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Practical Procedures

Your first experiences of on-the-ward patient care can be daunting - even terrifying - as well as rewarding. But don't panic!
These concise walk-throughs of common practical procedures, written by two young physicians, will help.

    Preparing a Patient for a Procedure
    Arterial Blood Gas (ABG) Measurement
    Urinary Catheterization – Male
    Urinary Catheterization – Female
    Subcutaneous (SC) and Intramuscular (IM) Injections
    Electrocardiograms (Ecgs) and Cardiac Monitors
    Lumbar Puncture
    Nasogastric Tubes
    Pleural Tap
    Giving Intravenous (IV) Drugs and Fluids
    Ascitic Tap and/or Drainage (Paracentesis)
    Chest Drain Insertion
    Chest Drain Removal
    Central Line Placement

by Miles Witham, BMBCh, MRCP(UK), Clincal Lecturer in Aging and Health, Section of Aging and Health, Ninewells Hospital, Dundee
and Paramjit Jeetley, MBChB, MRCP(UK), Cardiology Research Registrar, Department of Cardiology, Northwick Park Hospital, Harrow
Adapted with permission from Crash Course: House Officer's Guide, Mosby 2004.
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