Professional Documents
Culture Documents
1 final exam
IF Needle stick injury occurs go across street to NYPGH to get HIV test and Hep B/C
test
Offered Hep B vaccine right about
Triple therapy HIV Prophylaxis ** only effective up to 2 hours after needle stick
Retest HIV 6 mos later
Retest Hep B 1mo later
Both you and the person who was stuck should be tested
20% neeld sticks occur in uncovering of needles : avoid this by using one handed
technique
Chemical exposure
Total parnetral nutrition: saline/glucose/electrolytes/Pr/Lipids/vit/minerals
Plastic containers are what they use but the lipids stick to containers
Should be administered by glass containers – not used because of the possible breaking
and contusions that can occur
Allergic reactions = latex gloves = elastic turnics are the only latex portion we use (do it
over the shirt for the patient with latex sensitivity or allergy)
Perservatives used:
Sodium benozate
Alcohol
Vaccum tubes to remove blood = don’t collapse veins to often this way
Suction is old school = collapsed veins
SERUM
Most common used for blood tests
Draw SST serum separteing tube
Red or grey/red tube
Model top tube
Blood is allowed to clot 10 cc needed
Allow 10 mins (
Centrifuge and spin it 3500 rpm 15-20 mins
Separate rbc from serum (on top)
Hormones enzymes etc
SIDE EFFECTS
HEMATOMA – pushed through vein on the other side
Increase pressure on vv for 2-3 mins so closing off both holes with hard pressure applied
once needle is removed
Substances in vials = stay in tube chemicals in theer if the break (exposure issue)
Latex Reaction = women make up hospital workers therefore make sense women are
higher risk
Anaphylaxis SHOCK symptoms: 50 or lower pulse BP: 60/40 etc
Ways to avoid
Check Px regulation
Very steady with needle
Thrombosis if it occurs
Heparin (IV) standard of care flush
Drip stops /severe pain at site
Cold application after to avoid embolism min 10 mins
S/SX of pheblitis
Heat/pain @ site/ tender to touch/ IV rate is slower/ Fever
TX: ABC infection (culture blood)
Ice: 20 mins repeated every 20 mins
Not used for 3-10 days till healed for anything
Ways to avoid phebilitis
Check needle size small vs large
Check tonicity of solution
Select site carefully
More flection and movement increase risk factor (especially in elbow) of pheblitis
CHOOSE WRISt if need be