test 1 dk 3

Which area should be avoided during the 1st trimester of pregnancy?

Lower abdomen.

Which areas should be avoided during the 2nd and 3rd trimesters?

Upper and lower abdomen.

Which region should be avoided throughout the entire pregnancy?

Lumbosacral region.

Which points are listed as contraindicated during pregnancy in the lecture?

GB20, GB21, LI4, SP6, UB60, and UB67 (UB67 specifically with strong stimulation).

Of GB21, LI4, and KI3, which is NOT listed as contraindicated during pregnancy?

KI3.

Can you needle directly into a scar?

No. Needle around it.

Why should you not needle a scar?

The needle can bend or break, and needling the scar can be painful.

Should perpendicular needling be performed over the chest, upper back, or rib cage?

No.

What major complication can result from improper depth/angle over the chest, rib cage, shoulders, or upper back?

Pneumothorax.

What signs can indicate that a patient is about to faint during acupuncture?

Dizziness, vertigo, palpitations, shortness of breath, nausea, pallor, cold sweating, fidgetiness, and/or weak pulse.

What severe signs can occur with fainting?

Cold extremities, low blood pressure, and loss of consciousness.

What can cause fainting during acupuncture?

Nervous tension, delicate constitution, hunger, fatigue, improper positioning, or too much stimulation.

What is the FIRST action if a patient shows signs of fainting?

Immediately stop needling.

What are the steps for managing a patient who is becoming faint?

Stop needling → remove all needles → help patient lie face up → elevate legs → once stable, offer something warm/sweet.

Which acupressure points can be used if the patient faints?

DU26, PC6/PC9, and ST36.

Which points can be treated with moxa for fainting?

DU20 and R4/R6.

What should you do if the patient's symptoms don't disappear or they cannot be revived?

Call 911.

What is a stuck needle?

After insertion, the needle becomes difficult or impossible to rotate, lift, or thrust.

What can cause a stuck needle?

Nervousness, strong muscle spasms, patient movement, unskillful/forceful manipulation, needle sticking to tissue, or twirling continuously in one direction.

What should you NEVER do with a stuck needle?

Never remove it with force.

What are the initial management steps for a stuck needle?

Have the patient relax and do not lift, thrust, rotate, or forcibly remove the needle.

If the needle became stuck because the patient changed position, what should you do?

Return the patient to the original position.

If a needle became stuck because it was twirled too far in one direction, what should you do?

Twirl it in the opposite direction.

If a needle is stuck because of muscle spasm, what can you do?

Massage/tap around the area or insert another needle close to the stuck needle.

How is a bent needle removed?

Slowly, following the bend.

What should you do first if a needle breaks?

Keep the patient calm to prevent the needle from going deeper.

What do you do if the broken portion of the needle protrudes from the skin?

Push down the skin around the needle and remove it with tweezers.

What do you do if the broken needle is completely beneath the skin?

Surgery is necessary; call 911.

What part of the needle is especially vulnerable to breaking?

The root.

What important rule helps prevent broken needles?

Never insert a needle to the root

What is another name for a Herxheimer reaction?

Healing crisis.

What is a Herxheimer reaction?

A transient aggravation of symptoms described in the lecture as a detox reaction in response to treatment.

What are common symptoms of a Herx reaction?

Flu-like symptoms, fatigue/drowsiness, increased inflammatory response, headaches, nausea/vomiting, and diarrhea.

What is the medical term for air entering the pleural cavity following accidental lung puncture?

Pneumothorax.

What symptoms may indicate pneumothorax?

Dyspnea, tachypnea, chest pain, dry cough, cyanosis, and diaphoresis.

Can pneumothorax symptoms be delayed?

Yes. Symptoms may occur hours after the injury.

What should you do if pneumothorax is suspected?

Call 911 — it is a medical emergency.

What complication can occur if the heart is injured?

Cardiac tamponade.

What symptoms can occur with cardiac tamponade?

Anxiety/restlessness, low blood pressure, weakness, chest pain that may radiate, rapid breathing, fainting/light-headedness, palpitations, drowsiness, and weak pulse.

What symptoms can occur with liver or spleen damage?

Local pain/tenderness, rigidity of the abdominal muscles, and rebound pain upon pressure.

What happens if the urinary bladder is punctured?

Urine can empty into the peritoneum → peritonitis.

What symptoms can indicate kidney damage?

Lumbar pain and hematuria (blood in the urine).

What can severe kidney bleeding cause?

Shock and a drop in blood pressure.

What is the management for suspected organ damage?

Call 911 — it is a medical emergency