} !1AQa"q2#BR$3br Assess appearance and amount of client's urine. ACTIVE LEARNING TEMPLATE: Basic Concept STUDENT NAME Leslie Perez CONCEPT Urinary Elimination: Performing a Catheter It is pretty chaotic in her cubicle: lots of people doing lots of procedures all at the same time. stream Buy a Subscription Guiding the client to a quiet, familiar area will help decrease agitation. If the bladder is manually irrigated (ordered), instill 50 mL of irrigating solution and then withdraw with a syringe to remove clots that may be in the bladder and catheter. A catheter is a thin tube. ATI Skills Modules . Nursing Skill Performing a Catheter irrigation - Studocu This site uses cookies to store information on your computer.
A client who is in the ICU for a GI bleed. Change dressing over suprapubic catheters, Adverse events associated with prolonged catheter use include. patency. A system of alerts or reminders to identify all patients with urinary catheters and assess the need for continued catheterization. specified within the course. Lift the penis perpendicular to the body. MOI = restrictions au principe de lgalit s, Julie S Snyder, Linda Lilley, Shelly Collins. Urinary catheterization requires a provider's orders Most urinary catheterizations are temporary b/c of the increased risk of adverse events with prolonged catherization Several varieties of urinary catheters: You have an indwelling catheter (tube) in your bladder. Bladder irrigation is normally done for two . satisfaction with the urinary function measures and is able to: - Produce a sufficient quantity of urine to maintain fluid, electrolyte, - Empty the bladder completely at regular intervals without, - Provide care for urinary diversion and know when to notify the, - Develop a plan to modify any factors that contribute to current, urinary problems or that might impair urinary functioning in the future, - Promote urinary functioning as appropriate for the person, - monitor I&O for clients who have fluid or electrolyte, - weigh clients each day at the same time, after, voiding, and while wearing the same type of clothes, - if using bed scales, use the same amount of linen, each day, and reset the scale to zero if possible, patency. 30. . SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________, Urinary Elimination: performing a catheter irrigation 39 & 44. If you have surgery, the catheter will be placed during your surgery. A Foley catheter is a type of catheter that goes in the bladder and empties it. It allows you to get to the balloon. The catheter care you perform varies with the patients gender. 3. Among animals, the 'hunters' usually have their eyes facing forward at the front of their heads, whereas the 'hunted' usually have eyes at the sides of their head. A split file from Fundamentals of Nursing book for urinary elimination process. 8. Quiz 1 14 Handout 5. Check plan of care for size and type ofcatheter, (smallest size possible). The purpose of an external catheter infections. Clean around the catheter opening every day; Clean the catheter with soap and water every day UTI that develops when an indwelling urinary catheter is in place greater than 2 days prior to the onset of infection UTI is cause of 40% of all HAIs, 80% caused by catheters Medicare/Medicaid will not reimburse because these infections are preventable . From curriculum development, to lesson planning, active learning strategies, item writing (including Next Gen NCLEX), using technology for clinical experiences, and transitioning into clinical education well work together to review, create, and revise actionable take-away resources, using your own lesson plans, items, and more. We will process requests for reasonable accommodation and will provide reasonable 5) 15 Basic StepsIMPLEMENTATION1. A urinary bag (U-bag) is a bag attached by adhesive backing to the skin surrounding the genitals. A urinary catheter can give a person more control over their bladder and keep them dry. ATI COMPREHENSIVE 2019B (197 Questions and answers) 1. Common reasons to have an indwelling catheter are urinary incontinence (leakage), urinary retention (not being able to urinate), surgery that made this catheter necessary, or another health problem. An indwelling urinary catheter helps drain pee from your body when you cant do it on your own. Performance Phase. Cardiac Pulses Assessment: Upper Body and Lower Extremity, Ostomy/Ileostomy Assessment and Pouch Change: One- and Two-Pouch System, Urinary Catheterization: Intermittent and Continuous, Percutaneous Nephrostomy (PCN) Site Care, Tube Care, and Irrigation. