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double lumen picc line diagram: Venous Access Made Easy Ahmed Shalan, James Forsyth, Andrew Thompson, 2019-04-08 Resource ordered for the Diagnostic Medical Sonography program 105262 and Radiography 105261 program. |
double lumen picc line diagram: Image Guided Central Venous Catheter Placement Nurullah Dogan, Mustafa Gok, Demet Gunduz, |
double lumen picc line diagram: Peripherally Inserted Central Catheters Janet Pettit, Mary Mason Wyckoff, National Association of Neonatal Nurses (NANN), 2007 |
double lumen picc line diagram: Practical Procedures in Anaesthesia and Critical Care Guy Jackson, Neil Soni, Christopher J. Whiten, 2010-12-09 This is a highly practical guide to the procedures and techniques commonly encountered in anaesthesia and critical care medicine. Step-by-step, detailed instructions, a simple layout and full colour illustrations and photos show the anaesthetist how to carry out procedures safely and competently. |
double lumen picc line diagram: Managing Complications in Paediatric Anaesthesia Martin Jöhr, 2018-07-26 Committed to providing safe anaesthetic care for paediatric patients, it is of paramount importance for clinicians to learn from suboptimal situations in order to continuously improve clinical performance. The first resource of its kind, this text analyses a selection of fascinating case studies and evaluates best practice in providing safe anaesthesia to children with recommendations on how to avoid the most common clinical pitfalls. Featuring over seventy chapters, topics include airway-related problems, vascular access, regional anaesthesia, medication related problems and the management of patients with pre-existing conditions. Each case study is supported by full colour images, making this essential reading for consultants and trainees in anaesthesia. |
double lumen picc line diagram: The Rand/UCLA Appropriateness Method User's Manual Kathryn Fitch, Steven J. Bernstein, Maria Delores Aguilar, Mary S. Aguilar, Bernard Burnand, Pablo Lazaro, Juan Ramon LaCalle, 2001 Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the RAND/UCLA Appropriateness Method was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the gold standard for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest seeing one before doing one. To this end, contact information is provided to assist potential users of the method. |
double lumen picc line diagram: Infections in Hematology Georg Maschmeyer, Kenneth V.I. Rolston, 2014-12-13 Infections are among the most frequent complications in patients with hematological malignancies and in those undergoing high-dose chemotherapy and autologous hematopoietic stem cell transplantation. A profound knowledge on the epidemiology, diagnostic approaches, treatment modalities and prophylactic strategies is essential for the clinical management of these complications in patients who are often severely immunocompromised owing to their underlying diseases and in particular, the intensive myelosuppressive chemo and immunotherapy. This textbook provides a clinically oriented, compact and up-to-date overview on infections in hematology patients and their management. The typical pathogens to be considered in different subgroups of patients are identified and further aspects of the microbiological background are explored. Clinical, imaging, and laboratory-based diagnostic techniques are discussed and therapeutic strategies appropriate to different situations are then presented, with due attention to the pitfalls, toxicities and interactions that can arise during antimicrobial treatment. Strategies to prevent infection are also outlined, encompassing antimicrobial prophylaxis, isolation procedures, hospital hygiene, protective immunization and the use of hematopoietic growth factors. |
double lumen picc line diagram: Vessel Health and Preservation: The Right Approach for Vascular Access Nancy L. Moureau, 2019-06-10 This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals. |
double lumen picc line diagram: IR Playbook Nicole A. Keefe, Ziv J. Haskal, Auh Whan Park, John Fritz Angle, 2024 This fully updated new edition is a comprehensive guide to interventional radiology (IR) for medical students, residents, early career attendings, nurse practitioners and physician assistants. The IR Playbook includes procedures, new and updated data, and new images, to stay on the cutting edge of IR. As a specialty, IR is constantly changing and evolving to apply newer technologies and techniques to a breadth of disease pathologies. This book addresses the growing need for a reference for trainees and early career professionals to gain a solid foundation. Let this book serve as your only resource from the first day you find out about IR to the day you take your certifying exam. One and done. The textbook is divided into two main sections, with many images and key point boxes throughout that offer high-yield pearls along with the specific How To's necessary for practice. The first section is designed to give readers an introduction to IR, including radiation safety, commonly used devices, patient care, and anatomy. The second portion is divided by procedure. These chapters cover pathophysiology, indications for treatment, as well as alternative treatments before delving into interventional therapy. This new edition has been fully updated throughout including several brand-new procedures and divided chapters to allow a more in depth look at several disease pathologies. IR Playbook gives medical students, residents, and trainees a full perspective of interventional radiology. |
double lumen picc line diagram: Essential Clinical Anesthesia Charles Vacanti, Scott Segal, Pankaj Sikka, Richard Urman, 2011-07-11 The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice. |
double lumen picc line diagram: Therapeutic Plasma Exchange H.-J. Gurland, V. Heinze, H.A. Lee, 2012-12-06 This volume contains papers and discussions of the Vlth Dialyse-Arzte Workshop, which was held in Bernried at Lake Starnberg near Munich the 5th and 6th of March 1980. Generous ly sponsored by Travenol, Munich, the Dialyse-Arzte meetings now have a tradition spanning 16 years. According to the con stitution of these meetings, the topics of earlier years had to cover dialysis and related fields. Thus the sponsor requested that this year also one lecture - incorporated here as part - should deal with the state of art of dialysis, thereby hopefully linking this Workshop to the previous meetings. Dialysis techniques of the 1960s, pioneered by many of attend ing speakers and panelists (see List of Contributors), have never come to a standstill. Indeed, vascular access and extra corporeal circulation have become routine for the nephrologist and have made possible the introductimn of new approaches, such as hemofiltration and hemoperfusion. Also today new membrane technologies provide us with a potentially even more effective therapeutic tool, namely plasma separation. |
