A practical guide to the management of medical emergencies - part 1 ppt

... frequent/severe • Associated cardiac disease 38 COMMON PRESENTATIONS Narrow complex tachycardia TABLE 6.3 Intravenous therapy to terminate supraventricular tachycardia (AV nodal re-entrant tachycardia and AV ... edition 19 95 Third edition 20 01 Fourth edition 2008 1 2008 Library of Congress Cataloging-in-Publication Data Sprigings, David. Acute medicine : a practical guide to...

Ngày tải lên: 10/08/2014, 18:21

... and beta-lactam antibiotics. Also seen in advanced renal failure and myelodysplasia Coagulation factor See Table 78.6 defi ciency or inhibitor Acquired inhibitors are antibodies to coagulation ... Polychromasia Normal ferritin Hematocrit usually >30% and Target cells Hemoglobin electrophoresis MCV <75 fl in beta-thalassemia normal in alpha- trait thalassemia trait and abnormal...

Ngày tải lên: 10/08/2014, 18:21

... bronchoscopy to remove particulate matter from the airways, physiotherapy and antibiotic therapy Continued CHAPTER 13 89 Acute chest pain TABLE 13 .5 Cardiac biomarkers Marker Rises after: Peaks at: ... poisoning (Table 11 .1) Key observations (Table 1. 2) Urgent investigation (Tables 11 .3 and 11 .4) Consider activated charcoal (Table 11 .5) Consider specific antidote (Table...

Ngày tải lên: 10/08/2014, 18:21

... ventricular tachycardia and ICD casing and/or another (VT) electrode VT is managed in one of four ways: • Observation with no action • Antitachycardia pacing (burst pacing at a rate faster than the ... Heart Association. Guidelines for the management of patients with valvular heart disease (2006). American College of Car- diology website (http://www.acc.org/qualityandscience...

Ngày tải lên: 10/08/2014, 18:21

... Society. Guidelines for the management of adults with hospital- acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Resp Crit Care Med 2005; 17 1: 388– 416 . 41 Pneumonia (1) : ... give high-fl ow oxygen • Call an anesthetist: endotracheal intubation may be needed to allow suctioning of the airway and adequate ventilation • Put in a large-bore IV cannu...

Ngày tải lên: 10/08/2014, 18:21

... Unable to walk • Admit other patients to a general ward for observation and further investigation. Monitor vital capacity, respiratory rate, heart rate and blood pressure 8-hourly • Give analgesia ... equina compression Site of compression Clinical feature Spinal cord Conus and cauda equina Site of pain Thoracolumbar Lumbosacral and radicular Leg weakness Symmetrical Asymmetrica...

Ngày tải lên: 10/08/2014, 18:21

... potassium, creatinine and urea* • Liver function tests: bilirubin, aspartate transaminase, alanine transaminase, gamma-glutamyl transferase, alkaline phosphatase, albumin • Amylase and lipase • ... transjugular liver biopsy ALF, acute liver failure; ALT, alanine aminotransferase; AST, aspartate aminotransferase; IVC, inferior vena cava. CHAPTER 67 433 Diabetic ketoacidosis TABLE 67.4 Potas...

Ngày tải lên: 10/08/2014, 18:21

... ciencies Musculoskeletal Myopathy Fractures Hematological Macrocytosis Anemia Thrombocytopenia Leucopenia TABLE 87.3 Management of alcohol withdrawal syndrome and Wernicke encephalopathy Problem Features Management Alcohol ... physician Severity of pain Management Mild Paracetamol 1 g 6-hourly PO and/or NSAID (e.g. diclofenac SR 75 mg 12 -hourly PO) Add an adjuvant if ind...

Ngày tải lên: 10/08/2014, 18:21

... Italy, and then the rest of Europe, awoke again to the beauty and truth of the classical literature and began to emulate the ancient art, the process of educating the barbarians may be said to ... 14 1 13 Europe about A. D. 10 00 15 2 15 3 14 Italian Towns in the Twelfth Century 17 5 15 Routes of the Crusaders 19 0 19 1 16 The Crusaders' States...

Ngày tải lên: 16/02/2014, 23:20