005 Suctioning.ppt
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This document discusses suctioning techniques for removing secretions from the respiratory tract. It explains the roles of oral, endotracheal, and tracheostomy suctioning. The key steps outlined are washing hands, wearing gloves and a mask, using sterile technique to take out the suction catheter, disconnecting the airway and gently suctioning, flushing the tube, and disposing of materials in the proper receptacles. It emphasizes using separate catheters for oral and endotracheal suctioning and not suctioning for more than 15-20 seconds to avoid potential complications.
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suctioning-procedure-ppt full.pptx
Suctioning is used to remove secretions from intubated patients and those unable to cough effectively. It should be done as quickly, gently, and cleanly as possible to minimize trauma while only performing when necessary. All necessary equipment should be prepared, including sterile catheters, lubricant, and collection materials. Suctioning is indicated for audible secretions, changes in ventilator pressures or volumes, or before releasing a cuff. Risks include trauma, hypoxia, cardiovascular effects, and atelectasis, so suctioning time should be minimized and oxygenation supported. Proper technique depends on the site being suctioned and maintains sterility.
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1. Suction is used to remove secretions from intubated patients and those unable to cough effectively. It should be done gently and only when necessary to avoid trauma.
2. A suction cart with appropriate catheters, lubricant, and sterile supplies is needed. Suctioning is indicated for retained secretions or changes in ventilation.
3. Risks include trauma, hypoxia, cardiovascular effects, and lung collapse. Suctioning techniques are described for intubated, non-intubated, and tracheostomy patients. Precautions like limiting suction time and pressure are outlined to minimize risks.
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A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must follow sterile technique, assess the tracheostomy site for signs of infection, clean the inner cannula and site, replace dressings and ties securely, and document the procedure. Tracheostomy care promotes airway patency, prevents infection, and provides patient comfort.
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Suction machine..
Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
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suctioning-procedure-ppt full.pptx
Suctioning is used to remove secretions from intubated patients and those unable to cough effectively. It should be done as quickly, gently, and cleanly as possible to minimize trauma while only performing when necessary. All necessary equipment should be prepared, including sterile catheters, lubricant, and collection materials. Suctioning is indicated for audible secretions, changes in ventilator pressures or volumes, or before releasing a cuff. Risks include trauma, hypoxia, cardiovascular effects, and atelectasis, so suctioning time should be minimized and oxygenation supported. Proper technique depends on the site being suctioned and maintains sterility.
suctioning-211013092839.pptx
1. Suction is used to remove secretions from intubated patients and those unable to cough effectively. It should be done gently and only when necessary to avoid trauma.
2. A suction cart with appropriate catheters, lubricant, and sterile supplies is needed. Suctioning is indicated for retained secretions or changes in ventilation.
3. Risks include trauma, hypoxia, cardiovascular effects, and lung collapse. Suctioning techniques are described for intubated, non-intubated, and tracheostomy patients. Precautions like limiting suction time and pressure are outlined to minimize risks.
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Suction is an important skill in health care can be performed by physiotherapist, nursing staff and doctors.
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This document discusses tracheostomy care including indications, types, risks, and precautions. A tracheostomy is an opening into the trachea through the neck. It can be temporary to bypass airway obstruction or permanent. Risks include tube dislodgement and infection. Precautions when handling the tracheostomy tube include securing tapes, checking for blockages, cleaning, and changing dressings daily. Suctioning is also discussed to clear secretions from patients who cannot cough them up on their own.
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A tracheostomy is an opening in the neck into the trachea that aids breathing. Tracheostomy care includes cleaning the tracheostomy site and changing dressings and inner tubes. The nurse must follow sterile technique, assess the tracheostomy site for signs of infection, clean the inner cannula and site, replace dressings and ties securely, and document the procedure. Tracheostomy care promotes airway patency, prevents infection, and provides patient comfort.
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Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
Suction machine..
Suction machines are devices used to remove substances like blood, mucus, and vomit from a person's airway. They use pumps powered by electricity or foot pedals to create suction through pistons and air tight chambers. Suction machines are used in medical settings and homes to clear airways and facilitate breathing by removing excess secretions. They require training to properly operate and maintain in order to safely suction from the mouth, nose, or trachea while monitoring the patient.
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headinjury-typesclinicalmanifestationsdiagnosisandmanagement-130918094211-php...
headinjury-typesclinicalmanifestationsdiagnosisandmanagement-130918094211-php...
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Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
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We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.How to Control Your Asthma Tips by gokuldas hospital.
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The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
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Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
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Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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005 Suctioning.ppt
- 1. Introduction Suctioning • Def:- Removal of respiratory tract secretion from the trachea and Endotracheal tube or the oral cavity. 1. Oral suctioning 2. Endotracheal Suctioning 3. Tracheostomy Suctioning • This presentation explains the role of the nursing professional and technique of this procedure. • Important issues are highlighted and common mistakes also clarified.
- 2. Management of Neurologically compromised patient Module- Endotracheal/oral suctioning Before suctioning wash the hand
- 3. Always put on gloves and wear mask.
- 4. Takeout suction catheter using sterile technique
- 5. Disconnect Airway Do gentle suction
- 6. After suctioning flush the tube. Throw into correct dustbin
- 7. Take out another catheter for oral suction
- 8. Throw into correct dustbin
- 9. Kindly Ensure • Wear gloves •Use Separate catheter for both suctioning. •No Continuous suctioning for more the 15- 20 Seconds at a stretch Otherwise may lead to -: Bleeding. Cyanosis. Restlessness. •After suctioning not to throw suction catheter on the floor.
- 10. RECEPTACLES FOR WASTE MANAGEMENT