double lumen picc line diagram: Caring for People who Sniff Petrol Or Other Volatile Substances National Health and Medical Research Council (Australia), 2011 These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances. |
double lumen picc line diagram: ICU Protocols Rajesh Chawla, Subhash Todi, 2012-10-10 The book describes step-wise management of clinical emergencies seen every day in Intensive care units (ICUs. As a practical guide, clinicians can refer to it on a day-to-day basis during their work hours, or while in transit to update their knowledge. Targeted readers are intensivists, critical care specialists, and residents involved in the care of patients admitted in ICUs. This handbook covers an array of specialities such as cardiology, pulmonology, gastroenterology, neurology, nephrology, traumatology, and toxicology. This monograph provides point-of-care treatment guidance and will serve as a ready-reckoner for physicians to quickly learn the management steps in a methodical manner. |
double lumen picc line diagram: Radiology Fundamentals Harjit Singh, Janet Neutze, 2011-12-02 Radiology Fundamentals is a concise introduction to the dynamic field of radiology for medical students, non-radiology house staff, physician assistants, nurse practitioners, radiology assistants, and other allied health professionals. The goal of the book is to provide readers with general examples and brief discussions of basic radiographic principles and to serve as a curriculum guide, supplementing a radiology education and providing a solid foundation for further learning. Introductory chapters provide readers with the fundamental scientific concepts underlying the medical use of imaging modalities and technology, including ultrasound, computed tomography, magnetic resonance imaging, and nuclear medicine. The main scope of the book is to present concise chapters organized by anatomic region and radiology sub-specialty that highlight the radiologist’s role in diagnosing and treating common diseases, disorders, and conditions. Highly illustrated with images and diagrams, each chapter in Radiology Fundamentals begins with learning objectives to aid readers in recognizing important points and connecting the basic radiology concepts that run throughout the text. It is the editors’ hope that this valuable, up-to-date resource will foster and further stimulate self-directed radiology learning—the process at the heart of medical education. |
double lumen picc line diagram: The Chemotherapy Source Book Michael Clinton Perry, 2008 The Chemotherapy Source Book, Fourth Edition pulls together all the current information on the chemotherapeutic management of cancer patients, including choice of chemotherapeutic agents, use of combinations, and toxicity of individual drugs. Organized by disease site, the book brings together pharmacologic and patient management information in one source that clinicians can consult for any question encountered in the delivery of chemotherapy. This updated Fourth Edition includes new drugs as well as new indications for older drugs. Content has been streamlined to provide essential information more quickly for the busy practitioner. Plus, this edition is softcover for greater portability and convenience. |
double lumen picc line diagram: Anesthesia for Otolaryngologic Surgery Basem Abdelmalak, John Doyle, 2012-10-18 Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists. |
double lumen picc line diagram: Central Venous Access Devices Lisa Dougherty, 2007-03-12 Central venous access devices (CVADs) are used within a variety of areas in both hospital and community health care settings to administer blood or fluids, to provide long term access for repeat transfusion of blood or blood products, chemotherapy, parenteral nutrition and antibiotic therapy, and to provide immediate access in emergency situations. Central venous access devices is a practical guide to the care and management of CVADs aimed at student nurses, newly qualified nurses and more experienced nurses who are unfamiliar in dealing with these devices. Central venous access devices addresses patient assessment and education, relevant anatomy and physiology, appropriate device selection, and guidelines on insertion, follow-up care and management of CVADs. Each category of CVAD - including peripherally inserted central catheters, non tunnelled central venous catheters, skin tunnelled catheters and implanted ports - is explored in turn. Concluding chapters explore hazards of insertion, prevention and management of complications, and patient perspectives on living with a CVAD |
double lumen picc line diagram: Manual of ICU Procedures Mohan Gurjar, 2015-08-31 Manual of ICU Procedures is a comprehensive, step-by-step guide to intensive care procedures. The book is divided into four anatomical sections, and a final miscellaneous section. Section one covers airway and respiratory, followed by; vascular and cardiac; neurological; gastrointestinal, abdominal, and genitourinary procedures. Each section covers an extensive range of procedures, and each chapter begins with basic principles before describing the procedure step-by-step. Enhanced by 428 colour images and illustrations, Manual of ICU Procedures is an ideal resource for all critical care professionals. Key Points Step-by-step guide to a range of intensive care procedures Covers respiratory, cardiovascular, neurological, gastrointestinal, genitourinary and miscellaneous procedures 428 colour images |
double lumen picc line diagram: Medical-Surgical Nursing in Canada Sharon Mantik Lewis, Sandra Goldsworthy, Maureen A. Barry, 2009-06 The 2nd edition of Canada's leading medical-surgical nursing text is now available! A team of outstanding Canadian editors and more than 50 contributors from across the country have collaborated to revise and update the entire text. This new edition of Lewis provides the most current Canadian content in a brand-new, student-friendly design. Four new chapters have been added to ensure coverage of key topics: Chronic Illness, Genetics, Obesity, and Emergency Preparedness and Disaster Management. This text delivers the most up-to-date Canadian research and statistics and reflects trends and issues in Canadian nursing practice today. Featuring a suite of unrivalled printed and electronic support material for students and instructors, Lewis clarifies difficult concepts in the classroom and provides the knowledge your students need to feel confident in practice. It is the clear choice of Canadian medical-surgical nursing texts. |
