Download PDF by Thomas T. Yoshikawa, Dean C. Norman: Acute Emergencies and Critical Care of the Geriatric Patient

By Thomas T. Yoshikawa, Dean C. Norman

ISBN-10: 0585377359

ISBN-13: 9780585377353

ISBN-10: 0824703456

ISBN-13: 9780824703455

This incisive reference systematically experiences the prognosis and remedy of universal surgical and clinical emergencies in aged patients-thoroughly interpreting surgical interventions, drug cures and drug prescribing protocols, life-threatening drug reactions, moral matters, and techniques of profiling sufferers for nursing care. Evaluates disorder states and gauges optimum responses to every, assisting techniques with useful case stories. Written via over forty uncommon medical examiners, Acute Emergencies and significant Care of the Geriatric sufferer ·describes perfect patient-physician relationships in severe care settings ·highlights emergency administration of myocardial infarction and cardiogenic pulmonary edema ·illuminates moral questions surrounding confidentiality, knowledgeable consent, surrogate choice making, and sufferer convenience ·assesses unique pharmacokinetic and pharmacodynamic stipulations in geriatric sufferers ·provides very important info on stroke, seizures, and spinal wire compression ·investigates severe issues attributable to pneumonia, meningitis, and endocarditis ·explores acute lung problems corresponding to emphysema, persistent bronchitis, pneumonia, principal worried method disorder, and irregular regulate of air flow ·clarifies preoperative systems for emergency surgical procedure ·reviews anesthesia recommendations for pulmonary, cardiovascular, renal, hepatic, and neurological stipulations within the aged ·and extra! together with over one thousand references, tables, and illustrations, Acute Emergencies and important Care of the Geriatric sufferer is an necessary source for geriatricians, fundamental care physicians, internists, emergency drugs physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in those disciplines, in addition to nurses, pharmacists, and scientific scholars.

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Other laboratory parameters to monitor include serum potassium, magnesium, calcium, and thyroid function. Hypokalemia, hypomagnesemia, and hypercalcemia may contribute to digoxin toxicity with normal digoxin levels. Patients who are hypothyroid require less digoxin because less is excreted. Elderly patients concurrently taking diuretics and other drugs that increase digoxin concentrations, such as verapamil, quinidine, and amiodarone, should be monitored closely. Other adverse effects of digoxin include nausea, vomiting, diarrhea, confusion, weakness, insomnia, and color vision (green and yellow) changes.

B. Nonmonitored Drug Dosing In cases in which therapeutic drug monitoring is not available, other methods for determining a dosage regimen are available.

When a pressure ulcer develops during the hospitalization, it may have originated during the time the patient was in the emergency department, where the sacrum and heels are particularly vulnerable to prolonged pressure from lying on a thinly padded stretcher. Simple interventions might include the use of inexpensive low-pressure mattresses for frail patients at high risk for pressure injury in the emergency department. These mattresses could be transferred with the patient to the bed in the hospital when the patient is admitted.

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Acute Emergencies and Critical Care of the Geriatric Patient by Thomas T. Yoshikawa, Dean C. Norman


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