nursing care of patients in shock

... output in patients with various types of shock in the ICU [1,14] In agreement with the findings reported by Jannuzzi and coworkers in the present issue of Critical Care [1], previous investigators ... may be useful indicators to avoid PAC in low risk patients in the ICU Several mechanisms account for increased natriuretic peptide levels in shock patients and for the observed lack of association ... Competing interests The authors declare that they have no competing interests 17 Acknowledgements This work was supported by a grant of the Faculty of Clinical Medicine Mannheim, University of Heidelberg,...

Ngày tải lên: 12/08/2014, 23:23

... the combined infusion of morphine and midazolam with 50 ml Page of (page number not for citation purposes) syringes prefilled with 50 mg of midazolam plus 50 mg of morphine in sterile saline or ... amount of sedation and on the course of sedation before and Available online http://ccforum.com/content/10/4/R99 Number of patients receiving sedatives Of all patients, 62.4% needed morphine in the ... Propofol can be used in addition, when high dosages of morphine and midazolam are needed, or solely, when frequent neurological evaluation is warranted (most often only in patients with brain injury)...

Ngày tải lên: 12/08/2014, 23:24

... the combined infusion of morphine and midazolam with 50 ml Page of (page number not for citation purposes) syringes prefilled with 50 mg of midazolam plus 50 mg of morphine in sterile saline or ... amount of sedation and on the course of sedation before and Available online http://ccforum.com/content/10/4/R99 Number of patients receiving sedatives Of all patients, 62.4% needed morphine in the ... Propofol can be used in addition, when high dosages of morphine and midazolam are needed, or solely, when frequent neurological evaluation is warranted (most often only in patients with brain injury)...

Ngày tải lên: 12/08/2014, 23:24

... Length of Stay Medical Subject Headings Ministry of Health (Singapore) National University of Singapore National University of Singapore Institutional Review Board Principal component Principal ... assistance in mobility, and 6% vs 10.1% were dependent in toileting, 3.7% vs 5.3% in feeding, 8.1% vs 11.2% in grooming or dressing and 3.7% vs 10.7% were incontinent or had occasional incontinence ... assistance in mobility; and 2.0% vs 2.7% were dependent in toileting, 1.1% vs 1.4% in feeding, 2.7% vs 3.2% in grooming; and 1.1% vs 3.7% were incontinent or had occasional incontinence.[20,...

Ngày tải lên: 09/09/2015, 08:15

... through the internet The niche role of IT has increasingly gained acceptance among practising healthcare professionals since the beginning of the 21st century, defining a concept known as “e-Health” ... aspects of healthcare, implementation of these systems have been slow in clinical practice Healthcare professionals need tools that can combine various sources of clinical information into one ... retrieving erroneous information on the internet, which can cause a sense of uncertainty and confusion in the patient, resulting in delaying his treatment or turning to other inappropriate forms of...

Ngày tải lên: 10/09/2015, 15:50

... DEScover Investigators Outcomes of 6906 patients undergoing percutaneous coronary intervention in the era of drug-eluting stents: report of the DEScover Registry Circulation 2006;114:2154-2162 Windecker ... lipoprotein; LDL, low-density lipoprotein; MI, myocardial infarction; SAP, stable angina pectoris; USAP, unstable angina pectoris aIndicates patients who received sirolimus-eluting stents Numbers in ... myocardial infarction, and target vessel revascularization a Indicates patients who received sirolimus-eluting stents Percentages in this column are based on a cohort of 103 patients b c Indicates patients...

Ngày tải lên: 26/10/2012, 08:57

... Physiologic imaging techniques - nuclear medicine imaging SPECT Nuclear medicine study utilizing injection of isotopes and imaging of brain to determine if there is increased activity in an area of abnormality; ... frowning Turning down of mouth, not smiling Lips puckering up, tight, pouting, or quivering Clenching or grinding teeth, chewing or thrusting tongue out 3 3 Facial 10 2 2 0 0 III 1 1 VII Eating/Sleeping ... surgical release of the fluid, puncturing the ventricles to drain the fluid, injection of iodine or potassium hydriodate into the ventricles, binding of the head, application of a plaster of herbs to...

Ngày tải lên: 16/02/2014, 22:20

... staff of the Community Hospitals in Herdecke and Berlin, staff of an ambulant out-patient care unit in Essen, attendants of a meeting on "Spirituality and Medicine" in Berlin, a Caritas congress in ... practice religion; finding meaning" Thus, it is obvious that spiritual well-being is inextricably intertwined with the physical, social and emotional needs of patients Within the last years scientific ... meaning of disease Reflecting on meaning and sense of life and positive interpretation of disease obviously can have an impact on how patients change their further life, and thus on distinct...

Ngày tải lên: 20/06/2014, 15:20

... regarding QoL Patients between and years of treatment and patients with over years of treatment showed, increasingly, a more positive perception of the treatment Regarding the existence of a bleeding ... through the obtained scores via the application of the QoL SF36 and DASS instruments, besides evaluating the influence of clinical and demographic factors in the perception of quality of life This ... capable of answering the questionnaire The DASS analysis showed a mean QoL score of 67.1 (± 18.2) The mean score of different domains composing the instrument is described in Table Among the domains...

Ngày tải lên: 20/06/2014, 15:20

... operating on the plateau of the Frank–Starling curve (➌ and ➍) Decreasing preload induces an increase in PPV (from ➋ to ➊), also increasing contractility (from ➍ to ➋) keep in mind that most patients ... variation (PPV) is a marker of the position on the Frank–Starling curve, not an indicator of blood volume or a marker of cardiac preload Increasing preload induces a decrease in PPV (from ➋ to ➌) PPV ... intraoperative goal of ‘maximizing stroke volume by volume loading’ can therefore be achieved simply by minimizing PPV A large multicenter trial is currently ongoing to investigate whether minimizing PPV...

