This document provides guidance on collecting blood for culturing to detect bloodstream infections. Key points include:
- Blood cultures involve injecting blood into bottles with culture media to identify microorganisms in the bloodstream. They are essential for diagnosis, prognosis, and treatment.
- Proper collection technique is critical to avoid contamination, including aseptically collecting at least 10ml of blood via venipuncture and injecting equal amounts into aerobic and anaerobic bottles.
- Multiple blood cultures may be needed depending on the type of bacteremia, usually collecting from different body sites. Proper labeling and documentation is also important.
Blood transfusion -procedure,precaution and complicationPRANATI PATRA
medical and surgical,introduction,blood and blood products,GENERAL INSTRUCTIONS FOR GIVING BLOOD TRANSFUSIONS,Nursing Implications -Before transfusion:
Check physician’s orders
Review hospital policy
Ensure informed and written consent is provided
Check laboratory values
Understand the indications and rationale
Verification procedure occurs with
two nurses
Before transfusion (con’t):
Compatibility of blood type and Rh factor
Inspect the blood product for discolouration, clots, leaking, or presence of bubbles
Check the unit number on the unit of blood and on the form
Check the expiration date and time on unit of blood
Ask client to state first and last name
Check patient’s identification number on wristband and record
Nursing Implications in a Reaction
Stop transfusion
Remove tubing that contains blood product
Infuse with 0.9% normal saline
Monitor vital signs
Notify physician
Notify blood bank and return blood component
Administer medication depending on type of reaction
Epinephrine, antihistamines, antibiotics, antipyretics, analgesics, diuretics, corticosteroids
Collecting blood samples and other biological specimens is crucial to the understanding, prevention, and treatment of disease. However, from the patient’s perspective, it can also be painful, unnerving, frightening, and inconvenient.
Blood transfusion -procedure,precaution and complicationPRANATI PATRA
medical and surgical,introduction,blood and blood products,GENERAL INSTRUCTIONS FOR GIVING BLOOD TRANSFUSIONS,Nursing Implications -Before transfusion:
Check physician’s orders
Review hospital policy
Ensure informed and written consent is provided
Check laboratory values
Understand the indications and rationale
Verification procedure occurs with
two nurses
Before transfusion (con’t):
Compatibility of blood type and Rh factor
Inspect the blood product for discolouration, clots, leaking, or presence of bubbles
Check the unit number on the unit of blood and on the form
Check the expiration date and time on unit of blood
Ask client to state first and last name
Check patient’s identification number on wristband and record
Nursing Implications in a Reaction
Stop transfusion
Remove tubing that contains blood product
Infuse with 0.9% normal saline
Monitor vital signs
Notify physician
Notify blood bank and return blood component
Administer medication depending on type of reaction
Epinephrine, antihistamines, antibiotics, antipyretics, analgesics, diuretics, corticosteroids
Collecting blood samples and other biological specimens is crucial to the understanding, prevention, and treatment of disease. However, from the patient’s perspective, it can also be painful, unnerving, frightening, and inconvenient.
Selection of blood donor is the foremost and most important part in ensuring safe blood supply, donor selection guidelines has been revised by NBTC from time to time, this upload is of 2017
The Urine Culture Test is performed to detect and diagnose a microbial infection of the urinary tract.
For more information, visit https://www.1mg.com/labs/test/culture-urine-2232
NURSES PLAY AN IMPORTANT ROLE IN THE TRANSFUSION OF BLOOD PRODUCTS. THEREFORE, IT IS NECESSARY TO UNDERSTAND ABOUT BLOOD, IT'S COMPONENTS, AND PRE-INTRA-POST TRANSFUSION RESPONSIBILITY.
Selection of blood donor is the foremost and most important part in ensuring safe blood supply, donor selection guidelines has been revised by NBTC from time to time, this upload is of 2017
The Urine Culture Test is performed to detect and diagnose a microbial infection of the urinary tract.
For more information, visit https://www.1mg.com/labs/test/culture-urine-2232
NURSES PLAY AN IMPORTANT ROLE IN THE TRANSFUSION OF BLOOD PRODUCTS. THEREFORE, IT IS NECESSARY TO UNDERSTAND ABOUT BLOOD, IT'S COMPONENTS, AND PRE-INTRA-POST TRANSFUSION RESPONSIBILITY.
