[CK] CVD familiar history. [ ] Former smoking?

stroke.

You are considered to have a family history of cardiovascular disease if:

your father or brother was under the age of 55 when they were diagnosed with cardiovascular disease or
your mother or sister was under the age of 65 when they were diagnosed with cardiovascular disease.

If you have family history of cardiovascular disease, make sure you tell your doctor or nurse. They may want to check your blood pressure and cholesterol.

If you are over 40 years of age, you can visit your doctor and ask for a heart health check to find out your risk of getting cardiovascular disease.

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[CK] Preventing aspiration.

960 × 720 저작권 보호를 받는 이미지일 수 있습니다. 자세히 알아보기 https://www.google.com/search?q=position+to+prevent+aspiration&rlz=1C1GCEV_enUS820US820&source=lnms&sa=X&ved=0ahUKEwjZ8NbnkoDfAhUs4YMKHZhrBM8Q_AUICSgA&biw=1177&bih=859&dpr=1 HOB 30-45 degree. => resting turn head to Rt. side. or lateral position => for seizing or unconsciousness.

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[CK] STEMI_EKG learning.

892 × 548 저작권 보호를 받는 이미지일 수 있습니다. 자세히 알아보기 ECG - Common STEMI Mimics | Grays Integrative Physiology Grays Integrative Physiology Mimics will not produce reciprocal changes. If RCs in related leads, should consider it a STEMI. 방문 추가 컬렉션 공유

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[CK] Stress-dose gluticocorticoid(steroid) [v ] read and sum! (50mcg IVP solucortef vs 125mg solumedrol=for steroid user>5mg pred.)

STRESS DOSE Solucortef 50mg q6hr ! or Solumedrol 60-125mg iv q6-8hr !(severe sepsis shock or known prednisone user !) https://www.uptodate.com/contents/glucocorticoid-therapy-in-septic-shock?topicRef=1613&source=see_link Summary ● Random <10 but don't rely on lab test. => just do it if it's indicated in critically ill patient.s ● "functional" adrenal insufficiency, "relative" adrenal insufficiency, "critical illness-related corticosteroid insufficiency (CIRCI)." =But a clear definition is lacking ● Less severe septic shock: restored by fluid and pressor = corticosteroid therapy does not appear to be beneficial. ● Severe septic shock: sBP <90 with adequate fluid + vasopressor (more than 1 hr, NE >0.5) .=> may need to add 2nd dose or... = reduces weaning pressor quicker. => start within 24hours for severe septic shock. ● ACTH stimulation testing is not clinically useful. Recommendat

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