Chapter 020 Hypothermia and Frostbite (Part 5) pdf

... classify frostbite as superficial or deep. Superficial does not entail tissue loss. Classically, frostbite is retrospectively graded like a burn. First-degree frostbite causes only anesthesia and ... with standard therapy. The administration of parenteral levothyroxine to euthyroid patients with hypothermia, however, is potentially hazardous. Because laboratory results can be del...

Ngày tải lên: 06/07/2014, 12:21

... gluconeogenesis, as well as a Chapter 020. Hypothermia and Frostbite (Part 1) Harrison's Internal Medicine > Chapter 20. Hypothermia and Frostbite Hypothermia Accidental hypothermia occurs ... lead to hypothermia. Hypothyroidism—particularly when extreme, as in myxedema coma—reduces the metabolic rate and impairs thermogenesis and behavioral respons...

Ngày tải lên: 06/07/2014, 12:21

... presentation is often more subtle and other disease processes, toxin exposures, or psychiatric diagnoses should be considered. After initial stimulation by hypothermia, there is progressive ... patient with mild hypothermia should raise suspicion of an overdose or CNS dysfunction due to infection or trauma. Table 20-2 Physiologic Changes Associated with Accidental Hypothermia nt...

Ngày tải lên: 06/07/2014, 12:21

... of Chapter 020. Hypothermia and Frostbite (Part 3) Source: Modified from RR Kempainen, DD Brunette: Resp. Care 49:192, 2004.Physical examination findings can also be altered by hypothermia. ... assumption that areflexia is solely attributable to hypothermia can obscure and delay the diagnosis of a spinal cord lesion. Patients with hypothermia may be confused or com...

Ngày tải lên: 06/07/2014, 12:21

... BP, blood pressure; CV, central venous; ROR, rate of rewarming.[newpage] Chapter 020. Hypothermia and Frostbite (Part 4) Rewarming Strategies The key initial decision is whether to rewarm ... accidental hypothermia. The patient must have sufficient glycogen to support endogenous thermogenesis. The application of heat directly to the extremities of patients with chronic s...

Ngày tải lên: 06/07/2014, 12:21

... membrane, and this release is the rate-limiting step in the synthesis of PGE 2 . Therefore, inhibitors of cyclooxygenase are potent antipyretics. Chapter 017. Fever and Hyperthermia (Part 5) ... potent immunosuppressant. In short, treatment of fever and its symptoms does no harm and does not slow the resolution of common viral and bacterial infections. However, in bact...

Ngày tải lên: 06/07/2014, 12:20

... urethritis, and conjunctivitis) may accompany or follow infections by Salmonella, Campylobacter, Shigella, and Yersinia. Yersiniosis may also lead to an autoimmune-type thyroiditis, pericarditis, and ... Powell, in T Yamada (ed): Textbook of Gastroenterology and Hepatology, 4th ed. Philadelphia, Lippincott Williams & Wilkins, 2003; and DR Syndman, in SL Gorbach (ed): Infect...

Ngày tải lên: 06/07/2014, 15:21

... itself and remains in the equilibrium state, and thus inherits the structure and volume at the melting state. Therefore, the volume has an increase V , and Lasers – Applications in Science and ... decomposes into silver and oxygen. The O 2 and Ag particles are rough and tumble and filled the whole room. After the AgOx cooling down to the room temperature, the expande...

Ngày tải lên: 18/06/2014, 22:20

... driving gas and carrying gas with an inlet pressure of 1.4 and 1.6 MPa for the heating gas and powder carrying gas separately. Heating gas temperature range is 573 K to 773 K. Stand-off distance ... wipe off the oxide film, and then cleaned by ethanol and deionized water. The morphology of the feed stock and coating before and after methanol and methane steam reforming was...

Ngày tải lên: 19/06/2014, 10:20

... robustness at low price and also the standard inverter supply, which widely used in industry and also in new trams. The switched reluctance machine (SRM) has also very robust and simple construction ... current and the EM speed is given by voltage: T = K Φ I a (5) U i = K Φ ω (6) These equation are exact for DC motor, where Φ is magnetic flux and I a is the armature (o...

Ngày tải lên: 19/06/2014, 12:20