double lumen picc line diagram: Peripherally Inserted Central Venous Catheters Sergio Sandrucci, Baudolino Mussa, 2014-07-25 Indications for central venous cannulation in critically ill patients have increased dramatically, but central venous access has the drawbacks of morbidity and a scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on choice of materials; maneuvers for positioning of peripherally inserted central venous catheters (PICCs), techniques for evaluation of PICC tip placement; prevention, diagnosis, and management of complications; and organization of a dedicated team within a hospital or a supportive care program. Legal and economic issues are also considered. The book will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists. |
double lumen picc line diagram: Evidence-Based Critical Care Paul Ellis Marik, 2014-12-08 This is the premier evidence-based textbook in critical care medicine. The Third Edition features updated and revised chapters, numerous new references, streamlined content, and new chapters on key topics such as the new paradigm in critical care medicine, cardiac output monitoring, surgical optimization, vital signs, and arterial blood gas analysis. The book maintains the author’s trademark humor and engaging writing style and is suitable for a broad and diverse audience of medical students, residents, fellows, physicians, nurses, and respiratory therapists who seek the latest and best evidence in critical care. From reviews of previous editions: “This is an excellent introduction to the concept of evidence-based medicine...The writing is clear, logical, and highly organized, which makes for fast and enjoyable reading. I believe this book will get daily use in most intensive care units, by a wide range of readers.” –Respiratory Care “This is one of the most comprehensive handbooks on critical care medicine with a strong emphasis on evidence base...Overall, this book should be useful for junior doctors or intensive care trainees who are starting their term in an intensive care unit.” –Anaesthesia and Intensive Care |
double lumen picc line diagram: Clinical Reasoning Cases in Nursing - E-Book Mariann M. Harding, Julie S. Snyder, 2018-12-24 - NEW & UNIQUE! Concept-based organization mirrors the growing use of concept-based curricula and conceptual approaches to teaching and learning in nursing education. - NEW! 20 all-new cases and four extensively-revised cases that address important contemporary healthcare issues and allow for better coordination with Giddens, HESI, and other exemplar lists. - NEW! Updated content throughout reflects the latest evidence-based clinical practice, including national and international treatment guidelines. - NEW! Enhanced focus on interprofessional collaboration identifies opportunities for interprofessional collaboration are discussed. - NEW! Greater consistency with the NCLEX Exam includes revisions like the elimination of most drug trade names and the inclusion of Canadian lab values. - Enhanced QSEN safety emphasis is highlighted with a target icon to communicate caution or safety. - NEW! Increased emphasis on sepsis and antibiotic resistance throughout that addresses the growing problem of sepsis (a new Joint Commission core measure) and antibiotic resistance where appropriate throughout. - NEW! Improved answer spacing ensures that space left for answers reflects what is actually needed. |
double lumen picc line diagram: Totally Implantable Venous Access Devices Isidoro Di Carlo, Roberto Biffi, 2012-02-01 Since their first application in 1982, Totally Implantable Venous Access Devices (TIVADs) have become increasingly important in the clinical practice, as more intensive chemotherapy and parenteral treatments have come into use. At this time, there is objective evidence that TIVADs are a safe, effective strategy for long-term venous access; they play a significant role throughout the management of the oncology patient, as they are needed in the initial phases for active treatments as well as in the last stages for palliative measures, making possible repeated administration of chemotherapeutic vesicant agents, nutrients, antibiotics, analgesics, and blood products. According to a number of prospective studies, use of TIVADs is associated with a significant complication rate (10% to 25% of all patients). Evidence-based data support that most complications are directly related to inappropriate technique of placement and/or nursing care, sometimes leading to TIVAD loss, significant morbidity, increased duration of hospitalization, and additional medical cost. A group of world-renowned experts - both in the clinical and research fields – contributed to this volume, whose aim is to provide clinicians, nurses and medical students with a multidisciplinary, full update on these devices, as long term central venous access can no be longer considered a routine matter, and serious complications can be maintained at a very low level only if strict adherence to a well-defined protocol of surgical technique and of catheter care is maintained. |
double lumen picc line diagram: Core Topics in Paediatric Anaesthesia Ian James, Isabeau Walker, 2013-07-04 This book covers all of the important elements of paediatric anaesthesia in a concise and structured manner. From the premature infant to the teenager, readers are guided through the complexities they may encounter, with key points at the end of each chapter to summarise the most important information. The common surgical conditions encountered in daily practice are covered along with comprehensive discussion of consent and the law, safeguarding children, and the complexity of drug dosing in the paediatric population. Other topics covered include trauma, burns, resuscitation, principles of intensive care, and transporting a sick child. Each chapter is written by an acknowledged expert in their field, sharing a wealth of relevant, practical experience. Covering the whole curriculum necessary for advanced training, this is essential reading for trainees, general anaesthetists managing children in non-specialist hospitals and anyone aspiring to become a paediatric anaesthetist, as well as those established in the field. |
