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2025-03-01 15:45:05| Spiritual Career Counseling
Suctioning via the oropharyngeal (mouth) and nasopharyngeal (nasal) routes is performed to remove accumulated saliva, pulmonary secretions, blood, vomitus, and other foreign material from these areas that cannot be removed by the patients spontaneous cough or other less invasive procedures. Nasal and pharyngeal suctioning are performed in a wide variety of settings, including critical care units, emergency departments, inpatient acute care, skilled nursing facility care, home care, and outpatient/ambulatory care. Suctioning is indicated when the patient is unable to clear secretions and/or when there is audible or visible evidence of secretions in the large/central airways that persist in spite of the patients best cough effort. Need for suctioning is evidenced by one or more of the following:Visible secretions in the airwayChest auscultation of coarse, gurgling breath sounds, rhonchi, or diminished breath soundsReported feeling of secretions in the chestSuspected aspiration of gastr...
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Employment2025-03-01 15:45:05| Spiritual Career Counseling
Nasal SuctioningNasal suctioning involves the removal of secretions from the nostrils and nasal passages. Its typically performed using a soft-tipped, flexible suction catheter.Nasal suctioning is common in neonates and infants since they are obligate nasal breathers, meaning they predominantly breathe through their noses.It helps to clear obstructed nasal passages to facilitate better breathing, especially when the baby has a cold or other respiratory issues.Oral SuctioningOral suctioning targets the removal of secretions from the mouth and the anterior part of the throat. A Yankauer suction tip is often the preferred instrument for this type of suctioning because of its rigidity and larger bore.It is frequently used post-operatively, or for patients with a decreased level of consciousness, to prevent aspiration of oral secretions.Pharyngeal SuctioningPharyngeal suctioning is geared towards removing secretions from the back of the throat or oropharynx. It can be achieved with either...
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Employment2025-03-01 15:45:05| Spiritual Career Counseling
Posted by Sam D. Say Jul 6, 2024 8:00:00 AM 5 min read As an EMS professional, one of the most critical decisions you will make is when to secure an advanced airway. Airway decisions are crucial: they must be expedient, effective, and appropriate.Today, paramedics have a range of options for advanced airways. With the advent of the Combitube and the King airway, there are alternatives to oral or nasotracheal intubation. Oral intubation using an endotracheal tube is still considered the airway of choice, but there are situations where nasotracheal intubation is the better alternative.Let's discuss the pros and cons of these two important airway interventions.Deciding When to IntubateBased on your primary survey, the first step in placing an advanced airway is the decision to intubate. This survey should include the patient's vital signs and O2 saturation.A patient inrespiratory distresswill typically present the following signs and symptoms, which may not be serious enough to warrant an...
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Employment2025-03-01 15:45:05| Spiritual Career Counseling
2-19. NASOPHARYNGEAL AND OROPHARYNGEAL SUCTIONING a. The nose, mouth, and throat may be cleared of mucus, vomitus, blood, or other material by a procedure called suctioning. (1) Material that accumulates in the mouth and throat can usually be expectorated. Mucus accumulations in the nostrils can be removed by blowing the nose. If the patient is unable to cough, expectorate, or otherwise clear the upper air passages effectively, there is a danger that the accumulated material may be aspirated into the lower air passages (trachea, bronchi, and lungs). (2) These suctioning procedures may be carried out using medical asepsis (clean technique) since the nostrils, mouth, and throats are not sterile areas. In specific cases, such as isolation, sterile technique may be required. b. Wash your hands and assemble the necessary equipment. Set it up at the patient's bedside. (1) Set up the suction apparatus (portable suction machine or in-wall suction) and connect a sufficient length of tubing to r...
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Employment2025-03-01 15:45:05| Spiritual Career Counseling
Open Resources for Nursing (Open RN)Suctioning via the oropharyngeal (mouth) and nasopharyngeal (nasal) routes is performed to remove accumulated saliva, pulmonary secretions, blood, vomitus, and other foreign material from these areas that cannot be removed by the patients spontaneous cough or other less invasive procedures. Nasal and pharyngeal suctioning are performed in a wide variety of settings, including critical care units, emergency departments, inpatient acute care, skilled nursing facility care, home care, and outpatient/ambulatory care. Suctioning is indicated when the patient is unable to clear secretions and/or when there is audible or visible evidence of secretions in the large/central airways that persist in spite of the patients best cough effort. Need for suctioning is evidenced by one or more of the following:Visible secretions in the airwayChest auscultation of coarse, gurgling breath sounds, rhonchi, or diminished breath soundsReported feeling of secretions in th...
