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Related Concept Videos

Prevention of Further Absorption of Poison01:14

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In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis IV: Nursing Management01:30

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pharmaceutical Poisoning: Treatment Strategies01:26

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Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
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Eliminating Extravasation Events: A Multidisciplinary Approach.

Christine E Coyle1, Julie Griffie, Lynn M Czaplewski

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Chemotherapy extravasation causes severe tissue damage. A new clinical practice significantly reduced peripheral vesicant agent administration, preventing patient harm and improving safety.

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Area of Science:

  • Oncology Nursing
  • Patient Safety
  • Chemotherapy Administration

Background:

  • Chemotherapy administration poses safety risks, notably extravasation of vesicant agents, leading to tissue damage and patient suffering.
  • Nurses play a crucial role in patient education and adhering to practice standards to mitigate extravasation risks.
  • Shared responsibility among healthcare teams is vital for the safe administration of vesicant drugs.

Purpose of the Study:

  • To describe a clinical practice change implemented at a large midwestern academic medical cancer center.
  • To evaluate the impact of this change on the administration of vesicant agents and the incidence of extravasation.

Main Methods:

  • Implementation of a new clinical practice and policy regarding vesicant agent administration.
  • Focus on shared responsibilities among healthcare team members.
  • Shift from peripheral to alternative administration routes for vesicant agents.

Main Results:

  • A 90% reduction in the peripheral administration of vesicant agents.
  • Zero occurrences of extravasation in the first six months post-implementation.
  • Demonstrated success in minimizing a significant chemotherapy complication.

Conclusions:

  • The implemented clinical practice change effectively reduced the incidence of vesicant extravasation.
  • Establishing clear, shared responsibilities enhances the safety of chemotherapy administration.
  • This model provides a successful strategy for other cancer centers to improve patient safety.