Acute Respiratory Distress Syndrome

Dec 30, 2018 by in CRITICAL CARE Comments Off on Acute Respiratory Distress Syndrome

INTRODUCTION Print Section Listen Acute respiratory distress syndrome (ARDS) is a diffuse inflammatory reaction of the lung to an insult and is characterized by increased pulmonary capillary permeability, lung edema,…

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Sepsis

Dec 30, 2018 by in CRITICAL CARE Comments Off on Sepsis

INTRODUCTION Print Section Listen Sepsis is an important diagnosis in the critical care unit. This chapter will discuss its definition, pathogenesis, early goal directed therapy, and types of infection. DEFINITION…

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Analgesia, Sedation, Delirium, and Coma

Dec 30, 2018 by in CRITICAL CARE Comments Off on Analgesia, Sedation, Delirium, and Coma

INTRODUCTION Print Section Listen Pain, agitation, delirium, and coma are not uncommon in the intensive care unit (ICU). They are secondary to the patient’s underlying disease or to the multiple…

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Stroke

Dec 30, 2018 by in CRITICAL CARE Comments Off on Stroke

INTRODUCTION Print Section Listen Stroke is defined as a neurologic deficit caused by a focal injury to the central nervous system secondary to vascular disease, and includes ischemic stroke, intracerebral…

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Cardiac Arrhythmias and Hypertensive Emergencies

Dec 30, 2018 by in CRITICAL CARE Comments Off on Cardiac Arrhythmias and Hypertensive Emergencies

INTRODUCTION Print Section Listen Cardiac arrhythmias and hypertensive emergencies are not uncommon in the intensive care unit. This chapter will discuss basic cardiac electrophysiology, cardiac conduction, electrocardiography (ECG) interpretation, tachyarrhythmias,…

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Acute Coronary Syndromes

Dec 30, 2018 by in CRITICAL CARE Comments Off on Acute Coronary Syndromes

INTRODUCTION Print Section Listen An acute coronary syndrome (ACS) encompasses a clinical spectrum of myocardial ischemia ranging from unstable angina (UA) and non–ST-segment elevation myocardial infarction (NSTEMI) to ST-segment elevation…

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Electrolyte Disorders

Dec 30, 2018 by in CRITICAL CARE Comments Off on Electrolyte Disorders

INTRODUCTION Print Section Listen Critically ill patients have disturbances in multiple organ systems and hence are at risk for serious imbalances in electrolyte and water handling. Electrolyte disorders are extremely…

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Acid–Base Disorders

Dec 30, 2018 by in CRITICAL CARE Comments Off on Acid–Base Disorders

INTRODUCTION Print Section Listen The human body needs to regulate free hydrogen ions (H+) within a narrow window in order to maintain proper protein structure and function. In the process…

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Hemodynamic Monitoring

Dec 30, 2018 by in CRITICAL CARE Comments Off on Hemodynamic Monitoring

INTRODUCTION Print Section Listen Patients are usually transferred to the intensive care unit (ICU) due to their hemodynamic instability. Interpretation of hemodynamic monitoring is crucial to delivery of prompt and…

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Hypoxemic Respiratory Failure

Dec 30, 2018 by in CRITICAL CARE Comments Off on Hypoxemic Respiratory Failure

INTRODUCTION Print Section Listen Hypoxia occurs when tissues do not receive adequate oxygen to meet their metabolic demands. It is nonspecific and can mean reduced arterial partial pressure of oxygen…

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