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@ mj2981958 why did you underline those 3 paragraphs ? did someone ask you those question just wondering but in anycase you might have read all the links i mention above , if the puncture wounds were by i.v lines i dont think dorsum of foot specially a site between big toe and second digit make sense , like i said earlier , its a very poor decision on anyones part to have cannula at or near joint , plus the importance of venous cut down or CVP lines comes when patient is collapsed by dehydration or whatever reason plus with no superficial veins , uum venous cut down comes first Cvp only done by physicians ,in in- hospital settings and in complicated cases
For anyone who can clear this up to me (it may sound stupid): Can patients keep on their activities (work or whatever) while a Peripheral Venous Acces remains into the veins (when it is not in use) for some time, or do you need to start a new acces every time you're gonna give IV therapy? Thanks guys!
@mj 2981958 not silly but it was a very important question , the i.v catheters should be changed every 3rd day and urinary catheters every week with i.v more than 3 days the chances of having bacterial endocarditis that is infection affecting heart valves increases significantly besides the condition called thrombophelbitis occurs
Thanks for answer!I asked you that because I was trying to figure out why would Murray choose to put a line in the leg instead in the arm, since the last is the common place so far, right? Well, he said he gave Michael Propofol for 6 wks.My thoughts are:- If you can leave the I.V in “Stand by” into the vein until the next use, it should be in a hidden place of the body, so the arms wouldn’t be a good idea. So you put the line in the leg.- If you can’t leave the catheter, to keep hidden not the line but the punctures. They would’ve been a lot of punctures in different stages of healing.- He complained of being dehydrated that night. Do you believe is it possible that dehydration made difficult the arm catheterization, so he had to do it in his leg? I mean, does it exist?
Hi mj2981958He did , on Tmz live ,I.v line on medial left leg??? i didnt know that ,Im surprised why dr Murray did that ,the usual site to place a catheter are the upper limbs ,but ofcourse you can expect anything of him... silly person should have known the joints are the worst sites specially for a dancer , how could someone perform with them in place , as i mention very earlier in one of my post and i m writting it down one more time , its very painful to pull out and put the catheter everyday , so they are left for maximum of 3 days , while they are still in your vessels one cant even lift up his limb dancing is out of question besides everytime you prick a vessel it collapse and that site is no longer feasible to draw the blood even i have seen drug abusers with multiple punctute marks on arm . neck and legs less often but dorsum of the foot specially between the big toe and digits .... well in my practice i have never seen them may be someone else encounter a patient with wounds in that area
@mj298195 8about dehydration all the vessels collapse no matter upper or lower limb , you are left with 2 choices then , either insert catheter in larger vessels or go for venous cut down where a minor surgical incision is given to expose saphenous vein and i.v line is maintained you seem to have good medical knowledge i appreciate that , but i guess if you read my previous posts you will get your answers we discuss various issues in the link below,i thank everyone for it specially a dear friend of mine, lisap27 You are not allowed to view links. Register or Loginlike i said earlier i cant visit here daily ,but you can pm me and have my email address i will try to clear your doubts as much as i could , Godbless
Ok, I got it. Thanks!So, to answer the previous questions on why Murray would have choose to put the I.V line in Michael’s lower limb:-“ He complained of being dehydrated that night. Do you believe is it possible that dehydration made difficult the arm catheterization, so he had to do it in his leg? ”Nop, If he would’ve been dehydrated at the point of having his veins collapsed, such procedure is difficult no matter what limbs you choose to catheterize.-“ If you can leave the I.V in “Stand by” into the vein until the next use, it should be in a hidden place of the body, so the arms wouldn’t be a good idea. So you put the line in the leg.”Since every move would be absolutely painful, keep on doing your everyday activities (rehearsing in this case) with an open catheter is just IMPOSSIBLE, NO WAY (that's why I warned about the silliness of the first question!).-“ If you can’t leave the catheter, you put the line in the leg to keep hidden not the line, but the punctures. They would’ve been a lot of punctures in different stages of healing.”Possible, yet put-on/remove-off the catheter on a daily basis is very painful for the patient and you need to find a new place/vassel to catheterize each time (in this case, every night).So after your answers I assume that Dr. Murray wanted to keep the punctures hidden, or he had to start with the lower limbs veins because he already used the veins of his upper limbs. Any other ideas?
