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ndra

Date:

• Name ofPractical-
GastricLavage/RT Insertion

Aim:To remove unabsorbedpoisonfrom stomach by gastric

lavage.

• Requirements:
Stomach tube,KMn04, water,
etc.

• Precautions:
Use sterile
instruments.

• Preparation:
ofallthe instruments
Preparation like
stomach tube,water,
and KMn04 solutio
etc.
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Preparation:
ofallthe instrumentslikestomach tube,water,
Preparation
etc. and KMn04 solution

• Procedure:
1. Wooden mouth gag isfirst
placedinright
position
between teethoftwo jaw.
2. Patient
iskepton left orprone position.
lateral
3. Givehead low
position.
4. Smooth end oftubeis
lubricated
withblandoilor glycerin.
5. Thisend isslowlypushed
inside
themouth throughholeinthe
gag.
6. Tube pushed upto 50cm
mark.

ge
s4 wr nds essety ineestigate

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• Procedure:

1.Wooden mouth gag isfirst

placedinright
position
between teethoftwo jaw.

2. Patient
iskepton left orproneposition.
lateral

3. Givehead lowposition.

withblandoilorglycerin.
4. Smooth end oftube islubricated

5. Thisend isslowlypushed inside

themouth throughholeinthegag.

6. Tube pushedupto50cm mark.

Keep funnel
end inwatertoensuretube isplacedinstomach and notinrespiratory
tract.

wash must bewithlukewarmwater.

8. First

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9. Preservethesample forchemicalanalysis.

10. Subsequentwashes done withantidote.

11.The colorofingoingand outgoingfluid

must be same tostop thewash.
12. In
case ofopium poisoning
some amount ofKMn04 iskeptinside
thestomach.
• Contraindications:
a. Very oldsubjects.

b. Corrosiveagents
except phenol.
c. Poisonscausingconvulsions.

d. Unconsciousor
semiconscious
patients
e. Infants
orchildren

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11.The colorofingoingand outgoingfluid
must be same tostop thewash.
12. Incase ofopium poisoningsome amount of
KMn04 iskept inside
thestomach.
Contraindications:

a. Very oldsubjects.

b.Corrosive
agents except phenol.

c. Poisonscausingconvulsions.

d. Unconsciousor
semiconsciouspatients
e. Infants
or children

f. Pointedobjectsingestedlike
needlespinetc.

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Name ofPractical-
CPR
Date:

• Aim: Torevivecardiovascular
circulation.

• Requirements:
Ambu bag,AED.

• Precautions:
EnsureScene safety.
Ensure thatno one isinclosecontact
withpatient beforeapplying
AED.

• Preparation:
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• Preparation:
Collectall
instrumentsrelatedto CPR
• Make sure allinstruments
arepresent

• Procedure:
a. Scene safetyand BSI
precaution.
b. Tap gentlyon shouldertocheck
responseor consciousness.
c. Ifno response,callforhelpor AED.
d. Check pulsationsofcarotidarteryand checkbreathingby looking
chestmovements. atthe uprise
If
e. thereisabsenceofbreathingand
pulsation
givehead low position
tomaintain
. airway.
Startcompressionsata pointof
twonipplesand mid sternum.
ofimaginarylinespassingthrough
intersection
o Give 30comnreesionsand 2
4
resnirations
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• Procedure:
a. Scene safetyand BSI precaution.
b. Tap gentlyon shoulderto check response
orconsciousness.
c. Ifnoresponse, callforhelpor AED.
d. Check pulsationsofcarotidarteryand check breathingby lookingatthe
chestmovements. uprise
e. If
thereisabsenceofbreathingand pulsation givehead low positiontomaintain
. airway.
Startcompressionsata pointofintersection
two nipplesand mid sternum.
ofimaginarylinespassingthrough
g Give 30 compressionsand 2 respirations.
h. Repeat thiscyclefor5 timeswithin
two minutes.
i. Ifcirculation
not reviveduse AED.

• Observation:
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Observation:
Returnofspontaneouspulseand breathing.

11

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Practical
Demonstration
-Peritoneal
Name ofpractical Haemodialysis
dialysis/

Aim -to removewaste productsan excess fluid

from bloodwhen kidneystopsworking
properly
-dialyzer,
Requirements dialysate,
blood delivery
system

outunder all
Preacautions- shouldbe carried asepticconditions.

-Patientisexamined by Physicianbeforestarting
Preparation dialysis.

Procedure forhemodialysis--

Patientaccess ispreparedand cannulated

Heparinisadministered
Heparinand red bloodflowsthroughsemipermeabledialysis in one direction
and
solution
dislysis surroundsthemembrane and flowsintheoppositedirection
Throughthe processofdifusion solute
intheform of electrolytes,
metabolicwaste
Pege T20 ef 129 924 swords C Hind G AcCessibitity
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Procedure- forhemodialysis -
Patient
access is prepared and cannulated
Heparinisadministered
Heparin and red bloodflowsthroughsemi
permeabledialysis
inone direction
and
dislysis
solutionsurroundsthemembrane and
flowsintheopposite direction
V Throughtheprocessofdiffusion soluteintheform ofelectrolytes,
metabolicwaste
productsacidbase balancecomponentscan
be removed or added totheblood.
Excesswaterisremoved fromtheblood
The bloodisthen returnedtothebody throughpatient
access
-
Observation
Patientsvaluesof Serum Urea and
Serum Creatinine
- both pre and
observed post dialysis
are

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