CNT Part 1 [65 Questions & Answers]
(Latest )
What are the possible adverse effects of acupuncture? - ANSWER ✔✔- Common:
- needle site pain or discomfort
- bleeding/bruising
- superficial hematoma
- fatigue
- headache
- pain and pain at site of needle insertion
- aggravation of symptoms.
Rare:
- risk of infection transmission -
introducing pathogenic organisms
- broken needles
- untoward reactions
- inadvertent injury to important organs.
- organ, tissue, and nerve injury
- cutaneous disorders
- hypotension
- fainting
-vomiting
- stuck needle
- forgotten needle
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,Identify critical and highly recommended procedures to reduce AE for
acupuncture. - ANSWER ✔✔- Bruising and Bleeding:
- *be aware of vascular anatomy*
- *avoid arteries and larger veins*
- *apply mild pressure after needle removal*
-* know acu points over major vessels: LU9, HT7, ST9, ST12, ST13, ST42, SP11,
HT1, LV12, BL40.*
- apply caution in patients on medications or supplements that thin the blood,
especially elderly patients
Needle site pain/sensation:
- *allow alcohol to dry before needling*
- visualize anatomical structure
- palpate subcutaneous structures before needle insertion
Fainting:
- *prevent first-time patient in the supine position with knees slightly elevated for
the first acupuncture treatment*
-inform patients to eat 1-2 hours before acupuncture
-limit needle manipulation
Stuck Needle:
- *identify the recommended depth of the needle insertion for a particular point and
utilize proper stimulation techniques for needles inserted below the subcutaneous
level*
-remind patients to stay
2|Page
, Needles Left in Patient:
- *count and write down the number of needles used, including those discarded due
to improper needle placement.*
-document needle counts in patient chart.
Aggravation of Symptoms:
- inform patient of likely effects of an acupuncture treatment
Pneumothorax:
- *obtain medical history from patient regarding lung function, and smoking
history before needling chest or back*
- *assess physique of patient*
- *safe needling depth of 10-20mm*
- needle at an oblique angle instead of perp on the thoracic body
- do not cup over needles on the thoracic body
Organ and Central Nervous System Injury/Traumatic Tissue Injury:
- *use oblique angles*
- *shallow needling*
- *Needling Du 22 on an infant is prohibited*
Infections:
- *follow CNT*
- *follow Standard Precautions*
- *hand sanitation*
3|Page
(Latest )
What are the possible adverse effects of acupuncture? - ANSWER ✔✔- Common:
- needle site pain or discomfort
- bleeding/bruising
- superficial hematoma
- fatigue
- headache
- pain and pain at site of needle insertion
- aggravation of symptoms.
Rare:
- risk of infection transmission -
introducing pathogenic organisms
- broken needles
- untoward reactions
- inadvertent injury to important organs.
- organ, tissue, and nerve injury
- cutaneous disorders
- hypotension
- fainting
-vomiting
- stuck needle
- forgotten needle
1|Page
,Identify critical and highly recommended procedures to reduce AE for
acupuncture. - ANSWER ✔✔- Bruising and Bleeding:
- *be aware of vascular anatomy*
- *avoid arteries and larger veins*
- *apply mild pressure after needle removal*
-* know acu points over major vessels: LU9, HT7, ST9, ST12, ST13, ST42, SP11,
HT1, LV12, BL40.*
- apply caution in patients on medications or supplements that thin the blood,
especially elderly patients
Needle site pain/sensation:
- *allow alcohol to dry before needling*
- visualize anatomical structure
- palpate subcutaneous structures before needle insertion
Fainting:
- *prevent first-time patient in the supine position with knees slightly elevated for
the first acupuncture treatment*
-inform patients to eat 1-2 hours before acupuncture
-limit needle manipulation
Stuck Needle:
- *identify the recommended depth of the needle insertion for a particular point and
utilize proper stimulation techniques for needles inserted below the subcutaneous
level*
-remind patients to stay
2|Page
, Needles Left in Patient:
- *count and write down the number of needles used, including those discarded due
to improper needle placement.*
-document needle counts in patient chart.
Aggravation of Symptoms:
- inform patient of likely effects of an acupuncture treatment
Pneumothorax:
- *obtain medical history from patient regarding lung function, and smoking
history before needling chest or back*
- *assess physique of patient*
- *safe needling depth of 10-20mm*
- needle at an oblique angle instead of perp on the thoracic body
- do not cup over needles on the thoracic body
Organ and Central Nervous System Injury/Traumatic Tissue Injury:
- *use oblique angles*
- *shallow needling*
- *Needling Du 22 on an infant is prohibited*
Infections:
- *follow CNT*
- *follow Standard Precautions*
- *hand sanitation*
3|Page
