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相关概念视频

Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

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Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
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Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

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Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary Tuberculosis V01:28

Pulmonary Tuberculosis V

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Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
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相关实验视频

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Remote Laboratory Management: Respiratory Virus Diagnostics
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针对埃博拉病毒病患者的支持性护理的基于证据的指导方针

François Lamontagne1, Robert A Fowler2, Neill K Adhikari2

  • 1Department of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada; Centre de recherche du CHUS de Sherbrooke, Sherbrooke, QC, Canada.

Lancet (London, England)
|October 22, 2017
PubMed
概括

改善埃博拉病毒病 (EVD) 爆发的支持性护理指南至关重要. 基于证据的建议侧重于补水,监测,测试,人员配置和疼痛管理,以减少埃博拉病毒病例死亡率.

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科学领域:

  • 传染性疾病
  • 公共卫生
  • 流行病学

背景情况:

  • 2013-2016年西非埃博拉病毒病 (EVD) 爆发突显了患者护理的严重缺陷.
  • 挑战包括缺乏设施,患者的犹和有限的支持性医疗护理,导致高初始病例死亡率 (> 70%).

研究的目的:

  • 制定基于证据的指导方针,以在埃博拉治疗单位 (ETU) 提供最佳的支持性护理.
  • 为管理未来埃博拉疫情提供最佳实践信息.

主要方法:

  • 使用推评估,开发和评价 (GRADE) 方法.
  • 根据现有证据制定了支持性护理指南.

主要成果:

  • 主要建议强调系统监测患者,包括生命体征和液体平衡.
  • 指导方针提倡口服和静脉注射水分,必要的生化检测,足够的人员,以及使用止痛药,包括阿片类药物来治疗疼痛.

结论:

  • 实施这些基于证据的支持性护理指南可以改善患者的治疗结果,并减少埃博拉疫情期间的死亡率.
  • 结构化的支持性护理对于减轻未来埃博拉疫情的影响至关重要.