Ngày tải lên: 13/08/2014, 03:21

... occasions In 92% of the cases, patients were receiving continuous infusions; in 4% of the cases, patients were receiving boluses; in the remaining 4% of the cases, patients were not receiving sedation ... analysis The study was not terminated because of the finding of increased hospital mortality in patients treated by DIS Results Censoring Thirty-six patients were censored Patients randomly assigned ... medications discontinued in the ABC trial, thereby resulting in a blunted stress response during sedation interruption and minimizing the symptoms of withdrawal during sedation interruption [32]...

Ngày tải lên: 25/10/2012, 10:35

... monitoring to be avoided in some patients with heart failure inotropic agents (including norepinephrine [noradrenaline], phenylephrine, vasopressin, dopamine, dobutamine, or milrinone); and intention ... role of biomarkers in the evaluation of patients in the ICU setting remains largely unexplored Because hemodynamic monitoring is a frequent theme in the evaluation of patients in the ICU setting, ... Results The baseline characteristics of the study group are shown in Table Approximately half of the patients had shock of cardiac origin, whereas the remaining patients had shock of different etiologies...

Ngày tải lên: 12/08/2014, 23:21

... studies of this thesis were living in institutional care settings In studies II and III residents were living in nursing homes, whereas in studies I and V in dementia wards, and in study IV in long-term ... collected from a nursing home in which a total of 150 residents were residing Of these, 62 residents were in long-term care In the wards specialised for dementia care of this nursing home, 21 residents’ ... homes situated in various parts of Finland (Table 5) Table Description of the studied elderly residents in nursing homes, dementia wards and patients in long term care hospitals Nursing homes and...

Ngày tải lên: 13/02/2014, 18:20

... than staining in 69% of total aspirates, including cases that were found negative with gram staining Cultures are more specific in diagnosing early stage tuberculosis (21) Mortality among patients ... our intensive care unit in a period over six years and to examine the characteristics, presentation, underlying risk factors, outcome of patients and to highlight the possible causes of delaying ... reported in 51% of patients at the time of admission Other symptoms included cough (14%), dyspnea (8%), night sweats (6%) and fatigue in 21% of cases Other less common symptoms, including hemoptysis,...

Ngày tải lên: 15/02/2014, 12:20

... symptoms, clinical examination findings, histopathological examination reports, definitive diagnosis with FIGO staging of gynecological malignancies and finally in- depth interview questions regarding ... cervical of the 20.3 Most of the patients (105 patients or 92.9%) with malignancy were of parity or higher with mean of 4.1 gynecological malignancies were Hindus Only patients7 5.0The proportion of patients ... making the management of the disease easier Median value of PCI of family of the patients was Rs 400 and mean value was Rs 543 with a range of Rs 100 - 2500 The mean PCI of family of the patients...

Ngày tải lên: 22/03/2014, 11:20

... low frequency One of the most interesting findings in this study is the wide variability in distribution of sexual risk in the population The number of individuals engaging in risk behaviors, ... more patients, the total transmission events involving MDR strains may increase Patients in care with and without resistant strains are only portion of those who transmit HIV; however, those in care ... behavior among patients with HIV infection and provide insight into the growing rate of drug resistance in incident HIV infections in areas where ARVs has been available for several decades In our previous...

Ngày tải lên: 20/06/2014, 08:20

... over 80% of the study patients (Table 3) In general, diabetic patients reported lower QOL outcomes than the non-diabetic patients for all SF-36 domains at baseline, as well as after year of follow-up ... improvements in their DASI scores, diabetic patients reported poorer functioning than nondiabetic patients at year following the AMI (51% versus 71% said that they can anything/almost anything) Page of ... Conclusion Our study findings suggest that a diagnosis of diabetes mellitus is not an independent determinant of QOL after AMI Similar to the non-diabetic patients, the diabetic patients showed correlations...

Ngày tải lên: 20/06/2014, 15:20

... analysis [237] In the US this information has resulted in a rapid increment of Breast Fellowship, recognizing that appropriate training is one of the key factors in improving quality of care Currently, ... interest is the use of SLN biopsy in patients undergoing neoadjuvant chemotherapy, because the number of patients choosing this option is increasing Until recently, feasibility and accuracy of ... while directing planes of surgery during the excision This in turn is helpful in guaranteeing both negative margins and an adequate contour of resection in order to minimize the volume of excision...

Ngày tải lên: 09/08/2014, 03:21

... guidelines defining standards of care, but studies of the quality of care for patients with diabetes suggest less than optimum care in a number of areas [2] Quality and outcomes framework (QOF) ... range of relevant work, including: studies of quality of care in diabetes in primary care [1618]; pragmatic randomised controlled trials of various quality improvement (QI) strategies, including ... review of quality of care studies (including diabetes) from UK primary care concluded that 'in almost all studies the process of care did not reach the standards set out in national guidelines...

Ngày tải lên: 11/08/2014, 05:21

... Diagnosing The elderly care physician and psychologist of each unit perform a diagnostic procedure including the use of chart information, caregiver interview, and examination of the resident (interview, ... research In conclusion, the care program is expected to be effective in reducing the frequency of depression and in increasing the quality of life of residents The study also will provide insight in ... be invested additionally in the care program to gain one percentage point decrease in frequency of depression?’ and ‘How much money has to be invested additionally in the care program to gain...

Ngày tải lên: 11/08/2014, 15:22