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Download e-book for kindle: On Call Principles and Protocols by Shane A. Marshall MD FRCPC, John Ruedy MDCM FRCPC LLD

By Shane A. Marshall MD FRCPC, John Ruedy MDCM FRCPC LLD (hon) DMED (hon)

ISBN-10: 1437723713

ISBN-13: 9781437723717

Portable and intensely sensible, On name rules and Protocols, fifth variation, via Drs. Marshall and Ruedy, is the bestselling guide you could belief to steer you fast and with a bit of luck via almost any on-call state of affairs. This re-creation takes you step-by-step during the most typical on-call difficulties and methods, supplying you with up to date details and transparent protocols on what to do and the way to do it quick, from mobile calls to "elevator options" to sufferers’ bedsides. You’ll achieve pace, ability, and data with each name - from diagnosing a tough or life-threatening state of affairs to prescribing the suitable medication.

  • Effectively deal with calls within the clinic with assurance of themes corresponding to method of analysis and administration of On-Call difficulties; Documentation; review and administration of quantity prestige; and AIDS, HBV, HCV, Influenza, and the home Officer.
  • Access key info at the most typical on-call difficulties and ways with constant, templated assurance of what to do from the preliminary telephone name, "Elevator Thoughts," the best way to instantly establish significant threats to lifestyles, and what to do on the bedside.
  • Learn the questions you might want to ask to evaluate the urgency of every scenario, and grasp the best method of diagnose and deal with sufferers, speak with colleagues and households, and keep away from universal error for each call.
  • Understand the main threats to lifestyles you want to reflect on prior to arriving at bedside.
  • Find details speedy with an easy-to-read layout, colour highlighting of medicines and different serious info, and a different format designed for quick reference.
  • Keep this transportable consultant correct the place you would like it - on your pocket whilst you’re on call.
  • Confidently determine and deal with universal on-call issues of entire updates all through this edition.
  • Learn how top to address life-threatening matters relating to stroke in a brand-new chapter.
  • Quickly entry an in depth, up to date and multiplied formulary of generic medications.

Be ready whilst on name with fast and concise solutions to universal scientific issues

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Example text

The symptoms suggestive of a diagnosis of flu include fever (usually high), extreme fatigue, headache, muscle aches, dry cough, sore throat, runny or stuffy nose, and—particularly in children—nausea, vomiting, and diarrhea. If you suspect that a patient has flu, you should inform staff responsible for infection control, who will have developed protocols to control the spread of flu in the institution. This includes vaccination of health care workers and perhaps susceptible patients, particularly those who are elderly or infirm.

Does the patient have a history of coronary or peripheral vascular disease? Atherosclerosis is a diffuse process and may affect the vascular supply to several body systems. In addition to the possibility of a myocardial infarction that manifests with abdominal pain, you should consider a leaking abdominal aortic aneurysm, aortic dissection, and ischemic colitis caused by atherosclerosis of the mesenteric arteries. If the patient is a premenopausal woman, what was the date of her last normal menstrual period?

A well-tolerated alternative two-drug regimen is tenofovir (TDF), 300 mg PO daily plus emtricitabine (FTC), 200 mg PO daily (available as a combination tablet, Truvada) with food. The preferred expanded three-drug regimen includes one of the basic two-drug regimens plus lopinavir/ritonavir (200/50 mg), 2 capsules twice a day (available as a combination tablet, Kaletra). Other antiretrovirals are available but should be used only after consulting an expert in this field. One month of therapy is recommended.

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On Call Principles and Protocols by Shane A. Marshall MD FRCPC, John Ruedy MDCM FRCPC LLD (hon) DMED (hon)

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