Medical problems acute

On the other hand, insufficient NO production also causes serious medical problems. Many diseases such as hypertension, atherosclerosis and restenosis involve a deficiency of NO production. Therefore, a compound that can release NO under specific conditions can be used therapeutically to palliate NO underproduction. In fact, the best known NO donor, glyceryl trinitrate, has been used for over a century to relieve acute attacks of angina pectoris. 

Only one report of human death attributed to 1,4-dichlorobenzene exposure has been located in the literature. A 60-year-old man and his wife died within months of each other due to acute yellow atrophy of the liver (also known as massive hepatic necrosis or fulminant hepatitis) (Cotter 1953). Their home had been "saturated" with 1,4-dichlorobenzene mothball vapor for a period of about 3-4 months, but no air measurements were available. Clinical symptoms included severe headache, diarrhea, numbness, clumsiness, slurred speech, weight loss (50 pounds in 3 months in the case of the husband), and jaundice. The wife died within a year of the initial exposure however, it was not clear if 1,4-dichlorobenzene was the primary cause of death. This case study did not address whether these individuals consumed excessive amounts of alcohol or had previous medical problems, such as a chronic liver infection. 

Pharmaceutical therapy of acute arthritis of crystal-deposition disease is effective, in particular for gout and hyperuricemia. Treatment is directed towards termination of acute arthritis, prevention of recurring attacks and prophylaxis and reversal of complications of chronic gout. Such complications include tophi, urolithiasis, nephropathy and with hyperuricemia associated medical problems that can be prevented, inhibited, and sometimes reversed. 

Ritter J et al ACTH revisited Effective treatment for acute crystal induced synovitis in patients with multiple medical problems. J Rheumatol 1994 21 696. [PMID 8035395]... 

The scope of the medical problems which require the use of anticoagulant drugs cannot be overstated. Arterial thrombosis is a major contributor to the number one (acute myocardial infarction), number three (stroke) and number four (renal) causes of death in the United States (1J. Venous thromboembolism is the most common non-surgical cause of death in patients hospitalized for major orthopedic procedures, the most frequent non-obstetrical cause of postpartum death, and a major cause of death in patients with chronic cardiac and pulmonary disease (1 ). Venous thrombosis is estimated to lead to the hospitalization of approximately... 

Acute renal insufficiency has been reported after the use of rofecoxib in patients with predisposing conditions, such as chronic renal insufficiency, renal transplantation, heart disease, liver cirrhosis, and dehydration (2-5). COX-2 inhibitors should be used with great caution, if at all, in patients with medical problems that are associated with prostaglandin-depen-dent renal function. From this point of view they do not differ from traditional NSAIDs (6). 

Cocaine is a central nervous system stimulant that inhibits the peripheral reuptake of catecholamines, leading to increased sympathomimetic activity [129]. Its abuse is associated with a variety of medical problems. These include acute myocardial infarction, cardiac arrhythmias, cerebrovascular accidents, hyperpyrexia and stimulated sympathetic activity, seizures and coma, obstetrical comphcations, intestinal ischemia and a variety of psychiatric complications [128-131]. A number of reports in the mid to late 1980 s described patients who developed rhabdomyolysis while using cocaine [132-134]. Some of these patients experienced acute kidney injury [135-139]. While the exact incidence of acute kidney injury secondary to cocaine rhabdomyolysis is unknown, in one reported series it occurred... 

The Academy of Pediatrics made their recommendations concerning ethanol exposure from medications based on potential acute and chronic ethanol-related problems. Acutely, the coadministration of ethanol may alter drug adsorption or metabolism, and may result in drug interactions (e.g., increased sedation when taken with sedatives). Disulfiram-like reactions have occurred after the ingestion of an alcohol-containing medication or... 

Summary Two elderly patients, with no medical problems present with acute mental status change, fatigne, red lips, and nausea after being snowed in their home during a blizzard with warmth provided by a fnmace. The carboxyhe-moglobin level is elevated. 

A 50-year-old Hispanic female presents to your clinic with complaints of excessive thirst, fluid intake, and urination. She denies any urinary tract infection symptoms. She reports no medical problems, but has not seen a doctor in many years. On examination she is an obese female in no acute distress. Her physical exam is otherwise normal. The urinalysis revealed large glucose, and a serum random blood sugar level was 320 mg/dL. 

Effects on the myocardium are not significant in normal individuals. In patients with coronary artery disease but no acute medical problems, 8-15 mg morphine administered intravenously produces a decrease in oxygen consumption, left ventricular end-diastolic pressure, and cardiac work effects on cardiac index usually are slight. In patients with acute myocardial infarction, the cardiovascular responses to morphine may be more variable than in normal subjects, and hypotension may be more pronounced. 

The quantification of element bound to protein derived towards the direct applications for the study of medical problems such as the distribution of Zn in the acute and chronic overload and de Zn and Cu in the serum proteins in myocardial infarction. 

It is important to recognize that an ICD should be considered for long-term rhythm management, not for acute treatment. As such, patients should not undergo implant of an ICD if ventricular arrhythmias are incessant or frequent or if supraventricular tachyarrhythmias are not well controlled. Any patient for whom an ICD implant is considered should have myocardial ischemia and heart failure controlled as best possible first. All other potential complicating medical problems should be addressed before delving into an implant. 

Temporary transfer to a more appropriate environment may be needed if acute medical problems have resolved but there s ongoing challenging behaviour or need for supportive care, e.g. psychiatric ward, respite/rehabilitation placement. This may reduce the risk of iatrogenic infections, e.g. C.difficile. Involve MHOA psychiatrists. 

Nursing homes have created units to care for noncritically ill VAIs who are free from acute medical problems. A rehabilitation nurse is often the principal provider of care, including education on self-management. The nurse, social worker, recreation therapist, and dietician work together to coordinate a program that best fits the patient. Ongoing access to an inpatient medical service is usually provided. 

In addition to the CIR process the cosmetic industry has instituted a second, important, self-regulatory procedure the voluntary reporting of adverse reactions, which is intended to provide data on the type and incidence of adverse reactions noted by consumers or by their medical advisors. This reporting procedure creates early awareness of problems handled outside hospital emergency facilities or centers for acute poisoning. 

Educating the Patient and Famiiy The nurse instructs patients under treatment for narcotic addiction to wear or carry identification indicating that they are receiving naltrexone If the patient is taking naltrexone and requires hospitalization, it is important that all medical personnel be aware of therapy with this drug. Narcotics administered to these patients have no effect and therefore do not relieve pain. Fhtients receiving naltrexone may pose a problem if they experience acute pain. The primary health care provider must decide what methods must be used to control pain in these patients. 

The treatment of acute PCP toxicity depends on the pattern of intoxication and the physical findings. On the prison wards of the LAC/USC Medical Center, approximately 60 percent of patients are treated and released within 24 hours. Most of these patients have minor patterns of intoxication and no medical complications. Another 10 percent of patients have minor problems with medical complications, usually trauma. 

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