RESUMO
We report three cases in which doxapram hydrochloride injection was used as an additional method of treating and stabilizing patients with chronic hypercapnia and hypoxia. Patients with such impaired respiratory drives would otherwise require intubation for medical management. In the appropriate setting, the use of doxapram hydrochloride injection has the potential to decrease morbidity and cost and shorten hospitalization as compared with intubation. This treatment also may be a viable option to treat patients for whom intubation is not an option.
Assuntos
Doxapram/uso terapêutico , Hipercapnia/tratamento farmacológico , Pneumopatias Obstrutivas/tratamento farmacológico , Idoso , Gasometria , Doxapram/administração & dosagem , Feminino , Humanos , Hipercapnia/sangue , Hipercapnia/complicações , Infusões Intravenosas , Pneumopatias Obstrutivas/complicações , Masculino , Pessoa de Meia-IdadeRESUMO
The case of a 57-year-old woman with no personal or family history of coagulopathy or blood dyscrasia who was found to be factor VII deficient by routine laboratory testing is reported. The patient was also found to have type 2 diabetes mellitus and adenocarcinoma of the uterus in the course of her hospitalization.
Assuntos
Adenocarcinoma/complicações , Diabetes Mellitus Tipo 2/complicações , Deficiência do Fator VII/sangue , Hemorragia Uterina/etiologia , Neoplasias Uterinas/complicações , Antitrombina III/química , Coagulação Sanguínea , Deficiência do Fator VII/complicações , Feminino , Humanos , Pessoa de Meia-Idade , Tempo de Tromboplastina Parcial , Tempo de ProtrombinaRESUMO
This is a continuing series of objectives to direct resident training in emergency medicine. Electrocardiography may not receive individual attention in many training programs. However, the importance, omnipresence, and medicolegal potential of electrocardiography in the practice of emergency medicine suggests its individual attention. Contents and specific learning objectives are presented to provide guidelines for resident mastery, following the format presented by preceding subjects.
