Patient management guidelines

Elosts an online discussion forum called Patient Management Guidelines for Poisonings . 

Tung RC, Bergfeld WF, Vidimus AT, Remzi BK (2000) Alpha-hydroxy acid-based cosmetic procedures. Guidelines for patient management. Am J Clin Dermatol 1(2) 81-88... 

Cooper DS et al Management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 2006 16 109. [PMID 16420177]... 

The American Diabetes Association has published revised guidelines on insulin administration, including storage of insulin, use and reuse of needles, alternatives to syringes, injection techniques, and patient management... 

In a review of lithium-induced subclinical hypothyroidism (TSH over 5 mU/1, free thyroxine normal), a prevalence of up to 23% in lithium patients was contrasted with up to 10% in the general population. It was stressed that subclinical hypothyroidism from any cause can be associated with subtle neuropsychiatric symptoms, such as depression, impaired memory and concentration, and mental slowing and lethargy, as well as with other somatic symptoms. Management guidelines were discussed (628). 

Management guidelines for the treatment of anaphylactoid reactions to intravenous acetylcysteine have been developed. Patients who develop only flushing of the skin require no treatment. Urticaria should be treated with diphenhydramine and acetylcysteine infusion can be continued. If angioedema or respiratory distress occur, diphenhydramine should be given and the acetylcysteine infusion stopped it can be restarted 1 hour after the administration of diphenhydramine if no sjmptoms are present (SEDA-22,195). 

Asymptomatic patients who have ingested hydrogen cyanide solutions or those with direct skin or eye contact require observation in the emergency department for at least 4-6 h. Those who remain asymptomatic should be discharged with instructions to return if symptoms develop. The ATSDR Medical Management guidelines include a useful patient information sheet (31). 

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