When doing venipuncture on an elderly client whose veins are hard to find, the nurse should touch the skin around the insertion site.
Location for Venipuncture:
- The two veins most frequently utilized for venipuncture are -
- the cephalic and
- median cubital veins.
- Possible locations include the dorsum of the arm's basilic vein or the dorsal veins of the hands.
- The basilic vein, which is found on the pinkie side of the arm and is adjacent to the brachial arteries and median nerve, must only be utilized if there are no other more noticeable arm veins, due to its close closeness to both.
- Only in extreme cases can veins in the ankle and foot be used. Avoid touching the veins on the inside of the wrist. A few additional websites ought to be avoided as well.
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Answer:
Although the text of your question is incomplete, we can affirm that the reasoning behind the carbohydrate loading is that if an individual increases the amount of carbohydrates that he or she ingests, he or she will have more energy and will be able to perform activities that require a lot of effort physical, with less fatigue.
Explanation:
Carbohydrate is an energetic molecule, as it provides fast energy to our body. Carbohydrate can be acquired through food, mainly in pasta, sweet potatoes, rice, cassava and other foods.
the more carbohydrates a person eats, the more fast energy that person will have and that is the basis of the reasoning behind the carbohydrate loading.
The carbohydrate loading is the term that refers to a type of diet practiced by athletes who participate in exercises that require a lot of resistance, such as marathon runners, for example. This diet consists of greatly increasing the intake of carbohydrates, allowing the athlete to have a lot of body energy and be able to finish his activities with less tiredness. However, this diet is very controversial, first because there is no scientific proof that it works and because the amount of carbohydrate it requires is very difficult to achieve.
Consider transfusion if hemoglobin is 8 g/dL or below or if there are symptoms (chest pain, orthostatic hypotension or tachycardia unresponsive to fluid resuscitation, or congestive heart failure).
For inpatients with active acute coronary syndromes and a Hb level less than 8 g/dL, transfusion should be taken into consideration. Adult critical care medical and surgical inpatients with an Hb level less than 10 g/dL may receive a transfusion while receiving sepsis treatment within the first six hours of resuscitation. Acute sickle cell crisis, acute blood loss of more than 30% of blood volume, and symptomatic anemia (which results in shortness of breath, fainting, congestive heart failure, and decreased exercise tolerance) are all indications for transfusion.
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