Neurosciences Advanced Nurse Practitioner, in Oxford University Hospitals, UK. PG Cert in Advanced Neurosciences Care and Rehabilitation. Nursing Degree in Portugal.
The outline below gives basic indication of patterns of disease to look for in CSF.
However, note... more The outline below gives basic indication of patterns of disease to look for in CSF. However, note that CSF results should always be interpreted with the clinical picture in mind. Reference ranges may vary between labs
This book contains information obtained from authentic and highly regarded sources. While all rea... more This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional's own judgement, their knowledge of the patient's medical history, relevant manufacturer's instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies' printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers.
The cerebrospinal fluid (CSF) is a dynamic, metabolically active substance that has many importan... more The cerebrospinal fluid (CSF) is a dynamic, metabolically active substance that has many important functions. It is invaluable as a diagnostic aid in the evaluation of infl ammatory conditions, infectious or non - infectious, involving the brain, spinal cord, and meninges, as well as in CT - negative subarachnoidal haemorrhage and in leptomeningeal metastases. CSF is obtained with relative ease by lumbar puncture (LP). Alterations in CSF constituents may be similar in different pathologic processes and cause difficulties in interpretation. Combining a set of CSF variables referred to as routine parameters (i.e. determination of protein, albumin, immunoglobulin, glucose, lactate, and cellular changes, as well as specific antigen and antibody testing for infectious agents) will increase the diagnostic sensitivity and specifi city.
The aim of this guideline paper was to produce recommendations on how to use this set of CSF parameters in different clinical settings and to show how different constellations of these variables correlate with diseases of the nervous system.
Handbook of Signs & Symptoms, Fifth Edition, is a treasure trove of prompts and reminders for the... more Handbook of Signs & Symptoms, Fifth Edition, is a treasure trove of prompts and reminders for the clinician. It provides a comprehensive description of common to unusual patient complaints, coupled with diagnostic testing that is both routine and specific. It describes physical examination findings in detail and clarifies the mechanics of performing even rarely used tests. Signs and symptoms are formatted alphabetically for quick retrieval, and elicited history is linked to the essentials of the exam. Readers are alerted to urgent situations in the Emergency Interventions section. Differential diagnoses are listed under Medical Causes, following the elaboration of the symptom history and exam findings. Under the heading Other Causes, the clinician is alerted to medications or herbal remedies that are associated with the patient's complaint. Special Considerations address pediatric, gender-specific, and geriatric concerns. This new edition of the handbook has been updated to include important signs and symptoms related to diseases that have recently taken center stage in clinical medicine, including avian influenza, respiratory syncytial virus, Kawasaki disease, and metabolic syndrome — an epidemic disease that has become essential to diagnose and manage.
1. PHYSIOLOGY AND PSYCHOLOGY OF
ACUTE PAIN.
2. ASSESSMENT AND MEASUREMENT OF PAIN AND ITS TREATME... more 1. PHYSIOLOGY AND PSYCHOLOGY OF ACUTE PAIN. 2. ASSESSMENT AND MEASUREMENT OF PAIN AND ITS TREATMENT 3. PROVISION OF SAFE AND EFFECTIVE ACUTE PAIN MANAGEMENT 4. SYSTEMICALLY ADMINISTERED ANALGESIC DRUGS 5. REGIONALLY AND LOCALLY ADMINISTERED ANALGESIC DRUGS 6. ADMINISTRATION OF SYSTEMIC ANALGESIC DRUGS 7. PCA, REGIONAL AND OTHER LOCAL ANALGESIA TECHNIQUES 8. NON-PHARMACOLOGICAL TECHNIQUES. 9. SPECIFIC CLINICAL SITUATIONS 10. THE PAEDIATRIC PATIENT
Bates' Pocket Guide to Physical Examination and History Taking, 2013
The Pocket Guide to Physical Examination and History Taking,
7th edition is a concise, portable t... more The Pocket Guide to Physical Examination and History Taking, 7th edition is a concise, portable text that: ● Describes how to interview the patient and take the health history. ● Provides an illustrated review of the physical examination. ● Reminds students of common, normal, and abnormal physical findings. ● Describes special techniques of assessment that students may need in specific instances. ● Provides succinct aids to interpretation of selected findings.
There are several ways to use the Pocket Guide: ● To review and remember the content of a health history. ● To review and rehearse the techniques of examination. This can be done while learning a single section and again while combining the approaches to several body systems or regions into an integrated examination (see Chap. 1). ● To review common variations of normal and selected abnormalities. Observations are keener and more precise when the examiner knows what to look, listen, and feel for. ● To look up special techniques as the need arises. Maneuvers such as The Timed Get Up and Go test are included in the Special Techniques sections in each chapter. ● To look up additional information about possible findings, including abnormalities and standards of normal.
The Pocket Guide is not intended to serve as a primary text for learning the skills of history taking or physical examination. Its detail is too brief for these purposes. It is intended instead as an aid for student review and recall and as a convenient, brief, and portable reference
Bates' Guide to Physical Examination and History Taking, 2009
Bates’ Guide to Physical Examination and History Taking is designed for students of health profes... more Bates’ Guide to Physical Examination and History Taking is designed for students of health professions who are learning to talk with patients, to perform their physical examinations, and to apply clinical reasoning to understanding and assessing patient concerns. The tenth edition has many new features to facilitate student learning, detailed in the paragraphs to follow. As with previous editions, these changes spring from three sources: the queries of teachers and students; the goal of making the book easier to read and more efficient to use; and the abundant new evidence that underpins the techniques of interviewing, examination, and promoting health.
Our understanding of the physiology of head and spinal cord injury, stroke, brain tumors, and oth... more Our understanding of the physiology of head and spinal cord injury, stroke, brain tumors, and other disorders have improved dramatically in recent years. Il'anslation of this knowledge to clinical practice, however, has often not occurred in the operating room. Rather the neurosurgical intensive care unit has more often been the place where physiological understanding has been conceived and applied for practical results. Many advances have been made in bedside monitoring techniques in recent years, and we have entered a time in which specific therapies to reverse, compensate, and control the detrimental physiological results of injury or disease processes are based upon results of such monitoring. Also neurosurgeons and more recently neurologists have become more directly involved in the care of patients in the intensive care unit. In medical centers it has become mandatory that they work closely with critical care specialists so that the intensive care unit can provide the best care to patients. And in some, they are directing overall care of the patient including pulmonary and hemodynamic management.
The goal of this book is to provide neurosurgeons, neurologists, critical care specialists, and all of those who care for neurosurgical patients a reference to assist in further advancing the intensive care of neurosurgical patients.
Rapid access to blood tests is a mainstay in the diagnosis and treatment of acute disease. Oxygen... more Rapid access to blood tests is a mainstay in the diagnosis and treatment of acute disease. Oxygenation status and acid-base balance are determined by arterial blood gas analysis and constitute a central part of modern evidence-based treatment algorithms in critical care. Furthermore, devices, intended for critical care testing, allow for assessment of e.g. renal function (creatinine) and electrolytes, inflammation (C-reactive protein) and cardiac biomarkers.
This handbook is a concise, well-organized guide covering the spectrum of parameters provided by state-of-the-art devices. Each parameter’s physiological role and pathophysiology is explained, and reference intervals are provided, as well as the most likely causes of abnormalities. Quick access to important information is complemented by colorful illustrations, essential lists and tables. This handbook is intended to be a supplement to comprehensive text books, offering an easy guidance to some blood tests and simplifying the healthcare providers’ decision-making process. It provides instant reminders of vitally important clinical facts for students, nurses, residents and other medical professionals who are required to interpret blood test within critical care.
