Medical tape allergy8/15/2023 The epidural catheter placement was performed easily, and 8 mL of chloroprocaine 1.5% was used as a loading dose. We performed skin testing with 0.1 mL of chloroprocaine subcutaneously, followed by 0.5mL and 1 mL of the same, no allergic reactions were noted, and the vital signs were stable 2 mL of chloroprocaine 1.5% (Nescaine MPF) was used to numb the skin. The obstetric team was made aware to be on standby if anaphylaxis occurred and stat delivery of the fetus was necessary. Standard ASA monitors were applied, an 18G IV was placed, and the patient was prepared for the procedure with the code cart in the labor room. The patient opted for chloroprocaine PCEA after understanding the risks and the benefits. We discussed at length the possible pain relief modalities including the risk and benefits of chloroprocaine PCEA and remifentanil intravenous (IV) patient-controlled analgesia (PCA). Though direct challenge can be tried with non-proven local anesthetic allergy, 4 or skin testing, it was not planned considering the risk for the mother and the baby in case of anaphylaxis. She did not remember the exact details of allergic reaction as it “occurred in childhood”. New York, NY: Marcel Dekker:2003:200-324.A 25-year-old G2P1 parturient with no major co-morbidity except for the history of lidocaine allergy in childhood presented to our hospital with 37 weeks’ gestation in an active phase of labor. Adhesion and newborn skin In: Hoath SB, Maibach HI eds. A histological comparison of infant and adult skin. Consensus statements for the assessment, prevention and treatment of adhesive-related skin injuries. Medical adhesives and patient safety: state of the science. Protecting the skin of the elderly patient in the intensive care unit. Skin research and technology: official journal of International Society for Bioengineering and the Skin. Skin-textile friction and skin elasticity. Journal of Wound Ostomy and Continence Nursing. Medical adhesive-related skin injury prevalence. Journal of the American Institute for Conservation. Pressure-sensitive tape and techniques for its removal from paper. She also shares practical tips - from education and training to product selection - that may help reduce the risk of PI in your facility.ġ. Real Talk About Pressure Injuries: Why Are We Still Struggling With Prevention?Įven with structured programs, early intervention and better reporting, some facilities still struggle with pressure injury (PI) prevention - but why? Jessica Pehrson, RN, MSN, CWS, answers that question by outlining common areas where PI diagnosis, treatment and prevention often come up short despite the latest global efforts to determine root causes and expanding clinical recommendations for assessment and management. Denise Ziemann RN, BSN, and Kimberly Schommer RN, BSN, VA-BC, breakdown how a novel approach to thinking about medical tape can help reduce complications, provide insight into factors that influence appropriate tape selection and translate to improved patient, clinical and financial outcomes. If it sticks and does its job, there really isn’t a need for more understanding, right? Actually, there is much more to medical tape than you may think. Throughout care settings, there is a perception that “tape is tape” – that there isn’t much to it. Safe Securement to Skin: Thinking Differently About Medical Tape and it's Impact on Patient Outcomes Hear as Patrick Parks, MD, PhD, and Matthew Cooper, MD, explore elevating the importance of skin when delivering care. When it’s damaged, skin can negatively impact our psychological and physical health. As the largest organ in the body, skin is critical to the maintenance of our bodies and health. Skin is a window to who we are as people. State of Skin – Elevating the Science of Skin Management View past webinars from the seriers that explore the science of skin in more depth, including topics such as safe securement to skin, maintaining skin integrity, repairing injured skin and helping prevent infection. Health Care Assessment & Utilization: Insightful Solutions.
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