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. Release any catheter fixation devices to allow easy removal (Fig 3b). It has three ports (openings), each with a different function: Drain urine and other liquid from your body. An ostomy is a surgically created opening from the urinary tract or intestines, where effluent (fecal matter, urine, or mucous) is rerouted to the outside of the body using an artificially created opening called a stoma. Which action should the nurse perform . The client appears to be anxious & agitated. How to Irrigate a Foley Catheter. RN Tote from PocketNurse- Item #01-37-2500 5. Connect the drainage system to the . Irrigating a Foley catheter increases the risk of introducing bacteria to the bladder or urethra, so it should only be performed after receiving a physicians order. 42. Approximately 4 million Americans undergo urinary catheterization annually, and more than 500,000 of these catheterizations involve indwelling catheters left in place for some period (Warren, 2001).Between 15% and 25% of patients may receive indwelling catheters during hospitalization, and the prevalence of catheter use in residents of long-term care facilities is During the catheter insertion the tip of the urinary catheter inadvertently touches the nurses scrub top. catheter through increased fluid intake by the patient is preferred. Intermittent catheterization (IC) is the insertion and removal of a catheter several times a day to empty the bladder. What action should the nurse take? Then, disconnect the tubing and insert an empty, sterile syringe into the open end of the catheter. 7. She is an innovator with a passion for creating engaging, relevant programs that support individuals' reaching their highest potential in both personal and professional domains. >> Empty the catheter drainage bag and measure the amount of urine, 6. Skill 37-4 Catheter, Applying an External Condom 108 Skill 37-11 Catheter, Caring for a Peritoneal Dialysis 123 Skill 37-7 Catheter Irrigation, Performing Intermittent Closed 116 Skill 37-5 Catheterizing the Female Urinary Bladder 110 Skill 37-6 Catheterizing the Male Urinary Bladder 113 Skill 32-9 Compress, Applying a Warm 77 Breaking this closed system - for example by disconnecting the catheter from the drainage device or emptying the drainage bag, can increase the risk of CAUTI (Loveday et al, 2014). Urine is irritating to the skin and can damage skin in just a few hours. Guided Response. Breaking this closed system - for example by disconnecting the catheter from the drainage device or emptying the drainage bag, can increase the risk of CAUTI (Loveday et al, 2014). Tips, Precautions, and Care Considerations. rex harrison audrey hepburn relationship. It is a catheter which is inserted in to the bladder via urethra and remains in situ to drain urine. Once urine stops flowing, gently withdraw the catheter. of urine, maintaining an adequate fluid % Chapter 43: Urinary Elimination Potter et al: Canadian Fundamentals of Nursing, 6th Edition MULTIPLE CHOICE 1. breaks in the closed drainage system.4 If obstruction occurs and it's likely that the catheter material is contributing to obstruction, change the catheter.2 To help prevent catheter-associated urinary tract infections, the catheter should be removed as soon as it's no longer needed.1,2,3,4,5 Check the expiration date on the irrigating . lume soap reviews. A bibliography of referenced material is also included. Irrigation of indwelling urinary catheters - PubMed stanly county nfl players A Foley catheter is a type of catheter that goes in the bladder and empties it. A nurse is applying a condom catheter for a client who is uncircumcised. Both male and female catheterizations present unique challenges. This blood is typically caused by irritation of the ureters and bladder by the catheter itself. Indwelling urinary catheters are usually attached to a drainage bag to create a closed drainage system. 4. 8. High urethral pressures caused by disease, injury, edema, and hematoma (2) To prevent the introduction of organisms where the catheter enters the urethral meatus, apply an antimicrobial ointment. This short video has been produced to demonstrate to nursing and medical staff how to perform a simple urological procedure using aseptic technique. Place waterproof pad under catheter and aspiration port. This chapter provides tips and considerations for performing these skills in the home. /Length 9 0 R Continuous bladder irrigation (f) Clean the opening to the inflow lumen of the catheter with the sterile alcohol or povidone-iodine sponge. A nurse is providing perineal care for a female client who has an indwelling urinary catheter. PDF Urinary elimination performing a catheter irrigation ati Patients will most commonly tell the nurse they feel like they still have urine in their bladder and feel the need to void even though they already