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Employment2025-03-01 15:45:05| Spiritual Career Counseling
Spread the loveAirway management in the critical care setting depends on 4 steps which, when followed adequately, ensure patients safety:timely clinical identification of airway compromise in patientuse of the most appropriate airway maneuver for the patientappropriately choosing and introducing airway adjuncts becoming aware if and when the need for ventilation arises, and delivering it effectivelyOropharyngeal and Nasopharyngeal airways are tubes made of plastic or rubber used to help maintain airway patency by keeping the tongue out of the way from obstructing the upper airway. Whilst in use, patient breathing should be assessed and confirmed so that proper positioning is ensured.Complicationsgaggingvomiting (may lead to aspiration)bleeding following trauma to the oral or nasal cavityairway obstruction caused by the oropharyngeal airway pushing the tongue to the backlaryngospasm vocal chord spasm which causes temporary difficulties with breathing and speaking NOTE: The oropharyng...
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Employment2025-03-01 15:45:05| Spiritual Career Counseling
The automotive industry plays a crucial role in the worldwide economy, driving growth and innovation in various sectors. One sub-industry that is integral to the functioning of automobiles is automotive lubricants. These lubricants are essential for the smooth operation and longevity of engines, transmissions, and other crucial components.With its profound influence, the automotive lubricants industry has ripple effects across diverse sectors. It not only ensures the optimal performance of vehicles but also contributes to environmental sustainability by reducing friction and improving fuel efficiency. Furthermore, the industry supports jobs and generates revenue for companies involved in manufacturing, distribution, and maintenance.The economic magnitude of the automotive lubricants industry is impressive, with a steady upward trajectory. As the demand for automobiles continues to rise globally, so does the need for appropriate lubrication. Market research suggests that this sector is...
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Employment2025-03-01 11:45:04| Spiritual Career Counseling
After the first two games, it all went quiet on the Doom front. There were a few ports, and even a game for the Nintendo 64, however the general consensus was they couldnt quite escape the shadow of the original. Despite this, Doom 3 was released on the Xbox in 2005, which is a re-telling of the first game with an action-horror twist on events; the emphasis very much being on the horror. Considering just how good the 2016 re-imaging of Doom is, did iD pull it off 11 years previously? Before we begin, let me warn you. Doom 3 is bloody scary, and jumpy as hell. Youll once again be battling through an infested UAC facility before descending into hell itself to quell the demon invasion. This release also contains both the Resurrection of Evil and The Lost Missions expansion packs. And all this demon slaying goodness is yours for just 7.99.When you boot up Doom 3, all will seem normal as the menu screen is backed with some heavy metal riffing just like the good old days. However, thi...
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Employment2025-03-01 11:45:04| Spiritual Career Counseling
The recent release of the Doom trilogy on Switch has been a welcome one, even though its been one mired in controversy over login-gate. Doom remains a fantastic game more than a quarter of a century after its initial launch, and thats more or less the case with Doom II as well. Doom 3, meanwhile, is a very different game and one that requires its own scrutiny.Released a full decade after Doom II, the third Doom game is something of a reboot of the original. As in that, you play a nameless marine whos been sent to Mars on security duty to protect military research into portals. Something goes massively wrong and a portal to Hell is opened, leading to demons and possessed soldiers all over the shop.Despite both games having the same plot, however, Doom 3 is significantly different to the first Doom: not just in terms of the obvious graphical upgrade, but in the way the game feels to play in general. Whereas Doom and Doom II are relatively fast-paced games where aiming can be relativ...
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Employment2025-03-01 11:45:04| Spiritual Career Counseling
Of all the upcoming 2025 nail trends, theres one that immediately spoke to my inner magpiethe shift towards subtle, sparkly nails. Im going to be honest, Ive always loved a glittery manicure. In fact, I remember painting my nails in a pink, glitzy Barry M number for the first day of a new job in my early 20s only to quickly realise that not everyone felt the same about a sparkly mani. And when one colleague snobbishly mentioned that my nails looked like a Christmas tree (it was October) I painstakingly removed them at home that evening and never wore glittery nails to work again outside of the festive season.This year however? Glitter has got a whole lot more grown-up, and Id hazard a bet that even that ex-colleague of mine might be tempted to embrace a sparkly manicure with so many brilliant shimmer polishes entering the market. Rather than a dramatic disco ball effect, however, this years iteration of glitter nails comes in the form of microscopic sparkle and subtle shimmer. He...
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