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Volume 6, Issue 4, An Issue of Hospital Medicine Clinics, E-Book

Volume 6, Issue 4, An Issue of Hospital Medicine Clinics, E-Book

Mithu Molla | Nicholas Kenyon

(2017)

Additional Information

Book Details

Abstract

The issue of Hospital Medicine Clinics, Guest Edited by Nicholas J. Kenyon and Mithu Molla, will include Management of Hospitalized Patients with Asthma and Chronic Obstructive Lung Disease; The Hospitalized Patient with Acute Pneumonia; Evaluation and Management of the Hospitalized Patient with Interstitial Lung Disease; Triage and Rapid Response Systems in the Hospitalized Patient with Respiratory and Critical Illness; Noninvasive Ventilation and Respiratory Adjuncts in Hospitalized Patients; Mechanical Ventilation in Patients with Decompensated Respiratory Failure; Diagnosis and Management of Pulmonary Embolism in the Hospitalized Patient; Sleep Disorders in the Hospitalized Patient; Palliative Care and Rehabilitation in the Hospitalized Patient with Respiratory Illness; Acquired Malnutrition in the Hospitalized Patient with Respiratory and Critical Illness; and Use of Bedside Ultrasound in the Hospitalized Patient.

Table of Contents

Section Title Page Action Price
Front Cover \r Cover
Contributors A1
CONSULTING EDITOR A1
EDITORS A1
AUTHORS A1
Contents A5
Preface: Perspectives on the Management of Acute Respiratory Illness A5
Medical Management of Hospitalized Patients with Asthma or Chronic Obstructive Pulmonary Disease A5
Hospitalized Patients with Acute Pneumonia A5
Evaluation and Management of the Hospitalized Patient with Interstitial Lung Disease A5
Hospital Rapid Response Systems: Role, Model, Composition, Interventions, and Measures of Effectiveness A5
Noninvasive Ventilation: Options for Use in the Non–Intensive Care Setting A6
Initiation of Mechanical Ventilation in Patients with Decompensated Respiratory Failure A6
Diagnosis and Management of Pulmonary Embolism in the Hospitalized Patient A6
Diagnosis and Management of Pulmonary Hypertension in Hospitalized Patients A7
Approach to Disorders of Sleep in Hospitalized Patients A7
Palliative Care and Rehabilitation in Hospitalized Patients with Respiratory Failure A7
Approach to Acquired Malnutrition in the Hospitalized Patient with Respiratory and Critical Illness A7
Use of Bedside Ultrasonography in Hospitalized Patients A8
Preface:\rPerspectives on the Management of Acute Respiratory Illness A9
Medical Management of Hospitalized Patients with Asthma or Chronic Obstructive Pulmonary Disease 437
BRIEF PATHOPHYSIOLOGY OF ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE 437
HOSPITALIZATION OF ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE EXACERBATIONS 438
Overview 438
Identification of patients with undiagnosed asthma or COPD 438
Evaluation, management, and postdischarge plan for acute asthma exacerbation 439
Evaluation, management, and postdischarge plan of acute COPD exacerbations 443
ASTHMA-CHRONIC OBSTRUCTIVE PULMONARY DISEASE OVERLAP SYNDROME (ACOS) 444
Overview 444
Treatment of Hospitalized Patient with ACOS 447
EVALUATION FOR ACUTE PULMONARY EMBOLISM 449
UTILIZATION OF INHALER AGENTS FOR ASTHMA AND COPD PATIENTS 449
COPD 449
Asthma 449
Novel Therapies for Chronic Obstructive Pulmonary Disease and Asthma 450
