26. If the patient has a head injury or possible intracranial hypertension, place the tape above the ears bilaterally (pictured) to prevent occlusion of the jugular vein.
37. Spontaneous Breathing Trials SBTs do not guarantee that airway is stable or pt can self-clear secretions Causes of Failed SBTs Treatments Anxiety/Agitation Benzodiazepines or haldol Infection Diagnosis and tx Electrolyte abnormalities (K + , PO 4- ) Correction Pulmonary edema, cardiac ischemia Diuretics and nitrates Deconditioning, malnutrition Aggressive nutrition Neuromuscular disease Bronchopulmonary hygiene, early consideration of trach Increased intra-abdominal pressure Semirecumbent positioning, NGT Hypothyroidism Thyroid replacement Excessive auto-PEEP (COPD, asthma) Bronchodilator therapy
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Editor's Notes
Interesting to compare the viewpoints and biases of medicine/endocrinology articles, and the surgery articles
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors
Disorders characterized by systemic effects of M protein, and direct effects of bone marrow infiltration Common examples of methylation-induced silencing: Imprinted genes (Prader-Willi, Angelmann Syndromes) Inactivated 2 nd X chromosome in females DNA methylation results in histone deacetylation, compacted chromatin, and repression of gene activity Methylation can have a profound effect in tumorigenesis by silencing tumor suppressors