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Volume 4, Issue 4, An Issue of Hospital Medicine Clinics, E-Book

Volume 4, Issue 4, An Issue of Hospital Medicine Clinics, E-Book

Steven Deitelzweig

(2015)

Additional Information

Abstract

This online Clinics series provides evidence-based answers to clinical questions that practicing hospitalists face daily. This issue of Hospital Medicine Clinics is Guest Editored by Dr. Steven Deitelzweig.  Dr. Deitelzweig has assembled a group of expert authors to review the following topics: Bradyarrhythmias; Acute Respiratory Distress Syndrome; Tick Associated Ailments; Magnesium Disorders; Inpatient Management of Post- hepatic Transplant; Allergic Reactions and Angioedema; Optimal Glycemic Control in Hospitalized Patients; Ethics of Physician Relationships with Industry; Management of Benzodiazepine Withdrawal and Intoxication; and LEAN / Sig Sigma with Applicability to Healthcare.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors A1
CONSULTING EDITOR A1
EDITOR A1
AUTHORS A1
Contents A3
Foreword A3
Preface A3
Inpatient Management of Patients After Liver Transplantation A3
Optimal Glycemic Control in Hospitalized Patients A3
Tick-borne Infections A3
Acute Respiratory Distress Syndrome A4
Benzodiazepine Intoxication and Withdrawal: Assessment and Management A4
Emergency Department Evaluation and Management of Bradyarrhythmia A4
Allergic Reactions and Angioedema A4
Magnesium Disorders A5
Ethics of Physician Relationships with Industry A5
Lean Hospital(ist)s A5
HOSPITAL MEDICINE CLINICS A6
FORTHCOMING ISSUES A6
January 2016 A6
April 2016 A6
July 2016 A6
RECENT ISSUES A6
July 2015 A6
April 2015 A6
January 2015 A6
Foreword A7
Preface A8
Inpatient Management of Patients After Liver Transplantation 457
EPIDEMIOLOGY 458
COMPLICATIONS, DIAGNOSIS, MANAGEMENT 458
Vascular Complications 461
Biliary Complications 462
Renal Injury 463
Infectious Complications 463
Posttransplantation Ascites 466
REJECTION 466
IMMUNOSUPPRESSION 467
RECURRENT DISEASE 468
CLINICAL GUIDELINE 469
REFERENCES 469
Optimal Glycemic Control in Hospitalized Patients 471
DEFINITIONS 472
MANAGEMENT GOALS 473
PHARMACOLOGIC STRATEGIES 477
Chronic Kidney Disease/End-Stage Renal Disease 483
Chronic Liver Disease 484
Hyperglycemic Emergencies and Critical Illness 484
Glucocorticoid Therapy 484
Enteral and Parenteral Nutrition 485
PERFORMANCE IMPROVEMENT 485
CLINICAL GUIDELINES 486
REFERENCES 486
Tick-borne Infections 489
DEFINITIONS 490
EPIDEMIOLOGY 491
HISTORY AND EXAMINATION 491
DIAGNOSIS 494
MANAGEMENT 495
CLINICAL GUIDELINES 496
PERFORMANCE IMPROVEMENT 496
REFERENCES 499
Acute Respiratory Distress Syndrome 500
RECOGNITION 501
CLINICAL COURSE AND PATHOPHYSIOLOGY OF ACUTE RESPIRATORY DISTRESS SYNDROME 503
MANAGEMENT PRINCIPLES 504
LOW TIDAL VOLUME VENTILATION 505
PRONE VENTILATION 506
REFRACTORY HYPOXEMIA 507
FLUID MANAGEMENT 508
WEANING FROM THE VENTILATOR 508
PROGNOSIS 508
PERFORMANCE IMPROVEMENT 511
CLINICAL GUIDELINES 511
REFERENCES 511
Benzodiazepine Intoxication and Withdrawal 513
OVERVIEW 514
PHARMACOLOGY 514
INTOXICATION 515
WITHDRAWAL 518
PERFORMANCE IMPROVEMENT 524
CLINICAL GUIDELINES 524
REFERENCES 524
Emergency Department Evaluation and Management of Bradyarrhythmia 526
DEFINITIONS 526
INITIAL APPROACH 528
TYPES OF RHYTHMS 529
INDUCED RHYTHMS 534
MANAGEMENT 536
CLINICAL GUIDELINES 537
PERFORMANCE IMPROVEMENT 537
REFERENCES 538
Allergic Reactions and Angioedema 540
DEFINITIONS 541
EPIDEMIOLOGY 541
HISTORY AND EXAMINATION 542
DIAGNOSIS 542
MANAGEMENT 545
PROGNOSIS 547
PERFORMANCE IMPROVEMENT 547
CLINICAL GUIDELINES 548
REFERENCES 548
Magnesium Disorders 549
MAGNESIUM HOMEOSTASIS AND DISORDERS 550
Magnesium Metabolism 550
Magnesium Intake 551
Magnesium Concentration 551
Regulating Magnesium Concentration 553
Assessing Magnesium Balance 554
MAGNESIUM DEFICIENCY AND HYPOMAGNESEMIA 554
Magnesium and Its Effects on Other Pathways in the Body 554
Proton-Pump Inhibitors and Hypomagnesemia 556
Signs and Symptoms of Magnesium Deficiency 556
Coexisting Electrolyte Disturbances 556
Hypomagnesemia and Cardiovascular Manifestations 558
Treatment 560
HYPERMAGNESEMIA 560
Causes of Hypermagnesemia 560
Clinical Manifestations of Hypermagnesemia 560
Serum Magnesium Level at Which Signs and Symptoms Occur 561
Neurologic Manifestations 561
Cardiovascular Manifestations 561
Treatment of Hypermagnesemia 563
PERFORMANCE IMPROVEMENT 563
CLINICAL GUIDELINES 563
REFERENCES 563
Ethics of Physician Relationships with Industry 565
KEY PRINCIPLES 566
GUIDELINES FOR PRACTICE 571
REFERENCES 579
Lean Hospital(ist)s 581
KEY PRINCIPLES 582
Definitions 582
Management Goals 583
GUIDELINES FOR PRACTICE 583
SUMMARY 592
REFERENCES 593