Suporte Básico de Vida com Desfibrilhação Automática Externa, 2012
SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA
1. Cadeia de sobrevivência 12
2. A desfibrilhação automática... more SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA 1. Cadeia de sobrevivência 12 2. A desfibrilhação automática externa em Portugal 14
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO 1. Compressões torácicas 18 2. Ventilação "boca-a-boca" 20 3. Suporte Básico de Vida, Adulto 22 4. SBV com dois reanimadores 26
SECÇÃO 3 - SUPORTE BÁSICO DE VIDA COM DESFIBRILHAÇÃO (SBVD), ADULTO 1. A desfibrilhação precoce 30 2. O desfibrilhador automático externo (DAE) 32 3. DAE disponivel: como utilizar? 34 4. Segurança na desfibrilhação 38
SECÇÃO 4 - SBV E SBVD PEDIÁTRICO 1. Modificações em Pediatria 42 2. Algoritmos Pediátricos: SBV e SBVD 46
SECÇÃO 5 - VENTILAÇÃO COM ADJUVANTES DA VIA AÉREA 1. Adjuvantes da via aérea 50 2. Tubo orofaríngeo 52 3. Tubo nasofaríngeo 54 4. Aspiração de secreções 56 5. Ventilação com máscara de bolso 58 6. Ventilação com insuflador manual 60 7. Considerações sobre a via aérea 62
SECÇÃO 6 - DESOBSTRUÇÃO DA VIA AÉREA 1. Obstrução da via aérea 66 2. Algoritmo de desobstrução da via aérea: adulto e criança 68 3. Algoritmo de desobstrução da via aérea no lactente 70
SECÇÃO 7 - CONSIDERAÇÕES ESPECIAIS 1. Posição lateral de segurança 74 2. Riscos para o reanimador 76 3. Folha de registo nacional de PCR, pré-hospitalar 78
SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA
1. Cadeia de sobrevivência 12
SECÇÃO 2 - SUPORTE BÁSICO DE ... more SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA 1. Cadeia de sobrevivência 12
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO 1. Compressões torácicas 16 2. Ventilação "boca-a-boca" 18 3. Suporte Básico de Vida, Adulto 20 4. SBV com dois reanimadores 24
SECÇÃO 3 - VENTILAÇÃO COM ADJUVANTE DA VIA AÉREA 1. Ventilação com máscara de bolso 28
SECÇÃO 4 - DESOBSTRUÇÃO DA VIA AÉREA 1. Obstrução da via aérea 32 2. Algoritmo de desobstrução da via aérea: adulto e criança 34
SECÇÃO 5 - CONSIDERAÇÕES ESPECIAIS 1. Posição lateral de segurança 38 2. Riscos para o reanimador 40
Normas, Emergencias Pediatricas e Obstetricas, 2012
Manual TAS de Emergencias Pediatricas e Obstetricas, do INEM, Portugal.
Inclui:
- Transmissao de ... more Manual TAS de Emergencias Pediatricas e Obstetricas, do INEM, Portugal. Inclui: - Transmissao de Dados e Telecomunicacoes - Tripulante e Ambulancia - Helitransporte - Parto Eminente, Emergencias Obstetricas e Reanimacao Neonatal - Avaliacao da Vitima Pediatrica - Emergencias Pediatricas
Técnicas de Extração e Imobilização de Vítimas de Trauma, 2012
SECÇÃO 1: Técnicas de Extração e Imobilização
1. Introdução 12
2. Estabilização manual da cabeça ... more SECÇÃO 1: Técnicas de Extração e Imobilização 1. Introdução 12 2. Estabilização manual da cabeça 14 3. Aplicação do colar cervical 18 4. Rolamento 20 5. Levantamento 24 6. Maca pluma 26 7. Imobilização em plano duro 28 8. Alinhamento em posição neutra no plano duro 30 9. Colete de extração 32 10. Extração rápida 36 11. Remoção do capacete 40 12. Imobilização vertical 42 13. Conceitos gerais na imobilização de fraturas 44 14. O transporte da criança no automóvel 50 15. Imobilização pediátrica 54 16. Transporte de vítimas de trauma 60
SECÇÃO 2: Extração de vítimas encarceradas 1. Introdução 66 2. Aplicação do método "SAVER" 68 3. Conceito de encarceramento e extração 72 4. Zonas de trabalho 74 5. Regras e procedimentos de segurança 76 6. Estrutura dos veículos 78 7. Técnicas normalizadas para criação de espaço 80 8. Equipamento mais frequentemente usado 84
Manual TAS, Emergências Trauma, do INEM, Portugal.
Inclui:
1. Mecanismos de lesão
2. Lesão ocul... more Manual TAS, Emergências Trauma, do INEM, Portugal.
Inclui: 1. Mecanismos de lesão 2. Lesão oculta 3. Trauma crânio encefálico 4. Trauma vértebro-medular 5. Trauma torácico 6. Trauma abdominal e da bacia 7. Trauma na grávida 8. Trauma em pediatria 9. Hemorragias 10.Trauma das extremidades e tecidos moles 11. Acidentes em meio aquático 12. Lesões ambientais 13.Queimaduras
Manual TAS/TAT do INEM, Portugal.
Inclui
-Anatomia e fisiologia
-Abordagem 'a vitima
-Tecnicas d... more Manual TAS/TAT do INEM, Portugal. Inclui -Anatomia e fisiologia -Abordagem 'a vitima -Tecnicas de abordagem 'a vitima -Oxigenoterapia
Manual TAS de Emergências Médicas do INEM, Portugal.
Inclui:
-Dor toracica
-Dispneia
-Reaccao ale... more Manual TAS de Emergências Médicas do INEM, Portugal. Inclui: -Dor toracica -Dispneia -Reaccao alergica -Acidente vascular cerebral -Convulsoes -Dor abdominal -Hemorragia digestiva -Choque -Alteracoes da glicemia e diabetes mellitus -Intoxicacao -Apoio ao suporte avancado de vida
Desenvolvimento das relações entre o modelo conceptual de Virginia Henderson e temas como o «diag... more Desenvolvimento das relações entre o modelo conceptual de Virginia Henderson e temas como o «diagnóstico de enfermagem», os progressos realizados na disciplina em questão, a evolução teórica e a informatização do processo de enfermagem são alguns dos temas tratados nesta obra. As situações clínicas são revistas, as referências renovadas e o conteúdo actualizado. Destinado aos estudantes e profissionais de enfermagem, a obra expõe os elementos constitutivos do modelo conceptual, aplicado a uma disciplina profissional e debate as suas consequências do ponto de vista prático, da investigação e da formação em enfermagem.
M anual M erck para a família -http://w w w .manualmerck.net/ V ersão para impressora Clique aqui... more M anual M erck para a família -http://w w w .manualmerck.net/ V ersão para impressora Clique aqui para imprimir este documento
The outline below gives basic indication of patterns of disease to look for in CSF.
However, note... more The outline below gives basic indication of patterns of disease to look for in CSF. However, note that CSF results should always be interpreted with the clinical picture in mind. Reference ranges may vary between labs
This book contains information obtained from authentic and highly regarded sources. While all rea... more This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional's own judgement, their knowledge of the patient's medical history, relevant manufacturer's instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies' printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers.
The cerebrospinal fluid (CSF) is a dynamic, metabolically active substance that has many importan... more The cerebrospinal fluid (CSF) is a dynamic, metabolically active substance that has many important functions. It is invaluable as a diagnostic aid in the evaluation of infl ammatory conditions, infectious or non - infectious, involving the brain, spinal cord, and meninges, as well as in CT - negative subarachnoidal haemorrhage and in leptomeningeal metastases. CSF is obtained with relative ease by lumbar puncture (LP). Alterations in CSF constituents may be similar in different pathologic processes and cause difficulties in interpretation. Combining a set of CSF variables referred to as routine parameters (i.e. determination of protein, albumin, immunoglobulin, glucose, lactate, and cellular changes, as well as specific antigen and antibody testing for infectious agents) will increase the diagnostic sensitivity and specifi city.
The aim of this guideline paper was to produce recommendations on how to use this set of CSF parameters in different clinical settings and to show how different constellations of these variables correlate with diseases of the nervous system.
