position. Research also showed great diversity of therapeutic indications. Current evidence is too inconsistent to allow us to state that the Trendelenburg position is beneficial in hemodynamically compromised patients. Key words: Head-down tilt. Shock. Patient positioning. Trendelenburg. Hypotension. Fig. 1 Fig. 2 In the late 19th century‚ Friedrich Trendelenburg (1844-1924) (Fig. 2)‚ a German urologic surgeon‚ popularized the use of a supine position‚ with the feet raised higher
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defibrillation 2 Joules/kg shock after CPR ▪ Drug – epinephrine 0.01 mg/kg IV or IO. If dose ordered not correct‚ ask team leader to clarify. ▪ Drug - PEA – Pulseless electrical activity - epinephrine 0.01 mg/kg IV or IO ▪ Drug – Pulseless‚ breathless – epinephrine 0.01 mg/kg IV or IO ▪ IV – best method for immediate vascular access – intraosseous ▪ IV for Shock – IV fluids 20 ml/kg of isotonic crystalloid over 5 to 10 minutes ▪ IV with hypovolemic shock – 20 mL/kg
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ASSIGNMENT # 1 1. Adam Smith‚ 77 years of age‚ is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish‚ yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient
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Definitions of systemic inflammatory response syndrome (SIRS)‚ sepsis‚ septic shock‚ and multiple organ dysfunction syndrome Systemic inflammatory response syndrome Two or more of the following clinical signs of systemic response to endothelial inflammation: • Temperature > 38°C or < 36°C x Heart rate > 90 beats/min • Tachypnoea (respiratory rate > 20 breaths/min or hyperventilation (Paco2 < 4.25 kPa)) • White blood cell count > 12 ⋅ 109/l or < 4 ⋅ 109/l or the presence
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Culture Shock‚ Defined and Described Culture shock is defined as "a common psychological response to an unfamiliar culture [which] is characterized by disorientation‚ heightened anxiety‚ and more rarely by depressed or paranoid behavior." (1) Three groups of people are prone to culture shock - those outside of their own countries‚ those experiencing a very different culture within their own countries‚ and former ex-patriots who are now returning home. There are also three phases of culture
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Choosing baseline damper curves for ride. Last time‚ we discussed the process of choosing proper baseline spring rates. In this paper‚ we will continue the discussion on suspension components by simplifying the process of choosing appropriate baseline damper settings for ride. What is damping? In a spring-mass system‚ any displacement and release of the mass from its equilibrium position will cause the mass to oscillate. If the system were ideal‚ the mass would continue vibrating at a given frequency
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learning experience that is not about what they are told. This experiment was appropriate despite this. Throughout the process‚ subjects are exposed to various signs that show them the intensity of their act (effects on the victim and intensity of the shocks)‚ and are told that they are allowed to leave whenever. Moreover‚ if the subjects were not misled and were told the truth‚ this experiment would not have taken place. Milgram solicits 40 males from various ages and professions. These subjects
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staged an artificial laboratory "dungeon" in which ordinary citizens‚ whom he hired at $4.50 for the experiment‚ would come down and be required to deliver an electric shock of increasing intensity to another individual for failing to answer a preset list of questions. Meyer describes the object of the experiment "is to find the shock level at which you disobey the experimenter and refuse to pull the switch" (Meyer 241). Here‚ the author is paving the way into your mind by introducing the idea of reluctance
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soon as she saw her husband walk in the front door‚ she panicked and saw all those wonderful images and dreams come to an end. Due to the shock and her known heart problems‚ she began to experience chest pains that lead to a heart attack that killed her instantly. “Joy that kills” is a metaphor; it was not the actual “joy” that killed her. The shock is what
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covered the front seat. My friend Abigail whom was sitting in the passenger’s seat got the worst of the fragments of glass. It covered her entire legs and when I looked down there was a lot of blood. Everyone was screaming and panicking and mostly in shock as to what just took place. The man then tried to open the back left passenger door. Luckily my friend Susan‚ who was sitting there‚ managed to close it back with speed. As soon as I saw that I knew that something had to be done quickly‚ so I put the
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