Essential Guide to Acute Care - part 3 pot

... 24-year-old man • A 56-year-old lady with COPD who has been started on a diuretic for peripheral oedema, resulting in a 3 kg weight loss • A 14-year-old girl with a severe asthma attack. Self-assessment: ... dissociat 2 ϩ Ϫ ϭϫ] KK 3 iion constant pH [H ؉ ] (nmol/l) 7.6 26 7.5 32 7.4 40 7 .3 50 7.2 63 7.1 80 7.0 100 6.9 125 6.8 160 Figure 3. 3 pH and equivalent [H ϩ ]. 38 Chapter 3...

Ngày tải lên: 10/08/2014, 18:21

... and limit new damage. To ensure that the effects of the pro- inflammatory mediators do not become destructive, the body then launches compensatory anti-inflammatory mediators like interleukin ... interleukin 10 which down-regulate the initial pro-inflammatory response. In severe sepsis, regulation of the early response to a pro-inflammatory insult is lost and a mas- sive systemic reaction...

Ngày tải lên: 10/08/2014, 18:21

... and index. ISBN- 13: 97 8-1 -4 05 1 -3 97 2-4 (alk. paper) ISBN-10: 1-4 05 1 -3 97 2-2 (alk. paper) 1. Critical care medicine. I. Forrest, Kirsty. II. Cramp, Paul. III. Title. [DNLM: 1. Critical Care. WX 218 ... 0 .36 2.9–7.1 mmol/l Creatinine 0.6–1.2 mg/dl 83. 3 50–100␮mol/l Glucose 60–115 mg/dl 0.06 3. 3–6.3mmol/l Partial pressure O 2 83 108 mmHg 0. 13 11–14 .36 kPa Partial...

Ngày tải lên: 10/08/2014, 18:21

... people have acute but not chronic respiratory failure. Non-invasive ventilation has been shown to be a very suc- cessful treatment for acute respiratory failure (or acute on chronic respiratory failure) ... hypercapnia in acute exacerba- tions of chronic obstructive pulmonary disease (COPD). European Respiratory Journal 19 93; 6: 135 3– 135 6. 13. Plant PK, Owen JL and Elliot MW. T...

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... inspiration to expiration (I:E) ratio. Non-invasive BiPAP is used in certain patients with a mild -to- moderate acute respiratory acidosis (see Fig. 4.6). In an acute exacerbation of COPD, it is usual to ... of bene- fit in acute severe asthma as patients already have significant intrinsic or auto-PEEP. In summary, an expert should supervise the ventilator require- ments of any pati...

Ngày tải lên: 10/08/2014, 18:21

... of care. Critical Care Medicine 2001; 29(7): 130 3– 131 0. 3. Moreno R, Vincent JL, Matos R, Mendonca Q et al. The use of maximum SOFA scores to quantify organ dysfunction/failure in intensive care. ... monitoring should be instituted early in severe sepsis to guide the administration of fluids and vaso-active drugs. • Severe sepsis is an ICU disease. Self-assessment: case historie...

Ngày tải lên: 10/08/2014, 18:21

... data from a large UK audit of in-hospital cardiac arrests [21]. Brain failure 1 43 939 34 9 30 3 1000 500 Total number of arrests ROSC Survival to discharge 429 181 59 39 42 cardiac arrest calls 2477 ... Acute renal failure. Lancet 2005; 36 5: 417– 430 . 12. Forni LG and Hilton PJ. Continuous haemofiltration in the treatment of acute renal failure. New England Journal of Medicine 1...

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... available which can help to assess risk, the key to evaluating a patient’s risk of peri-operative car- diac ischaemia is a careful history, examination and 12-lead ECG. Peri-operative myocardial ... respiratory rate 28/min, SpO 2 98% on 2 l nasal cannulae, temperature 37 .5°C. She is listed for the acute theatre. What is your management? 2 A 70-year-old woman is due for a partial gastr...

Ngày tải lên: 10/08/2014, 18:21

... effects are rare. Non-steroidal anti-inflammatory drugs (e.g. diclofenac) Non-steroidal anti-inflammatory drugs (NSAIDs), such as diclofenac, are potent prostaglandin inhibitors, and the peripheral ... of analgesia? 3 A 30 -year-old man is about to have a chest drain inserted. He weighs 60 kg. Calculate the maximum safe dose of lidocaine and prescribe post-procedure analgesia. 4 A 60-yea...

Ngày tải lên: 10/08/2014, 18:21