Handbook of Signs & Symptoms, Fifth Edition, is a treasure trove of prompts and reminders for the... more Handbook of Signs & Symptoms, Fifth Edition, is a treasure trove of prompts and reminders for the clinician. It provides a comprehensive description of common to unusual patient complaints, coupled with diagnostic testing that is both routine and specific. It describes physical examination findings in detail and clarifies the mechanics of performing even rarely used tests. Signs and symptoms are formatted alphabetically for quick retrieval, and elicited history is linked to the essentials of the exam. Readers are alerted to urgent situations in the Emergency Interventions section. Differential diagnoses are listed under Medical Causes, following the elaboration of the symptom history and exam findings. Under the heading Other Causes, the clinician is alerted to medications or herbal remedies that are associated with the patient's complaint. Special Considerations address pediatric, gender-specific, and geriatric concerns. This new edition of the handbook has been updated to include important signs and symptoms related to diseases that have recently taken center stage in clinical medicine, including avian influenza, respiratory syncytial virus, Kawasaki disease, and metabolic syndrome — an epidemic disease that has become essential to diagnose and manage.
1. PHYSIOLOGY AND PSYCHOLOGY OF
ACUTE PAIN.
2. ASSESSMENT AND MEASUREMENT OF PAIN AND ITS TREATME... more 1. PHYSIOLOGY AND PSYCHOLOGY OF ACUTE PAIN. 2. ASSESSMENT AND MEASUREMENT OF PAIN AND ITS TREATMENT 3. PROVISION OF SAFE AND EFFECTIVE ACUTE PAIN MANAGEMENT 4. SYSTEMICALLY ADMINISTERED ANALGESIC DRUGS 5. REGIONALLY AND LOCALLY ADMINISTERED ANALGESIC DRUGS 6. ADMINISTRATION OF SYSTEMIC ANALGESIC DRUGS 7. PCA, REGIONAL AND OTHER LOCAL ANALGESIA TECHNIQUES 8. NON-PHARMACOLOGICAL TECHNIQUES. 9. SPECIFIC CLINICAL SITUATIONS 10. THE PAEDIATRIC PATIENT
Bates' Pocket Guide to Physical Examination and History Taking, 2013
The Pocket Guide to Physical Examination and History Taking,
7th edition is a concise, portable t... more The Pocket Guide to Physical Examination and History Taking, 7th edition is a concise, portable text that: ● Describes how to interview the patient and take the health history. ● Provides an illustrated review of the physical examination. ● Reminds students of common, normal, and abnormal physical findings. ● Describes special techniques of assessment that students may need in specific instances. ● Provides succinct aids to interpretation of selected findings.
There are several ways to use the Pocket Guide: ● To review and remember the content of a health history. ● To review and rehearse the techniques of examination. This can be done while learning a single section and again while combining the approaches to several body systems or regions into an integrated examination (see Chap. 1). ● To review common variations of normal and selected abnormalities. Observations are keener and more precise when the examiner knows what to look, listen, and feel for. ● To look up special techniques as the need arises. Maneuvers such as The Timed Get Up and Go test are included in the Special Techniques sections in each chapter. ● To look up additional information about possible findings, including abnormalities and standards of normal.
The Pocket Guide is not intended to serve as a primary text for learning the skills of history taking or physical examination. Its detail is too brief for these purposes. It is intended instead as an aid for student review and recall and as a convenient, brief, and portable reference
Bates' Guide to Physical Examination and History Taking, 2009
Bates’ Guide to Physical Examination and History Taking is designed for students of health profes... more Bates’ Guide to Physical Examination and History Taking is designed for students of health professions who are learning to talk with patients, to perform their physical examinations, and to apply clinical reasoning to understanding and assessing patient concerns. The tenth edition has many new features to facilitate student learning, detailed in the paragraphs to follow. As with previous editions, these changes spring from three sources: the queries of teachers and students; the goal of making the book easier to read and more efficient to use; and the abundant new evidence that underpins the techniques of interviewing, examination, and promoting health.
Our understanding of the physiology of head and spinal cord injury, stroke, brain tumors, and oth... more Our understanding of the physiology of head and spinal cord injury, stroke, brain tumors, and other disorders have improved dramatically in recent years. Il'anslation of this knowledge to clinical practice, however, has often not occurred in the operating room. Rather the neurosurgical intensive care unit has more often been the place where physiological understanding has been conceived and applied for practical results. Many advances have been made in bedside monitoring techniques in recent years, and we have entered a time in which specific therapies to reverse, compensate, and control the detrimental physiological results of injury or disease processes are based upon results of such monitoring. Also neurosurgeons and more recently neurologists have become more directly involved in the care of patients in the intensive care unit. In medical centers it has become mandatory that they work closely with critical care specialists so that the intensive care unit can provide the best care to patients. And in some, they are directing overall care of the patient including pulmonary and hemodynamic management.
The goal of this book is to provide neurosurgeons, neurologists, critical care specialists, and all of those who care for neurosurgical patients a reference to assist in further advancing the intensive care of neurosurgical patients.
Rapid access to blood tests is a mainstay in the diagnosis and treatment of acute disease. Oxygen... more Rapid access to blood tests is a mainstay in the diagnosis and treatment of acute disease. Oxygenation status and acid-base balance are determined by arterial blood gas analysis and constitute a central part of modern evidence-based treatment algorithms in critical care. Furthermore, devices, intended for critical care testing, allow for assessment of e.g. renal function (creatinine) and electrolytes, inflammation (C-reactive protein) and cardiac biomarkers.
This handbook is a concise, well-organized guide covering the spectrum of parameters provided by state-of-the-art devices. Each parameter’s physiological role and pathophysiology is explained, and reference intervals are provided, as well as the most likely causes of abnormalities. Quick access to important information is complemented by colorful illustrations, essential lists and tables. This handbook is intended to be a supplement to comprehensive text books, offering an easy guidance to some blood tests and simplifying the healthcare providers’ decision-making process. It provides instant reminders of vitally important clinical facts for students, nurses, residents and other medical professionals who are required to interpret blood test within critical care.
Suporte Básico de Vida com Desfibrilhação Automática Externa, 2012
SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA
1. Cadeia de sobrevivência 12
2. A desfibrilhação automática... more SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA 1. Cadeia de sobrevivência 12 2. A desfibrilhação automática externa em Portugal 14
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO 1. Compressões torácicas 18 2. Ventilação "boca-a-boca" 20 3. Suporte Básico de Vida, Adulto 22 4. SBV com dois reanimadores 26
SECÇÃO 3 - SUPORTE BÁSICO DE VIDA COM DESFIBRILHAÇÃO (SBVD), ADULTO 1. A desfibrilhação precoce 30 2. O desfibrilhador automático externo (DAE) 32 3. DAE disponivel: como utilizar? 34 4. Segurança na desfibrilhação 38
SECÇÃO 4 - SBV E SBVD PEDIÁTRICO 1. Modificações em Pediatria 42 2. Algoritmos Pediátricos: SBV e SBVD 46
SECÇÃO 5 - VENTILAÇÃO COM ADJUVANTES DA VIA AÉREA 1. Adjuvantes da via aérea 50 2. Tubo orofaríngeo 52 3. Tubo nasofaríngeo 54 4. Aspiração de secreções 56 5. Ventilação com máscara de bolso 58 6. Ventilação com insuflador manual 60 7. Considerações sobre a via aérea 62
SECÇÃO 6 - DESOBSTRUÇÃO DA VIA AÉREA 1. Obstrução da via aérea 66 2. Algoritmo de desobstrução da via aérea: adulto e criança 68 3. Algoritmo de desobstrução da via aérea no lactente 70
SECÇÃO 7 - CONSIDERAÇÕES ESPECIAIS 1. Posição lateral de segurança 74 2. Riscos para o reanimador 76 3. Folha de registo nacional de PCR, pré-hospitalar 78
SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA
1. Cadeia de sobrevivência 12
SECÇÃO 2 - SUPORTE BÁSICO DE ... more SECÇÃO 1 - A CADEIA DE SOBREVIVÊNCIA 1. Cadeia de sobrevivência 12
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO 1. Compressões torácicas 16 2. Ventilação "boca-a-boca" 18 3. Suporte Básico de Vida, Adulto 20 4. SBV com dois reanimadores 24
SECÇÃO 3 - VENTILAÇÃO COM ADJUVANTE DA VIA AÉREA 1. Ventilação com máscara de bolso 28
SECÇÃO 4 - DESOBSTRUÇÃO DA VIA AÉREA 1. Obstrução da via aérea 32 2. Algoritmo de desobstrução da via aérea: adulto e criança 34
SECÇÃO 5 - CONSIDERAÇÕES ESPECIAIS 1. Posição lateral de segurança 38 2. Riscos para o reanimador 40
Normas, Emergencias Pediatricas e Obstetricas, 2012
Manual TAS de Emergencias Pediatricas e Obstetricas, do INEM, Portugal.