have. . catheter how the system functions and how View All Products. Ayissha Morgan Catfish, Catheter and Foley Irrigation Station PhiCare. The volume of the pycnometer is determined by using distilled water at 20^{\circ}C with a known density of 0.99820 g/mL. urinary elimination nursing skill.pdf - ACTIVE LEARNING TEMPLATE: Nursing Skill STUDENT NAME_ elimination: catheter Irragation SKILL | Course Hero Chamberlain College of Nursing ADULT HEAL ADULT HEAL NR324 urinary elimination nursing skill.pdf - ACTIVE LEARNING TEMPLATE: Nursing Skill STUDENT NAME_ elimination: catheter Irragation SKILL View Chapter 32 Urinary Elimination Notes.docx from RNSG RNSG-151 at South Texas College. Then, disconnect the tubing and insert an empty, sterile syringe into the open end of the catheter. Connect the irrigation set to the irrigation lumen of the catheter, maintaining clean procedure. National Nurse Educator Essentials is back in person! Can we conclude that the object is positively charged? Open the sterile kit on the bedside table, opening the kit . 4. : an American History (Eric Foner), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler). We explored the feasibility and limitations of early catheter Use of a standardized indwelling urinary catheter (IUC) insertion checklist can ensure that residents are The order must include type and amount of irrigating solution and frequency of irrigation. "Urinary catheter/bladder irrigation requires a prescriber's order. symptoms. the increased risk of skin breakdown and irritation. 2. The catheter is inserted through the urethra and into the bladder, where small openings called eyelets allow urine to flow out of the body. urinary elimination nursing skill.pdf - ACTIVE LEARNING Follow our Facebook page for the NCLEX-Style "Question of the week," as well as relevant posts and live . Appropriate Indications for Urinary Catheters Acute urinary retention or obstruction Prolonged immobilization due to unstable spine or pelvic fracture Assist healing of perineal and sacral wounds in incontinent patients Hospice (end of life), comfort care, palliative care Chronic indwelling urinary catheter on admission Watch essential nursing skills demonstrated step-by-step. 10. movement, Keep your drainage bag lower than your bladder, Empty the drainage bag at least once every 8 hours, Urgency: the strong, sudden, and uncontrollable urge to urinate. Urinary Elimination: Performing a Catheter Irrigation Mobility & Immobility: Applying Sequential Compression Sleeves Complementary and Alternative Therapies: Identifying Contraindications for Alternative leaking of urine out of the catheter. Urinary elimination is a basic human function that can be compromised by illness, surgery, and other conditions. A nurse is preparing to remove a client's indwelling urinary catheter. A nurse is planning to obtain a urinary specimen from a client's closed urinary system. B. Clamp indwelling catheter below injection port. Nonfinancial: Amanda Fay is an employee of Visiting Nurse and Hospice for Vermont and New Hampshire. Blood may also be present if there is an infection in the urinary tract. Remove tape anchoring catheter to the resident. endobj Urinary Catheter Irrigation | MedBridge What are the nursing implications and considerations for our homeless population? 2. Use firm, gentle pressure to insert the lubricated end of the catheter into the urethra. 3. urinary elimination performing a catheter irrigation ati. princess sarah bint mashour bin abdulaziz al saud. Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged contact with the skin, skin breakdown can occur. This chapter includes an introduction to urinary catheter irrigation, information on all the necessary equipment, recommended infection control policies, and more. You've reached the end of your free preview. The coordination number of Cr\mathrm{Cr}Cr is . Etiam sit amet orci eget eros faucibus tincidunt. Most adults produce 1,500 to 2,000 ml/day of urine. View All Products Page Link Facebook Question of the Week. Record and report type and amount of irrigation, Urinary Elimination: Insertion and maintenance of urinary catheter Bladder irrigation A patient is experiencing oliguria. The flushing of a tube, canal, or area with solution is called irrigation. Although not a particularly complex skill, urethral catheterization can be difficult to master. Identify the correct sequence of steps that the nurse should take. With the stopper in place, the fine hole allows the excess liquid to escape. Urinary Elimination and Care. Irrigation is a procedure to open a plugged urinary catheter. drainage. /BitsPerComponent 8 MedBridge is committed to accessibility for all of our subscribers. Want to read all 33 pages? 5. 