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• Puncture the skin 1.0–1.5 cm above the symphysis pubis in the midline. • Insert the needle at a 10–20-degree angle to the vertical, pointing slightly toward the fundus of the bladder in a cephalad position, to a depth of 1–2 24 Figure 5.2 Fingers identifying symphysis pubis to guide placement of the needle SA FAMILY PRACTICE CH 1-30 ...
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WhatsAppContact UsThe normal potassium level is 3.5 to 5.0 mEq/L. The patient is hyperkalemic, which makes the patient more prone to digoxin toxicity. For this reason, the nurse should withhold the dose and report the potassium level. The physician may order the digoxin to be given once the potassium level has been treated and decreases to within normal range.
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WhatsAppContact UsProcedure 26-1 Fundamental Components of Hand-Activated Instrumentation Procedure 26-2 Use of Assessment Instruments Procedure 26-3 Use of Sickle Scalers Procedure 26-4 Use of Curets Procedure 26-5 Self-Evaluation of Operator Basic Body Mechanics Technique Procedure 26-6 Strategies for Protective Scaling Procedure 26-7 Hand-Activated Scaling Instrument …
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WhatsAppContact UsPalpation (Lower Respiratory Tract) Trachea: • Normal length: 4–5 cm above suprasternal notch • Normal cricoid to suprasternal notch distance is 3–4 finger breadth (decreased in COPD due to hyperinflation). Method of palpation: Keep the index and ring finger of the right hand on medial ends of the clavicle ↓ With middle finger trace the trachea from above downwards (Fig. 3D.14 ...
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