mitchelle @Mwangomitchelle60
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checklist chesttube criticalcare disease insertion management neurology parkinsons placement procedure signs symptoms
Parkinson's Disease - Signs and Symptoms Systemic: Tremor and Slowness, Impaired balance, Small Handwriting, Sleepiness, Trouble Moving
Parkinson's Disease - Signs and Symptoms Systemic: Tremor and Slowness, Impaired balance, Small Handwriting, Sleepiness, Trouble Moving or Walking, Masked Face Central: Depression, Anxiety, Decline in intellectual functioning, Dizziness or Fainting Eyes: Forced closure of the eyelids (blepharospasm) Mouth: Difficulty speaking, Excessive salivation, Difficulty in swallowing, A Soft or low voice Lungs: Upper airway obstruction, Abnormalities of ventilatory control Muscular: Weakness, Aches Intestinal: Constipation Skin: Increased sweating #Parkinsons #Disease #Signs #Symptoms #neurology
Chest Tube Placement Checklist PREPARATION o Consent o Position Patient o Monitoring o Time Out o Review
Chest Tube Placement Checklist PREPARATION o Consent o Position Patient o Monitoring o Time Out o Review Labs o Review Meds o Review Cxr EQUIPMENT o Chest Tube Tray o Chest tube o Sterile gloves o Atrium o Lidocaine o Caps, masks, gowns INSERTION TECHNIQUE o Scrub, drape, scrub o Anesthetize skin and deeper tissue o Make 1.5 to 2 cm incision through soft tissue and down to rib o Dissect above one rib superior Penetrate muscle and pleura using blunt dissection o Feel inside the chest to ensure that the lung is not adherent o Direct the tube and unclamp the tube as it passes SECUREMENT TECHNIQUE o Connect to pleural drainage system and unclamp the tube o Secure tube using the Roman Sandal Technique Nick Mark MD @nickmmark #ChestTube #Checklist #Procedure #Management #CriticalCare #insertion #placement
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