28 pts. Rinse hands and catheter with tap water. Each day the kidneys filter about 170 litres of blood, from which they produce about 2 litres of urine, which flows down the ureters to the bladder. For Individual Subscribers # Description of indwelling catheter. existed evidence suggests that the following interventions are not effective for reducing cauti incidence: (1) use of sterile technique for catheter insertion, (2) use of antiseptic solutions or ointments during routine meatal care, (3) use of a 2-chambered urinary drainage bag, (4) use of antiseptic filters incorporated into a urinary drainage 4. c) Urinary elimination problems. It includes Jackson-Pratt (JP) drainage 35 mL, NG suction 120 mL, and incontinence pads weighing 240 g, 275 g, 310 g, and 270 g. The dry weight of the incontinence pads is 90 g. The nurse should record how many mL of output on the client's record? D. Connect syringe to port using needleless system. A nurse in a LTC facility notices a client who has Alzheimer's disease standing at the exit door at the end of the hallway. Catheter use, occurrence of CAUTI and related risk factors Handout 4. Given a closed curve that encloses two conductors, where a different current is flowing through each one of them, and the integrated magnetic field around the closed curve is 1.61061.6\cdot \pi \times 10^{-6}1.6106 T-m, determine: A pycnometer is a device for measuring the density of liquids. Students also viewed CVA Unfolding Reasoning WK3 When reviewing laboratory results, the nurse should immediately notify the health care provider about which finding? 8 0 obj 5. Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged contact with the skin, skin breakdown can occur. A nurse is preparing a male client for intermittent urethral catheterization. Quiz: Performing Intermittent Closed Catheter, Maternity ATI Capstone Practice Questions, Ch. Wash hands and catheter with soapy water. Explain procedure to client. Psychomotor. The bag has a valve that can be opened to allow urine to flow out. (b) A positively charged glass rod repels a suspended object. The Davis's Nursing Skills Video collection features 141 videos that follow the written step-by-step procedures presented in Basic Nursing and Fundamentals of Nursing.Each video teaches you how to perform key nursing skills safely and correctly, while a . Slowly slide the catheter until it reaches the bladder and urine starts to flow . Catheter care involves cleansing of the perineal area and around the catheter itself and assessing the drainage system for leaks. >> Check the expiration date on the irrigating solution. Proper catheter care helps prevent skin breakdown in the area of a catheter. A y D(|ahYZY.! cleansing around the catheter, the patient's genitalia, and the anus. Gather equipment Indwelling urinary catheters are usually attached to a drainage bag to create a closed drainage system. Urinary Elimination ATI Flashcards | Quizlet urinary elimination performing a catheter irrigation ati Welcome to AT Industries, Inc. For more than 30 years, AT Industries, Inc. has been providing top-notch services to our clients in the industrial and commercial fields. cleanse the scrotum to the anus, always, using a clean side of the washcloth. from the meatus down the shaft of the penis. Urinary incontinence: the involuntary leakage of urine or loss of bladder control. or whenever it is full. Remove tape anchoring catheter to the resident. Wipe the port with an alcohol swab, insert a 10 mL syringe and needle into the port, withdraw 5 mL of urine, transfer the urine to a sterile specimen container, transport the specimen to the laboratory. The risk of complications means catheters should only be used after considering other continence management options, and should be removed as soon as clinically appropriate (Loveday et al, NSG 4060 ATI Comprehensive Predictor 2020 Chamberlain College of Nursing ATI COMPREHENSIVE ATI A 1. Pour the water into the toilet. Which of the following actions should the nurse take? After inflating the balloon properly, carefully pull the catheter until it is snug against the neck of the bladder. ATI Testing | Nursing Education | NCLEX Exam Review | TEAS Testing Prepare solution and draw into syringe. Focused_Review- Urinary Catheter Irrigation.pdf - ACTIVE 1 2 . A nurse is assisting with the plan of care for a client who has a continent urinary diversion. These blockages prevent the elimination of waste products and put additional strain on the recovering patient's body, especially his heart. ATI Video Case Study: Urinary Tract . Which of the following areas should the nurse cleanse last? What is the net current in the conductors. The purpose of catheterization is to drain urine from a bladder that is not emptying adequately or from a surgically created channel that connects the bladder with the abdominal surface (such as Mitrofanoff continent urinary . There are two ways of reducing IUC use: 1) by minimizing the initial placement of IUCs and 2) by reducing the duration of each catheterization. 