Inclui:
- Transmissao de ... more Manual TAS de Emergencias Pediatricas e Obstetricas, do INEM, Portugal. Inclui: - Transmissao de Dados e Telecomunicacoes - Tripulante e Ambulancia - Helitransporte - Parto Eminente, Emergencias Obstetricas e Reanimacao Neonatal - Avaliacao da Vitima Pediatrica - Emergencias Pediatricas
Técnicas de Extração e Imobilização de Vítimas de Trauma, 2012
SECÇÃO 1: Técnicas de Extração e Imobilização
1. Introdução 12
2. Estabilização manual da cabeça ... more SECÇÃO 1: Técnicas de Extração e Imobilização 1. Introdução 12 2. Estabilização manual da cabeça 14 3. Aplicação do colar cervical 18 4. Rolamento 20 5. Levantamento 24 6. Maca pluma 26 7. Imobilização em plano duro 28 8. Alinhamento em posição neutra no plano duro 30 9. Colete de extração 32 10. Extração rápida 36 11. Remoção do capacete 40 12. Imobilização vertical 42 13. Conceitos gerais na imobilização de fraturas 44 14. O transporte da criança no automóvel 50 15. Imobilização pediátrica 54 16. Transporte de vítimas de trauma 60
SECÇÃO 2: Extração de vítimas encarceradas 1. Introdução 66 2. Aplicação do método "SAVER" 68 3. Conceito de encarceramento e extração 72 4. Zonas de trabalho 74 5. Regras e procedimentos de segurança 76 6. Estrutura dos veículos 78 7. Técnicas normalizadas para criação de espaço 80 8. Equipamento mais frequentemente usado 84
Manual TAS, Emergências Trauma, do INEM, Portugal.
Inclui:
1. Mecanismos de lesão
2. Lesão ocul... more Manual TAS, Emergências Trauma, do INEM, Portugal.
Inclui: 1. Mecanismos de lesão 2. Lesão oculta 3. Trauma crânio encefálico 4. Trauma vértebro-medular 5. Trauma torácico 6. Trauma abdominal e da bacia 7. Trauma na grávida 8. Trauma em pediatria 9. Hemorragias 10.Trauma das extremidades e tecidos moles 11. Acidentes em meio aquático 12. Lesões ambientais 13.Queimaduras
Manual TAS/TAT do INEM, Portugal.
Inclui
-Anatomia e fisiologia
-Abordagem 'a vitima
-Tecnicas d... more Manual TAS/TAT do INEM, Portugal. Inclui -Anatomia e fisiologia -Abordagem 'a vitima -Tecnicas de abordagem 'a vitima -Oxigenoterapia
Manual TAS de Emergências Médicas do INEM, Portugal.
Inclui:
-Dor toracica
-Dispneia
-Reaccao ale... more Manual TAS de Emergências Médicas do INEM, Portugal. Inclui: -Dor toracica -Dispneia -Reaccao alergica -Acidente vascular cerebral -Convulsoes -Dor abdominal -Hemorragia digestiva -Choque -Alteracoes da glicemia e diabetes mellitus -Intoxicacao -Apoio ao suporte avancado de vida
Desenvolvimento das relações entre o modelo conceptual de Virginia Henderson e temas como o «diag... more Desenvolvimento das relações entre o modelo conceptual de Virginia Henderson e temas como o «diagnóstico de enfermagem», os progressos realizados na disciplina em questão, a evolução teórica e a informatização do processo de enfermagem são alguns dos temas tratados nesta obra. As situações clínicas são revistas, as referências renovadas e o conteúdo actualizado. Destinado aos estudantes e profissionais de enfermagem, a obra expõe os elementos constitutivos do modelo conceptual, aplicado a uma disciplina profissional e debate as suas consequências do ponto de vista prático, da investigação e da formação em enfermagem.
M anual M erck para a família -http://w w w .manualmerck.net/ V ersão para impressora Clique aqui... more M anual M erck para a família -http://w w w .manualmerck.net/ V ersão para impressora Clique aqui para imprimir este documento
Students of pharmacology are well served by a number of academic textbooks on their
subject but t... more Students of pharmacology are well served by a number of academic textbooks on their subject but the majority are written from a traditional academic viewpoint. This new book is different in that it is written specifically for the audience of the Health Care Professions and the author Dr Christine Thorp is particularly well qualified in this respect. Dr Thorp graduated from the School of Pharmacy and Pharmacology at the University of Bath, first with a BSc in 1975 and then with a PhD in 1979 providing her with a traditional academic view of pharmacology and experience of research. Since then she has undertaken a number of roles, most recently in the Faculty of Health and Social Care at the University of Salford, with responsibility for teaching pharmacology to students in a variety of Health Care Profession disciplines.
Covers:
- Cardiovascular System
- Pulmonary System
- Gastrointestinal System
- Endocrine and Meta... more Covers: - Cardiovascular System - Pulmonary System - Gastrointestinal System - Endocrine and Metabolic System - Central and Peripheral Nervous System - Connective Tissue and Joint - Renal and Genitourinary System - Fluids, Electrolytes and Acid-Base - Hematologic and Neoplasms - Infectious - Skin and Hypersensitivity - Ambulatory Medicine
Pharmacology is not a conceptually difficult subject like theoretical physics or higher mathemati... more Pharmacology is not a conceptually difficult subject like theoretical physics or higher mathematics. The only problem in studying pharmacology is that a great many facts and hard-to-remember drug names have to be mastered. To get to grips with the subject it is essential to appreciate how drugs work; and to do this it is necessary to understand the underlying pathophysiological processes on which they act. Once you’ve covered the detail from lectures and textbooks, there is then the problem of making sure the information stays securely and accessibly in your memory for when you need it later in your professional life. And to do this efficiently you need to know what the essential points about any drug are, so that with these you will be able, by association, to call up fuller details. Our cards follow fairly closely the sequence of chapters in Rang & Dale (7th edition) and Dale and Haylett (2nd edition). On the front of each card there is a drug name and a diagram showing the relevant pathophysiological processes it affects (e.g. noradrenergic transmission, heart failure etc); the essential information about the drug appears on the back. The crucial facts about each drug are thus shown in the context of its mechanism of action, so that the user can lodge them securely in his/her mind, as pointers to the more detailed material buried ‘deeper’. The cards could also (whisper it) help with revising for exams
This book has some useful features to help you get the most out of the information inside.
Quick ... more This book has some useful features to help you get the most out of the information inside. Quick chapter look-ups The index on the back cover refers to and aligns with the coloured tabs on the sides of the pages. References (1) Every reference has an individual identifi cation indicated by a pink superscript number. The full details of every reference are held online at www.oup.com/ohcs10refs. Further reading Throughout the book you will fi nd ‘Further reading’ sections which are intended to guide you to sources that will further your learning, understanding, and clinical practice. Cross references There are cross references to other topics within the book, to the Oxford Handbook of Clinical Medicine (OHCM), and to other titles in the Oxford Medical Handbooks series. Reference intervals for common laboratory values are included inside the back cover. Conversion factors to and from SI units are given on the bookmark. Symbols and abbreviations See page ix. Corrections and suggestions Found a mistake? Have a suggestion for the next edition? Let us know at www.oup.com/uk/academic/ohfeedback. Major changes are announced online at www.oup.co.uk/academic/series/oxhmed/ updates.
Oxford American Handbook of Clinical Examination and Practical Skills , 2011
Covers all medical and surgical subspecialties, divided by system. Provides highlighted key conce... more Covers all medical and surgical subspecialties, divided by system. Provides highlighted key concepts and summary points throughout the book.
