Essential Guide to Acute Care - part 5 potx

... 2–3 h Haemaccel 1 45 5.1 6. 25 ( 25) 1 45 301 7.3 2–3 h Albumin 4 .5% 1 45 Ͻ2 0 1 45 290 7.4 6–12 h Albumin 20% 1 45 Ͻ2 0 1 45 290 7.4 6–12 h *HES 6% 154 0 0 154 310 5. 5 7–24 h Figure 5. 9 Electrolyte content ... body’s initial response to a pro-inflammatory insult is to release mediators like tumour necrosis factor, interleukin 1, interleukin 6 and platelet-activating factor. T...

Ngày tải lên: 10/08/2014, 18:21

... laboratory to laboratory. Metric units ϫ conversion factor ϭ SI units. Test Metric units Conversion SI units factor Sodium 1 35 1 45 meq/l 1 1 35 1 45 mmol/l Potassium 3 .5 5. 0 meq/l 1 3 .5 5. 0 mmol/l Urea ... Title. [DNLM: 1. Critical Care. WX 218 C777e 2006] RC86.7.C 656 2006 616.02Ј8–dc22 20060009 65 ISBN-13: 97 8-1 -4 05 1-3 97 2-4 ISBN-10: 1-4 05 1-3 97 2-2 A cat...

Ngày tải lên: 10/08/2014, 18:21

... respiratory acidosis in acute exacerbations of COPD: implications for the provision of non- invasive ventilation and oxygen administration. Thorax 2000; 55 : 55 0 55 4. 15. British Thoracic Society. Guidelines ... Oxygen flow Total gas flow concentration (%) (l/min) (l/min) Blue 24 2–4 51 –102 White 28 4–6 44–67 Yellow 35 8–10 45 65 Red 40 10–12 41 50 Green 60 12– 15 24–30 Humidifi...

Ngày tải lên: 10/08/2014, 18:21

... illness. Self-assessment: case histories Normal values: pH 7. 35 7. 45, PaCO 2 4 .5 6.0 ( 35 46 mmHg), PaO 2 11–14 .5 kPa (83–108 mmHg), BE –2 to ϩ 2, st bicarbonate 22–28 mmol/l. 1 A 6 5- year-old man ... 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 attac...

Ngày tải lên: 10/08/2014, 18:21

... patients with a mild -to- moderate acute respiratory acidosis (see Fig. 4.6). In an acute exacerbation of COPD, it is usual to begin with an IPAP of 15 cmH 2 O and an EPAP of 5 cmH 2 O. The levels are ... ventilation. American Journal of Respiratory Critical Care Medicine 1999; 160: 158 5– 159 1. 4. www.brit-thoracic.org.uk. Latest UK NIV guidelines for COPD. 5. Elliot MW. Non-inv...

Ngày tải lên: 10/08/2014, 18:21

... vaso-active drugs. • Severe sepsis is an ICU disease. Self-assessment: case histories 1 A 29-year-old woman is brought to the emergency department drowsy with the following vital signs: BP 80 /50 ... Corticosteroids are known to have effects on vascular tone as well as anti-inflammatory actions. The use of low-dose corticosteroids (50 mg of i.v. hydrocortisone four times a day) has been s...

Ngày tải lên: 10/08/2014, 18:21

... on neuro- intensive care units (ICUs). CPP can then be calculated and manipulated. CPP MAP venous pressureϭϪ PaCO 2 PaO 2 CBF (ml/100 g/min)CBF (ml/100 g/min) kPa 51 0 15 50 100 150 50 50 MAP mmHg (a) (b) Figure ... Anaesthesia 20 05; 94(4): 459 –467. 15. Burton CJ and Tomson CRV. Can the use of low-dose dopamine for treatment of acute renal failure be justified? Postgraduate Medica...

Ngày tải lên: 10/08/2014, 18:21

... regimen Ͻ3 .5 or signs of hypoglycaemia – give 25 ml i.v. 50 % dextrose and call doctor Ͻ4.0 0. 25 0 .5 1 4.0–9 0 .5 1 2 9.1–11 1 2 4 11.1–17 2 3 8 17.1–28 4 4 10 Ͼ28 6 and call doctor to 6 and call doctor to ... can be identified and pre- optimised in order to improve outcome. • Basic resuscitation (ABC) prior to surgery is important. Self-assessment: case histories 1 A 7 5- ye...

Ngày tải lên: 10/08/2014, 18:21

... 355 –360. 5. www.sfar.org/scores2/possum2.html 6. Adams AM and Smith AF. Risk perception and communication: recent devel- opments and implications for anaesthesia. Anaesthesia 2001; 56 : 7 45 755 . 7. ... DC cardioversion for a broad complex tachycardia. You are told to give i.v. midazolam first. What do you need to consider? 5 A 2 5- year-old lady is extremely nauseated and vomiting...

Ngày tải lên: 10/08/2014, 18:21