double lumen picc line diagram: Pediatric Emergency Critical Care and Ultrasound Stephanie J. Doniger, 2014-04-24 Emergency bedside ultrasound assessment is well established for adult patients, but has only recently been introduced into everyday clinical practice for the care of pediatric patients. Pediatric Emergency Critical Care and Ultrasound is a concise, practical text which explains the principles of ultrasound, its diagnostic application in all organ systems and its use as a procedural adjunct. Both well-established and innovative applications are described, assisting the practitioner in incorporating ultrasound into daily practice, facilitating patient care and decreasing radiation exposure. Case studies and abundant illustrations enable the reader to study the appropriate techniques in detail and learn from real examples from the pediatric emergency department and intensive care unit. Pediatric Emergency Critical Care and Ultrasound is the first comprehensive bedside ultrasonography resource focusing on pediatric patients and is essential reading not only for pediatric emergency medicine subspecialists but for all emergency physicians, intensivists/critical care physicians and pediatricians. |
double lumen picc line diagram: Medical-Surgical Nursing Sharon Mantik Lewis, Margaret McLean Heitkemper, Jean Foret Giddens, Shannon Ruff Dirksen, 2003-12-01 Package includes Medical-Surgical Nursing: Assessment and Management of Clinical Problems Two Volume text and Virtual Clinical Excursions 2.0 |
double lumen picc line diagram: Jefferson Headache Manual William B. Young, MD, Stephen D. Silberstein, MD, Stephanie J. Nahas, MD, Michael J. Marmura, MD, 2010-12-14 According to the National Headache Foundation, over 45 million Americans suffer from chronic, recurring headaches (28 million from migraine alone). Headache is the most common complaint for which people see neurologists. Headache can impede job functioning and undermine oneÌs quality of life if not managed effectively. Despite this, research that would help in the care and management of headache patients is sadly lacking. The Jefferson Headache Manual is a practical guide for the practitioner seeking assistance in diagnosing and treating headache patients. Written by the experts at one of the foremost headache centers in the United States, the Manual provides a systematic approach to identifying and managing all types of headaches. Migraine, chronic daily and tension headache, cluster headache, post-lumbar puncture and high and low pressure headaches, medication overuse, and unusual primary headaches are all covered. In addition, this handy reference includes chapters on post-traumatic headache, associated comorbid disorders, headache in the emergency department, and regional considerations in the neck, nose and sinuses, and contains up-to-date information on the latest prescription drug treatments, infusion and inpatient therapies, botulinum toxin, and behavioral management. Based upon the Jefferson philosophy and unique experience of the authors, this comprehensive yet concise manual will appeal to anyone who strives to practice state of the art headache medicine. Features of the Jefferson Headache Manual include Practical, problem-oriented approach to diagnosis and management Expert advice and recommendations Packed with useful graphics, tables, and illustrations Differential diagnoses lists, clinical criteria boxes, and ÏRed FlagsÓ help practitioners make informed decisions quickly Covers pharmacologic and non-pharmacologic treatments |
double lumen picc line diagram: The Complete Guide to Vascular Ultrasound Peter H. Arger, 2004 Keeping pace with the technical advancements and broadening capabilities of vascular ultrasound can be a challenge. This comprehensive, how-to guide delivers both the technical know-how and the analytical skills you need to obtain clinically relevant results and sharpen your interpretive skills. Inside you'll discover detailed coverage of abdominal vasculature, peripheral arteries, hemodialysis and bypass grafts, peripheral veins, penile vessels, and the cerebrovascular system -- all presented in a structured chapter format that makes sure you never miss step!--Jaquette du livre. |
double lumen picc line diagram: Remington Education Pharmaceutics Shelley Chambers Fox, 2014-06-25 Remington Education: Pharmaceutics covers the basic principles of pharmaceutics, from dosage forms to drug delivery and targeting. It addresses all the principles covered in an introductory pharmacy course. As well as offering a summary of key information in pharmaceutics, it offers numerous case studies and MCQs for self assessment. |
double lumen picc line diagram: Winningham's Critical Thinking Cases in Nursing - E-Book Mariann M. Harding, Julie S. Snyder, 2015-01-10 Highly regarded for its clinically relevant and thought-provoking content, Winningham's Critical Thinking Cases in Nursing, 6th Edition features 150 case studies that cover all four clinical practice areas: medical-surgical, pediatric, OB/maternity, and psychiatric nursing. Each case covers a common patient problem, drawn from actual clinical experiences and written by nurses who are clinical experts. This edition reflects the most current standards of clinical practice, including content on pharmacology, nutrition, and diagnostic/laboratory tests to prepare you for all aspects of patient care. From nursing educators Mariann Harding and Julie Snyder, this workbook helps you develop your clinical nursing judgment and bridge the gap from nursing knowledge to nursing practice. Comprehensive case study approach uses cases drawn from actual clinical experiences to help you identify changes, anticipate possible complications, and initiate therapeutic interventions. Progressive case complexity builds on previous learning and helps you develop more and more expertise. 150 case studies cover all major clinical areas, including medical-surgical, pediatric, OB/maternity, and psychiatric cases, providing you with many diverse clinical situations and opportunities to apply knowledge and develop critical thinking skills. Body system organization makes the book easier to use with medical-surgical nursing textbooks and courses. NEW! QSEN icons highlight essential safety content. NEW! Increased emphasis on NCLEX® Exam-style alternate-format questions includes multiple-response, prioritization, and illustration-based questions, offering better NCLEX Examination preparation. NEW! Additional documentation questions and a NEW Chart View design provide more experience in documenting patient care based on real-world electronic chart formats. NEW! Reorganized format presents cases in three parts: 1) medical-surgical cases; 2) pediatric, maternity, and women's health cases; and 3) psychiatric and alternative therapies cases. NEW! Increased difficulty level includes more questions about care of older adults and multi-system situations. UPDATED content includes the latest clinical treatment guidelines, issues, and practice standards. |
