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A practical guide to the management of medical emergencies - part 7 pdf

A practical guide to the management of medical emergencies - part 7 pdf

A practical guide to the management of medical emergencies - part 7 pdf

... liver failure; ALT, alanine aminotransferase; AST, aspartate aminotransferase; IVC, inferior vena cava.CHAPTER 67 433Diabetic ketoacidosisTABLE 67. 4 Potassium replacement in diabetic ketoacidosis*Plasma ... infection of the paranasal sinuses particularly associated with DKA, and should be suspected in patients with headache, ocular or facial pain. Seek an urgent ears, nose and throat (ENT) opinion.AscitesCHAPTER ... quadrant pain, hepatomegaly and ascites Underlying hematological disorder (e.g. polycythemia rubra vera, paroxysmal nocturnal hemoglobinuria) or other cause of thrombophilia (p. 2 27) Diagnose...
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A practical guide to the management of medical emergencies - part 1 ppt

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

... frequent/severe• Associated cardiac disease38 COMMON PRESENTATIONSNarrow complex tachycardiaTABLE 6.3 Intravenous therapy to terminate supraventricular tachycardia (AV nodal re-entrant tachycardia and AV ... 462Dermatology/rheumatology 74 Cellulitis, 469 75 Acute arthritis, 473 76 Acute vasculitis, 478 Narrow complex tachycardia6 Narrow complex tachycardia33See p. 18 for general approach to the patient with an arrhythmiaPatient ... 20081 2008Library of Congress Cataloging-in-Publication DataSprigings, David.Acute medicine : a practical guide to the management of medical emergencies / David Sprigings, John B. Chambers. –...
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A practical guide to the management of medical emergencies - part 2 pot

A practical guide to the management of medical emergencies - part 2 pot

... 99Arterial blood gases, oxygen saturation and oxygen therapyFeature CommentRespiratory failure Arterial hypoxemia is defi ned as an arterial PO2 <10 .7 kPa, and respiratory failure as an ... known cardiac disease or is aged >60 years Arrhythmias Due to toxin or metabolic complications Check arterial gases and pH, and plasma potassium, calcium and magnesium. Renal failure May ... Comment and management Coma If associated with focal neurological signs or evidence of head injury, CT must be done to exclude intracranial hematomaCerebral edema May occur after cardiac arrest,...
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A practical guide to the management of medical emergencies - part 4 doc

A practical guide to the management of medical emergencies - part 4 doc

... microscopyFurther readingAmerican College of Cardiology and American Heart Association. Guidelines for the management of patients with valvular heart disease (2006). American College of Car-diology ... 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 ... colchicineNSAID, non-steroidal anti-infl ammatory drug.CHAPTER 34 223Severe hypertensionCause Clues/investigationCoarctation of aorta Radiofemoral delay Coarctation demonstrated by echocardiography/MRIRenal...
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A practical guide to the management of medical emergencies - part 5 docx

A practical guide to the management of medical emergencies - part 5 docx

... 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 cannula and take blood ... Society. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Resp Crit Care Med 2005; 171 : 388–416.41 Pneumonia (1): ... StrokeTABLE 47. 4 Causes of cerebral infarctionCause CommentAtheromatous Causes ∼50% of ischemic strokesdisease of the May have carotid bruitextracranial and Stuttering progression of neurological...
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A practical guide to the management of medical emergencies - part 6 doc

A practical guide to the management of medical emergencies - part 6 doc

... fever/bacteremiaExtradural hematoma Rare complication of warfarin anticoagulationProlapse of cervical or Suspect if there is spinal painthoracic intervertebral accompanied by root paindiscAtlantoaxial ... 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 ... Site of compressionClinical feature Spinal cord Conus and cauda equinaSite of pain Thoracolumbar Lumbosacral and radicularLeg weakness Symmetrical AsymmetricalKnee and ankle Increased Variablerefl...
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A practical guide to the management of medical emergencies - part 8 ppt

A practical guide to the management of medical emergencies - part 8 ppt

... MCV < ;75 fl in beta-thalassemia normal in alpha- trait thalassemia trait and abnormal in beta- thalassemia trait and other thalassemia syndromesContinuedCHAPTER 74 471 CellulitisDisorder ... and beta-lactam antibiotics. Also seen in advanced renal failure and myelodysplasiaCoagulation factor See Table 78 .6defi ciency or inhibitor Acquired inhibitors are antibodies to coagulation ... heparin-dependent antibodiesDifferential Sepsisdiagnosis Thrombocytopenia due to other drugs Management Seek advice from a hematologist Stop heparin Use alternative anticoagulant therapy with direct- acting...
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A practical guide to the management of medical emergencies - part 9 doc

A practical guide to the management of medical emergencies - part 9 doc

... cienciesMusculoskeletal Myopathy FracturesHematological Macrocytosis Anemia Thrombocytopenia LeucopeniaTABLE 87. 3 Management of alcohol withdrawal syndrome and Wernicke encephalopathyProblem Features Management Alcohol ... cation of most ventilatorsOther methods of Peritoneal dialysisactive rewarming Esophageal thermal probe Cardiopulmonary bypassAlcohol-related problems in acute medicine 87 Alcohol-related problems ... physicianSeverity 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 indicated (Table 90.3)Moderate Add an opioid, e.g....
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A Practical Introduction to Structure, Mechanism, and Data Analysis - Part 7 pdf

A Practical Introduction to Structure, Mechanism, and Data Analysis - Part 7 pdf

... in the chromatograph and comparesit to a calibration curve of the area under the peak as a function of mass for a standard sample of the analyte of interest. Let us again use the reaction of dihydroorotate ... signal as a function of time. The length of time betweenapplication of the sample to the column and appearance of the signalmaximum, referred to as the retention time, is characteristic of a particularmolecule ... lacking, two commonly used alternative methods are available to quantify peaks from strip-chart recordings. The first is to measure the peakheight rather than integrated area as a measure of analyte...
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