2023 MedBridge Inc. All rights reserved. The nurse first clamps the drainage tubing distal to the catheter connection. The two main types of urinary catheter are: indwelling catheter inserted through the urethra, or through the wall of the stomach, into the bladder and left in place for a period of time First cleanse the upper thighs and then the insertion site of the catheter. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. straight catheter retention catheter Coude retention catheter Coude retention catheter ball, urinary catheters are used for patients who are. Gently pull the two tubes apart. Nursing Interventions. Teach patients who have an indwelling 7. Tailor your conference sessions based on your track to experience hands-on coaching, skill-building exercises and personalized workshops with one-on-one and small group sessions. National Nurse Educator Essentials is back in person! A nurse in a LTC facility notices a client who has Alzheimers disease standing at the exi t door at the end of the hallway. The urine collects in your bladder and causes pain that gets worse as your bladder fills. + (1) Attach catheter to the drainage apparatus before inserting the catheter into the urethra. Which intervention is indicative of safe practice? Never heat the solution on a burner or in a microwave oven. Natural irrigation of the. The nurse is performing irrigation on a patient with an indwelling catheter. 1 E Pershing RdKansas City, MissouriJuly 18 21, One-on-one engagement through small group activities, Free (optional) ATI product training sessions throughout. endobj Ask patient for permission Inquire about questions/feelings regarding the catheter Use sterile technique upon insertion Aseptic technique while performing catheter . Lyrics For Thank You Lord By Walter Hawkins, cloudy urine due to pus. Some are essential to make our site work; others help us improve the user experience or allow us to effectively communicate with you. Documentation guidelines and recommendations for patient education are also included. Urinary Elimination: Selecting a Coud Catheter inserted through the urethra into the patient's bladder, this catheter carries urine from the bladder to the outside of the body. elizabeth rogers obituary what happens if you eat melted plastic wrap urinary elimination performing a catheter irrigation ati. Scrub sampling point vigorously with 70% alcohol and chlorhexidine (0.5% or 2%) soaked gauze or swabs for at least 15 seconds and allow to air dry prior to accessing port. each day, and reset the scale to zero if possible. bleeding and the risk of urinary tract The following are the therapeutic nursing interventions for impairment in urinary elimination: Interventions. The catheter care you perform varies with the patient's gender. /AIS false information about bladder distention patients unable to sense the need to urinate. indwelling urinary catheter placed. Identify the correct sequence of steps that the nurse should take. Discover Your Revenue Impact. Open supplies, using aseptic technique. Reanchor catheter to client. Perform hand hygiene. 6 Provide Privacy 7 Closed intermittent irrigation: A. Urinary retention: the accumulation of urine in the bladder due to the inability to completely empty it. 7. A new world full of shapes, symbols and colors is what drawing brings for Our mission is to become a leading institution, recognized for its efforts in promoting the personal and professional development of New Yorkers while providing all our students the tools needed to develop their vocation and face the challenges of today's world. character of drainage, and any unexpected findings. Whether youre newer to nursing education leadership, looking to advance into leadership, or well-established in leadership and just looking for a refresher, were rolling up our sleeves to delve into topics, activities, and actionable take-aways on professional boundaries, faculty attrition and socializing new faculty to their role, creating a motivating climate, resolving interpersonal conflict, empowering faculty, and developing an effective program evaluation plan. Leadership ATI 53 Terms. 