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MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES
MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES

... venules, and thrombosis of these veins was at one time thought to be important. Stress was believed by some to play a role, reflecting ideas of the psychosomatic movement of several decades ago. A search for viruses, as intact infective agents or as DNA fragments, has unsuccessfully continued for ma ...
Gunshots, Stabbings and Other Nefarious Acts
Gunshots, Stabbings and Other Nefarious Acts

... – When Patient #1 arrived, Patient #2 asked her to step into the basement where he shot her multiple times and then turned gun on self – Children’s grandparents had also been called to pick up the kids ...
Healthcare Facility Sheltering, Relocation, and Evacuation (PPT: 6
Healthcare Facility Sheltering, Relocation, and Evacuation (PPT: 6

... Each unit should have a clearly identified pack with vest, ‘room clear’ labels, tracking tags, and other supplies ...
Kidney Stones
Kidney Stones

... Ackley, B.J., & Ladwig, G.B. (2006). Nursing diagnosis handbook. St. Louis: Mosby, INC.. Asselman, M., & Verkoelen, C. (2008). Fructose intake as a risk factor for kidney stone disease. Kidney International, 73(2), 139-140. Retrieved from CINAHL with Full Text database. Brown, S. (1990). Quantitativ ...
Standards of Care “CARES”
Standards of Care “CARES”

... patients have fears and resentments that may manifest themselves as irritability, lack of cooperation and apprehension. Courtesy, kindness, and above all, sincere understanding are important steps in overcoming these problems. Always remember that what is routine for you may be a great emergency in ...
Remifentanil patient controlled analgesia for patients unable to
Remifentanil patient controlled analgesia for patients unable to

... variability. Anaesthetic supervision was mandatory to monitor and treat side effects of treatment. The mechanism of pain during ESWL is poorly understood. Cavitation of blood and cellular fluid may cause tissue disruption with stimulation of nociceptors. Pain perception is dependent on shockwave fac ...
Adrenal Insufficiency (Adrenal gland failure)
Adrenal Insufficiency (Adrenal gland failure)

... form of medical identification) in case they cannot speak because of acute injury or illness (call 1-800-ID ALERT). This will allow medical people at the scene to immediately identify this problem and quickly start the proper emergency treatment (intravenous high dose steroid replacement). Family me ...
Antipsychotic Use in Pregnancy 2013
Antipsychotic Use in Pregnancy 2013

2 - JACC: Heart Failure
2 - JACC: Heart Failure

... correlation with the anti-FXa level; and 2) extrapolating from the results of this study, even reducing the heparin dose to achieve an aPTT target of 45 to 100 s should still result in a therapeutic anti-FXa level in >70% of the patients. Therefore, we are now left with the subgroup of patients admi ...
Measuring the Impact of Patient Portals
Measuring the Impact of Patient Portals

... University of Pittsburgh Medical Center’s (UPMC) HealthTrak, a portal that includes online tracking of patient-entered glucose, blood pressure, and physical activity. The portal was offered to patients from two internal medicine and two family medicine practices in the greater Pittsburgh area. Two t ...
Management of the Heat Stroke patient
Management of the Heat Stroke patient

... The patients airway should be assessed immediately and oxygen supplementation should be initiated using an oxygen mask. Many patients who present with heat stroke develop severe upper airway obstructions due to laryngeal oedema. Oxygen supplementation improves tissue perfusion and decreases the risk ...
Medicines Used to Treat COPD
Medicines Used to Treat COPD

... Common side effects when taking steroid medications Side effects depend on the dose, length of use, and whether taken by pill or inhaled. The most common side effects of inhaled steroids are a sore mouth, hoarse voice, and infections in the throat and mouth. You can avoid or reduce these side effect ...
BONE AND JOINT DISORDERS
BONE AND JOINT DISORDERS

