– See: Metabolic Acidosis – Discussion: – develops during shock when there is inadequate cellular perfusion & cellular hypoxia; – caused by accumulation of lactate and hydrogen ions (protons), but extent of acidosis, as defined by pH, and the concentration of lactate required for diagnosis of lactic acidosis is controversial; … Read more
* PCWP: Pulmonary Capillary Wedge Pressure; Normal = 6 – 12 mm Hg; * CVP * jugular wave pattern * Cardiac Output * Shunt * A-a gradient * Compliance * Sampling of Mixed Venous O2: – Shows changes in Arterial oxygenation as Cardiac Output changes; – Allows calculation of AVo diff and Shunt[Shunt: … Read more
GMO Manual Merck Manual
– Cellulitis GMO Manual Iowa Family Practice Handbook Merck Manual – Cutaneous Abscess GMO Manual Iowa Family Practice Handbook Merck Manual – Dermatitis GMO Manual Iowa Family Practice Handbook Merck Manual – Dermatophytosis Iowa Family Practice Handbook Merck Manual
Medical Intelligence: Current Concepts: Geriatrics: Delirium In The Elderly Patient. Postoperative confusion after anesthesia in elderly patients with femoral neck fractures.
– Urine and Blood glucose q6hr (simulataneous) for 24 hr; – then Blood and Urine Glucose q afternoon; – TPN qd – Stict I & O (See CHF) – Body Wt.
– (associatted with malignant V tach/ Torsades) QT : Nl QT=.39*[Sqr rt:RR; QTc = QTmeas/[Sqr rt:RR; nl<.45; – Class I – quinidine – Procainamide – Tricyclics – Phenthiazines – Disopyramide – Amiodarone – Hypokalemia, – Hypocalcemia; – ? Digoxin Causes of QT Shortening: – ? Digoxin – Hyper Ca
– See QT widening – Sinus Tach: HR >100 BPM and < 150 BPM; – PSVT – V. Tach; – PAT – Junctional Tachycardia – V. Tach – Hypovolemia – hypotension – Anaphylaxis – Sepsis: – Hyperthyroidism – Hypoxia – Acute MI/Angina/Chest Pain – ? Atrial Fibrillation/flutter
– Discussion: – cast syndrome results from obstruction of third portion of the duodenum by superior mesenteric artery leading to high intestinal obstruction; – in the past, it occurred most often following Harrington rod instrumentation for scoliosis which was followed by application of a body cast; – Clinical Findings: – typical presentation: is abdominal pain, distension … Read more
– See: – pRBCs – Fresh Frozen Plasma – Platlets – Cryoprecipitate – Transfusion Therapy – Coag Pathway