12 appropriate documentation and reporting of application of an external catheter, performing urethral uri- nary catheterization, and performing bladder irrigation. "Lab Bundle: a. IV Start Kits - sold by eaches $2.29 06-54-3865 . urinary elimination performing a catheter irrigation ati Patients can experience urinary retention for numerous reasons. Natural irrigation of the Application of the Nursing Process Which action should the nurse perform . The less often a catheter is changed, the less the likelihood than an infection will develop; Removing the Indwelling Catheter and Aftercare of the Patient. /Filter /DCTDecode Satisfactory completion requirements: All disciplines must complete learning Compare and contrast common alterations in urinary elimination. Step 4: After you have cleansed the genitalia. Duis kalam stefen kajas in the enter leo. To remove the catheter, you must first drain the water from the balloon. Urine is irritating to the skin and can damage skin in just a few hours. Urinary Elimination: Anchoring With Tape an Indwelling Urinary Catheter. Bladder irrigation: It is . B. the irrigant will be instilled rapidly. Perform closed catheter irrigation correctly. /ColorSpace /DeviceRGB w !1AQaq"2B #3Rbr catheter through increased fluid intake by the patient is preferred. Implementation Verify the doctor's order. AT Industries, Inc. Cleanse the glans penis with the antimicrobial cleanser using a circular motion from the center of the meatus outward to the base of the glans. This ensures that the solution is directed toward the bladder and prevents it from draining into the collection bag. urinary elimination performing a catheter irrigation ati. a.CN I b.CN II c.CN VIII d.CN X All of the following are characteristics of, A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes? irrigation unless necessary to relieve or A nurse is performing a continuous bladder irrigation on a client. It is pretty chaotic in her cubicle: lots of people doing lots of procedures all at the same time. An indwelling catheter collects urine by attaching to a drainage bag. chapter 48 urinary elimination learning outcomes after completing this chapter, . Study ATI - Test 3 Practice Assessment flashcards from Michelle Rainer's class online, or in Brainscape's iPhone or Android app. This prevents the catheter from sliding out of your body. /Creator ( w k h t m l t o p d f 0 . Guide for Foley catheter use Irrigation is a procedure to open a plugged urinary catheter. 5 0 obj Condom catheter can be used by men . << In Amanda's current role as a clinical. blood in the urine. Chapter 27. 1. Most catheters are made of soft plastic or rubber. This chapter includes learning assessment questions to assess the learners knowledge of skills covered in this course. The bag from the pharmacy contained 400 mLs of fluid. Nurses can insert or place all but one type of catheter; a doctor must insert a. size, age, pathology, and potential allergies to material are all considerations when selecting a catheter. A suprapubic catheter may also be inserted for long-term management. Some of these bags can be secured to your leg. Indwelling urinary catheter or IDC. ATI Chapter 44. Urinary Elimination.pptx - Course Hero Please use a scholarly article, What is the purpose of Greater Chicago Food Depository, and how do they serve our Chicagoland area? -A patient requiring a continuous irrigation, should have a triple-lumen catheter in place, -Ask the patient to turn slightly, and attempt, a second time. Assist resident to comfortable position and expose access port on catheter setup. If obstructed, which component of the urination system would cause peristaltic waves? Irrigation with Normal Saline to maintain patency of a urinary catheter. 3. ____________________________________________________________________________, Med reconciliation for ATI assessment as part of the focused reviews, software engineering final project report, Introduction to Psychology Chapter 6 - Learning Outline, Mastering Biology Assignment 5: Genetics Chapter, Nursing Care of the Childbearing Family (NURS 125), Curriculum Instruction and Assessment (D171), Leadership and Management in Nursing (NUR 4773), Entrepreneurship 1 (proctored course) (BUS 3303), Fundamentals of Biology: Cellular and Organ Physiology (BIO 203), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Early Childhood Foundations and the Teaching Profession (ECE-120), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Kami Export - Madeline Gordy - Paramecium Homeostasis, Sociology ch 2 vocab - Summary You May Ask Yourself: An Introduction to Thinking like a Sociologist, Lesson 17 Types of Lava and the Features They Form, Sawyer Delong - Sawyer Delong - Copy of Triple Beam SE, 1.1.2.A Simple Machines Practice Problems, 324069444 Introduction to Mastering Chemistry, EDUC 327 The Teacher and The School Curriculum, Test Out Lab Sim 2.2.6 Practice Questions, Unit conversion gizmo h hw h h hw h sh wybywbhwyhwuhuwhw wbwbe s. 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