medical management of the cardiac transplant patient
Medical Care of the Liver Transplant Patient pps
... Medical Care of the Liver Transplant Patient, 3E Medical Care of the Liver Transplant Patient, 3E Edited by Paul G Killenberg, MD Professor of Medicine Division of Gastroenterology ... Nonetheless, in the absence of more definitive guidelines about selection and timing of trans- ! ! MEDICAL CARE OF THE Table 1.1 LIVER TRANSPLANT PATIENT Steps in Referral of Patients for Transplantation ... is best for the transplant center to evaluate the risk SELECTION AND EVALUATION OF THE RECIPIENT of surgery in the context of the potential benefit of transplantation It should further be noted...
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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: "Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist" pptx
... pulmonary hypertension The mainstay of management of DD starts with the prompt recognition and diagnosis of this entity and relies on the aggressive management of the underlie aetiology of this insidious ... of cardiac myocytes), and changes in the vasculature, the diameter, and vascular stiffness of the aorta and large arteries [83] Up to 60% of geriatric patients with normal EF, following non -cardiac ... (PCWP) [44,45] Therefore, additional measurement of PCWP by using a Swan-Ganz catheter may be in this phase useful in estimating the time course of diastolic dysfunction and the effect of therapeutic...
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Báo cáo y học: "Management of the critically poisoned patient" potx
... which limits the use for direction of care in the acute setting [15] When used appropriately, diagnostic tests may be of help in the management of the intoxicated patient In the patient whose ... administered in cases of suspected or confirmed ingestion of ethylene glycol or methanol Fomepizole prevents the conversion of these agents to the metabolites associated with the majority of the toxic effects ... [24-27] There are several concerns in regard to utilizing the osmol gap as a screening tool in the evaluation of the potentially toxic-alcohol poisoned patient If a patient' s ingestion of a toxic...
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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 ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling” ... density in patients with MS There are currently no clinical guidelines in the evaluation, prevention and treatment of osteoporosis in MS patients.53 The current recommendations of screening the general...
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Báo cáo y học: " An integrated approach to diagnosis and management of severe haemoptysis in patients admitted to the intensive care unit: a case series from a referral centre" ppsx
... characteristics of the patients managed using one of the three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... of the volume of haemoptysis (median, quartile) on admission according to the cause Distribution of the volume of haemoptysis (median, quartile) on admission according to the cause Plots of the ... when performed, severity of haemoptysis, and pre-ICU and in-ICU management The persistence or recurrence of bleeding, the patients' ICU and hospital lengths of stay and their vital status at discharge...
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Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... because they got blood but rather the timing of how much fluid they received At the end of 72 hours, both groups received the same amount of fluid but it was frontloaded in the early goal-directed therapy ... intake My 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 ... intravascularly replete How is that point defined in the patient with organ failure? It depends, in part, on the age of the patient and cardiac function If the patient is young or left ventricular function...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... 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 was 6% to 7% in the patients ... assess the adequacy of DO2 Pearse et al [9] also measured ScvO2 in most of the patients investigated in their study assessing the efficacy of GDT [8] They reported that ScvO2 fluctuated over the ... On the contrary, evidence that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority of the patients...
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Báo cáo y học: "The appropriateness of single page of activation of the cardiac catheterization laboratory by emergency physician for patients with suspected ST-segment elevation myocardial infarction: a cohort study" doc
... alerted by text messages on their mobile phones Text messages included the name, sex, and age of the patient and the admission time (i.e., the door time) The main goals of the STEMI alert system were ... in which the emergency physician did not alert the CCL The baseline demographic characteristics of the patients are shown in Table The cardiologists’ review determined that 105 of 117 patients ... of these 12 patients underwent emergency coronary angiography Of these, patients had a clear culprit coronary artery and patients had significant coronary artery disease The appropriateness of...
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Tài liệu PHÒNG NGỪA VÀ XỬ TRÍ ĐỘT TỬ DO TIM(Prevention and Management of Sudden Cardiac doc
... (prodromes) - Khởi phát (onset) - Ngưng tim (cardiac arrest) - Chết sinh học (biological death) TL : Myerburg RJ, Castellanos A Cardiac Arrest and Sudden Cardiac Death In Braunwald’s Heart Disease ... A Cardiac Arrest and Sudden Cardiac Death In Braunwald’s Heart Disease ; ed by Libby, Borrow, Mann, Zipes Saunders 2008, 8th ed P 933-974 PHỊNG NGỪA VÀ XỬ TRÍ ĐỘT TỬ DO TIM Nguy đột tử tim theo ... A Cardiac Arrest and Sudden Cardiac Death In Braunwald’s Heart Disease ; ed by Libby, Borrow, Mann, Zipes Saunders 2008, 8th ed P 933-974 PHỊNG NGỪA VÀ XỬ TRÍ ĐỘT TỬ DO TIM Nguy đột tử tim theo...