double lumen picc line diagram: Current Therapy in Vascular and Endovascular Surgery James C. Stanley, Frank Veith, Thomas W Wakefield, 2014-04-28 Current Therapy in Vascular and Endovascular Surgery is an ideal medical reference book to consult for information in this ever-changing field! Thoroughly revised to reflect the most recent innovations in vascular and endovascular surgery, it features more than 150 chapters on topics new to this edition, and equips residents and practitioners alike with the latest procedures and techniques in this rapidly growing area. Internationally recognized experts present expanded coverage of a wide array of topics, keeping you abreast of all of today's developments! Consult this title on your favorite device, conduct rapid searches, and adjust font sizes for optimal readability. Quickly locate key information with concise, to-the-point chapters. Prepare for boards or certification exams through coverage that spans the entire spectrum of vascular surgery. Explore brand-new coverage of endovascular procedures and techniques. Learn from leaders in the field, including internationally recognized editors and numerous global experts in specialized disciplines. Access in-depth, detailed coverage of various vascular diseases, each sub-divided into discrete topics for a more focused approach. View procedures more clearly than ever before with the help of more than 800 full-color illustrations throughout. Access the full text and videos online at Expert Consult. |
double lumen picc line diagram: Lippincott's Review for Medical-surgical Nursing Certification Lippincott, 2011-10-20 Lippincott's Review for Medical-Surgical Nursing Certification, Fifth Editionprovides the information nurses need to achieve certification in the specialty of medical-surgical nursing. This helpful reference covers the broad range of content found on the actual examinations, including disorders by body system, such as coronary artery disease, COPD, and diabetes. The product reviews signs and symptoms, diagnostic tests, medical treatments, nursing assessments, and interventions for scores of health problems. Concise refreshers on wound care, perioperative nursing, collaborative practice, nursing research, and legal issues are also included. Review questions after each chapter and an end-of-book posttest help assess the nurse's preparedness for the exam. The book is appropriate for exams of both major certifying bodies: the ANCC and the AMSN. |
double lumen picc line diagram: Medical-Surgical Nursing - Single-Volume Text and Elsevier Adaptive Learning Package Sharon L. Lewis, Shannon Ruff Dirksen, Margaret M. Heitkemper, Linda Bucher, 2014-06-17 Corresponding chapter-by-chapter to Medical-Surgical Nursing, 9e, Elsevier Adaptive Learning combines the power of brain science with sophisticated, patented Cerego algorithms to help you learn faster and remember longer. It's fun; it's engaging; and it's constantly tracking your performance and adapting to deliver content precisely when it's needed to ensure core information is transformed into lasting knowledge. Please refer to the individual product pages for the duration of access to these products. An individual study schedule reduces cognitive workload and helps you become a more effective learner by automatically guiding the learning and review process. The mobile app offers a seamless learning experience between your smartphone and the web with your memory profile maintained and managed in the cloud. UNIQUE! Your memory strength is profiled at the course, chapter, and item level to identify personal learning and forgetting patterns. UNIQUE! Material is re-presented just before you would naturally forget it to counteract memory decay. A personalized learning pathway is established based on your learning profile, memory map, and time required to demonstrate information mastery. The comprehensive student dashboard allows you to view your personal learning progress. |
double lumen picc line diagram: Skill Checklists for Fundamentals of Nursing Carol Lillis, Priscilla LeMone, Marilee LeBon, Pamela Lynn, 2011 This workbook allows students to practice and record the mastery of skills found in Taylor's Fundamentals of Nursing, Seventh Edition by providing checklists designed to record every step of each procedure. This set of checklists is valuable as a self-assessment tool for students and a means for faculty to record student performance. |
double lumen picc line diagram: Nutrition support in adults. Quick reference guide National Collaborating Centre for Acute Care, 2006 |
double lumen picc line diagram: Pediatric Ultrasound E-Book Rose de Bruyn, 2010-06-17 Pediatric ultrasound is different to adult ultrasound in all respects. The equipment chosen for pediatric work has different requirements, the technique of scanning is different, the normal anatomy changes throughout childhood and the pathology encountered in childhood are unique to children. This book addresses the 'how', 'why' and 'when' of pediatric ultrasound. Each chapter begins with the 'how': how to scan and what special techniques or tricks to use when scanning children. The 'why' and 'when' discuss the pathology and use of other imaging modalities - an essential skill in pediatric radiology where the limitation of both radiation exposure and number of examinations is of paramount importance.Accessible, step-by-step approachCovers the practical aspects of scanning, as well as the role, value and limitations of ultrasound in diagnosing different diseasesWritten at a level suitable for both students and practitionersNew chapter on the pediatric eyeMajor revision of chapters on General scanning and equipment issues, The head, neck and spine, and The musculoskeletal systemCD with 10 teaching cases which will include dynamic clips |
double lumen picc line diagram: Imaging in Nephrology Antonio Granata, Michele Bertolotto, 2021-04-29 This book is a wide-ranging guide to current and emerging applications of ultrasonography within nephrology that aims to provide readers with a sound understanding of the rationale for the use of ultrasound techniques in various disease settings, for example, complications following renal transplantation, arteriovenous fistulas, renal artery stenosis, nonstenotic renal artery pathology, renal vein pathology, aortic disease, and acute renal failure. Particular emphasis is placed on newer applications, such as those involving elastosonography, contrast-enhanced ultrasonography, and color Doppler imaging. There is no doubt that ultrasound techniques can improve the standard of care in nephrology, from vascular access planning to management of uremic complications. Nevertheless, many nephrologists continue to delegate the performance of ultrasonography to radiologists or other colleagues, which is especially regrettable given the advent of affordable, portable ultrasound scanners. This book will be of value for all clinicians interested in the role of ultrasound techniques in nephrology and will be especially useful for nephrologists seeking to incorporate ultrasonography into their practice. |
