پرستاری نوین

Primary spontaneous pneumothorax occurs in patients without clinically apparent lung disease or trauma. Observation may be the only requirement for patients with small primary spontaneous pneumothoraxes. For a large pneumothorax or one that causes clinically significant breathlessness, active intervention is required. This intervention may involve simple aspiration, the placement of a chest tube, or needle aspiration. Needle aspiration is considered to be as effective and safe as chest-tube thoracostomy for the management of primary spontaneous pneumothorax

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حجم فیلم: ۳۳.۲ مگابایت
مدت فیلم: ۱۳ دقیقه و ۲ ثانیه

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Ultrasound-Guided Peripheral IV Placement

Placement of peripheral intravenous (IV) catheters is a fundamental skill that all health care professionals should possess. Unfortunately, it can be difficult to obtain IV access in some patients, including obese patients, children, and patients who have undergone placement of many IVs or who have a history of difficult IV access. Ultrasound guidance enables visualization of veins that are not apparent on physical examination, resulting in fewer needlesticks, more rapid cannulation, and less discomfort in patients with difficult IV access Ultrasound-guided IV placement is indicated when it is difficult or impossible to use traditional techniques. There is no contraindication to ultrasound-guided IV placement, but it is unnecessary when traditional techniques are sufficient. Health care providers who are proficient in standard placement techniques will find it relatively easy to learn ultrasound-guided techniques

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Monitoring Ventilation with Capnography

Carbon dioxide is generated in the body as a metabolic byproduct. It dissolves in the blood and is transported in the bloodstream until it reaches the lungs, where it diffuses into the alveoli. The alveoli are ventilated through an open tracheobronchial tree and a patent upper airway. Carbon dioxide can then be detected in the patient's expired breath. The measurement of expired carbon dioxide is useful because it can provide insight into important life-sustaining processes, including metabolic, circulatory, and respiratory activity. When satisfactory measurements of carbon dioxide cannot be made during patient exhalation, medically significant impairment of one or more of these processes may be present

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