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AE (adverse effects) of acupuncture - ANSWER ✔✔- site bleeding, superficial
hematoma, needle site pain
less frequently: fainting, tiredness, aggravation, broken needle
rare but serious (SAEs): pneumothorax, injury to organs, traumatic tissue injury
Critical and recommended procedures to reduce risks and AE of acupuncture -
ANSWER ✔✔- 1. be aware of vascular anatomy
2. mild pressure after needle removal
3. identify points that lie over or next to major vessels
4. palpate vessels, muscles, bones, ec. before preparing site for insertion
5. apply caution with those who take blood thinners
6. allow alcohol to dry before needling
7. place first-time patient in supine position with knees slightly elevated for 1st
acupuncture treatment
8. inform patients they should eat 1-2 hours before treatment
9. limit needle manipulation during 1st treatment until the patient's response to
acupuncture has been established
10. identify recommended depth of insertion for points and utilize proper
stimulation techniques
11. obtain medical history regarding lung function, disease, and history of smoking
12. Assess physique of patient (if thinner, don't go deep)
13. 10-20mm is safe needling for the lung area
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,14. needle at oblique angle on thoracic body
15. do not cup over needles on the thorax in the area of the lungs
16. limit vertical manipulation over abdomen
17. CNT! including hand washing
18. wear gloves to protect broken skin of practitioner
19. do not needle into skin lesions
20. immediately isolate used sharps into sharps container
21. inspect needles for defects in manufacturing before use
22. never insert needle to the handle and use only single-use needles
AE (adverse effects) of moxa - ANSWER ✔✔- bruising, burns, cellulitis, allergies
Critical and recommended procedures to reduce risks and AE of moxa - ANSWER
✔✔- 1. protect skin from falling ashes
2. caution in diabetics and those with neural injury who cannot feel pain as well
3. take care of any burns immediately with cool water and sterile gauze
4. remain in room at all times
5. do not use on face, hairline, or sensitive areas
6. monitor skin temperature
7. refer to western doctor if needed
8. have proper ventilation in room (air filter unit recommended)
AE (adverse effects) of cupping - ANSWER ✔✔- burns (fire cupping), skin
reactions including fluid blisters, hyperpigmentation, petechia, and ecchymosis,
pneumothorax (needle cups), nodules, scarring, anemia and enlarged heart
(excessive wet cupping), infections
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, Critical and recommended procedures to reduce risks and AE of cupping -
ANSWER ✔✔- 1. take careful patient history (diabetes, neuropathies, etc.)
2. do not place burning material at the rim of the cup (deepest part only)
3. remove burning material before applying cup to patient's skin
4. Use PPEs (gloves, eyewear)
5. apply cups to clean skin only
6. CNT, hand washing, clean field
7. do not cup over lesions, rashes, skin breaks
8. remove cup slowly so blood or OPIM does not splash
9. clean and sterilize cups
10. Screen patients for keloid scarring or a history of psoriasis, as well as
hemophilia and von willebrand's disease
AE (adverse effects) of heat lamps - ANSWER ✔✔- burns, infections, fire
Critical and recommended procedures to reduce risks and AE of heat lamps -
ANSWER ✔✔- 1. monitor carefully and check for defects of lamp before use
2. do not use on infants, children, incapacitated persons, or sleeping or unconscious
persons
3. do not use over sensitive skin or persons having poor blood circulation
AE (adverse effects) of electro acupuncture - ANSWER ✔✔- There are no
common adverse effects associated with EA.
cardiac effects and electrical injury are uncommon AEs
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