Patients immobilized

Engineering improvements that allow full and reliable control of the machine and beam delivery system and patient immobilization. 

Several doctors who gave chlorpromazine to their patients in the 1950s compared its effects favourably to those of a frontal lobotomy. American Henry Winkelman, who was investigating chlorpromazine for Smith Kline French in the United States, reported that the drug produced an effect similar to frontal lobotomy making patients immobile, waxlike and emotionally indifferent (Winkelman, Jr. 1954). In a 1955 article Lehmann also speculated that it might prove to be a pharmacological substitute for lobotomy (Lehmann 1955). Delay and Deniker are also said to have compared the effects of chlorpromazine to a frontal lobotomy (Swazey 1974, p. 155). 

Portable device to carry an injured or incapacitated individual by carrying or rolling on support frame, while keeping the patient immobile. 

Immobilize. Do not move the patient unless he/ she is in a position which exposes them to immediate danger. Obtain expert help After washing your hands, if possible cover with a dressing from tlie first-aid box. Seek appropriate help... 

Late dementia or the final phase of AD may last from a few months to several years while Hie patient becomes increasingly immobile and dysfunctional. 

Laxatives may provide appropriate relief when constipation occurs during the postpartum period, when not breastfeeding and in immobile patients. Patients who are not constipated but who need to avoid straining (e.g., patients with hemorrhoids, hernia, or myocardial infarction) may benefit from stool softeners or mild laxatives. 

Pneumatic otoscopy or tympanometiy demonstrates an immobile eardrum 50% of cases are bilateral. Draining middle ear fluid occurs (<3% of patients) that usually reveals a bacterial etiology. 

A pressure sore is also called a decubitus ulcer and bed sore. A classification system for pressure sores is presented in Table 47-5. Many factors are thought to predispose patients to the formation of pressure ulcers paralysis, paresis, immobilization, malnutrition, anemia, infection, and advanced age. Four factors thought to be most critical to their formation are pressure, shearing forces, friction, and moisture however, there is still debate as to the exact pathophysiology of pressure sore formation. The areas of highest pressure are generated over the bony prominences. 

Biosensors are analytical devices that incorporate a biological component and a transducer. These must be in close proximity with one another and preferably in intimate contact, i.e. the biological component immobilized on to the transducer. Such devices are available in disposable forms, e.g. for measurement of blood glucose in diabetic patients, evaluation of the freshness of uncooked meat. Other designs are suitable for continuous use, e.g. on-line monitoring of fermentation processes, the detection of toxic substances. 

The mechanism of action of inhalational anesthetics is unknown. The diversity of chemical structures (inert gas xenon hydrocarbons halogenated hydrocarbons) possessing anesthetic activity appears to rule out involvement of specific receptors. According to one hypothesis, uptake into the hydrophobic interior of the plasmalemma of neurons results in inhibition of electrical excitability and impulse propagation in the brain. This concept would explain the correlation between anesthetic potency and lipophilicity of anesthetic drugs (A). However, an interaction with lipophilic domains of membrane proteins is also conceivable. Anesthetic potency can be expressed in terms of the minimal alveolar concentration (MAC) at which 50% of patients remain immobile following a defined painful stimulus (skin incision). Whereas the poorly lipophilic N2O must be inhaled in high concentrations (>70% of inspired air has to be replaced), much smaller concentrations (<5%) are required in the case of the more lipophilic halothane. 

Patients at greatest risk for developing potassium chloride-induced Gl lesions include The elderly, the immobile and those with scleroderma, diabetes mellitus, mitral valve replacement, cardiomegaly, or esophageal stricture/compression. 

Thromboembolic disorders Patients who develop active thrombophlebitis or thromboembolic disease should have the levonorgestrel capsules removed. Also consider removal in women who will be immobilized for a prolonged period due to surgery or other illnesses. 

Patients are generally treated in the supine position. If conventional simulationis used, a barium swallow should be done at the time of simulation to outline the target volume. Optimal immobilization such as an alpha cradle to improve daily set up reproducibility... 

Purification entails use of an immunoaffinity column containing immobilized murine antifactor VII antibody. It is initially produced as an unactivated, single chain 406 amino acid polypeptide, which is subsequently proteolytically converted into the two-chain active factor Vila complex. After sterilization by filtration, the final product is aseptically filled into its final product containers and freeze-dried. The excipients present in the product include sodium chloride, calcium chloride, polysorbate 80, mannitol and glycylglycine. When freeze-dried in the presence of these stabilizing substances and stored under refrigerated conditions, the product displays a shelf-life of at least 2 years. It has proved effective in the treatment of serious bleeding events in patients displaying anti-factor VIII or IX antibodies. 

Headache (maybe severe) occurs mostly in early therapy, diminishes rapidly in intensity, usually disappears during continued treatment transient flushing of face and neck dizziness (especially if patient is standing immobile or is in a warm environment) weakness postural hypotension Occasional Nausea, rash, vomiting Rare... 

---