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相关概念视频

Factors Affecting Renal Clearance: Renal Impairment01:17

Factors Affecting Renal Clearance: Renal Impairment

119
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
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Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

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The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
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Factors Affecting Illness01:18

Factors Affecting Illness

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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

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Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Author Spotlight: Innovations in iTUG Test for Enhanced Risk Assessment and Cognitive Insights
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在老年住院患者中,与急性伤害性落相关的因素:多中心描述性研究.

Joseph M Geskey, Jaylan M Yuksel, Jessica A Snead

    Joint Commission journal on quality and patient safety
    |July 24, 2023
    PubMed
    概括

    在医院经历严重跌倒的老年人更有可能患有痴呆症和较高的抗胆固醇认知负担 (ACB) 评分. 特定的药物,包括抗胰岛素药物和抗精神病药物,与这些跌倒有关,为质量改善工作提供了信息.

    科学领域:

    • 老年医学 老年医学
    • 患者安全 患者安全
    • 医疗保健服务研究 医疗服务研究

    背景情况:

    • 医院获得的疾病 (CMS-HAC) 将医疗保险支付与医疗保健质量联系起来.
    • 住院患者的跌倒造成严重后果是需要改进的重要领域.
    • 影响老年人的认知功能的药物是导致跌倒的潜在原因.

    研究的目的:

    • 调查常规处方药类对CMS-HAC跌倒和创伤的影响.
    • 分析来自美国医院 (2019-2021) 的大型住院患者数据库.

    主要方法:

    • 从835家医院 (2019-2021) 对65岁以上的CMS-HAC跌倒和创伤患者的数据分析.
    • 利用后勤回归和逐步波桑回归来识别相关变量.
    • 确定了在患有摔倒的患者中最常被处方的20种药物类别.

    主要成果:

    • 在超过1100万次遭遇中,5978次符合CMS-HAC的严重落定义.
    • 老年患者 (>79岁),有先前跌倒,痴呆症和较高抗胆固醇认知负担 (ACB) 评分的患者更有可能经历严重跌倒.
    • 第一代抗胰岛素,第二代抗胰岛素和非典型抗精神病药物与CMS-HAC跌倒有显著的关联.

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    结论:

    • 符合CMS-HAC定义的跌倒与跌倒史,痴呆症和更高的ACB分数有关.
    • 结果可以指导质量改进计划,以减少医疗机构的伤害性跌倒.