Medical management of the hospitalized alcoholic patient
Medical management of the hospitalized alcoholic patient
... Treatment of Alcohol Withdrawal Syndrome CPRC The Problem Patients may not tell physician about alcohol use if they are not asked about it Patients usually will state they use much less alcohol than they ... sedation (large, frequent doses of benzodiazepines) cannot stop DTs once they have begun CPRC Medical Complications in Patients with Alcoholism Increased risk of all types of infections due to: decreased ... manifestation of alcohol withdrawal Affects < 5% of patients Mortality 15%, due to: myocardial infarction respiratory arrest sepsis As age increases, risk of DTs increases Rare in patients < 30 years of...
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Báo cáo y học: "Management of the critically poisoned patient" potx
... specificity [43] Physicians need to be fully aware of the scope of drugs being detected and the sensitivity and specificity for the tests they are ordering Many authors have shown that the test ... In the patient whose history is generally unreliable or in the unresponsive patient where no history is available, the clinician may gain further clues as to the etiology of a poisoning by responsible ... osmolarity (OsmC) may be obtained by any of a number of equations, involving the patient's glucose, sodium, and urea which contribute to almost all of the normally measured osmolality [20,21] The...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one of the most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... in the Elderly 2012:4 Elderly patient with multiple sclerosis as CVA and CAD Many symptoms of diabetes can overlap or mimic symptoms of MS For example, the neuropathy of diabetes consists of ... difficulties with abstract reasoning, word finding, and Healthy Aging & Clinical Care in the Elderly 2012:4 Elderly patient with multiple sclerosis certain visuospatial functions, and slowness in the...
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Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... immediate therapeutic concern is the tachycardia, the nature of the cardiac rhythm, and the possibility of myocardial ischemia Dr A As we stand at the bedside, reviewing the admission laboratory findings ... time delay in antibiotics If there is any delay in the work up, including a delay in obtaining a chest radiograph, then empiric treatment for CAP with ceftriaxone and azithromycin should be initiated ... drotrecogin alpha (activated) works by reversing the underlying pathophysiology in sepsis, and if you can improve this patient rapidly in the first 24 hours with standard therapies, then he is likely...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... included the vast majority of the patients (80% of the cohort) Second, RCRI assess specifically the cardiac risk of the patient, not the mortality related to the surgical procedure Accordingly, mortality ... 6% to 7% in the patients with RCRI scores of and more A high- risk surgical procedure was performed in a minority of the patients, and the effects of beta- blockade were neutral in these patients ... contraindication for beta- blockade, and the outcome of these patients receiving beta- blockade was compared to the other patients, using a propensity score to match patients for confounding factors In that...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... on the diagnosis, evaluation, and management of the hypertensive disorders of pregnancy The resulting guidelines, published in the CMAJ in 19974–6 and endorsed by the Society of Obstetricians and ... MARS 2008 l S1 Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy Table Key to evidence statements and grading of recommendations, using the ranking of the Canadian ... (Table 2) and gestational age; the adverse conditions in the classification MARCH JOGC MARS 2008 l S31 Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy of the HDP...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... OVERVIEW NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT The Issue The Mars Science Laboratory (MSL), part of the Science Mission Directorate’s Mars Exploration Program (Mars Program), is the ... 2014 In light of the importance of the MSL Project to NASA’s Mars Program, the Office of Inspector General conducted an audit to examine whether the Agency has effectively managed the Project to ... Opportunity); the number and interdependence of its 10 science instruments; and a new type of power generating system Figure Artist’s Concept of the Mars Science Laboratory Rover on the Surface of Mars...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... use of RN for the management of localized renal masses These factors include: a) oncological outcomes are the same whether RN or PN is performed for renal cortical tumors of less than cm125, 12 6 ... AUA and then forwarded to the AUA Board of Directors for final approval Summary of the Treatment Options for the Clinical Stage Renal Mass Active Surveillance Surveillance of localized renal tumors ... 13 of 24 studies; total of 2067 procedures) 18 11 12 0 1 12 62 (3.0%) OPN (conversions occurred in of 11 studies; total of 2 216 procedures) 0 0 0 0 (0.045%) LRN (conversions occurred in of 14 ...
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báo cáo hóa học:" The reliability, validity, and preliminary responsiveness of the Eye Allergy Patient Impact Questionnaire (EAPIQ)" docx
... friendly and concise Further validation of the EAPIQ was conducted using the revised questionnaire at two allergy clinics in the US and Canada (146 patients) Of the 49 original items in the questionnaire, ... of the items in the Daily Life Impact, Psychosocial Impact and Symptoms scales d Sample size of 119 patients who completed more than half of the items in the Daily Life Impact, Psychosocial Impact ... Clinical validity The patients' clinicians were asked to rate each patient as having either no eye allergy symptoms, mild eye allergy symptoms, moderate eye allergy symptoms or severe eye allergy symptoms...
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Báo cáo y học: "Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist" pptx
... coronary artery bypass grafting [48,49] In a similar way, Yamamoto et al by using classical ECHO after coronary artery bypass grafting, showed that DD was characterized by a decrease in E wave ... DD through an increase upon wall thickness (secondary to enlargement of cardiac myocytes), and changes in the vasculature, the diameter, and vascular stiffness of the aorta and large arteries [83] ... multivariate analysis by Bernard et al [13], left ventricular diastolic dysfunction was a better predictor of hemodynamic instability after cardiac surgery compared to systolic dysfunction Treatment...
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báo cáo khoa học: "Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report" pps
... this article as: Jost et al.: Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report Journal of Medical Case ... a joint statement from the American Academy of Neurology, the American Association of Neurological Surgeons, the American Society of Interventional and Therapeutic Neuroradiology, the American ... became apparent Instead of being inserted in a coaxial way, the distal end of the lower and the proximal end of the upper stent were found side by side B) Both stents and the proximal internal carotid...
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