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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Dysrhythmias IV: Characteristics of Bradyarrhythmias01:18

Dysrhythmias IV: Characteristics of Bradyarrhythmias

449
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
449
Assessment of blood pressure in brachial artery(one-step method)01:15

Assessment of blood pressure in brachial artery(one-step method)

1.1K
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
1.1K
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

242
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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BRASH症候群:症例報告

Punita K Basra1, Tarek Hammad2, Adnan Adnan3

  • 1Medicine and Surgery, Northampton General Hospital, Northampton, GBR.

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|December 23, 2025
PubMed
まとめ

徐脈、腎不全、房室結節ブロック、ショック、高カリウム血症を併発する病態であるBRASH症候群が高齢患者で特定された。一時的ペースメーカーと高カリウム血症管理による迅速な治療が予後を改善した。

科学分野:

キーワード:
房室結節ブロック徐脈BRASH症候群高カリウム血症腎不全

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  • 循環器病学;腎臓病学;臨床医学
  • 背景:

    • BRASH症候群は、房室結節ブロックと高カリウム血症の相互作用によって生じる、最近同定された臨床的実体である。複数の併存疾患を持つ高齢患者がリスクにさらされている。ジギタリスやビソプロロールなどの薬剤が本症候群の発症に寄与する可能性がある。

    主な方法:

    • 複雑な病歴を持つ高齢女性患者の症例報告。心電図、血液検査(腎機能、電解質、アシドーシス)、肝機能検査を含む臨床検査と診断検査。鑑別診断を検討し除外した。治療には一時的ペースメーカー、高カリウム血症管理、および支持療法が含まれた。

    結論:

    • BRASH症候群は、迅速な認識と管理を必要とする。特に高カリウム血症が房室ブロッカーの効果を増強するという病態生理を理解することが、適時診断に不可欠である。確定診断基準と最適な治療プロトコルを確立するためには、さらなる研究が必要である。