorax & Mechanical Ventilation Mechanical ventilation is the use of life-support to perform the work of breathing for patients who are unable to breathe on their own or are critically ill. The First Mechanical Ventilation machine was used in 1938 called the "Iron Lung " which used negative pressure. Positive Mechanical ventilators began to be used in anesthesia and intensive care during the 1950s. The development was confirmed by the need to treat polio patients and the increasing
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CHEST IMAGING IN THE INTENSIVE CARE UNIT Chest diagnostic imaging is essential when dealing with a critically ill patient. At present‚ direct visualization of the lung parenchyma is performed with a chest x-ray (CXR) and computed tomography (CT)‚ with the patient in the supine position (Gardelli et al.‚ 2012). Plain chest radiograph: In the ICU‚ CXRs are only performed on patients in the supine position. The x-ray beam is positioned directly onto the chest at a distance that is less than
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structural variation types‚such as Insertions and deletions‚ which are genomic imbalances. There are also inversions and translocations.These structural variations are the cause of a vast range of genetic disorders. Insertions are the addition of a sequence of one or more nucleotides between two adjacent nucleotides. They range in size from small‚ one base pair to large‚ a section of a chromosome.When a section of a chromosome is entered into another chromosome insertions can occur due to unequal crossover
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