💉obese/#edematous patients (fluid overload, severe hypoproteinemia, long intubated & sedated patients esp in HDU/ICU)
.

💉cancer patients, especially those who has started #chemotherapy
.

- patients with #CKD ie chronic kidney diseases (be careful, most of them need to spare their left arm for AVF, so can try blood taking & branula at right arm only)
.

- patient with history of intravenous drug user (#IVDU).
.

So kalau kita HO baru, bila encounter patients macam ni, lebih baik minta #tolong senior HOs untuk ambilkan darah & ajarkan macam mana nak locate & detect vein patient tu.

Sebab kalau kita yg baru ni try jugak sendiri, chances nak dapat tu rendah, patients akan #sakit & kita end up bumpkan vein yg ada, jadi nanti orang lain akan lagi susah nak tolong ambilkan darah lepas tu!
.

Thank you semua senior HOs yang sanggup ajar & guide saya dulu 😇

Mula-mula start tagging dulu memang #struggle sangat bab procedure ni sebab dekat Rusia mana ada peluang nak ambil darah, pasang branula, masuk Ryle’s tube & CBD semua.

Jadi sangat #takut nak belajar & try procedures atas real patients 😣