Dr. ihsan edan abdulkareem alsaimary
PROFESSOR IN MEDICAL MICROBIOLOGY AND MOLECULAR IMMUNOLOGY
ihsanalsaimary@gmail.com
mobile : 009647801410838
university of basrah - college of medicine - basrah -IRAQ
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. What is a Blood
Culture?
• Ablood culture is a
laboratory test inwhich
blood is injected into
bottles with culture
media to determine
whether
microorganisms have
invaded the patient’s
bloodstream.
3. Need for Blood
Culture?
No microbiological test is more essential
to the clinician than the blood culture.
The finding of pathogenic microorganisms
in apatient’s bloodstream is of great
importance in terms of diagnosis,
prognosis,and therapy.”
4. Blood Culture
• Blood culture is a
microbiological culture of
blood. It is employed to
detect infections thatare
spreading through the
bloodstream (such as
bacteremia, septicemia
amongst others). Thisis
possible becausethe
bloodstream is usually a
sterile environment
5. GREEN TOP- ADULT AEROBIC
ORANGE TOP - ADULT ANAEROBIC
YELLOWTOP – PEDIATRIC
6. Blood culturing most
important and life saving
Investigation
Needs optimal Methods for
Diagnosis of Blood Borne
Pathogens
7. Blood Collection
• Aseptic collection
procedure iscritical
Amount ofblood
– 1:10ratio of blood to
broth
– Younger than 10years –
1ml of blood for every
year of life
– Over 10years –20 ml
8. Blood Collection
• Frequency of Collection
– Depends if bacteremiais
transient, intermediate
or continuous
– Number of cultures
collected are usually
inversely related to the
type of bacteremia
– Usually x3 from different
body sites
9. Blood Culture Methods
• Conventional Broth Systems
–One aerobic bottle and one
anaerobic bottle per blood
collection
–Aerobic broth contains soybean
casein digest broth, Tryptic or
trypticase soy broth, Brucella agar
or Columbia broth base
–Anaerobic broth is usually the same
as aerobic with addition of 0.5%
10. Venipuncture
• Venipuncture is the processof obtaining
intravenous accessfor the purpose of
intravenous therapy or obtaining asample of
venous blood. Thisprocedure is performed by
medical laboratory scientists, medical
practitioners, some EMT
s,paramedics
phlebotomists and other nursing staff.
Venipuncture is one of the most routinely
performed invasive procedures and is carried
out for two reasons, to obtain blood for
diagnostic purposes or to monitor levels of
blood components (Lavery&Ingram 2005).
11. Phlebotomy
Definition
• phle·boto·my (fli)
noun the act or
practice of
bloodletting as a
therapeutic
measure
• Phlebotomy from Greek
words, phlebo, relates
to veins, tomy, relates
to cutting.
• Opening avein to
collect blood
12. LABELING THE
SAMPLE
– Properly labelled sample is essential sothat
the results of the test match the patient. The
key elements in labelling are:
• Patient's surname, first andmiddle.
• Patient's IDnumber.
• Both of the above MUSTmatch the same
on the requisition form.
• Date, time and initials of thephlebotomist
must be on the label of eachtube.
13. Principles for
Collection
• Gloveswill be worn in accordance withstandard
precautions.
• •Appropriate verification of the patient's
identity, by means of an armband or areaspecific
procedure, will occur before the specimen
collection.
• •Cultures shouldbe drawn before
administration of antibiotics, if
possible.???
• Blood cultures should not be drawn from
lines, but should be drawnviavenipuncture.
14. What Materials We need
• Chlorhexidine swabs(1-2 packages)
• Alcohol swabs
• Blood culture bottles (2 bottles perset)
• 2 syringes (adult: 20 cc, paediatric: 5cc)
• 2 needles (adult: 22 gauge or preferably larger
butterfly
or standard needle; pediatric: 25 or 23 gauge
butterfly or standard needle)
• Gloves (sterile &nonsterile)
• Tourniquet
• Sterile gauzepad
• Adhesive strip or tape
• Self-sticking patient labels
• Plastic zip lock specimenbags
15. The requisitions form should be
completely filled out, and the requisition
must indicate the tests ordered.
