Essential Guide to Acute Care - part 8 doc
Essential Guide to Acute Care - part 8 doc
... 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
Ͼ 28 6 and call doctor to 6 and call doctor to 12 and call doctor to
review regimen review ... 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 par...
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 ... 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...
Essential Guide to Acute Care - part 9 doc
... 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-year-ol...
Essential Guide to Acute Care - part 1 pdf
... Critical care medicine. I. Forrest, Kirsty. II. Cramp, Paul.
III. Title.
[DNLM: 1. Critical Care. WX 2 18 C777e 2006]
RC86.7.C656 2006
616.02 8 dc22 2006000965
ISBN-13: 97 8- 1 -4 05 1-3 97 2-4
ISBN-10: 1-4 05 1-3 97 2-2
A ... to acute care / Nicola Cooper, Kirsty Forrest, Paul
Cramp. — 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 97 8- 1...
Essential Guide to Acute Care - part 2 pps
... 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) ... l/min
oxygen via nasal cannulae. Half-an-hour later, when the doctor arrives to
re-assess her, she is unresponsive. What do you think has happened?
8 A 50-year-old man is recov...
Essential Guide to Acute Care - part 3 pot
... 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 –1 08 mmHg), BE –2 to ϩ 2, st bicarbonate 22– 28 mmol/l.
1 A 65-year-old man ... hypoventilation.
Fig. 2 .8 illustrated how respiratory muscle load and respiratory muscle
strength can be affected by disease and an imbalance leads to alveolar hypoven-
tilation. To...
Essential Guide to Acute Care - part 5 potx
... 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...
Essential Guide to Acute Care - part 6 ppt
... norepinephrine reduces
1 08 Chapter 6
Receptor Action Where
␣-receptors Vasoconstriction Peripheral, renal, coronary
1-receptors ↑ Contractility Heart
↑ Heart rate
↑ Cardiac output
2-receptors Vasodilatation ... 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...
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 ... Geriatrics Society
19 98; 46: 1–5.
4. Ball CM and Phillips RS. Acute renal failure. In: Acute Medicine (Evidence-Based
On-Call Series). Churchill Livingstone, London, 2001.
Acute rena...
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