patient counseling: Patient counseling is defined as providing medication information orally or in written form to the patients or their representatives on directions of use, advice on side effects, precautions, storage, diet and life style modifications.
Focal seizures begin in one area of the brain, but can become generalized and spread to other areas
recent updates Anaphylaxis and anaphylaxis shock.pptxSurjeet Acharya
anaphylaxis is an antibody antigen reaction and commonly seen in the ER and ICU setup. in this presentation, there are updates regarding anaphylaxis (& shock) treatement.
patient counseling: Patient counseling is defined as providing medication information orally or in written form to the patients or their representatives on directions of use, advice on side effects, precautions, storage, diet and life style modifications.
Focal seizures begin in one area of the brain, but can become generalized and spread to other areas
recent updates Anaphylaxis and anaphylaxis shock.pptxSurjeet Acharya
anaphylaxis is an antibody antigen reaction and commonly seen in the ER and ICU setup. in this presentation, there are updates regarding anaphylaxis (& shock) treatement.
A very effective, precise and focused presentation for Calcium abnormalities and approach towards management. Targeted to teach the to the point diagnosis and treatment.
It is requested to download the presentation to run the animation as it is a very interactive presentation
This is a presentation about medical error with the following Objectives:
1- Learn step-by-step what to do when medical error occurs and how to report it
2- Learn how to identify root cause of a medical error and how to prevent its recurrence
3- Motivate your colleagues to foster a patient safety culture
A very effective, precise and focused presentation for Calcium abnormalities and approach towards management. Targeted to teach the to the point diagnosis and treatment.
It is requested to download the presentation to run the animation as it is a very interactive presentation
This is a presentation about medical error with the following Objectives:
1- Learn step-by-step what to do when medical error occurs and how to report it
2- Learn how to identify root cause of a medical error and how to prevent its recurrence
3- Motivate your colleagues to foster a patient safety culture
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
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Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
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Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
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2. "A rapid response is called on a patient for agitation. They
appear intoxicated, perhaps from methamphetamine use. They
are tachycardic and mildly hyperthermic, but vitals are
otherwise stable. At the last rapid, 2mg of lorezapam, 2.5 mg
of haloperidol, and 25 mg of benadryl were used. This was
effective, but took 25 minutes before he was safely calmed,
and was short-lived. The nurse has been unable to leave the
room all morning. What should you do?"
• Advocate for moving the patient to the ICU for staffing reasons.
• Increase the strength of sedative by switching to phenobarbital
• Defer management to the primary team
• Place the patient in restraints so that the nurse can go care for their
other patients.
3. "A rapid response is called on a patient for agitation. They
appear intoxicated, perhaps from methamphetamine use. They
are tachycardic and mildly hyperthermic, but vitals are
otherwise stable. At the last rapid, 2mg of lorezapam, 2.5 mg
of haloperidol, and 25 mg of benadryl were used. This was
effective, but took 25 minutes before he was safely calmed,
and was short-lived. The nurse has been unable to leave the
room all morning. What should you do?"
• Advocate for moving the patient to the ICU for staffing reasons
• Increase the strength of sedative by switching to phenobarbital
• Defer management to the primary team
• Place the patient in restraints so that the nurse can go care for their
other patients
4. Rapid Response: What is the big picture?
1. Is this (going to be) a code blue?
2. Do they need to be in an ICU?
1. (this generally involves eyeballing the patient, asking orientation questions,
and 1 set of vitals, and asking what happened leading up to the RRT). 10
minutes tops. Usually, no labs.
NEED FOR TOO MUCH NURSING CARE IS A REASON FOR ICU ADMISSION [Ask]
2. It is rare to need to do things before moving to ICU
3. What immediate workup or stabilization do they need if staying
put? Hand off to primary team
Keep an eye out for
Ethan’s cards
5. False alarms: Why you shouldn’t (ever!) be
dismissive, implicitly or explicitly.
• Two rationales:
• Signal detection theory: it is ideal to never err. But since we will, we have to
balance the harms from false positives (activation that wasn’t needed), and
false negatives (no activation, was needed). False negatives are WAY worse, so
the optimal balance favors more activations.
• More caution is warranted the less you know – and we NEED less experienced
caregivers to be monitoring.
6. How long do you attempt resuscitation?
Shockable = Good! Asystole = Bad! PEA = … nuanced.
Resuscitation 2022 176117-124 DOI: 10.1016/j.resuscitation.2022.04.024
Two things matter:
• What was their pre-arrest state?
• More ill = shorter
• Is the (likely) cause reversible?
• Less reversible = shorter
Then, consider rhythm and duration
• 5-45 min in most
7. Language to end with:
• “Is there anything we haven’t thought of?”
• “OK, we’re stopping CPR”
• “Thank you everyone for your effort”
• “We’ll debrief in 5 minutes at the nursing
station”
8. Summary
• Consider nursing workload in deciding if ICU admission is needed
• As a personal policy, do not snark people for activating an RRT
• Consider pre-arrest status, reversibility, and rhythm in deciding how
long to attempt resuscitation (5-45 minutes with no ROSC)
Editor's Notes
With the possible exception of an ABG, do not wait on labs to tell you if a patient needs to go to an ICU
if nursing cares are prohibitively intensive
Terrible politics, but actually an insightful comment.
Need to simplify the message here.
https://www.resuscitationjournal.com/article/S0300-9572(22)00142-3/fulltext
PEA: initial rhythm 60% of the time, but precedes ROSC 75% of the time.
Half of patients with VF/VT pass through PEA on the way to ROSC
Transition from Asystole to PEA is a good sign.
If you achieve ROSC once, the likelihood of ROSC is higher
Really sucks, especially in the case where it seemed preventable.
You may take it really hard
The other members of the code team may take it really hard
The primary caregivers / nurse may take it really hard.
Cut this – nurses are required to debrief but it doesn’ thave to involve residents. Usually systems issues that prevent it from happening.