15
16. Self
Protection
A few ways to make sure your
role in the collection process
is carried out with
efficiency, orderliness and safety
17. Steps 1 – 3, Check, Explain,
Wash
• 1.Identify the patient
• 2.Explain the
procedure to the
patient.
• 3.Washhands with
soapand water with
friction for 15seconds
or usealcohol based
hand rub
18. Materials
• Chlorhexidine swabs(1-2 packages)
• Alcohol swabs
• Blood culture bottles (2 bottles perset)
• 2 syringes (adult: 20 cc, paediatric: 5cc)
• 2 needles (adult: 22 gauge or preferably larger
butterfly or standard needle; pediatric: 25 or 23
gauge butterfly or standard needle)
• Gloves(sterile &nonsterile)
• Tourniquet
• Sterile gauzepad
• Adhesive strip or tape
• Self-sticking patient labels
• Plastic zip lock specimenbags
19. . Barrier protection for the
phlebotomist consists of the
latex gloves.
Dr.T
.V
.RaoMD 19
20. Obtaining Blood
• Locate the vein
• Prep kit
– Alcohol 5 sec.Dry 30-60 sec( resource poor conditions)
– Ideal to collect with alcohol swabscontaining2%Chlorhexidine
and 70%isopropyl alcohol
• Removecaps,clean with alcohol
• Put on gloves
• Without palpating, draw 20 ml and put10
in anaerobic and 10 in aerobicbottle
• Disposeof syringe in sharpscontainer
21. Method of Blood
Collection
• Aminimum of 10 ml of blood is taken
through venipuncture and injected
into two or more "blood bottles"
with specific media foraerobic and
anaerobic organisms.
• Theblood is collected using clean
technique. Thisrequires that both
the tops of the culture bottles and
the venipuncture site of the
patient are cleaned prior to
collection with alcohol swabs
containing 2%Chlorhexidine and
70%isopropyl alcohol.
21
22. Preparation of Cap before
Injecting Blood
• Prep the rubber
capof the blood
culture bottles
with an alcohol
pad in acircular
motion. Allow
the alcohol to
dry.
23. Inject the Blood…..
• Inject the blood
into theSelected
Media
• Gently rotate the
bottles to mix
the blood & the
broth (do not
shake
vigorously).
23
24. Follow the universal precautions
when disposing Needle
• Disposeof
needle in sharps
container and
dispose of other
waste in proper
container
25. Label the tubes, checking the requisition for theproper
identification.
26. Give the all possible
Medical Information
• Patient’s name
• • Hospital number (Patient ID)
• • Patient’s location (room and bed #)
• • Date and time of collection
• • Collector’s initials
• • Site of venipuncture
• • Or other information asper facility
• Include you Mobile Contact No –A
vital information canbe delivered
any time
27. Document the Medical
Records
• Document the
following in the
medical record:
• –Date & time
specimen obtained
• –Site of specimen
collection
27
28. Frequency of Collection
• Frequency of Collection
– Depends if bacteremia is
transient, intermediate or
continuous
– Number of cultures
collected are usually
inversely related to the
type of bacteremia
– Usually x3 from different
body sites
29. Second Set
• If 2 or more sets
of blood cultures
have been
ordered, obtain
the second set in
the samemanner
asthe
first, makinga
new venipuncture
at adifferent site.
30. Newer Blood Culture Methods
• Newer Blood Culture Systems
– Biphasic Broth-Slide System
• Agar “paddles” attached to top of bottle
• Closed system
– Continuous Monitoring Blood Culture Systems
• BacTec – measures 14CO2
• BacTec 9000 Series – measures CO2
• ESP – measures consumption of gases
• BacT-Alert – measures change in pH
31. The Contaminated Blood
Culture
• If the skin is not adequately cleansed before
drawing blood for culture, bacteria on the skin
will be injected into the bottle,producing afalse
positive blood culture
• It is difficult for the physician to determine
whether the bacteria growing in the blood
culture is areal pathogen causing bloodstream
infection or whether bacteria on the skin have
contaminated the culture. This canlead to
excessuseof antibiotics and prolongation of
hospital stay.