double lumen picc line diagram: Cancer and Cancer Care Debbie Wyatt, Nicholas Hulbert-Williams, 2014-11-30 ‘This book creates new ground for all health professionals working in cancer care to read, enjoy, look at and question their practice.’ Caroline Adcock, Clinical Practice Educator – Haematology and Oncology, Royal Shrewsbury Hospital Cancer and Cancer Care is a complete study of cancer, the care of people with the disease and its impact on everyday life. Addressing the physical and psychosocial aspects of the illness in detail, it covers all fundamental aspects of cancer diagnosis, treatment, survival and aspects of psychosocial support for all those affected by cancer: patients, their families, and their healthcare providers. Chapters include: - A review of the latest theory and evidence on over 30 separate topic areas - Reflective questions which challenge readers to reappraise what they have learned - Chapter overviews and chapter summaries which highlight the key points The book is essential reading for all those on cancer care courses at undergraduate and postgraduate level. It will be valuable reading for nurses, oncologists, psychologists, social workers and all healthcare practitioners and researchers working with people affected by cancer. |
double lumen picc line diagram: Atlas of Procedures in Neonatology Mhairi G. MacDonald, Jayashree Ramasethu, Khodayar Rais-Bahrami, 2012-10-08 The Atlas of Procedures in Neonatology, Fifth Edition, provides detailed, step-by-step instructions on procedures performed in the neonatal intensive care nursery. In an easy-to-follow outline format, with more than 450 drawings and clinical photographs, the book presents clear, current information on indications, preparation, technique, precautions, and how to avoid potential complications. New for this edition: New chapters covering: Brain and Whole Body Coolling; Bubble CPAP; Educational Principles of Simulation Based Procedure Training to help you stay updated on the latest technology and information Access to free online companion website that includes fully searchable text, image bank and videos so you can access the content anytime, anywhere Video collection has been expanded to include: lumbar puncture, intraosseous infusion, bubble CPAP and pericardiocentesis for both commonly performed procedures and vital emergency procedures |
double lumen picc line diagram: Handbook of Hepato-Pancreato-Biliary Surgery Nicholas J. Zyromski, 2014-09-09 This handbook provides a comprehesive but succinct overview of medical and surgical management of diseases of the liver, pancreas, and biliary tree. It includes imaging of the pancreas and hepatobiliary system as well. Open and minimally invasive surgical management techniques are covered. Coverage includes pancreatic cancer and cysts, pancreatitis, complications of panreatic surgery, ultrasound for liver disease, cirrhosis and portal hypertension, neuroendocrine and colorectal metastases to the liver, gallstones, cholesystitis, infections in biliary surgery, and more. Target markets include surgical residents, surgical nurses, beginning fellows in HPB training programs. There may also be some uptake from gastroenterologists. |
What is the difference between float and double? - Stack Overflow
Dec 31, 2021 · Type double, 64 bits long, has a bigger range (*10^+/-308) and 15 digits precision. Type long double is nominally 80 bits, though a given compiler/OS pairing may store it as 12-16 …
How do I print a double value with full precision using cout?
Dec 17, 2020 · A double is a floating point type, not fixed point. Do not use std::fixed as that fails to print small double as anything but 0.000...000. For large double, it prints many digits, …
Difference between long double and double in C and C++
Apr 22, 2015 · The standard only requires that long double is at least as precise as double, so some compilers will simply treat long double as if it is the same as double. But, on most x86 …
Correct format specifier for double in printf - Stack Overflow
Format %lf is a perfectly correct printf format for double, exactly as you used it. There's nothing wrong with your code. There's nothing wrong with your code. Format %lf in printf was not …
Reading in double values with scanf in c - Stack Overflow
Oct 7, 2017 · I found out that there is a problem with the length of double on 32 bit OS, so that you are forced to use scanf("%lf", &f) to read in a double. No matter what I do, second value is …
decimal vs double! - Which one should I use and when?
Jul 22, 2009 · To clear this up double does not have 16 digits - that is only the number of meaningful digits. Floats are based around exponents in base 2 math - some base 10 numbers …
How to Code Double Quotes via HTML Codes - Stack Overflow
Feb 28, 2013 · I was just curious as to why there needs to be 3 different ways to code a double quotes in html codes, for example. – H. Ferrence Commented Feb 28, 2013 at 12:48
Difference between decimal, float and double in .NET?
Mar 6, 2009 · Double: It is also a floating binary point type variable with double precision and 64 bits size(15-17 significant figures). Double are probably the most generally used data type for …
What is the size of float and double in C and C++? [duplicate]
Aug 27, 2014 · The set of values of the type float is a subset of the set of values of the type double; the set of values of the type double is a subset of the set of values of the type long …
What does the !! (double exclamation mark) operator do in …
The double negation operator !! calculates the truth value of a value. It's actually two operators, where !!x means !(!x), and behaves as follows: If x is a false value, !x is true, and !!x is false. If …
Cook Spectrum® Turbo-Ject® Peripherally Inserted Central …
Single-Lumen Subclavian 24 (14%) 34 (19%) PICC Line 66 (38%) 64 (35%) Total 174 (100%) 182 (100%) ... activity in the 7.0 French double-lumen catheter was demonstrated for at least 28 …
Peripheral and Central line (Jugular) Placement for the …
•Make sure all material above is ready first • Patient lateral or dorsal recumbancy and calm • Patient must be sedated/calm with minimal movement. If critical, flow by oxygen and hooked …
Flushing Your Central Line Catheter - Hematopoietic Stem Cell ...
