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Domestic Violence and Abuse

Bleeding Time || Ivy’s Method || Duke’s Method

Dear friends subscribe to our Channel and press the bell icon to receive new video’s notification on time Assallam u alikum Dear friends i am Kamran and Your are watching MLT Hub with kamran How are you? i hope you all will be fine Dear friends our today’s practical is about bleeding Time (BT) We will perform Bleeding time on two Methods Duke’s Methods and Ivy’s Method ok Duke’s method is perform on Finger pulp or Ear Lobe and Ivy’d Methods is perform on Volar surface of forearm We will perform these two methods We perform Bleeding time When Diagnose about certain Conditions When a Condition of Thrombocytopenia develops in a patient Thrombocytopenia is Decrease of Platelets than Normal due to which bleeding do not Stop Bleeding Time is increase in Afibrogenaemia In Afibrogenaemia the level of Fibrinogen decreased Which is a genetic condition In Afibrogenaemia bleeding also does not stop and continue to bleed Bleeding time is increased and performed for von Willebrand Disease Bleeding time is also increased in and performed for Factor V and XI deficiency bleeding time is performed and bleeding time is also performed to check the dysfunction of platelets when they do not perform their function so dear friends lets go to start our Procedures of bleeding time So dear friends we will perform Duke’s Method first ok Friends so what are the Requirements for Duke’s Method 1) Filter paper (Circular Filter Paper) 2) Alcohol Paid containing 70% Isopropyl Alcohol 3) Lancets of Lancing device or you can use sharp Lancets also 4) Lancing device 5) Stop Watch To note the time 5) Gloves disposable so in Duke’s method we will Prick and choose the Finger pulp we can also perform prick in Ear lobe also Clean the finger pulp with 70% Isopropyl Alcohol ok and then let it dry so i will prick the side are of finger Pulp ok friends so first of all Load the lancing device with disposable lancet You can see here the lancets are disposable which i will load in the Lancing device so that Needle of lancet will become visible so than close the lancing device head and set for prick we will set lancing device on 3 mm. You can prick from 3 mm to 4 mm in Duke’s method ok You can prick Ear Lobe also in Duke’d Method But here we will prick the finger pulp Place the Lancing device on side of finger pulp because it do not contain Nerve endings So just after prick Start the stop Watch and touch the drop with filter paper every 30 seconds so the blood start flowing after the prick so start the stop watch and touch the prick site after every 30 seconds with filter paper to check blood coming or not The purpose of our video is that yo people understand the methods of Bleeding time that how these methods are Performed after 30 seconds the prick site is again touched with filter paper and still the bleeding is present so check bleeding time every 30 seconds with filter paper until bleeding Stop Normal Range in Duke’s Method is 1—5 Minutes so the bleeding stop here in 1 minute so the test is absolutely Normal with Duke’s Method so write your reading on the filter paper So this was Duke’d Method dear friends Which i performed on Finger Pulp and it can be performed on Ear Lobe also The second Technique is Ivy’s Method so check What are the requirements Ivy’s Method is the Most Standard Technique than all other Techniques 1) Take round white filter paper 2) Alcohol Pad containing 70% Isopropyl Alcohol 3) Disposable Lancets of Lancing Device 4) or you can use this Lancet also which is sharp than other lancets other requirements are 5) Stop watch for recording time 6) Lancing Device and 7) Disposable Gloves ok friends and 8) Sphygmomanometer is used in Ivy’s method Because in this technique we will maintain a pressure of 40 mm Hg so first of all before we start our procedure Tight the BP Cuff to Inflate and maintain a pressure on 40 mm Hg so i will start Inflating the Cuff and when Mercury Reach 40 mm Hg I will stop the Mercury on 40 mm Hg let me set the error in mercury because bubble is coming so now see Mercury is set on 40 mm Hg Until the procedure is completed Now i will prick on Volar are of Forearm Here the standard prick will be from 3 mm to 4 mm and here i will prick 2 different place apart from each other and the distance between two pricks will be from 5 cm to 10 cm so remember one thing in this technique Prick will be done in 3 fingers distance from Elbow joint in an area where No vein is present. So avoid vein and do not prick the vein I just cleaned the volar surface with 70 % isopropyl alcohol and load the lancet in lancing device if you don’t have lancing device you can prick the site by using other manual lancets also so set the lancet for 3 mm or 4 mm prick in Ivy’s method if the prick is deep it will be good for your result This all procedure is just for you to understand how ivy’s method is performed so 2 different pricks on area where vein is not present and prick the second area just 5 cm to 10 cm in distance from each other the prick is not so deep so you can see the blood coming out from volar surface and start the stop watch and touch the blood with filter paper after every 30 seconds until bleeding stop so always remember to check for bleeding on filter paper after every 30 seconds friends so the Normal range of Ivy’s Method is from 2 to 7 Minutes if bleeding does not stop in 7 minutes Than we report bleeding time More than 7 minutes and stop the procedure so friends these were two different procedure in bleeding time and remember the most accurate and standard Technique in Bleeding time is Ivy’s Method

Cesar Sullivan

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