Possible Accidents

Question 0

Fainting symptoms?

Answer 0

dizziness, blurred vision, SOB, palpitations, cold sweat, chest tightness, nausea, vomit, listlessness, P=deep/thin

sever: cold limb below knee/elbows, loss of consciousness

Question 1

Fainting causes?

Answer 1

1) weak constitution
2) nervousness
3) fatigue
4) loss of BF/blood/hungry
5) uncomfortable body position

Question 2

Fainting management?

Answer 2

1) stop/remove needles
2) patient lay down (head below body, side position)
3) loosen tight clothes
4) keep warm
5) drink warm water or sugar water

sever: PC-6, DU-26, ST-36
moxa-DU-20, RN-4/6/8

Question 3

Fainting prevention?

Answer 3

1) be observant (how patient is responding to tx) -esp. new patient
2) explain procedure to patient- esp. new patient
3) select comfortable position (lay down)- esp. shoulder/back pain
4) dont use too many points/deep stimulation- esp. new patient
5) patients rushing in (SOB, nervous)- give them time to relax before treating

Question 4

Stuck needle symptoms?

Answer 4

-difficult removal of needle

Question 5

Stuck needle causes?

Answer 5

1) forceful manipulation (practitioner)
2) nervous patient (muscle spasm)
3) patient moves with needles in

Question 6

Stuck needle Management?

Answer 6

1) leave needle longer (muscle spasm)
2) palpate/massage along the meridian
3) “scrubbing” needle, gently tap/flick needle
4) needle nearby point

Question 7

Stuck needle Prevention?

Answer 7

1) explain tx (minimize anxiety)
2) avoid tendons
3) dont manipulate too fast/ or in one direction

Question 8

Bent needle Causes?

Answer 8

1) practitioner inserted needle too long
2) hard tissue
3) patient moved during needle retention
4) object hit needle during retention

Question 9

Bent needle management?

Answer 9

1) dont manipulate anymore
2) take needle out
3) move patient back to original postition
4) wait for patient to relax

Question 10

Bent needle Prevention?

Answer 10

1) practice needle technique (strengthen fingers)
2) choose correct body position
3) avoid objects hitting needle
4) tx stuck needle so it doesnt turn into bent needle

Question 11

Broken Needle causes?

Answer 11

1) poor quality needles
2) strong manipulation)
3) bad needle technique (inserted too deep-up to handle)
4) patient moved
5) object hit needle
6) electro stimulation

Question 12

Broken needle management?

Answer 12

1) keep calm
2) dont move patient
3) forceps (if above skin)
4) surgery (if below skin)

Question 13

Broken needle Prevention?

Answer 13

1) check needle quality
2) use correct needle length
3) electro- start at 0

Question 14

Hematoma symptoms?

Answer 14

swelling, brusing, bleeding

Question 15

Hematoma causes?

Answer 15

1) poor needle technique (not sharp)

2) patient constitution (prone to bleeding)

Question 16

Hematoma management?

Answer 16

• nothing- it will go away in a couple of days
  1) dont use alcohol swab/stimulation (increases bleeding)
  2) apply pressure

sever: 1) cold compress- first 24 hours
2) hot compress afterwards

Question 17

Hematoma Prevention?

Answer 17

1) explain to patient (not completely avoidable)
2) check needle quality (not bent)
3) avoid artery

Question 18

Pneumothorax symptoms?

Answer 18

pain/fullness in chest, difficult breathing, rapid heart beat, sweat

Question 19

Pneumothorax management?

Answer 19

1) position patient (lay on side)

2) closely watch patient

Question 20

After effect symptoms?

Answer 20

sore, itchy, tingling

Question 21

After effect management?

Answer 21

1) massage

2) moxa