Anaphylaxis

Feb 17, 2017 by in CRITICAL CARE Comments Off on Anaphylaxis

Foods: nuts, shellfish, eggs, cow’s milk, soy, wheat Antibiotics: penicillin, cephalosporins, sulfonamides, nitrofurantoin, tetracycline Other therapeutics: methylparaben, rabies vaccine, egg-based vaccines Insect stings Latex Heterologous and human sera Local anesthetics…

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Tachyarrhythmias

Feb 17, 2017 by in CRITICAL CARE Comments Off on Tachyarrhythmias

0.12 seconds. A wide complex rhythm suggests an aberrancy in the normal conduction system and is usually the result of one of the following: A preexisting or rate-related abnormality within…

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Adrenal crisis

Feb 17, 2017 by in CRITICAL CARE Comments Off on Adrenal crisis

Chronic steroid use HIV/AIDS Tuberculosis Autoimmune adrenalitis Congenital (congenital adrenal hyperplasia, adrenoleukodystrophy) Infiltrative (sarcoidosis, hemochromatosis, amyloidosis) Cancer Surgery/irradiation Hepatic failure Pancreatitis Table 61.2. Etiologies of acute adrenal insufficiency Drugs (steroids,…

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Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Feb 17, 2017 by in CRITICAL CARE Comments Off on Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Sepsis Urinary tract infection Pneumonia Myocardial infarction Stroke Gastrointestinal bleeding Medication noncompliance Newly diagnosed diabetes Presentation Classic presentation Classic symptoms of hyperglycemia including polyuria, polydipsia, polyphagia, dizziness, and weakness. Abdominal…

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Pulmonary embolism

Feb 17, 2017 by in CRITICAL CARE Comments Off on Pulmonary embolism

Age >40 yearsHistory of venous thromboembolismProlonged immobilization, including long air or ground travelCancerTrauma or major surgeryObesityPregnancyHormonal contraceptives or hormonal replacement therapyAcute illness or inflammatory diseases (such as inflammatory bowel disease)Genetic…

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Pneumonia

Feb 17, 2017 by in CRITICAL CARE Comments Off on Pneumonia

Chest radiographic finding Suggested organism Lobar consolidation S. pneumoniae, Klebsiella pneumoniae Patchy infiltrates Atypical and fungal organisms Interstitial pattern Mycoplasma or viral organisms Miliary pattern Tuberculosis or fungal organisms Apical…

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Abdominal aortic aneurysms

Feb 17, 2017 by in CRITICAL CARE Comments Off on Abdominal aortic aneurysms

AAA diameter (cm) 5-year risk of rupture (%/year) <4.0 cm 0% 4.0–4.9 cm 0.5–5% 5.0–5.9 cm 3–15% 6.0–6.9 cm 10–20% 7.0–7.9 cm 20–40% 8.0 cm 30–50% Table 36.2. Risk factors…

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Monitoring

Feb 17, 2017 by in CRITICAL CARE Comments Off on Monitoring

3-Lead or 5-lead ECG system Heart rate Blood pressure Mean arterial pressure Respiratory rate Oxygen saturation Temperature Three electrodes (white, black, and red) are used in 3-lead ECG systems, allowing…

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Neutropenic fever

Feb 17, 2017 by in CRITICAL CARE Comments Off on Neutropenic fever

Chemotherapy Radiation therapy to the bone marrow Genetic mutations Transient infections Autoimmune Drug induced Nutritional deficiency Marrow infiltration and destruction Reticuloendothelial sequestration Presentation Classic presentation Without adequate neutrophils, patients can…

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Disseminated intravascular coagulation and thrombotic thrombocytopenic purpura/hemolytic uremic syndrome

Feb 17, 2017 by in CRITICAL CARE Comments Off on Disseminated intravascular coagulation and thrombotic thrombocytopenic purpura/hemolytic uremic syndrome

Disseminated intravascular coagulation Thrombotic thrombocytopenic purpura/hemolytic uremic syndrome Meningococcemia, pneumococcemia, staphylococcemia, gonococcemia Rocky Mountain spotted fever Immune thrombocytopenic purpura Henoch–Schönlein purpura Hemorrhagic drug reaction Stevens–Johnson syndrome/toxic epidermal necrolysis Viral hemorrhagic…

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