기본 콘텐츠로 건너뛰기

[CK] Hyperkalemia preset. EKG

Hyperkalemic emergency − Patients who have clinical signs or symptoms of hyperkalemia (eg, muscle weakness or paralysis, cardiac conduction abnormalities, cardiac arrhythmias), patients with severe hyperkalemia (serum potassium >6.5  mEq/L),  and patients with moderate hyperkalemia (serum potassium >5.5  mEq/L)  plus significant renal impairment and ongoing tissue breakdown or potassium absorption) have a hyperkalemic emergency. • Patients needing prompt therapy − Some patients with moderate hyperkalemia but without a hyperkalemic emergency should, nonetheless, have their potassium lowered promptly (ie, within 6 to 12 hours) . Such patients include hemodialysis patients who present outside of regular dialysis hours, patients with marginal renal function  and/or  marginal urine output, or hyperkalemic patients who need to be optimized for surgery. • Patients who can have the potassium lowered slowly − Most patients with hyperkalemia have c...

[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. 

[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 .

[CK] LVAD parameter review. [ ] tree !!

Vital(BP): hypo, hyper. PEx(JVP): volume status -------------------------------- 1st. PI(3-7)= contractility and volume status(high volume only cause high PI) overload = high PI. low volume = low PI. (=low volume = low preload = RV failure, arrhythmia same thing) HTN = low PI low BP = low PI. (only overload cause high PI = with high preload, but otherwise, BP, volume => cause low PI) 2nd. Flow(4-6) overload, 3rd. Power(surge = only thrombus, 4-6) hypotension route (BP) => high VADFL = vasodilator, sepsis = R/O => low VADFL(most common)  with high JVP => RV failure, PE/tamponade, pneumothorax                                                                               , then adjust LVAD(higher)                ...