Essential Guide to Acute Care - part 6 ppt
Essential Guide to Acute Care - part 6 ppt
... intensive care medicine.
The contraindications to APC use are shown in Box 6. 1.
1 06 Chapter 6
Other vaso-active drugs used in sepsis
Vasopressin is an option if hypotension is refractory to other ... reduces
108 Chapter 6
Receptor Action Where
␣-receptors Vasoconstriction Peripheral, renal, coronary
1-receptors ↑ Contractility Heart
↑ Heart rate
↑ Cardiac output
2-receptors Va...
Essential Guide to Acute Care - part 7 pptx
... She
receives non-steroidal anti-inflammatory analgesia in the peri-operative
period. On admission her urea is 6 mmol/l (BUN 16. 6 mg/dl) and creati-
nine 55 mol/l (0 .66 mg/dl). Two days post-operatively ... looked at predictors of
death and neurological outcome in 130 witnessed out-of-hospital cardiac
arrest survivors presenting to an emergency department [24]. The investiga-
tors used...
Essential Guide to Acute Care - part 1 pdf
... Title.
[DNLM: 1. Critical Care. WX 218 C777e 20 06]
RC 86. 7.C6 56 20 06
6 16. 02Ј8–dc22 20 060 00 965
ISBN-13: 97 8-1 -4 05 1-3 97 2-4
ISBN-10: 1-4 05 1-3 97 2-2
A catalogue record for this title is available from ... 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. I...
Essential Guide to Acute Care - part 2 pps
... EJM. The management of respiratory failure in chronic bronchitis and
emphysema. American Review of Respiratory Disease 1 967 ; 96: 62 6 63 9.
8. Aubier M, Murciano D, Milic-Emili J et al. Effects of ... all, but
acute severe cardiogenic pulmonary oedema, a condition which causes ven-
tilatory failure. In a 60 -year-old smoker with diabetes, a myocardial infarc-
tion is a likely cause. Ac...
Essential Guide to Acute Care - part 3 pot
... 24-year-old man
• A 5 6- 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: ... 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...
Essential Guide to Acute Care - part 4 docx
... 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 ... also
Respiratory failure 61
Mini-tutorial: NIV for exacerbations of COPD
An exacerbation of COPD requiring admission to hospital carries a 6 26% mortality
[5]. One study fo...
Essential Guide to Acute Care - part 5 potx
... order to provide a practical
Number of failing organs Percentage of ICU patients Percentage mortality
0 35.1 3.2
1 24.9 10 .6
2 16. 8 25.5
3 12.1 51.4
4 6. 5 61 .3
5 3.0 67 .4
6 1 .6 91.3
Figure 6. 1 ... You
notice how clammy he is to touch. Could this man have a life-threatening
haemorrhage?
6 A 50-year-old man weighing 70 kg with no past medical history is admit-
ted with gast...
Essential Guide to Acute Care - part 8 doc
... 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 12 and call doctor to
review regimen review ... has
produced evidence-based guidelines on peri-operative cardiovascular evalu-
ation for non-cardiac surgery [10]. A much more simplified algorithm is
shown in Fig. 9 .6. To summarise, lo...
Essential Guide to Acute Care - part 9 doc
... 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 -year-old lady requires ... effects are rare.
Non-steroidal anti-inflammatory drugs (e.g. diclofenac)
Non-steroidal anti-inflammatory drugs (NSAIDs), such as diclofenac, are potent
prostaglandin inhibitors,...
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