Critical care medicine - part 2 ppsx

... Peak Eleva- tions Time to Re- turn to Base- line Myoglobin 1-4 h 6-7 h 1 8 -2 4 h CTnl 3-1 2 h 1 0 -2 4 h 3-1 0 d CTnT 3-1 2 h 1 2- 4 8 h 5-1 4 d CKMB 4-1 2 h 1 0 -2 4 h 4 8-7 2 h CKMBiso 2- 6 h 12 h 38 h CTnI, ... Interventions 21 -Metoclopramide (Reglan) 1 0 -2 0 mg PO, IM, IV, or in J tube q6h. -Famotidine (Pepcid) 20 mg J-tube q12h OR -Ranitidin...

Ngày tải lên: 09/08/2014, 14:22

... over 1-3 sec Amiodarone 15 0- 300 mg IV over 1 0- 20 min Adenosine 12 mg, rapid IV push over 1-3 sec (may repeat once in 1 -2 min) 1 -2 min Adenosine 6 mg, rapid IV push over 1-3 sec 1 -2 min ... i n 1 -2 m i n ); m a x to ta l 30 m g Lidoca ine 1-1 .5 m g/ k g IV pu s h . R ep ea t 0.5 -0 . 75 m g /kg IV P q 5-1 0m in to m a x to ta l 3 m g/ kg...

Ngày tải lên: 09/08/2014, 14:22

... mg/kg IVP x1, then 0.0 2- 0 .1 mg/kg/hr IV infusion. Titrate in increments of 2 5-5 0%. 2. Lorazepam (Ativan) 1 -2 mg IV ql-2h pm sedation or 0.05 mg/kg IVP x1, then 0. 02 5-0 .2 mg/kg/hr IV infusion. ... nebulized 2. 5 mg q 4-6 h PRN Levalbuterol - Xopenex nebulized 0.6 3-1 .25 mg q 6-8 h PRN Inhaled beta2-adrenergic agonist, long-acting Salmeterol Serevent Sere...

Ngày tải lên: 09/08/2014, 14:22

... 0.13 3 .2 (2. 0, 4.4) Hemorrhage (unassigned etiology) 0 .24 4.0 (3 .2, 4.9) 1.58 1.7 (1.3, 2. 2) Vasa previa 0.17 2. 6 (2. 0, 3 .2) – – Postpartum hemorrhage 2. 56 2. 6 (2. 5, 2. 7) 0.83 2. 3 (1.3, 2. 9) ... Hemorrhage 28 .8 2. 6 21 .1 27 .2 94.9 18.5 16.7 15.7 20 .1 Embolism 19.9 1.8 23 .4 10.7 1.3 11.1 0.0 35 .2 21.1 Hypertension 17.6 1.6 23 .8 26 .2 0.0 1 .2...

Ngày tải lên: 05/07/2014, 16:20

... (L/min) 6.6 ± 1.4 6.0 ± 1.4 * 6 .2 ± 2. 0 5.4 ± 2. 0 * Heart rate (bpm) 82 ± 10 84 ± 10 91 ± 11 107 ± 1 7 * SVR (dynes/sec/cm − 5 ) 121 0 ± 26 6 1437 ± 338 121 7 ± 25 4 1319 ± 394 PVR (dynes/sec/cm ... 1961; 82: 13 12. ) Critical Care Obstetric Nursing 29 10 Witcher PM . Promoting fetal stabilization during maternal hemody- namic instability or respiratory insuffi c...

Ngày tải lên: 05/07/2014, 16:20

... v =− () − () 22 22 Ventilator Management in Critical Illness 127 Assessing o xygenation Arterial blood gas (ABG) sampling is performed to obtain accu- rate measures of P a O 2 , P a CO 2 , ... Ghulmiyyah 2 1 Departments of Obstetrics, Gynecology and Anesthesiology, Maternal - Fetal Medicine - Surgical Critical Care, University of Texas Medical Branch, G...

Ngày tải lên: 05/07/2014, 16:20

... (breaths/min) 12 – 20 > 35 Vital capacity (mL/kg body weight) * 65 – 75 < 15 Inspiratory force (cmH 2 O) (75 – 100) < 25 Compliance (mL/cmH 2 O) 100 < 25 FEV 1 ... Oxygenation P a O 2 (torr) † 80 – 95 < 70 (kPa) 10.7 – 12/ 7 < 9.3 P (A - a) O 2 ‡ (torr) 25 – 50 > 450 (kPa) 3.3 – 6.7 > 60 Q s /Q T (%) 5 >...

Ngày tải lên: 05/07/2014, 16:20

... central venous cathe- ters . J Vasc Interv Radiol 20 01 ; 12 : 129 1 – 129 5 . 45 Fontes M. Complications of central venous cannulation . Problems in Anesthesia 1998 ; 10 : 21 5 – 22 6 . 4 6 C l e ... technique in critical care patients . Crit Care Med 20 06 ; 10 : R1 62 . 50 DeMatteis J. Brachial plexus injury caused by internal jugular can- nulation . Hospital Physician 1...

Ngày tải lên: 05/07/2014, 16:20

... 19 92 ; 79 : 808 – 810 . 13 Changs H , Miller MA , Bruns FJ . Tidal peritoneal dialysis during preg- nancy improves clearance and abdominal symptoms . Perit Dial Int 20 02 ; 22 : 27 2 – 27 4 ... patients . Semin Dial 1990 ; 3 : 22 4 – 22 9 . 19 Hou S . Pregnancy in dialysis patients: Where do we go from here? Semin Dial 20 03 ; 16 ( 5 ): 376 – 378 . 20 Nageotte MP , Grund...

Ngày tải lên: 05/07/2014, 16:20

... (n = 25 19) (n = 27 5) (n = 23 7) (n = 165) (n = 14) (n = 438) (n = 5 52) (n = 420 0) Embolism 21 .0 18.6 2. 1 13.9 28 .6 25 .1 18.3 19.6 2. 3 Hemorrhage 2. 7 21 .1 93.3 21 .8 7.1 8.7 8.7 17 .2 2.0 ... al. Failure of high - dose heparin to prevent recurrent cardioembolic strokes in a pregnancy patient with a mechanical heart valve . Neurology 19 92 ; 42 : 22 04 –...

Ngày tải lên: 05/07/2014, 16:20