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Related Concept Videos

Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

624
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
624
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

606
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
606
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

514
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
514
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

484
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
484
Angina IV: Management01:26

Angina IV: Management

483
IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
483
Mitral Regurgitation IV: Nursing Management01:28

Mitral Regurgitation IV: Nursing Management

591
Mitral regurgitation (MR) is a condition where the mitral valve does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium during systole. This condition can arise from various causes, including rheumatic fever, infective endocarditis, or degenerative valve disease. Effective nursing management is crucial to optimizing patient outcomes and involves comprehensive assessment and targeted interventions.Comprehensive Patient AssessmentA detailed...
591

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Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

19.7K

Management in high-risk patients.

Patrick Burns1, Pete Highlander1, Andrew B Shinabarger2

  • 1University of Pittsburgh Medical Center Mercy Hospital, Comprehensive Foot and Ankle Center, 1515 Locust Street, #350 Pittsburgh, PA 15219, USA.

Clinics in Podiatric Medicine and Surgery
|October 5, 2014
PubMed
Summary
This summary is machine-generated.

Foot and ankle injuries in polytrauma patients are frequently missed, leading to long-term disability and unemployment. Timely diagnosis and treatment are crucial for improving outcomes in these complex cases.

Keywords:
CharcotDiabetesElderlyFractureNeuropathyOsteoporoticPolytrauma

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Last Updated: Apr 23, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

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Published on: June 11, 2012

19.7K

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Geriatric Medicine

Background:

  • Foot and ankle injuries are often overlooked in polytrauma patients, contributing to significant long-term functional limitations.
  • These injuries are linked to increased unemployment, prolonged sick leave, chronic pain, and diminished overall patient outcomes.
  • With decreasing mortality rates in polytrauma, there is a growing need for prompt diagnosis and effective management of lower extremity injuries.

Purpose of the Study:

  • To highlight the significance of foot and ankle injuries in polytrauma patients.
  • To discuss the perioperative management strategies for these injuries.
  • To review potential complications in polytrauma, diabetic, and geriatric populations.

Main Methods:

  • Literature review focusing on foot and ankle injuries in polytrauma.
  • Analysis of perioperative management protocols.
  • Examination of complications specific to diabetic and geriatric trauma patients.

Main Results:

  • Underestimation of foot and ankle injuries leads to poor long-term outcomes.
  • Injuries below the knee are major contributors to unemployment and prolonged recovery.
  • Geriatric patients constitute a substantial portion of trauma admissions, requiring specialized care.

Conclusions:

  • Emphasizes the critical need for early identification and treatment of foot and ankle injuries in polytrauma.
  • Addresses the unique challenges in managing these injuries in diabetic and elderly individuals.
  • Advocates for a comprehensive approach to perioperative care to mitigate long-term consequences.