Emergency requirements

Minimizing tlie losses caused by an emergency requires planned procedures, understood responsibility, designated audiority, accepted accountability, and trained, e. perienced people. With a fiilly implemented plan, diese goals can be acliieved... 

Pustular psoriasis may be localized or generalized and may be an acute emergency requiring systemic therapy. Generalized pustular psoriasis is characterized by disseminated deep-red erythematous areas and pustules, which may merge to become "lakes of pus."... 

The funduscopic examination may reveal arteriolar narrowing, focal arteriolar narrowing, arteriovenous nicking, and retinal hemorrhages, exudates, and infarcts. The presence of papilledema indicates hypertensive emergency requiring rapid treatment. 

Hypercalcemic crisis and symptomatic hypercalcemia are medical emergencies requiring immediate treatment. Rehydration with normal saline followed by loop diuretics can be used in patients with normal to moderately impaired renal function. Initiate treatment with calcitonin in patients in whom saline hydration is contraindicated (Table 78-3). 

The general management of hypertensive emergencies requires monitoring the patient in an intensive care unit with continuous recording of arterial blood pressure. Fluid intake and output must be monitored carefully and body weight measured daily as an indicator of total body fluid volume during the course of therapy. 

This chapter provides information on the health consequences associated with commonly occurring environmentai disasters and emergencies. Nurses responding to the needs of populations and communities affected by environmental disasters and/or emergencies require an understanding of (a) the immediate health effects related to the event, (b) the potential for long-term... 

In the search for a more snccessful drag, numerous alternative concepts in the design of new platinum drags emerged. Requirements that have inflnenced the search for new complexes inclnde rednction in toxicity, increased spectrum of activity, circumventing resistance, and oral activity to facihtate ontpatient treatment. The remainder of this section will give an overview of the various approaches used, classical and novel. Platinum complexes with appended functionalities will be discussed in more detail. 

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