Patient Brought Ambulatory Assignment Help: How to Answer This Question

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What This Question Is About

This question relates to patient brought ambulatory and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves patient brought ambulatory. A strong answer should include explanation, application, and examples.

Original Question

The patient was brought to Ambulatory Care, placed in the supine position; right groin was prepped and draped in sterile fashion. We attempted to gain access to right femoral vein, but instead placed the needle into the femoral artery. We were using ultrasound, but the artery and vein were very close together. Patient had some edema from the prior catheter. We held pressure and aborted the procedure after one arterial stick. We then shaved and prepped the left groin and attempted to place the catheter in the left groin. Again, we incurred an arterial puncture. Patient developed a small hematoma. We aborted the left femoral approach. We then attempted the right IJ vein. We were able to gain access but could not thread the guidewire due to a thrombus in the vein. We aborted this procedure, then re-evaluated. The swelling in the left groin had diminished. We again did the ultrasound of the groin and we were able to see the vein with the ultrasound. We prepped and draped and were able to percutaneously enter the left femoral vein without puncturing the artery. We placed the guidewire dilator over the guidewire and then placed the catheter over the guidewire. We sutured it in place and flushed it. It flushed easily. Signed Surgeon Signature 36569 36556 36561 36573

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