Saturday, July 7, 2018

HYPERCALCEMIA in critically ill patients



HYPERCALCEMIA.




Hypercalcemia is rare in critically ill patients, estimated to be present

in between 1% and 15% of ICU patients. Defined as an increase in
serum calcium above 10.4 mg/dL (2.60 mmol/L), hypercalcemia
usually is caused by excessive bone resorption. 

Sunday, April 22, 2018

Indications for Diagnostic Right-Sided Heart Catheterization




(www.hopkinsmedicine.org)


  • Significant valvular pathology
  • Suspected intracardiac shunting 
  • Acute infarct—differentiation of free wall versus septal rupture 
  • Evaluation of right- and/or left-sided heart failure
  • Evaluation of pulmonary hypertension 
  • Severe pulmonary disease 
  • Evaluation of pericardial disease 
  • Constrictive pericarditis 
  • Restrictive cardiomyopathy 
  • Pericardial effusion 
  • Pretransplantation assessment of pulmonary vascular resistance and response to vasodilators

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Tuesday, October 31, 2017

Perioperative anaphilaxis.



    Anaphylaxis is a severe, potentially life-threatening systemic hypersensitivity reaction. The estimated incidence of perioperative anaphylaxis is 1 in 10,000–20,000 anesthetic procedures.


Monday, October 30, 2017

Treatment of Pain in Children. Pain Scales.

    

    Nonsteroidal anti-inflammatory agents (NSAIDs) are widely used for treatment of mild to moderate pain in children. These agents are particularly useful for supplementation of analgesia with regional/local anesthesia techniques. 

Agents used commonly in children are:

Wednesday, September 6, 2017

What is new in 2017 STEMI Guideline?





    What is new in 2017 STEMI Guidelines. BMS = bare metal stent; DES = drug eluting stent; IRA = infarct related artery; i.v. = intravenous; LDL = low-density lipoprotein; PCI = percutaneous coronary intervention; SaO2 = arterial oxygen saturation; STEMI = ST-elevation myocardial infarction; TNK-tPA = Tenecteplase tissue plasminogen activator.


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