and ICU length of stay. However‚ an unexpected side effect of the dexmedetomidine infusion was an increase in ICU delirium. Also‚ about 25% of patients had to stop the dexmedetomidine infusion due to intolerance as evidenced by bradycardia or hypotension. The authors of the study were well-qualified and included pharmacists‚ anesthesiologists‚ an emergency doctor of medicine‚ and an intensivist. All research was current and peer-reviewed. This article was found during a search of
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Morphine is usually used in a medical/hospital setting and can be taking by mouth or injected into the body via needle‚ drip or pick line. There are many diseases that can be impacted by the use of morphine like Liver Disease‚ hypothyroidism and hypotension. Morphine is not sold over the counter and is prescribed by a doctor as a need-based medication‚ like many other pain medications. Ketamine is a type of anesthesia that is used before surgeries are performed. It works so that the brain inhibits
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Post-Partum Clinical Journal Patient (RM) was a 26 year old primigravid admitted on 10/27/13. She had type O+ blood‚ non-immune to Rubella‚ negative for group beta strep‚ previous appendectomy‚ and right rotator cuff surgery. She had spontaneous rupture of membranes and was admitted with a blood pressure ranging in the 180’s for systolic and 100’s-110’s for diastolic. She also had increased amounts of protein in her urine which is a warning sign for renal damage. She was placed on magnesium sulfate
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Developed by: Peninsula Health Format: Assessment tool and Instructions for use Availability: Download FRAT Download Instructions for use The Falls Risk Assessment Tool (FRAT) was developed by the Peninsula Health Falls Prevention Service for a DH funded project in 1999‚ and is part of the FRAT Pack. A study evaluating the reliability and validity of the FRAT has been published (Stapleton C‚ Hough P‚ Bull K‚ Hill K‚ Greenwood K‚ Oldmeadow L (2009). A 4-item falls-risk screening tool
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other three. Signs and symptoms of a crises are different for every sufferer and can vary hugely depending on the person‚ however‚ the most common symptoms a person may experience in an accident and emergency setting are chronic pain‚ tachycardia‚ hypotension‚ hypoxia and apraxia (Huether and McCance‚
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DRUG NAME |DOSAGE |CLASSIFICATION |Mechanism of action |INDICATION |CONTRAINDICATION |Nursing Implication | |Brand name : Hemostan Fibrinon‚ Cyklokapron‚ Lysteda‚ Transamin Generic name: Tranexamic acid |500 mg. /tab ID 8x a times a day. | Anti-fibrinolytic‚ antihemorrhagic | Tranexamic acid is a synthetic derivative of the amino acid lysine. It exerts its antifibrinolytic effect through the reversible
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Dengue Hemorrhagic Fever Those cases with gross hemorrhages. A severe illness characterized by abnormal vascular permeability‚ hypovolemia and abnormal blood clotting mechanism Causative Agent * 4 serotype of the dengue virus (1‚2‚3 and 4 Group B Arbovirus) * the 4 viruses are antigenically close to each other however‚ they only give partial cross protection after being infected by any of them Aedes Aegypti Bite of the Female Aedes Aegypti (day biting‚ low flying‚ breeds in stagnant water
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TYPE E(Ending of use)reactions. TYPE A (Augmented dose dependant) Adverse effects related to the main pharmacological action of the drug. These are predictable and action is well understood; eg. bleeding with anticoagulants Orthostatic hypotension with alpha1adrenoceptor antagonists Sedation with anxiolytics. Type B(Bizarre‚ dose independent)‚ Adverse effect is unrelated to the principal pharmacological action of the drug. May be predictable when a drug is taken in excessive
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4 Cardiovascular disorders CASE STUDY 19 Annie’s heartache Learning outcomes On completion of this case study‚ you will be able to: • describe the physiological characteristics of the coronary circulation; • outline the autonomic control of the heart and the mechanisms which control coronary blood flow; • review the causes of and possible treatments for angina; • describe the mechanisms of action of the following anti-anginal drugs: nitrates‚ beta-adrenoceptor antagonists and calcium
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Case History John Baker a nine-year-old male‚ was admitted to the emergency room with the chief complaints of wheezing during respiration‚ swelling and erythema of the right arm distal (below/farthest away from) to the humerus‚ and slight vertigo (dizzy/ room spinning). The patient is responsive; however‚ he seems confused. The patient was playing outside‚ when a wasp stung him on the anterior region (front/top region) of the forearm. The patient’s mother watched the incident unfold‚ and promptly
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