Oxford Handbook of Clinical and Laboratory Investigation, 2002
An essential 'how to, when to' guide. Details all investigative techniques in all major specialit... more An essential 'how to, when to' guide. Details all investigative techniques in all major specialities. Cross-references to the Oxford Handbook of Clinical Medicine.
Oxford American Handbook of Clinical Diagnosis, 2009
Aids rapid identification of patient problems.
Tabular format for rapid reference.
Includes overv... more Aids rapid identification of patient problems. Tabular format for rapid reference. Includes overview of the diagnostic process.
When you open this latest edition of Mosby’s Expert Physical Exam Handbook:
Rapid Inpatient and O... more When you open this latest edition of Mosby’s Expert Physical Exam Handbook: Rapid Inpatient and Outpatient Assessments, you’ll see a physical examination book like no other. Packed with time-saving tips, this portable handbook will help you to organize your physical examination so that you can move through the examination quickly—and without missing critical findings. The book’s organization allows you to rapidly find what you need, easily accessed in either a hospital or clinical setting. Physical exam content is organized by body region—for example, chest and back—rather than by body system, an approach that provides an excellent method for conducting a thorough examination. What’s more, the book will help you realize when to shift gears and focus the examination on a critical sign or chief complaint.
Chapter 1 The Cardiovascular System 1
Chapter 2 The Respiratory System 19
Chapter 3 The Gastroint... more Chapter 1 The Cardiovascular System 1 Chapter 2 The Respiratory System 19 Chapter 3 The Gastrointestinal System 35 Chapter 4 The Renal System 53 Chapter 5 The Endocrine System 71 Chapter 6 Haematology 93 Chapter 7 Infectious Disease 105 Chapter 8 The Immune System 123 Chapter 9 Neurology 133 Chapter 10 Musculoskeletal System 155 Chapter 11 The Reproductive System 173 Chapter 12 Embryology 187 Chapter 13 Genetic Disorders 197 Chapter 14 Miscellaneous Conditions 213
1 To distil complex information into what is essential for the prescriber, without sacrificing sc... more 1 To distil complex information into what is essential for the prescriber, without sacrificing scientific accuracy. 2 To convey to the newcomer with little or no prior knowledge my own enthusiasm for the intrinsically beautiful and important clinical science upon which 95% of medical treatment is based. 3 To provide readers with an understanding of how drugs work suffi cient to make their prescribing and medication reviewing safer and more effective.
There is a growing interest in, and acceptance of, qualitative research approaches in the health ... more There is a growing interest in, and acceptance of, qualitative research approaches in the health science disciplines, both as stand-alone methodologies and integrated with quantitative designs in mixed methods approaches. This comprehensive text provides deeper knowledge and application of a wide range of methodologies, methods and processes, enabling readers to develop their qualitative research skills. Divided into two parts, focusing first on methodologies and then on methods and processes, the text also includes revision of essential aspects of quantitative research as they apply to mixed methods research and a discussion of the uptake of qualitative research in the health sciences. The methodologies covered include: grounded theory; historical research; ethnography; phenomenology; narrative inquiry; case study research; critical ethnography; action research and mixed methods. The methods and processes covered include: interviewing and analysis; group work and analysis; narrative analysis; discourse analysis. Using accessible language to help extend readers' practical research skills, this is a thorough and reliable text to guide advanced students and researchers from all health-related disciplines-including nursing, midwifery, public health and physiotherapy-to the best use of qualitative research.
Real world research, as the term is used in this book, refers to applied research projects which ... more Real world research, as the term is used in this book, refers to applied research projects which are typically small in scale and modest in scope. Real world research looks to examine personal experience, social life and social systems, as well as related policies and initiatives. It endeavours to understand the lived‐in reality of people in society and its consequences. A substantial amount of research of this type is carried out in universities or research institutes by both staff and students, particularly in applied fields such as business and management, criminology, education, and health‐related areas such as nursing, social policy, social work and socio‐legal studies. There is also applied work in academic social science disciplines including psychology and sociology. It also commonly takes place in local government, businesses, NGOs (non‐government organizations) and community organizations, where it is carried out by professionals and practitioners, including practitioner‐researchers.
This offering is a study and review aid. It is to
be used in conjunction with Handbook of
Neurosu... more This offering is a study and review aid. It is to be used in conjunction with Handbook of Neurosurgery, Eighth Edition, by Mark S. Greenberg. It permits the user, after reading a page, section, or chapter in Greenberg, to test retention of the details of that portion. Every question is directly referenced to Greenberg's text, where background information and context is readily available. An effort has been made to highlight the important facts in neurosurgical practice by posing questions to the reader that forces active involvement in the learning and review process
1. Key manifestations and presentations of diseases
2. Diseases and disorders
3. Ambulatory medic... more 1. Key manifestations and presentations of diseases 2. Diseases and disorders 3. Ambulatory medicine
Introduction to Advanced Nursing Practice - An International Focus, 2016
Under the Auspices of the International Council of Nurses (ICN)
The field of advanced nursing p... more Under the Auspices of the International Council of Nurses (ICN)
The field of advanced nursing practice and diverse levels of advanced nursing is a growing trend worldwide in the provision of a variety of healthcare services. This book introduces the concept of advanced nursing practice by offering an international definition and key characteristics of an advanced practice nurse. Assumptions that should be found wherever nursing exists are identified as the foundation for progressing to advanced levels of nursing. Topics to consider when forging a new nursing role are discussed along with country issues that shape advanced nursing practice development.
Insuficiência Renal
Seja crónica ou aguda, ocorre quando o rim perde a capacidade de filtrar o ... more Insuficiência Renal
Seja crónica ou aguda, ocorre quando o rim perde a capacidade de filtrar o sangue apropriadamente e excretar, através da urina, as substâncias tóxicas, levando à acumulação destas na corrente sanguínea. Oligoanúria (diminuição da quantidade de urina excretada, ou cessação por completo) é o sinal mais evidente, a par de aumento da creatinina e ureia no sangue. A acumulação em excesso das substâncias tóxicas provoca consequências a nível de todo o organismo, podendo provocar o coma.
Hemodiálise Forma de tratamento da insuficiência renal. Consiste na remoção de líquido e substâncias tóxicas do sangue (como creatinina, ureia, excesso de outros eletrólitos como potássio e sódio).
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However, note that CSF results should always be interpreted with the clinical picture in mind.
Reference ranges may vary between labs
cause difficulties in interpretation. Combining a set of CSF variables referred to as routine parameters (i.e. determination of protein, albumin, immunoglobulin, glucose, lactate, and cellular changes, as well as specific antigen and antibody testing for infectious agents) will increase the diagnostic sensitivity and specifi city.
The aim of this guideline paper was to produce recommendations on how to use this set of CSF parameters in different clinical settings and to show how different constellations of these variables correlate with diseases of the nervous system.
Signs and symptoms are formatted alphabetically for quick retrieval, and elicited history is linked to the essentials of the exam. Readers are alerted to urgent situations in the Emergency Interventions section. Differential diagnoses are listed under Medical Causes, following the elaboration of the symptom history and exam findings. Under the heading Other Causes, the clinician is alerted to medications or herbal remedies that are associated with the patient's complaint. Special Considerations address pediatric, gender-specific, and geriatric concerns.
This new edition of the handbook has been updated to include important signs and symptoms related to diseases that have recently taken center stage in clinical medicine, including avian influenza, respiratory syncytial virus, Kawasaki disease, and metabolic syndrome — an epidemic
disease that has become essential to diagnose and manage.
ACUTE PAIN.
2. ASSESSMENT AND MEASUREMENT OF PAIN AND ITS TREATMENT
3. PROVISION OF SAFE AND EFFECTIVE ACUTE PAIN MANAGEMENT
4. SYSTEMICALLY ADMINISTERED ANALGESIC DRUGS
5. REGIONALLY AND LOCALLY ADMINISTERED ANALGESIC DRUGS
6. ADMINISTRATION OF SYSTEMIC
ANALGESIC DRUGS
7. PCA, REGIONAL AND OTHER LOCAL ANALGESIA TECHNIQUES
8. NON-PHARMACOLOGICAL TECHNIQUES.
9. SPECIFIC CLINICAL SITUATIONS
10. THE PAEDIATRIC PATIENT
7th edition is a concise, portable text that:
● Describes how to interview the patient and take the health history.