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Tài liệu Nursing Care of the Pediatric Neurosurgery Patient pdf
... Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) Eye squeeze None Min Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) ... system of the brainstem, just above the midbrain The assessment of consciousness is closely tied to the assessment of eye findings because of the anatomic proximity of the midbrain to the nuclei of ... impact the assessment will be the age of the child, the family dynamics, the nature of the child’s illness, the setting in which the assessment takes place, and input from other member of the multidisciplinary...
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Type 1 Diabetes Clinical Management of the Athlete potx
... and racing In the early days of my diabetes, it was the consistency that had gone The main issue was not actually the controlling of the diabetes; it had more to with the refueling of my body To ... strongly supported by the growth in the clinical research knowledge base of the effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia ... modulated as the duration of the exercise increases and as the intensity of the activity changes Since one of the main fuels for exercise is carbohydrate, glucose utilization by the working muscle...
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HEALTH STATUS AND MEDICAL TREATMENT OF THE FUTURE ELDERLY: IMPLICATIONS FOR MEDICARE PROGRAM EXPENDITURES potx
... receiver, of the energy that emerges from the tissue (in the case of x-ray, CT, or ultrasound) or the change in the state of the tissue as a result of application of some energy (in the case of MRI) ... prevention of disease was the subject of breakthroughs in all three of the medically focused panels These breakthroughs include the prevention of cardiovascular disease, the prevention of a variety of ... guidance on the likely future of advances in the medical treatment of specific illnesses and the early detection and prevention of diseases Most of these panels consist of physicians or biomedical...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... of BP BP should be measured with the woman in the sitting position with the arm at the level of the heart (II-2A) An appropriately sized cuff (i.e., length of 1.5 times the circumference of the ... as the objective of statin therapy is to decrease long-term cardiovascular risk, the potential risks of statin therapy (over the nine months of pregnancy) may outweigh the potential benefits of ... Of note, the protocol for women in the MgSO4 arm of the largest of these trials, the Collaborative Eclampsia Trial, did not include administration of benzodiazepines for seizure termination The...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... checks the overall health of the spacecraft Central control of the entire flight system is under control of the flight software running in the RCE, the same architecture as was used for the Mars ... (Flight Software, continued) Task Description The RCE is the key element of the MSL avionics subsystem, which entirely controls the MSL spacecraft Rover flight software is the software in the main ... 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...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... experience The number of patients who have undergone OPN reported in the literature exceeds the number of patients who have undergone all other forms of treatment combined (excluding ORN) for the treatment ... discuss with the patient the current understanding of the natural history of clinical stage renal masses, the relative risks of benign vs malignant pathology and the potential role of active surveillance ... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee of the AUA and then forwarded to the AUA...
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báo cáo hóa học:" The reliability, validity, and preliminary responsiveness of the Eye Allergy Patient Impact Questionnaire (EAPIQ)" docx
... frequency as the more pertinent index of severity, whereas patients consider intensity of bother to be of greater salience Consequently, instead of deleting either the 'intensity of bother' or 'frequency ... 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, the 43 ... excluded from further analyses because of the high frequency of missing data for these items The high frequency of missing data for these items is likely due to a large number of patients (for example,...
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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
... misdeployment of the two stents 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 ... function on the left side At first the proximal ICA was dissected circumferentially beyond the level of the carotid bifurcation after uneventful clamping The removal of the proximal stent from the common ... improve the cerebral perfusion and should have prompted immediate action The omission of the examination of the posterior circulation vessels, which would have shown the complexity of the cerebral...
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Báo cáo y học: "Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report" docx
... strongyloidiasis in a patient receiving chemotherapy for lymphoma [7], all of which can breach the integrity of the mucosa Our patient had none of these conditions except the history of recent pelvic ... drafted the article pertinent to their filed of expertise UKM supervised patient care, revised the articled critically and provided valuable inputs with regard to the management of the patient ... showing air along the greater curvature of the stomach ures and 2) There was marked dilatation of the small and large bowel Esophagogastroduodenoscopy (EGD) of our patient showed areas of diffuse mucosal...
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Báo cáo y học: "Systematic review: Intra-aortic balloon counterpulsation pump therapy: a critical appraisal of the evidence for patients with acute myocardial infarction" doc
... First, we ask if the assignment of patients was randomized? In the Randomized IABP Trial [10], randomization took place at the end of the initial emergency catheterization, before the patient was ... improved the prognosis of patients with AMI, the inhospital mortality rate of AMI patients with cardiogenic shock remains as high as 55% [8] The main cause for early mortality (within 48 h of onset of ... state their exact method of randomization Although there is no direct evidence in either of these three trials of lack of concealment, a situation where a clinician may know in advance that a patient...
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