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What does a fistula for dialysis look like?
A fistula for dialysis is a surgical connection between a vein and an artery.
In this video, I will show you a real fistula and how we should evaluate it before a dialysis connection.
Additional videos:
๐How to properly cannulate a fistula: https://youtu.be/IqoHnzFyhJQ
๐ What is a fistula for dialysis treatment: https://youtu.be/B5EEf-MklFk
๐ The 10-second assessment for fistulas: https://youtu.be/Uqo0LhjZSI8
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Additional resources:
What Does a Healthy AV Fistula Look Like? | Azura Vascular ...
www.azuravascularcare.com infodialysisaccess healt...
Jul 17, 2018 โ An AV fistula is a surgically-created permanent access located under the skin, making a direct connection between a vein and an artery. An AV fistula is typically created in the non-dominant arm. If the veins in your arm are not large or healthy enough to support a fistula, it may be created in your leg.
Preparing for Dialysis (AV Fistula) Fact Sheets Yale ...
www.yalemedicine.org โบ conditions โบ preparing-dialysi...
To undergo dialysis, patients need a surgical procedure to create an access point for the dialysis machine. An AV fistula is the most common access point.
Vascular Access for Hemodialysis - Life Options
lifeoptions.org living-with-kidney-failure vascular-a...
Jump to How a Catheter Looks and Feels โ This makes a pattern that looks a bit like a rope ladder. The next best wayโfor fistulas ONLYโis the โButtonhole ...
โFistula or Graft Surgery ยท โNeedle Fear ยท โHow a Fistula or Graft Looks...
Taking Care of Your Fistula - DaVita
www.davita.com dialysis preparing-for-dialysis โบ ta...
An arteriovenous (AV) fistula is a type of access used for hemodialysis. ... access because it utilizes the patient's own vessels and does not require permanent placement of foreign materials such ... Look for redness or swelling around the fistula area. ... This sound may change from a whooshing noise to a whistle-like sound.
Vascular Access for Hemodialysis - Department of Surgery
surgery.ucsf.edu conditions--procedures vascular-ac...
The patient does not need anesthesia for this procedure. ... A vascular surgeon performs AV graft surgery, much like AV fistula surgery, in an outpatient center or ...
Frequently Asked Questions about Dialysis Access Surgery ...
www.bidmc.org transplant-institute frequently-aske...
Dialysis access surgery creates the vascular opening so a needle can be inserted for ... fluid and to correct electrolytes like potassium, sodium, phosphate and calcium, to name a few. ... Where are AV fistulas located and how long do they last?
Fistula and Graft Placement (Eric K. Peden, MD) - YouTube
www.youtube.com watch
Mar 28, 2016 โ ... Bootcamp 2015 August 14 - 16, 2015 "Dialysis Access" Fistula and Graft Placement (Eric K. Peden, MD) DICET@Houstonmethodist.org.
Dr. Ebraheimโs educational animated video describing the anatomy and associated injuries of the knee joint.
Disrupted quadriceps
โขPatient is unable to actively extend the knee.
The most common cause of ACL ruptures:
โขTraumatic force being applied during twisting motion.
โขSide stepping or landing from a jump.
Patient complains of:
โขImmediate pain
โขKnee giving way
โขSwelling
Aspiration of the knee
โขIf aspiration of the knee joint shows evidence of blood within the joint there is 75-80% chance of ACL and meniscal injury.
Lachamnโs test- ACL knee exam
โขKnee is flexed at 30 degrees.
โขACL tear of the knee is identified by pulling on the tibia and examining the frontward motion of the lower leg in comparison to the upper leg.
Radiological exam โ ACL
โขMRI of the knee joint shows bone lesions or bruising associated with tears of the ACL. Injury is found in the typical location; middle of the femoral condyle and posterior part of the tibia laterally.
Posterior cruciate ligament tear (PCL)
โขCommon cause of injury is a bent knee hitting a dashboard in a car accident.
Tibial Sag Test โPCL knee exam
Quadriceps active test-PCL knee exam
โขThe examiner stabilizes the leg of the patient and then the patient is asked to actively contract the quadriceps muscle.
โขThe tibia is seen actively reduced from the posterior subluxed position.
Lachmanโs test-PCL knee exam
โขKnee is bent 20-30 degrees.
โขThe posterior drawer test is carried out while the patient is in a supine position and the knee is flexed to 90 degrees.
โขThe amount of translation of the tibia relative to the femur is observed.
The dial test is performed while the patient is in the supine or prone position and both knees are in 90 and 30 degrees of flexion. More than 10 degrees of external rotation indicates significant injury.
Common meniscal tears
Symptoms include
โขKnee pain
โขPain with straightening the knee
โขSwelling
โขLocking
โขWeakness
The objectives of hemodialysis are to extract toxic nitrogenous substances from the blood and to remove excess water. In hemodialysis, the blood, laden with toxins and nitrogenous wastes, is diverted from the patient to a machine, a dialyzer, in which the blood is cleansed and then returned to the patient. Diffusion, osmosis, and ultrafiltration are the principles on which hemodialysis is based.