... umeclidinium is selected as a maintenance medication, then the short-acting bronchodilator should be switched from ipratropium/albuterol to albuterol alone. This will avoid excessive anticholinergic side effects from using two anticholinergic drugs concurrently. If a long-acting β-agonist is selecte ...
Dealing with Patients Who Have Compromised Driving Ability
Dealing with Patients Who Have Compromised Driving Ability

... physicians believe they have a duty to notify the State when they identify a potentially unsafe driver, the law does not support their position. In fact, the physician has no legal obligation to report to the DMV that a patient has a medical condition that might reasonably impair his/her ability to ...
Ethinylestradiol for the induction of delayed puberty
Ethinylestradiol for the induction of delayed puberty

... This drug has been accepted for Shared Care according to the enclosed protocol (as agreed by Trust / CCG / GMMMG). I am therefore requesting your agreement to share the care of this patient. The patient has been fully counselled on the medication. Treatment was started on [insert date started] [inse ...
Immunotherapy Administration instructions
Immunotherapy Administration instructions

... 7) 30 minute wait: Each patient is required to wait 30 minutes in a medical facility after receiving allergy infection treatment so that he or she can be checked for local and systemic reactions. ...
Expanded Role Training for Support Staff
Expanded Role Training for Support Staff

... Hampshire Hospitals NHS Foundation Trust, August 2012 ...
160-65-27 Eloctate Antihemophilic Factor Recombinant BDD FC
160-65-27 Eloctate Antihemophilic Factor Recombinant BDD FC

... o Up to 200 international units greater than the prescribed dose; or o No more than 100 international units less than the prescribed dose without receiving a new medication order.  Patients accustomed to self-administering factor VIII may continue to do so on the written order of a hematologist or ...
A Shared Decision-Making Approach to Telemedicine: Engaging
A Shared Decision-Making Approach to Telemedicine: Engaging

... with background education on the importance of HbA1c prior to the first meeting, then were engaged in the process of establishing goals within the shared decision-making framework. Simple educational aids were shown to be useful in preparing patients for a potentially new experience with SDM, and th ...
Patient Care Protocol Template
Patient Care Protocol Template

... with ocular trauma, bandages, preexisting blindness, or other disorder of visual acuity or fields should be tested with reflexive movements, and a choice made by the investigator. Establishing eye contact and then moving about the patient from side to side will occasionally clarify the presence of a ...
Using telephone advice for patients with long
Using telephone advice for patients with long

... guidance is needed and can be used for consultations and reviews of treatment and medication. This guide provides an initial framework for providing telephone advice services for individuals with LTCs, their families and carers. Health care practitioners should seek further information from speciali ...
Bed alarm with Lynn
Bed alarm with Lynn

... capable of capturing, and correlating, unit activity prior to Once identified as a person at-risk for falling, a bed any fall incidence in an inpatient setting. While the data alarm may be placed. These devices notify the healthcare R for this study were collected retrospectively, the Aperum provid ...
The Treatment of Notalgia Paresthetica With Traditional
The Treatment of Notalgia Paresthetica With Traditional

... musculoskeletal dysfunction affecting the spinal nerves, increased dermal innervation and hereditary influences may all play a role. The effectiveness of conventional medical treatments varies, with some patients not experiencing any improvement in their symptoms. This case summarises the effect of ...
EspanClex - pn.b5z.net
EspanClex - pn.b5z.net

... RATIONALES: Phobias commonly are viewed as learned responses to anxiety that can be unlearned through certain techniques, such as behavior modification. Systematic desensitization, a form of behavior modification, attempts to reduce anxiety and thereby eradicate the phobia through gradual exposure t ...
The impact of the residency teaching model on the efficiency of the
The impact of the residency teaching model on the efficiency of the

... Because there are no changes in staffing levels in the ED on Wednesday mornings other than the presence or absence of residents, the differences in treatment times for similar patients can be attributed entirely to the presence or absence of residents. Typically, there are two attending physicians on ...
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Adherence (medicine)

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