contraindications for acu

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Author:
naturalgirl1987
ID:
119872
Filename:
contraindications for acu
Updated:
2011-11-30 16:05:04
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intro clinical tech
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contraindications for acu
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  1. under 3 months pregnant
    no points on lower abdomen or lumbosacral
  2. after 3 months pregnant
    • No lower abdomen\ lumbosacral or on
    • LI 4
    • SP 6
    • UB 60
    • UB 67
    • GB 21
  3. contraindication on infants
    • du 22 ( if fontanel still open)
    • do not retain needles
  4. remedies for stuck needle
    • leave needle alone for a few minutes
    • needle or massage around point
    • needle same point on opposite side
    • untwist it (in direction of least resistance)
    • return patient to original position
    • apply moxa or hot pack
    • NEVER force a stuck needle
  5. bent needle causes
    • too forceful manipulation
    • excessive muscular contraction
    • patient changed position
    • tip of needle hits a hard surface
  6. remedies for bent needle
    • withdraw needle following course of bend
    • restore person to original position
    • insert needle near it
    • do not twirl!
    • do not force needle out!
  7. broken needle causes
    • poor needle quality
    • imperfect needles
    • strong muscle contraction
    • too forceful manipulation
    • withdrawing a bent needle
    • use of moxa on a needle
  8. broken needle remedies
    • -if needle above skin, grasp with forceps or tweezers
    • -if needle level with skin or just below gently press skin and pull out with forceps or tweezers
    • -insert needle near it
    • -if needle below skin: take to MD
  9. injury to lung causes
    • -needling too deeply
    • -needling wrong angle
    • - lifting\thrusting over upper back\chest\superior aspect of shoulders (GB 21_
    • -needling Liver 13
  10. signs and symptoms of pneumothorax
    • -may be delayed several hours
    • -chest pain
    • -dyspnoea
    • -feeling of fullness\oppression in chest
    • -cyanosis
    • -profuse sweating
    • -shock
    • -lowered blood pressure
    • -chest percussion is dull
    • -tracheal movement toward unpunctured side
    • -changes in breathing
  11. remedy to lung injury
    • -carefully remove needle, have patient lie calmly
    • -call 911
    • -if symptoms after leave office-instruct patient to go to emergency room, call 911
  12. injury to brain and spinal cord causes
    • -needling too deeply
    • -needling at wrong angle
    • -lifting\thrusting over upper cervical and under occiput
    • (DU 15, DU 16, GB 20, UB 10)
  13. signs and symptoms of brain or spinal cord injury
    • convulsions
    • paralysis
    • coma
    • severe bleeding
    • headache
    • nausea\vomiting
    • disorientation
    • *electric 'flash' pain felt in extremities
  14. remedy to spinal cord or brain injury
    • -if convulsions , clear area of items near patient
    • -call 911
  15. injury to heart, liver, spleen, kidney causes
    • -ignorance of anatomy
    • -failure to do proper physical exam or palpation to check for organ size
    • -needling too deeply
  16. injury to liver spleen signs or symptoms
    • local pain radiates toward back
    • abdominal muscles will contract
    • possible bleeding
  17. signs and symptoms injury to kidney
    • pain around waist
    • blood might be in urine
    • blood pressure may drop
    • shock may ensue
  18. remedy to injury to heart, liver, spleen, kid
    • if damage is minor, organ will heal with rest
    • if bleeding
    • -apply cold compress
    • -monitor BP
    • -call 911
  19. fainting causes
    • excessive nervousness
    • fatigue
    • weakness
    • hunger
    • dehydration
    • oversensitive nature
    • weak constitution
    • patient or needle overstimulated
  20. fainting signs and symptoms
    • vertigo\dizziness
    • pallor
    • nausea
    • palpitations
    • uneasy feeling
    • cold sweat
    • white face
    • shivering
    • cold limbs
  21. remedy for fainting
    • -stop needling, remove all needles
    • -pt lie flat, legs may be slighly elevated
    • -for loss of conciousness
    • dig fingernail into du 26, pc 6
    • press, moxa, needle, st 36 if needling in upper body press LI 4 if needling done in lower body
    • -use smelling salts, amonia
    • -one consiousness resumes
    • loosen clothing
    • offer warm drink
    • rest
    • (most respond, if not call 911)
  22. fainting prevention
    • -explain treatment ahead of time
    • -inquire about fears
    • -use easy small points first
    • -manipulate needle easily
    • -make sure patient is not
    • hungry, thirsty, overly excited
  23. hematoma causes
    • puncturing capillaries
    • improper needle manipulation
    • imperfection on the needle
  24. hematoma signs and symptoms
    • often nothing
    • a drop or two of blood
    • soreness
    • skin discoloration
    • lump under skin
  25. hematoma remedy
    • often no exceptional measures need to be taken
    • cold pack to stop bleeding
    • compress area
    • massage
    • moxa
    • tell the person
  26. pricking a vein signs and symptoms
    • very painful (not de qi)
    • burning sensation locally
  27. precaution points for arteries
    • lu 8, lu 9
    • LI 13
    • th 19, th 22
    • st 1
    • sp 12
    • st 5, st 9 st 12, st 42
  28. pricking a vein remedy
    • remove needle immediately
    • do not manipulate needle
    • if bruise develops, treat accordingly
  29. signs and symtpoms of pricking a nerve
    • intense "flashing" pain, following peripheral nerve pathway (know your nerves)
    • Not de qi
    • Can cause neuritis:
    • pain, tingling, numbness along nerve pathway
  30. pricking a nerve remedy
    • stop manipulating the needle
    • withdraw needle
    • moxa, then withdraw

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