May 24, 2023 · Flushing Your Central Line Catheter Gloves Each lumen (line) of your Central Line Catheter needs to be flushed once a day with a 0.9% saline flush to keep the line working …
PLACEMENT AND CARE OF PICC LINES - Illinois State …
trauma, coagulopathy, head trauma). PICC lines are often single lumen but depending on the size of the patient and length of the catheter they can be multi-lumen. PICC lines can be placed via …
CENTRAL VENOUS CATHETERS - Highland Critical Care
The central venous line is then secured to the skin using 2/0 black silk/suture and an occlusive ... Catheter cross-section of quad lumen central venous catheter: 4. ... (18 gauge): enables flow …
PICC PLACEMENT DOCUMENTATION - NICE
3. PICC Placement Side: Right Left 4. Vein Accessed: Basilic Brachial Cephalic 5. Lidocaine 1% given S/C (PGD) 6. Skin prep Chloroprep Other 7. Number of attempts One Two More 8. PICC …
HOME CARE GUIDE TO YOUR PICC LINE - UCLA Health
This handout was designed to help you care for your PICC line. Ideal care of a PICC line is very important in preventing infections and keeping the line working properly. Peripherally Inserted …
vascu-picc - Medcomp
MR17012600 2.6F x 50CM DOUBLE LUMEN PICC, CATH ONLY 10/BOX Tray includes (1) Vascu-Picc W/Preloaded Stylet (2) Needle Free Valve (1) Catheter Securement Device (1) …
Department Pediatric Newborn Medicine - Brigham and …
each lumen of catheter and draw blood for labs IX. Measurement and Positioning of Umbilical Catheters [2, 5] a. For umbilical venous catheters, double lumen 3.5 Fr. catheters are generally …
Additional Instructions for Use of PowerPICC® Provena ... - BD
3mL per lumen or per facility guidelines. Periodically confirm catheter placement, tip location, patency, and security of dressing. Injection of Contrast Media: Follow the primary PowerPICC® …
Care of a double lumen Broviac/Hickman central line
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Understanding your Peripherally Inserted Central Catheter …
A PICC is an intravenous (IV) flexible tube made of polyurethane. It can have one or more lumens (tubes). The end of each lumen has a hub which is coloured. Double lumen PICCs have a …
CENTRAL VENOUS ACCESS DEVICES. - s th
After the line is inserted there are things we need to do to maintain the patency of the line and avoid infections Top Suture Anchor Suture Dressings Bungs Flushing HICKMAN LINE 7 days …
Complete Line of All-Purpose CVCs - BD
Complete Line of All-Purpose CVCs Indications For Use: Hickman™, Leonard ™ and Broviac are designed for longterm vascular access and for use in patients that lack adequate peripheral …
Neonatal Percutaneous Central Venous Catheter (Long Line) …
9. Prime the catheter with 0.9% saline and ensure line is closed with a flushed bionecter on each port. If using a double lumen longline – ensure both lumens have been primed. 10ml Luer lock …
Peripherally Inserted Central Catheter (PICC) - wh.com.sg
The PICC maybe single or double lumen, meaning that it comes in single or double tubes. Why do I need a PICC? You need long term access to the veins for one of the following: A Guide for …
Nursing Polyurethane Catheter - BD
central venous pressure monitoring, it is recommended that a catheter lumen of 20 gauge or larger be used. Catheter Size Maximum Flow Rate 3 F Single Lumen 3 mL / sec 4 F Dual …
Cook Central Venous Catheter Power Injectable - Cook Medical
The 8.0 French Double-Lumen Central Venous Catheter has a “double-D” lumen configuration. French Size Lumens Equivalent Gage Minimum Lumen Volume 8.0 #1 #2 14 14 0.9 mL 1.0 mL …
The C.L.O.T. Tool for Identifying Strategies to Prevent PICC …
Flushing the PICC catheter(s) using the SASH (Saline, Administer medication, Saline, Heparin) method is associated with a decrease in PICC occlusion L: Lumens – Use the least number of …
What To Do With A Completely Blocked PICC Using …
(ii) Attach a 3-way-tap primed with Sodium Chloride 0.9% to the end of the PICC (see diagram below) (iii) Attach an empty 10 ml syringe to the end of the 3-way tap, in a straight line with the …
Peripherally Inserted Central Catheter (PICC) Insertion - St …
A PICC line may be helpful if doctors and nurses find it difficult to get needles into your veins and can be helpful if you have anxiety about needles. The PICC may have single or multiple tubes …
Hickman®, Leonard® and Broviac® Catheters
Multi-Lumen Adapter Leg Repair Procedure ... III. Catheter Damage IV. Air in Line V. Fluid Leakage From Catheter Exit Site Table Of Contents HBLCATHNM/MRKTING 11/30/04 8:25 …
Peripherally Inserted Central Catheter (PICC) - St. Joseph's …
• The nurse then puts the PICC in explaining the procedure to you as this is done. • The procedure takes about 1 hour. • A chest x-ray is done after to make sure the PICC is in the …
Newborn Critical Care Center (NCCC) Guidelines - UNC …
a. One UAC Catheter - 3.5 Fr or 5.0 Fr single lumen catheter b. One UVC Catheter - 3.5 Fr or 5.0 Fr double or single lumen catheter c. Catheter Size i. For infants ≤ 1500 grams, use a 3.5 Fr …
NICU Vascular Access Guidelines - UC Davis Health
After Adjustments: If line moved > 0.5cm, repeat Xray within 30-60 min . Maintenance: Weekly Monday Xrays for picc line placement confirmation . Transduce: Bedside RN to transduce …
My PICC WON’T FLUSH - The IV Nurses 801.809.6522
The rules.. • Use 10 cc syringes only • DO NOT FORCE OR PUMP to open the line • DO NOT USE HEPARIN • All manipulation of the undressed PICC site is sterile • Call the PICC team if …
Neonatal Percutaneous Central Venous Catheter (Long Line) …
