Essential Guide to Acute Care - part 7 pptx

... 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 time to return ... inflammatory mediators [12]. The difference between haemodialysis and haemofiltration is shown in Fig. 7. 7. 128 Chapter 7 Component Value (mmol/l) Sodium 140 Potassium 4 Calcium 1 .75 M...

Ngày tải lên: 10/08/2014, 18:21

... 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 C 777 e 2006] RC86 .7. C656 ... Critical Care. WX 218 C 777 e 2006] RC86 .7. C656 2006 616.02Ј8–dc22 2006000965 ISBN-13: 97 8-1 -4 05 1-3 97 2-4 ISBN-10: 1-4 05 1-3 97 2-2...

Ngày tải lên: 10/08/2014, 18:21

... practice guideline. Oxygen therapy for adults in the acute care facility. Respiratory Care 2002; 47( 6): 71 7 72 0. 3. Davies RJO and Hopkin JM. Nasal oxygen in exacerbations of ventilatory failure: an ... prognostic indicators for patients admitted to intensive care. Intensive Care Medicine 2001; 27: 74 –83. Further resources • www.brit-thoracic.org.uk/iqs/bts_guidelines_copd_ht...

Ngày tải lên: 10/08/2014, 18:21

... Match the clinical history with the appropriate arterial blood gas values: pH PaCO 2 St bicarbonate (mmol/l) a 7. 39 8.45kPa (65 mmHg) 37 b 7. 27 7.8 kPa (60mmHg) 26 c 7. 35 7. 8 kPa (60 mmHg) 32 • ... 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....

Ngày tải lên: 10/08/2014, 18:21

... 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 ... show: pH 7. 31, PaCO 2 4.0 kPa (31 mmHg), PaO 2 6 kPa (46 mmHg), st bicarbonate 14 mmol/l, BE 7. What should you do? 7 You are called to see a 70 -year-old man who is 2 day...

Ngày tải lên: 10/08/2014, 18:21

... 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. These mediators have multiple ... designed to repair existing damage and limit new damage. To ensure that the effects of the pro- inflammatory mediators do not become destructive, the body then launches compensatory anti...

Ngày tải lên: 10/08/2014, 18:21

... [ 17] . The number needed to treat with low-dose cortico- steroids to save one additional life was nine. Treatment with low-dose cortico- steroids was also more likely to reverse shock (dependence ... reduces 108 Chapter 6 Receptor Action Where ␣-receptors Vasoconstriction Peripheral, renal, coronary ␤1-receptors ↑ Contractility Heart ↑ Heart rate ↑ Cardiac output ␤2-receptors Vasodilat...

Ngày tải lên: 10/08/2014, 18:21

... 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 ... 110 /70 mmHg, 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 f...

Ngày tải lên: 10/08/2014, 18:21

... undergoing non-cardiac surgery. British Journal of Anaesthesia 2002; 89(5): 74 7 75 9. 9. Grish M, Trayner E, Dammann O et al. Symptom-limited stair climbing as a predictor of post-operative cardiopulmonary ... adherence to national guidelines. Thorax 19 97; 52: 70 9 71 3. 4. Sutaria N, Northridge D and Denvir M. A survey of current practice of transoeso- phageal echocardiography in the U...

Ngày tải lên: 10/08/2014, 18:21