for administering parenteral alimentation and may also serve as a tool to measure the central venous pressure (Byrnes & Coopersmith 2007) Blood stream infections resulting from a central venous access is not a common form of nosocomial infection although this type of infection is the most highly preventable among the different types of nosocomial infections. As with any other type of infection‚ central venous catheter infections are associated with increased costs and expenditure in health care as patients
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Central Line Associated Blood Stream Infection Definition of CLABSI ? “Central associated blood stream infection (CLBSI) is defined as a positive blood culture with central venous access without evidence of other infectious sources” (Smith et al.‚ 2011‚ p.1038). PICO Question In critically ill patients with central lines‚ does implementation of the new evidenced based nursing practice changes help to prevent central line associated blood stream infection (CLABSI)? Literature on CLABSI Prevention
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Case Study #5 Heart & Neck Vessels‚ Lungs & Thorax Mrs. Lee‚ 80 year old Asian American female Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time‚ she seems slightly short of breath‚ but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you
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Best Practices to Prevent Catheter Related Bloodstream Infections NUR 271 Fall 2013 The United States Centers for Disease Control estimates that each year one in twenty hospital patients will contract a Healthcare Associated Infection (HAI). When further examined‚ the number of infected patients is approximately 1.7 million per year resulting in nearly 99‚000 deaths (CDC‚ 2011). Due to numbers like this‚ healthcare organizations‚ professional associations‚ and patient advocacy
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Study Critique: Most Effective Cutaneous Antisepsis for Prevention of CVC Infection Introduction This is critique of a randomized controlled trial study in relation to catheter-related bacteremia as the most frequent complication of the central venous catheter (CVC). The purpose of the study is to decide whether the use of 0.5% tincture of chlorhexidine or 10% povidone-iodine solution‚ is the most beneficial for preventing CVC exit site colonization‚ significant catheter tip colonization and catheter-related
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treatment is because they have renal failure and need to receive dialysis. For some of these patients that are sent home from the hospital‚ a PICC line allows them to have IV medicines and fluids at home with proper training and teaching (Central Venous Catheters-Topic Overview‚
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Intravenous Therapy‚ also known as IV therapy‚ is the administration of fluids or medications directly into the vein. It is one of the most common procedures that nurses encounter in a healthcare setting on a routinely basis. According to Ogston-Tuck (2012)‚ “…80 % of hospital patients are likely to receive some forms of IV therapy”(Ogston-Tuck‚ 2012). Therefore‚ it is exceptionally vital for nurses to be aware and knowledgeable of the indications‚ vascular access devices‚ potential complications
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References: Conner‚ B. T. (2014). Differentiating research‚ evidence-based practice‚ and quality improvement. American Nurse Today‚ 9(6)‚ 26-31. Ramirez‚ C.‚ Lee‚ A. M.‚ & Welch‚ K. (2012). Central Venous Catheter Protective Connector Caps Reduce Intraluminal Catheter-Related Infection. Journal Of The Association For Vascular Access‚ 17(4)‚ 210-213. doi:10.1016/j.java.2012.10.002
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* Intravenous therapy or IV therapy is the infusion of liquid substances directly into a vein. The word intravenous simply means "within a vein". Therapies administered intravenously are often called specialty pharmaceuticals. It is commonly referred to as a drip because many systems of administration employ a drip chamber‚ which prevents air from entering the blood stream (air embolism)‚ and allows an estimation of flow rate. * Intravenous therapy may be used to correct electrolyte imbalances
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(rapid sequence intubation) and intubate with an 8mm ET tube. He begins to improve then all of a sudden his O2 saturation starts to drop I checked the ET tube placement and there was tracheal deviation to the left difficulty to ventilate. JVD (jugular venous distention) and BP is 85/55. Needle decompress the right chest. He begins to improve once again his o2 sat and BP begins to improve and we arrive to the trauma centre and report given to the trauma team. Presumed injuries are head injury‚ spinal
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