The toxins and wastes in the blood are removed by diffusionโthat is, they move from an area of higher concentration in the blood to an area of lower concentration in the dialysate. The dialysate is a solution made up of all the important electrolytes in their ideal extracellular concentrations.
The electrolyte level in the patientโs blood can be brought
under control by properly adjusting the dialysate bath. The semipermeable membrane impedes the diffusion of large molecules,
such as red blood cells and proteins.
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Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael's Hospital.
Written and Narrated by Dr. Mike Evans
Executive Producer, Dr. Mike Evans
Illustrations by Liisa Sorsa
Produced, Directed, and Photographed by Nick De Pencier
Editor, David Schmidt
Story/Graphic Facilitator, Disa Kauk
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Director of Operations, Mike Heinrich
ยฉ2014 Michael Evans and Reframe Health Films Inc.
Today on Crash Course Anatomy & Physiology, Hank breaks down the parts and functions of one of your body's unsung heroes: your epithelial tissue.
Pssst... we made flashcards to help you review the content in this episode! Find them on the free Crash Course App!
Download it here for Apple Devices: https://apple.co/3d4eyZo
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Chapters:
Introduction 00:00
Proper Epithelium & Glandular Epithelium 1:38
We're All Just Tubes! 2:12
Cell Shapes: Squamous, Cuboidal, or Columnar 3:34
How Form Relates to Function 4:15
Layering: Simple or Stratified 5:26
Epithelial Cells: Apical & Basal Sides 7:06
Glandular Epithelial Tissue Forms Endocrine & Exocrine Glands 8:20
Review 9:16
Credits 9:54
***
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Things nurses should know about their patients. As a new nurse, it can be hard trying to determine what information you need to know during your shift. In addition, nurses can get extremely busy and strapped for time, so how do you keep up with all of the things you need to know?
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In this video, Nurse Sarah explains some of the most important things nurses need to know about their patients. However, these things can vary depending on your specialty and patient population. These tips are designed to help new nurses begin to think like a nurse.
Some examples of thing nurses should know about their patients include their allergies, code status, diagnosis, medications, vital signs, and much more.
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Tracheostomy Suctioning- Nursing Skills
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At NURSING.com, we want to help you remove the stress and overwhelm of nursing school so that you can focus on becoming an amazing nurse.
Check out our freebies and learn more at: (http://www.nursing.com)
Tracheostomy Suctioning- Nursing Skills:
In this video weโre going to talk about suctioning a tracheostomy. You may need to do this before you do trach care or just because the patient requires suctioning. Make sure that you assess the patient before you start so that you know what their one sounds are, and what their oxygen saturation is. We love you guys! Go out and be your best selves today! And, as always, happy nursing!
Bookmarks:
0.05 Introduction to trach suctioning
0:21 Suction setup
0:42 Opening suction kit
1:55 Sterile water
2:13 Starting trach suctioning
2:00 Catheter insertion
3:00 Catheter pass #2
3:26 Listen to lungs
3:31 Outro
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NCLEXยฎ, NCLEX-RNยฎ are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.com.
Ellis demonstrates the need to drop the tip of the needle when withdrawing medication from a vial.
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You've come to the perfect YouTube Videoย if you want to learn hospital and medical English while watching shows of "The Good Doctor." Watch medical English talks from the TV show "the good doctor" to acquire new terminology about ailments that people experience but don't know the names of.
Medical English Lesson 2 with the good doctor - https://youtu.be/gU107Q9Jerw
Hospital English Vocabulary Lesson 3 with Dr. House - https://youtu.be/lE4i1pY53Us
Illness English used in Hospitals Lesson 4 with Chicago Med - https://youtu.be/u3VPRdierKA
So keep learning and watching our video lessons to learn and improve your English to a great level.
Other English lessons through The Big Bang Theory
Learn English through Big Bang Theory Lesson 1 - https://youtu.be/iM-o5EKK5pg
Funny English Lesson through Big Bang Theory Lesson 2 - https://youtu.be/O6CRNi6OJ1k
Enjoy Learning English through Big Bang Theory Lesson 3 - https://youtu.be/-iSDlbReAxk
Want to Learn English through Big Bang Theory Lesson 4 - https://youtu.be/AZSkyjk-Ioo
Learn Romantic English with The Big Bang Theory - Lesson 5 - https://youtu.be/k5EqRArT41w
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To be fluent in English, we should have a vocabulary of between 3000 and 4000 important English words. Once we attain this objective, we can be guaranteed to sound like a native speaker.ย
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A clinical examination of the hands using the standard Look, Feel, Move approach. Specificโ examination structure derived from MacLeod's Clinical Examination 14th edition. Performed by Dr James Gill
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This video - produced by students at Oxford University Medical School - demonstrates how to perform an examination of the respiratory system. It also indicates common pathologies encountered. It is part of a series of videos covering basic clinical examinations and is linked to Oxford Medical Education (www.oxfordmedicaleducation.com).
Step in the Clinic with Dr. Pritesh Singh and get a practical insight into the Clinical Examination of Incisional Hernia.
Now Save Time with these Exam Relevant Clinical Videos & Waste None Studying Rare Cases.
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Originally broadcast November 21, 2014.
They advertise low, low prices. But does anyone actually pay that rate? Erica Johnson investigates.
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