WHAT ARE THE PREOPERATIVE RECOMMENDATIONS FOR PATIENTS WITH ASTHMA OR COPD? 450
Asthma 450
Chronic Obstructive Pulmonary Disease 450
NON-INVASIVE VENTILATION IN COPD PATIENTS 452
SUMMARY 453
REFERENCES 453
Hospitalized Patients with Acute Pneumonia 456
REFERENCES 465
Evaluation and Management of the Hospitalized Patient with Interstitial Lung Disease 470
REFERENCES 478
Hospital Rapid Response Systems 480
BACKGROUND 481
Nurses 482
Respiratory Therapists 483
Pharmacists 483
Intensivist: Intensive Care Unit Physicians 483
Patient Family and Friends 483
ACKNOWLEDGMENTS 488
REFERENCES 488
Noninvasive Ventilation 492
INTRODUCTION 493
Chronic Obstructive Pulmonary Disease 497
Heart Failure 497
Asthma 498
Pneumonia 498
Immunocompromised Patients 498
Cystic Fibrosis 498
SUMMARY 499
REFERENCES 500
Initiation of Mechanical Ventilation in Patients with Decompensated Respiratory Failure 503
INTRODUCTION 504
ASSESSMENT 504
INTUBATION 506
Heart Failure 509
Asthma/Chronic Obstructive Pulmonary Disease 509
Acute Respiratory Distress Syndrome 510
MONITORING 510
LIBERATION 512
REFERENCES 513
Diagnosis and Management of Pulmonary Embolism in the Hospitalized Patient 517
BACKGROUND 518
Low Pretest Probability of Pulmonary Embolism 519
Intermediate Pretest Probability of Pulmonary Embolism 519
High Pretest Probability of Pulmonary Embolism 520
THROMBOLYTIC THERAPY IN MASSIVE PULMONARY EMBOLISM 523
USE OF THROMBOLYTIC THERAPY IN SUBMASSIVE PULMONARY EMBOLISM 523
Recommended Duration of Therapy for Provoked Venous Thromboembolism 527
Recommended Duration of Therapy for Unprovoked Venous Thromboembolism 527
Recommended Duration of Therapy for Recurrent Unprovoked Venous Thromboembolism 527
Recommended Duration of Therapy for Venous Thromboembolism in Patients with Active Cancer 527
REFERENCES 528
Diagnosis and Management of Pulmonary Hypertension in Hospitalized Patients 532
INTRODUCTION 532
SUMMARY/FUTURE DIRECTIONS 539
REFERENCES 539
Approach to Disorders of Sleep in Hospitalized Patients 543
BACKGROUND 544
Circadian Misalignment 544
Medications 544
General Medical Diseases 547
SLEEP DEPRIVATION 547
Cognitive and Neurobehavioral Disturbance 547
Respiratory Impairment 547
Metabolic Changes: Diabetes Mellitus and Obesity 547
Immune State 548
PRIMARY SLEEP DISORDERS 549
APPROACH TO SLEEP COMPLAINTS 550
SLEEP DISORDERED BREATHING 556
Obstructive Sleep Apnea 556
Central Sleep Apnea 556
Sleep-related Hypoventilation 557
Sleep-related Hypoxemia 558
INPATIENT MANAGEMENT OF SLEEP DISORDERED BREATHING 558
REFERENCES 560
Palliative Care and Rehabilitation in Hospitalized Patients with Respiratory Failure 562
MISPERCEPTION 564
IMPAIRED COMMUNICATION 565
COMPLEX HEALTH CARE SYSTEM 566
NONPHARMACOLOGIC INTERVENTIONS 568
PHARMACOLOGIC INTERVENTIONS 569
Oral Corticosteroids 569
Xanthines 569
Mucolytics 570
Macrolides 570
Oxygen Therapy 570
Opioids 570
Treatment of cough 570
Noninvasive Positive Pressure Ventilation 571
REFERENCES 574
Approach to Acquired Malnutrition in the Hospitalized Patient with Respiratory and Critical Illness 579
INTRODUCTION 580
CONSENSUS STATEMENT 581
MANAGEMENT GOALS 584
INTENSIVE CARE UNIT PATIENT POPULATION 585
SELF-MANAGEMENT STRATEGIES 587
Step 1 587
Step 2 587
Step 3 587
Step 4 587
COMPLICATIONS 587
PHARMACONUTRITION 589
SUMMARY 589
REFERENCES 590
Use of Bedside Ultrasonography in Hospitalized Patients 593
REFERENCES 602