Quote from: "mjj29081958"-“ If you can leave the I.V in “Stand by” into the vein until the next use, it should be in a hidden place of the body, so the arms wouldn’t be a good idea. So you put the line in the leg.”Since every move would be absolutely painful, keep on doing your everyday activities (rehearsing in this case) with an open catheter is just IMPOSSIBLE, NO WAY (that's why I warned about the silliness of the first question!).IVs should never ever be too painful to move. If I put an IV in an AC, the patient can move their arm all they want with no pain. And if someone puts an IV in my AC, the same applies. I've had numerous IVs and given hundreds more. They should never be painful upon movement.
-“ If you can leave the I.V in “Stand by” into the vein until the next use, it should be in a hidden place of the body, so the arms wouldn’t be a good idea. So you put the line in the leg.”Since every move would be absolutely painful, keep on doing your everyday activities (rehearsing in this case) with an open catheter is just IMPOSSIBLE, NO WAY (that's why I warned about the silliness of the first question!).
@ loma i mention above there is nothing as arthritis of FINGER NAILS ,i think someone misguided the person who made the original post
Heart attack is different from Cardiac arrest , i think you mean cardiac arrest because propofol leads to cardiac arrest and respiratory depression , with heart attack, people do have pulse and respiratory efforts but cardiac arrest is defined as no pulse no breathing and lose of consciousness , its different from coma too The media broke news , Micheal was in coma later on he suffers cardiac arrest and then ....
The heart has an internal electrical system that controls the rhythm of the heartbeat. Problems can cause abnormal heart rhythms, called arrhythmias. There are many types. During an arrhythmia, the heart can beat too fast, too slow, or it can stop beating. Sudden cardiac arrest occurs when the heart develops an arrhythmia that causes it to stop beating. This is different than a heart attack, where the heart usually continues to beat but blood flow to the heart is blocked. There are many possible causes of cardiac arrest. They include coronary heart disease, heart attack, electrocution, drowning, or choking. There may not be a known cause to the cardiac arrest. Without medical attention, the person will die within a few minutes. People are less likely to die if they have early cardiopulmonary resuscitation (CPR) and defibrillation. Defibrillation is delivering an electric shock to restore the heart rhythm to normal. he need an urgent " effective " CPR and call for help unlike 47 delay , compression on beds with one hand beneath and other on chest by the person doing it for the very first time ..... sigh Coma is totally a different identity , there are 4 grades of coma , but not going in to detail let me tell you its simply means lack of consciousness
didnt they say he was in coma then suffers cardiac arrest prior to death ? what i know dr murray found him unconscious with faint femoral pulse and shallow breathing which means he was in coma , the drugs he was given depress the respiratory centre , and blood presssure drops too those who slip into coma have pulse and normal breathing drive , with cardiac arrest the first sign is loss of consciousness followed by no pulse no breathing
with cardiac arrest the first sign is loss of consciousness followed by no pulse no breathing
Sudden cardiac arrest symptoms are sudden and drastic: 1.Sudden collapse2.No pulse3.No breathing4.Loss of consciousnessSometimes, other signs and symptoms precede sudden cardiac arrest. These may include fatigue, fainting, blackouts, dizziness, chest pain, shortness of breath, palpitations or vomiting. But sudden cardiac arrest often occurs with no warning. let me clear loss of consciousness (LOC) simply doesnt mean loss of consciousness, there are many reasons and many signs follow it , cardiac arrest patient USUALLY loses consciousness first than absent pulse and breathing other signs , respiratory arrest and cardiac arrest CAN occur together in clinical practice its hard to distinguish what happen first thats why a general term CARDIOPULMONARY arrest is usedy