● Provides an illustrated review of the physical examination.
● Reminds students of common, normal, and abnormal physical
findings.
● Describes special techniques of assessment that students may need in
specific instances.
● Provides succinct aids to interpretation of selected findings.
There are several ways to use the Pocket Guide:
● To review and remember the content of a health history.
● To review and rehearse the techniques of examination. This can be
done while learning a single section and again while combining the
approaches to several body systems or regions into an integrated
examination (see Chap. 1).
● To review common variations of normal and selected abnormalities.
Observations are keener and more precise when the examiner knows
what to look, listen, and feel for.
● To look up special techniques as the need arises. Maneuvers such
as The Timed Get Up and Go test are included in the Special
Techniques sections in each chapter.
● To look up additional information about possible findings, including
abnormalities and standards of normal.
The Pocket Guide is not intended to serve as a primary text for learning the skills of history taking or physical examination. Its detail is too
brief for these purposes. It is intended instead as an aid for student
review and recall and as a convenient, brief, and portable reference
Il'anslation of this knowledge to clinical practice, however, has often not occurred in the operating room. Rather the neurosurgical intensive care unit has more often been the place where physiological understanding has been conceived and applied for practical results. Many advances have been made in bedside monitoring techniques in recent years, and we have
entered a time in which specific therapies to reverse, compensate, and control the detrimental physiological results of injury or disease processes are based upon results of such monitoring. Also neurosurgeons and more recently neurologists have become more directly
involved in the care of patients in the intensive care unit. In medical centers it has become mandatory that they work closely with critical care specialists so that the intensive care unit can provide the best care to patients. And in some, they are directing overall care of the patient including pulmonary and hemodynamic management.
The goal of this book is to provide neurosurgeons, neurologists, critical care specialists, and all of those who care for neurosurgical patients a reference to assist in further advancing the intensive care of neurosurgical patients.
determined by arterial blood gas analysis and constitute a central
part of modern evidence-based treatment algorithms in critical care.
Furthermore, devices, intended for critical care testing, allow for assessment of e.g. renal function (creatinine) and electrolytes, inflammation (C-reactive protein) and cardiac biomarkers.
This handbook is a concise, well-organized guide covering the spectrum of parameters provided by state-of-the-art devices. Each parameter’s physiological role and pathophysiology is explained, and
reference intervals are provided, as well as the most likely causes of
abnormalities. Quick access to important information is complemented by colorful illustrations, essential lists and tables. This handbook is
intended to be a supplement to comprehensive text books, offering
an easy guidance to some blood tests and simplifying the healthcare
providers’ decision-making process. It provides instant reminders
of vitally important clinical facts for students, nurses, residents and
other medical professionals who are required to interpret blood test
within critical care.
1. Cadeia de sobrevivência 12
2. A desfibrilhação automática externa em Portugal 14
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO
1. Compressões torácicas 18
2. Ventilação "boca-a-boca" 20
3. Suporte Básico de Vida, Adulto 22
4. SBV com dois reanimadores 26
SECÇÃO 3 - SUPORTE BÁSICO DE VIDA COM DESFIBRILHAÇÃO (SBVD), ADULTO
1. A desfibrilhação precoce 30
2. O desfibrilhador automático externo (DAE) 32
3. DAE disponivel: como utilizar? 34
4. Segurança na desfibrilhação 38
SECÇÃO 4 - SBV E SBVD PEDIÁTRICO
1. Modificações em Pediatria 42
2. Algoritmos Pediátricos: SBV e SBVD 46
SECÇÃO 5 - VENTILAÇÃO COM ADJUVANTES DA VIA AÉREA
1. Adjuvantes da via aérea 50
2. Tubo orofaríngeo 52
3. Tubo nasofaríngeo 54
4. Aspiração de secreções 56
5. Ventilação com máscara de bolso 58
6. Ventilação com insuflador manual 60
7. Considerações sobre a via aérea 62
SECÇÃO 6 - DESOBSTRUÇÃO DA VIA AÉREA
1. Obstrução da via aérea 66
2. Algoritmo de desobstrução da via aérea: adulto e criança 68
3. Algoritmo de desobstrução da via aérea no lactente 70
SECÇÃO 7 - CONSIDERAÇÕES ESPECIAIS
1. Posição lateral de segurança 74
2. Riscos para o reanimador 76
3. Folha de registo nacional de PCR, pré-hospitalar 78
1. Cadeia de sobrevivência 12
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO
1. Compressões torácicas 16
2. Ventilação "boca-a-boca" 18
3. Suporte Básico de Vida, Adulto 20
4. SBV com dois reanimadores 24
SECÇÃO 3 - VENTILAÇÃO COM ADJUVANTE DA VIA AÉREA
1. Ventilação com máscara de bolso 28
SECÇÃO 4 - DESOBSTRUÇÃO DA VIA AÉREA
1. Obstrução da via aérea 32
2. Algoritmo de desobstrução da via aérea: adulto e criança 34
SECÇÃO 5 - CONSIDERAÇÕES ESPECIAIS
1. Posição lateral de segurança 38
2. Riscos para o reanimador 40
Inclui:
- Transmissao de Dados e Telecomunicacoes
- Tripulante e Ambulancia
- Helitransporte
- Parto Eminente, Emergencias Obstetricas e Reanimacao Neonatal
- Avaliacao da Vitima Pediatrica
- Emergencias Pediatricas
1. Introdução 12
2. Estabilização manual da cabeça 14
3. Aplicação do colar cervical 18
4. Rolamento 20
5. Levantamento 24
6. Maca pluma 26
7. Imobilização em plano duro 28
8. Alinhamento em posição neutra no plano duro 30
9. Colete de extração 32
10. Extração rápida 36
11. Remoção do capacete 40
12. Imobilização vertical 42
13. Conceitos gerais na imobilização de fraturas 44
14. O transporte da criança no automóvel 50
15. Imobilização pediátrica 54
16. Transporte de vítimas de trauma 60
SECÇÃO 2: Extração de vítimas encarceradas
1. Introdução 66
2. Aplicação do método "SAVER" 68
3. Conceito de encarceramento e extração 72
4. Zonas de trabalho 74
5. Regras e procedimentos de segurança 76
6. Estrutura dos veículos 78
7. Técnicas normalizadas para criação de espaço 80
8. Equipamento mais frequentemente usado 84
Inclui:
1. Mecanismos de lesão
2. Lesão oculta
3. Trauma crânio encefálico
4. Trauma vértebro-medular
5. Trauma torácico
6. Trauma abdominal e da bacia
7. Trauma na grávida
8. Trauma em pediatria
9. Hemorragias
10.Trauma das extremidades e tecidos moles
11. Acidentes em meio aquático
12. Lesões ambientais
13.Queimaduras
Inclui
-Anatomia e fisiologia
-Abordagem 'a vitima
-Tecnicas de abordagem 'a vitima
-Oxigenoterapia
Inclui:
-Dor toracica
-Dispneia
-Reaccao alergica
-Acidente vascular cerebral
-Convulsoes
-Dor abdominal
-Hemorragia digestiva
-Choque
-Alteracoes da glicemia e diabetes mellitus
-Intoxicacao
-Apoio ao suporte avancado de vida
Destinado aos estudantes e profissionais de enfermagem, a obra expõe os elementos constitutivos do modelo conceptual, aplicado a uma disciplina profissional e debate as suas consequências do ponto de vista prático, da investigação e da formação em enfermagem.
However, note that CSF results should always be interpreted with the clinical picture in mind.
Reference ranges may vary between labs
cause difficulties in interpretation. Combining a set of CSF variables referred to as routine parameters (i.e. determination of protein, albumin, immunoglobulin, glucose, lactate, and cellular changes, as well as specific antigen and antibody testing for infectious agents) will increase the diagnostic sensitivity and specifi city.
