Management of Chest Tubes Chest tubes are inserted to remove pathological collections of air or fluid in the pleural space, to allow the recreation of the essential negative pressure in the chest, and to permit complete expansion of the lung, restoring normal ventilation. Chest tubes are indicated for pneumothorax (spontaneous, tension, iatrogenic, traumatic), pleural collection (pus from emphyema, blood from hemothorax, chyle from chylothorax, malignant effusions from pleurodesis), post op thoracotomy and video assisted thoracic surgery. Keep patient in a propped up position 45-90 degree. The semi-Fowlers position is useful to evacuate air (pneumothorax). The high-Fowlers position is useful to drain fluid (hemothorax).
The quadrants and regions divide the lower torso into four sections and nine region sections to identify the areas where internal organs are placed. This approach is a good reference to be used when conducting a physical exam of internal organs. Radiology tests such as MRI, CT scan, PET scan and X-Ray mainly use this method. The anatomy and physiology is the study of the structures with in the body and how they function in the body. This approach is good to be used when studying the structure and how cell work or the nervous system.
Impedance Plethysmography and Compression ultrasound scanning of the left leg veins also useful in aiding diagnosis of DVT and Thrombophlebitis. CT or MRI scans: Provide visual images that indicate the presence of blood clots D dimer blood test: Typically elevated in patients with DVT and Thrombophlebitis Blood test: To check for hypercoagulability to include the following: Primary coagulation studies, PT, APTT, Fibrinogen Liver Enzymes, renal function and electrolytes Urinalysis and occult blood Tx: Coumadin 5mg 1 tablet oral every evening for DVT Fragmin 12,500 units inject subcutaneously every 24hours daily x 7days for DVT Tylenol ES 1-2 tablets oral every 6hours as needed for pain D/C Aspirin 81mg, 1 tablet oral daily Blood tested 2x weekly or as needed based on INR levels to assess effect of anticoagulant therapy Elevate legs, maintaining slight knee flexion, while in
Introduction The purpose of this lab is to build a catheter system, with an inflated balloon applying pressure to the catheter being recorded by the computer and being graphed. While we analyze the data when the balloon is popped and a step input is recorded. Procedure [pic] Constructing the set up above with the catheter filled completely with water. We used a blood pressure cuff pump to fill the balloon with air while keeping the water in the tube locked off via the 3-way stopcock. Having the setup
IndividualHeart’s Blood Flow | Resources: Heart’s Blood Flow document, companion website for Essentials of Anatomy & Physiology, and the Heart’s Blood Flow multimedia activity Complete the Heart’s Blood Flow assignment. Visit http://www.aw-bc.com/martini. Select the course textbook: Essentials of Anatomy and Physiology, 5/e. Select Chapter 12 from the pull-down menu at the top of the page and then click Go. Under the Learning Outcome 12-1, view each of the following: 1. Tutorial: Anatomy of the Heart: A Complete Overview 2. Animation: The Heart: Anatomy3. Animation: The Heart: Valves4.
Questions about it’s migration into surrounding cavities depending on a patient’s anatomy. So one of our electrophysiologists started a study. With the help of the nurses and a device representative from one of the prominent Pacemaker / ICD companies, he was able to triangulate the proper insertion points, depths and angles via the various EKG readings on a device programmer. These readings were compared between the various cases. The study made sure that the device would pick up abnormal cardiac events accurately.
(Bureau of Labor Statistics, 2010) Viewing the screen during the scan, sonographers look for subtle visual cues that contrast healthy areas with unhealthy ones. They decide whether the images are satisfactory for diagnostic purposes and select which ones to store and show to the physician. Sonographers take measurements, calculate values, and analyze the results in preliminary findings for the physicians. (BLS, 2010) In addition to working directly with patients, diagnostic medical sonographers keep patient records and adjust and maintain equipment. They also may prepare work schedules, evaluate equipment purchases, or manage a sonography or diagnostic imaging department.
Blue top tubes are generally used for coagulation tests such as the PTT and PT, and lavender top tubes are best for tests such as the complete blood count, sedimentation rate, and the BNP. After choosing the correct tubes and gathering the remaining supplies, it is time to begin the actual phlebotomy procedure. Upon walking in the patient’s room, a phlebotomist should correctly identify the patient by visually checking the hospital bracelet and verbally confirming the name and date of birth. Then, the phlebotomist can begin looking at a patient’s arm to determine which size needle to use to draw blood into certain tubes. To begin, you should choose an arm and tie your tourniquet 2- 3 inches above the anticubital fossa (the bend of the arm).
For diagnosis through medical history the doctor will ask types of symptoms, when they occur, for how long the client has had them and the severity. The doctors physical examination will include listening to the heart for abnormal sounds, listening to the lungs for build up of fluid, checking for swelling in the ankles, feet, legs and abdomen and checking for swelling in the veins of the neck. Testing that may be done include an EKG which is used to measure the rate and regularity of the heartbeat. It may also show any thickening of the walls of the pumping chambers of the heart. A chest x-ray can show if the heart is enlarged, there is fluid in the lungs, or lung disease.
------------------------------------------------- Top of Form Bottom of Form Browse all health topics Help | Sign in Aortic stenosis Symptoms Treatment Causes Tests & diagnosis Prognosis Prevention Complications When to contact a doctor U.S. National Library of Medicine Find this content and more from trusted sources. OverviewThe aorta is the main artery leaving the heart. When blood leaves the heart, it flows from the lower chamber (the left ventricle), through the aortic valve, into the aorta. In aortic stenosis, the aortic valve does not open fully. This restricts blood flow.SymptomsPeople with aortic stenosis may have no symptoms at all until late in the course of the disease.