literature: Central Venous Catheter (CVC); Percutaneous Central Venous Line (PCVL); Peripherally Inserted Central Catheter (PICC); Percutaneously Inserted Central (PIC) line and …
GUIDELINE FOR PERIPHERALLY INSERTED CENTRAL …
PICC’s are available as single, double–lumen or triple lumen catheters, open ended or valved and may be made of silicone or polyurethane (Dougherty& Lister 2015). PICCs are between 15 …
PICC PERIPHERALLY INSERTED CENTRAL CATHETER
• You have aching in the arm where your PICC is placed. • You have heart palpitations (a faster heartbeat than usual). • You have numbness or tingling in your arm, hands, or fingers of the …
Access Devices (CVADs) 2019 Second Edition
• Flush each lumen with sterile preservative-free 0.9% sodium chloride and attempt to aspirate blood from each lumen to determine ease of flush and aspiration. [IB] • Document catheter …
Selection of Single- Versus Double-Lumen Peripherally …
selection if a patient had a single-lumen PICC. IR and surgi-cal reports were used to confirm the presence of a single-lumen or double-lumen PICC. A total of 183 adult patients had PICCs …
ACCESS SYSTEMS - Henry Schein
Introducing the vascular access market’s first PICC designed to better fit within the patient’s veins. In addition to the reverse taper gently plugging the venotomy ... 5 Fr. Dual Lumen PowerPICC …
Cook Spectrum® Silicone Central Venous Catheter - Cook …
double-lumen catheter, and 135 µg/cm for a 7.0 French double-lumen catheter. From HPLC assay, the average amount of rifampin contained in a Cook Spectrum silicone catheter is …
Midline and PICC insertion kits
4 Fr single lumen DYNJ70141MB Max flow rate: 5 cc/sec 5 Fr double lumen DYNJ70152MB Max flow rate: 5 cc/sec Qty. Description 1 PICC catheter, 4 Fr x 55 cm, single lumen with pre …
Peripherally Inserted Central Catheters - NeoMed, Inc.
Although PICC is the preferred term for this device, neonatal care pro-viders have historically referred to these catheters as percutaneous central venous catheters (PCVCs), perc lines, and …
Hickman line insertion and caring for your line - kch.nhs.uk
• hot flushes or shivering before or after your line has been accessed/used for treatment • temperature above 38ºC. A securement dressing will be applied at the line exit site to help …
Umbilical Venous Catheterisation (Jan 2025)
successfully insert the double lumen catheter in the right place. Please discuss with attending /oncall consultant if unable to do so, before insertion attempts are made to use a single lumen …
DELTA PURPLE PICC
purple picc single lumen catheter purple picc triple lumen catheter description catheter length (cm) high pressure flow rate pressure resistance (maximum psi) single lumen purple picc catheter …
Pressure Injectable PICC Product - teleflexvascular.com
pressure injectable PICC may not exceed 300 psi. The maximum pressure injection flow rate ranges from 4 mL/sec to 6 mL/sec. Refer to the product specific labeling for the maximum …
General information about Central Lines in the Neonata l …
Central Catheters ( PICC) 1-2 ml 1-2 ml Single-lumen PICCs are not locked U Unused lum ens o f double-lumen PICCs may b e locked in c ertain sit uations Q6H an d prn afte r completion of …
Flushing Your PIC Catheter - Northwestern Medicine
• Cough while trying to flush (this relieves pressure from the PICC line). • Turn your head to the opposite side, away from the PICC line. A nurse will change your dressing and injection caps …
ALTEPLASE (t-PA) FOR OCCLUDED VENOUS CATHETER …
Double lumen tunneled catheter Port-a-cath (Mediport) II. MEDICATION: 1. Instill _____ mL Alteplase (1mg/mL) IV to fill the occluded catheter lumen. ... Peripherally Inserted Central …
Anatomy and Physiology as it relates to Peripheral …
• Central line or Acute Central Venous Catheter • PICC ... • 0.6% with single-lumen catheters • 2.9% with double lumen and • 8.8% with triple lumen PICC Size and Incidence of Thrombosis …
Cook Central Venous Catheters - Cook Medical
• To prevent clotting or possibility of air embolus, the double-lumen’s #2 lumen, and the triple-lumen’s #2 and #3 lumens should be filled with saline solution or heparinized saline solution …
PATIENT & CAREGIVER EDUCATION About Your Implanted Port
Single lumen port A single lumen port has 1 access point. Most people get a single lumen port. Double lumen port A double lumen port has 2 access points. You can put a needle in each …
Peripherally inserted central catheter (PICC) - eviQ
central catheter (PICC) A PICC is a central venous access device (CVAD). It is used to give treatments and blood transfusions into your bloodstream, and to take blood samples. What is a …
Umbilical vessel catheter insertion, assisting, neonate - Woman's
UVC Catheter (double lumen) UAC Catheter (single lumen) Normal Saline Sterile Nano Clave T-Connector Transducer system for UAC IV tubing Tegaderm Mayo stand Central Line Insertion …
UCONN JOHN DEMPSEY HOSPITAL ANTIMICROBIAL …
UCONN JOHN DEMPSEY HOSPITAL ANTIMICROBIAL STEWARDSHIP COMMITTEE M E M O R A N D U M To: Medication Safety Committee Members From: Gillian Kuszewski, PharmD …
Administration of Alteplase via a Peripherally Inserted Central ...
Vygon Nutriline twinflo 2 Fr double lumen: 0.2 mL per lumen @ 30 cm in length (0.006 mL per cm) e. Argon 1.9Fr single lumen: 0.2 mL @ 50 cm in length (0.004 mL per cm) ... Scrub the …
Newborn Critical Care Center (NCCC) Guidelines - UNC …
4. Order radiograph – XR Neonate Umbilical Line Placement C. Before placing lines, ensure blood glucose and vital signs have been checked, and ... Double-Lumen UVC a) Infants that usually …