The aim of this guideline paper was to produce recommendations on how to use this set of CSF parameters in different clinical settings and to show how different constellations of these variables correlate with diseases of the nervous system.
Signs and symptoms are formatted alphabetically for quick retrieval, and elicited history is linked to the essentials of the exam. Readers are alerted to urgent situations in the Emergency Interventions section. Differential diagnoses are listed under Medical Causes, following the elaboration of the symptom history and exam findings. Under the heading Other Causes, the clinician is alerted to medications or herbal remedies that are associated with the patient's complaint. Special Considerations address pediatric, gender-specific, and geriatric concerns.
This new edition of the handbook has been updated to include important signs and symptoms related to diseases that have recently taken center stage in clinical medicine, including avian influenza, respiratory syncytial virus, Kawasaki disease, and metabolic syndrome — an epidemic
disease that has become essential to diagnose and manage.
ACUTE PAIN.
2. ASSESSMENT AND MEASUREMENT OF PAIN AND ITS TREATMENT
3. PROVISION OF SAFE AND EFFECTIVE ACUTE PAIN MANAGEMENT
4. SYSTEMICALLY ADMINISTERED ANALGESIC DRUGS
5. REGIONALLY AND LOCALLY ADMINISTERED ANALGESIC DRUGS
6. ADMINISTRATION OF SYSTEMIC
ANALGESIC DRUGS
7. PCA, REGIONAL AND OTHER LOCAL ANALGESIA TECHNIQUES
8. NON-PHARMACOLOGICAL TECHNIQUES.
9. SPECIFIC CLINICAL SITUATIONS
10. THE PAEDIATRIC PATIENT
7th edition is a concise, portable text that:
● Describes how to interview the patient and take the health history.
● Provides an illustrated review of the physical examination.
● Reminds students of common, normal, and abnormal physical
findings.
● Describes special techniques of assessment that students may need in
specific instances.
● Provides succinct aids to interpretation of selected findings.
There are several ways to use the Pocket Guide:
● To review and remember the content of a health history.
● To review and rehearse the techniques of examination. This can be
done while learning a single section and again while combining the
approaches to several body systems or regions into an integrated
examination (see Chap. 1).
● To review common variations of normal and selected abnormalities.
Observations are keener and more precise when the examiner knows
what to look, listen, and feel for.
● To look up special techniques as the need arises. Maneuvers such
as The Timed Get Up and Go test are included in the Special
Techniques sections in each chapter.
● To look up additional information about possible findings, including
abnormalities and standards of normal.
The Pocket Guide is not intended to serve as a primary text for learning the skills of history taking or physical examination. Its detail is too
brief for these purposes. It is intended instead as an aid for student
review and recall and as a convenient, brief, and portable reference
Il'anslation of this knowledge to clinical practice, however, has often not occurred in the operating room. Rather the neurosurgical intensive care unit has more often been the place where physiological understanding has been conceived and applied for practical results. Many advances have been made in bedside monitoring techniques in recent years, and we have
entered a time in which specific therapies to reverse, compensate, and control the detrimental physiological results of injury or disease processes are based upon results of such monitoring. Also neurosurgeons and more recently neurologists have become more directly
involved in the care of patients in the intensive care unit. In medical centers it has become mandatory that they work closely with critical care specialists so that the intensive care unit can provide the best care to patients. And in some, they are directing overall care of the patient including pulmonary and hemodynamic management.
The goal of this book is to provide neurosurgeons, neurologists, critical care specialists, and all of those who care for neurosurgical patients a reference to assist in further advancing the intensive care of neurosurgical patients.
determined by arterial blood gas analysis and constitute a central
part of modern evidence-based treatment algorithms in critical care.
Furthermore, devices, intended for critical care testing, allow for assessment of e.g. renal function (creatinine) and electrolytes, inflammation (C-reactive protein) and cardiac biomarkers.
This handbook is a concise, well-organized guide covering the spectrum of parameters provided by state-of-the-art devices. Each parameter’s physiological role and pathophysiology is explained, and
reference intervals are provided, as well as the most likely causes of
abnormalities. Quick access to important information is complemented by colorful illustrations, essential lists and tables. This handbook is
intended to be a supplement to comprehensive text books, offering
an easy guidance to some blood tests and simplifying the healthcare
providers’ decision-making process. It provides instant reminders
of vitally important clinical facts for students, nurses, residents and
other medical professionals who are required to interpret blood test
within critical care.
1. Cadeia de sobrevivência 12
2. A desfibrilhação automática externa em Portugal 14
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO
1. Compressões torácicas 18
2. Ventilação "boca-a-boca" 20
3. Suporte Básico de Vida, Adulto 22
4. SBV com dois reanimadores 26
SECÇÃO 3 - SUPORTE BÁSICO DE VIDA COM DESFIBRILHAÇÃO (SBVD), ADULTO
1. A desfibrilhação precoce 30
2. O desfibrilhador automático externo (DAE) 32
3. DAE disponivel: como utilizar? 34
4. Segurança na desfibrilhação 38
SECÇÃO 4 - SBV E SBVD PEDIÁTRICO
1. Modificações em Pediatria 42
2. Algoritmos Pediátricos: SBV e SBVD 46
SECÇÃO 5 - VENTILAÇÃO COM ADJUVANTES DA VIA AÉREA
1. Adjuvantes da via aérea 50
2. Tubo orofaríngeo 52
3. Tubo nasofaríngeo 54
4. Aspiração de secreções 56
5. Ventilação com máscara de bolso 58
6. Ventilação com insuflador manual 60
7. Considerações sobre a via aérea 62
SECÇÃO 6 - DESOBSTRUÇÃO DA VIA AÉREA
1. Obstrução da via aérea 66
2. Algoritmo de desobstrução da via aérea: adulto e criança 68
3. Algoritmo de desobstrução da via aérea no lactente 70
SECÇÃO 7 - CONSIDERAÇÕES ESPECIAIS
1. Posição lateral de segurança 74
2. Riscos para o reanimador 76
3. Folha de registo nacional de PCR, pré-hospitalar 78
1. Cadeia de sobrevivência 12
SECÇÃO 2 - SUPORTE BÁSICO DE VIDA, ADULTO
1. Compressões torácicas 16
2. Ventilação "boca-a-boca" 18
3. Suporte Básico de Vida, Adulto 20
4. SBV com dois reanimadores 24
SECÇÃO 3 - VENTILAÇÃO COM ADJUVANTE DA VIA AÉREA
1. Ventilação com máscara de bolso 28
SECÇÃO 4 - DESOBSTRUÇÃO DA VIA AÉREA
1. Obstrução da via aérea 32
2. Algoritmo de desobstrução da via aérea: adulto e criança 34
SECÇÃO 5 - CONSIDERAÇÕES ESPECIAIS
1. Posição lateral de segurança 38
2. Riscos para o reanimador 40
Inclui:
- Transmissao de Dados e Telecomunicacoes
- Tripulante e Ambulancia
- Helitransporte
- Parto Eminente, Emergencias Obstetricas e Reanimacao Neonatal
- Avaliacao da Vitima Pediatrica
- Emergencias Pediatricas
1. Introdução 12
2. Estabilização manual da cabeça 14
3. Aplicação do colar cervical 18
4. Rolamento 20
5. Levantamento 24
6. Maca pluma 26
7. Imobilização em plano duro 28
8. Alinhamento em posição neutra no plano duro 30
9. Colete de extração 32
10. Extração rápida 36
11. Remoção do capacete 40
12. Imobilização vertical 42
13. Conceitos gerais na imobilização de fraturas 44
14. O transporte da criança no automóvel 50
15. Imobilização pediátrica 54
16. Transporte de vítimas de trauma 60
SECÇÃO 2: Extração de vítimas encarceradas
1. Introdução 66
2. Aplicação do método "SAVER" 68
3. Conceito de encarceramento e extração 72
4. Zonas de trabalho 74
5. Regras e procedimentos de segurança 76
6. Estrutura dos veículos 78
7. Técnicas normalizadas para criação de espaço 80
8. Equipamento mais frequentemente usado 84
Inclui:
1. Mecanismos de lesão
2. Lesão oculta
3. Trauma crânio encefálico
4. Trauma vértebro-medular
5. Trauma torácico
6. Trauma abdominal e da bacia
7. Trauma na grávida
8. Trauma em pediatria
9. Hemorragias
10.Trauma das extremidades e tecidos moles
11. Acidentes em meio aquático
12. Lesões ambientais
13.Queimaduras
Inclui
-Anatomia e fisiologia
-Abordagem 'a vitima
-Tecnicas de abordagem 'a vitima
-Oxigenoterapia
Inclui:
-Dor toracica
-Dispneia
-Reaccao alergica
-Acidente vascular cerebral
-Convulsoes
-Dor abdominal
-Hemorragia digestiva
-Choque
-Alteracoes da glicemia e diabetes mellitus
-Intoxicacao
-Apoio ao suporte avancado de vida
Destinado aos estudantes e profissionais de enfermagem, a obra expõe os elementos constitutivos do modelo conceptual, aplicado a uma disciplina profissional e debate as suas consequências do ponto de vista prático, da investigação e da formação em enfermagem.
