hypothermia：低溫ppt課件(編輯修改稿)
2025-02-08 09:43 本頁(yè)面
【文章內(nèi)容簡(jiǎn)介】 tients over 60 with hypothermia in a munity hospital in Jerusalem (198386) Prognosis of Hypothermia (Kramer) ? In hospital mortality – 74% ? Acute renal failure – 12% ? DIC – 9% Back To My Patient ? WBC –nml diff ? Hct 37 ? Plts 65 ? INR / PTT ? Na 140 ? K ? Cl 110 ? CO2 25 ? Bun/Cr 23/ ? Glucose 67 ? AST 62/ ALT 132 ? GGT 63 ? Tbili ? TSH / Free T4 ? Cortisol ? Tox Screen – + benzos ? Head Ct – old trauma ? LP – 2 nucleated cells ? CXR mild pulm edema ? ABG Further Hospital Course ? Transferred to TLC ? Went for Head CT with contrast ? Woke up in scanner and batative ? Temp and patient back to baseline per caregivers ? Given 10mg Haldol for outbursts ? 1 hour after Haldol was again unresponsive with Temp Clinical Manifestations ? CNS – amnesia, apathy ? decr level of consciousness ? a ? CVS – Tachy ? brady ? atrial/ventricular arrythmias ? decreased co ? asystole ? Resp – Tachypnea ? decr ventilation with bronchorrhea/bronchospasm ? loss of airway protection ? pulm congestion ? apnea ? Renal – Cold diuresis ? decrease urine output ? Endocrine – Incr catechols, adrenal steroids and thy
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