Near Drowning in Children

Posted by: Frances Quino, RN

Drowning in children can be very painful for most cases. Preventing these cases is a very important aspect. Taking a look at this subject from time to time is a must in order to provided better options to prevent such accidents. Drowning is the immediate cause of death due to asphyxia while submerged in a [...]

Neurointensive Care for Traumatic Brain Injury in Children

Posted by: Frances Quino, RN

Traumatic brain injury have taken the interest of international organizations nowadays. As it is a very dangerous injury, it can even impair the lives of those who had a traumatic brain injury. According to the Center for Disease Control and Prevention, prevention and sources of help is very an important aspect on understanding and managing [...]

Salicylate Poisoning

Posted by: Daisy Jane, RN, MN

Salicylates Salicylates are agents found in hundreds of over-the-counter (OTC) medications and in numerous prescription drugs. These medications possess anti-inflammatory, analgesic, and antipyretic properties. They are available for ingestion as tablets, capsules, and liquids. Therapeutic Uses of Salicylates Therapeutic uses of salicylates are the following: Analgesic Anti-inflammatory Antipyretic Keratolytic Rubifacient Acetylsalicylic acid is colorless or [...]

Thyrotoxicosis (Thyroid Storm)

Posted by: Lhynnelli, RN

Thyroid storm is a life-threatening condition in which patients with underling thyroid dysfunction inhibit exaggerated signs and symptoms of hyperthyroidism. Thyroid storm is precipitated by stressors such as infection, trauma, DKA, surgery, heart failure, or stroke. The condition can result from discontinuation of antithyroid medication or as a result of untreated or inadequate treatment of [...]

Syndrome Of Inappropriate Antidiuretic Hormone (SIADH)

Posted by: Lhynnelli, RN

Is a condition that results from failure in the negative feedback mechanism that regulates inhibition and secretion of ADH. It produces excess ADH, resulting hypothermia and hypoosmolality of serum. The kidneys respond by reabsorbing water in the tubules and excreting sodium; thus the patient becomes severely water intoxicated. SIADH is most commonly caused by ectopic [...]

Myxedema coma

Posted by: Lhynnelli, RN

Myxedema coma is a life-threatening condition in which patients with underlying throid dysfunction exhibit exaggerated manifestations of hypothyroidism. Precipitating factors may include (but are limited to) infection, trauma, surgery, heart failure, stroke, or central nervous system depressants. Hypothyroidism depresses metabolic rate, thus seriously affecting all body system. Signs And Symptoms Hypothermia Hypoventilation Decreased mental function [...]

Upper Gastrointestinal Bleeding

Posted by: Lhynnelli, RN

Upper gastrointestinal bleeding is characterized by the sudden onset of bleeding from the GI tract at a site (or sites) proximal to the ligament of Treitz. Most upper GI bleeds are a direct result of peptic ulcer erosion, stress related- mucosal disease, that may evidence as superficial erosive gastric lesion to frank ulcerations, erosive gastritis [...]

Hepatic Failure

Posted by: Lhynnelli, RN

Hepatic failure can result from acute liver injury, causing acute liver failure (ALF) or fulminant hepatic failure (FHF), or progressive chronic liver disease such as cirrhosis. An alteration in hepatocyte functioning affects the liver metabolism, detoxification process, protein synthesis, manufacture of clotting factors, and preservation of immunocompetence. FHF occurs when severe hepatic injury results in [...]

Sudden Cardiac Death

Posted by: Lhynnelli, RN

Sudden cardiac death (SCD) is unexpected cardiopulmonary collapse. SCD can occur as a primary manifestation of ischemic heart disease. Risk factors mirror the risk factors for coronary artery disease (CAD); cigarette smoking, hyperlipidemia, hypertension, diabetes, obesity, stress, and a positive family history of cardiovascular disease. Men, especially those older than 50 years, and postmenstrual women [...]

Hypovolemic Shock Patient Care and Monitoring

Posted by: Lhynnelli, RN

Hemorrhage is a major cause of hypovolemic shock. However, plasma loss/ dehydration and interstitial fluid accumulation (third spacing) adversely reduce circulating volume by decreasing tissue perfusion. The primary defect is decreased preload. Four classifications of hypovolemic shock based on the amount of fluid and blood loss: Class I: <750 ml, or ? 15% total circulating [...]