subject but the majority are written from a traditional academic viewpoint. This new book
is different in that it is written specifically for the audience of the Health Care Professions
and the author Dr Christine Thorp is particularly well qualified in this respect.
Dr Thorp graduated from the School of Pharmacy and Pharmacology at the University
of Bath, first with a BSc in 1975 and then with a PhD in 1979 providing her with a
traditional academic view of pharmacology and experience of research. Since then she
has undertaken a number of roles, most recently in the Faculty of Health and Social Care
at the University of Salford, with responsibility for teaching pharmacology to students
in a variety of Health Care Profession disciplines.
- Cardiovascular System
- Pulmonary System
- Gastrointestinal System
- Endocrine and Metabolic System
- Central and Peripheral Nervous System
- Connective Tissue and Joint
- Renal and Genitourinary System
- Fluids, Electrolytes and Acid-Base
- Hematologic and Neoplasms
- Infectious
- Skin and Hypersensitivity
- Ambulatory Medicine
problem in studying pharmacology is that a great many facts and hard-to-remember drug names have to be
mastered. To get to grips with the subject it is essential to appreciate how drugs work; and to do this it is
necessary to understand the underlying pathophysiological processes on which they act. Once you’ve covered
the detail from lectures and textbooks, there is then the problem of making sure the information stays securely
and accessibly in your memory for when you need it later in your professional life. And to do this efficiently
you need to know what the essential points about any drug are, so that with these you will be able, by association, to call up fuller details.
Our cards follow fairly closely the sequence of chapters in Rang & Dale (7th edition) and Dale and Haylett
(2nd edition). On the front of each card there is a drug name and a diagram showing the relevant pathophysiological processes it affects (e.g. noradrenergic transmission, heart failure etc); the essential information about
the drug appears on the back.
The crucial facts about each drug are thus shown in the context of its mechanism of action, so that the user
can lodge them securely in his/her mind, as pointers to the more detailed material buried ‘deeper’.
The cards could also (whisper it) help with revising for exams
2 Life-threatening emergencies 41
3 Medicine 62
4 Toxicology 179
5 Infectious diseases 219
6 Environmental emergencies 253
7 Analgesia and anaesthesia 271
8 Major trauma 319
9 Wounds, fractures, orthopaedics 401
10 Surgery 503
11 Ophthalmology 533
12 Ear, nose and throat 545
13 Obstetrics and gynaecology 563
14 Psychiatry 601
15 Paediatric emergencies 630
Quick chapter look-ups The index on the back cover refers to and aligns with
the coloured tabs on the sides of the pages.
References (1) Every reference has an individual identifi cation indicated by a
pink superscript number. The full details of every reference are held online at
www.oup.com/ohcs10refs.
Further reading Throughout the book you will fi nd ‘Further reading’ sections
which are intended to guide you to sources that will further your learning, understanding, and clinical practice.
Cross references There are cross references to other topics within the book,
to the Oxford Handbook of Clinical Medicine (OHCM), and to other titles in the
Oxford Medical Handbooks series.
Reference intervals for common laboratory values are included inside the
back cover. Conversion factors to and from SI units are given on the bookmark.
Symbols and abbreviations See page ix.
Corrections and suggestions Found a mistake? Have a suggestion for the
next edition? Let us know at www.oup.com/uk/academic/ohfeedback. Major
changes are announced online at www.oup.co.uk/academic/series/oxhmed/
updates.
Tabular format for rapid reference.
Includes overview of the diagnostic process.
Rapid Inpatient and Outpatient Assessments, you’ll see a physical examination
book like no other. Packed with time-saving tips, this portable handbook
will help you to organize your physical examination so that you can move
through the examination quickly—and without missing critical findings. The
book’s organization allows you to rapidly find what you need, easily accessed
in either a hospital or clinical setting. Physical exam content is organized
by body region—for example, chest and back—rather than by body system,
an approach that provides an excellent method for conducting a thorough
examination. What’s more, the book will help you realize when to shift gears
and focus the examination on a critical sign or chief complaint.
Chapter 2 The Respiratory System 19
Chapter 3 The Gastrointestinal System 35
Chapter 4 The Renal System 53
Chapter 5 The Endocrine System 71
Chapter 6 Haematology 93
Chapter 7 Infectious Disease 105
Chapter 8 The Immune System 123
Chapter 9 Neurology 133
Chapter 10 Musculoskeletal System 155
Chapter 11 The Reproductive System 173
Chapter 12 Embryology 187
Chapter 13 Genetic Disorders 197
Chapter 14 Miscellaneous Conditions 213
2 To convey to the newcomer with little or no prior knowledge my own enthusiasm for the intrinsically beautiful and important clinical science upon which 95% of medical treatment is based.
3 To provide readers with an understanding of how drugs work suffi cient to make their prescribing and medication reviewing safer and more effective.
typically small in scale and modest in scope. Real world research looks to examine personal
experience, social life and social systems, as well as related policies and initiatives. It endeavours
to understand the lived‐in reality of people in society and its consequences. A substantial amount
of research of this type is carried out in universities or research institutes by both staff and students, particularly in applied fields such as business and management, criminology, education,
and health‐related areas such as nursing, social policy, social work and socio‐legal studies. There
is also applied work in academic social science disciplines including psychology and sociology.
It also commonly takes place in local government, businesses, NGOs (non‐government organizations) and community organizations, where it is carried out by professionals and practitioners, including practitioner‐researchers.
be used in conjunction with Handbook of
Neurosurgery, Eighth Edition, by Mark S.
Greenberg. It permits the user, after reading
a page, section, or chapter in Greenberg, to
test retention of the details of that portion.
Every question is directly referenced to
Greenberg's text, where background information and context is readily available. An effort has been made to highlight the
important facts in neurosurgical practice by
posing questions to the reader that forces
active involvement in the learning and review process
2. Diseases and disorders
3. Ambulatory medicine
The field of advanced nursing practice and diverse levels of advanced nursing is a growing trend worldwide in the provision of a variety of healthcare services.
This book introduces the concept of advanced nursing practice by offering an international definition and key characteristics of an advanced practice nurse. Assumptions that should be found wherever nursing exists are identified as the foundation for progressing to advanced levels of nursing. Topics to consider when forging a new nursing role are discussed along with country issues that shape advanced nursing practice development.
Seja crónica ou aguda, ocorre quando o rim perde a capacidade de filtrar o sangue apropriadamente e excretar, através da urina, as substâncias tóxicas, levando à acumulação destas na corrente sanguínea.
Oligoanúria (diminuição da quantidade de urina excretada, ou cessação por completo) é o sinal mais evidente, a par de aumento da creatinina e ureia no sangue. A acumulação em excesso das substâncias tóxicas provoca consequências a nível de todo o organismo, podendo provocar o coma.
Hemodiálise
Forma de tratamento da insuficiência renal. Consiste na remoção de líquido e substâncias tóxicas do sangue (como creatinina, ureia, excesso de outros eletrólitos como potássio e sódio).