Critical Care Medicine at a Glance -  Richard M. Leach

Critical Care Medicine at a Glance (eBook)

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2023 | 4. Auflage
208 Seiten
Wiley (Verlag)
978-1-119-60588-1 (ISBN)
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Critical Care Medicine at a Glance

The market-leading at a Glance series is popular among healthcare students and newly qualified practitioners for its concise, simple approach and excellent illustrations.

Each bite-sized chapter is covered in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text.

Covering a wide range of topics, books in the at a Glance series are ideal as introductory texts for teaching, learning and revision, and are useful throughout university and beyond.

Everything you need to know about Critical Care Medicine... at a Glance!

Critical Care Medicine at a Glance, Fourth Edition provides a succinct, accessible, highly illustrated introduction to the care of the critically ill patient. Designed for medical students, junior doctors and nurses alike, this authoritative revision guide covers the essential clinical, diagnostic, and therapeutic skills required to manage critically ill patients with a wide range of conditions in a variety of settings. Colour-coded chapters which contain concise explanatory text, applications to practice, and numerous high-quality photographs, illustrations, diagrams and tables.

Fully revised to reflect current guidelines, changes in practice and recent medical innovations, this fourth edition includes expanded coverage of resus, sepsis, COVID-19, ECMO, dermatological emergencies, envenomation and other key conditions and procedures. Updated chapters incorporate current assessment methods used by medical schools and postgraduate training programmes, whilst additional 'Pearls of Wisdom' boxes and 'Wise Owl Reading' reference suggestions are integrated throughout to aid learning and comprehension.

  • Allows rapid access to the knowledge and skills required to care for the acute and critically ill
  • Covers a wide range of topics such as respiratory and neurological emergencies, arrhythmias, ventilation and intubation, trauma surgery and abdominal imaging
  • Features contributions from leading critical care practitioners
  • Provides normal values, reference ranges and treatment and monitoring guidelines for various critical care scenarios
  • Includes practical case studies, revision questions and self-assessment tests with answers
  • Contains several useful appendices, including information on pacemaker types and classifications

Critical Care Medicine at a Glance, Fourth Edition is a must-have for medical students, junior doctors and nurses in intensive care and emergency medicine and those undertaking postgraduate exams.

For more information on the complete range of Wiley Medical Education publications, please visit: www.wiley.com

To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email

All content reviewed by students for students

Wiley Medical Education books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind.

If you would like to be one of our student reviewers, go to www.reviewmedicalbooks.com to find out more.

This book is also available as an e-book. For more details, please see www.wiley.com/buy/9781119605881

Richard M. Leach is Medical Director for the Pulmonary and Critical Care Medicine at Guy's and St Thomas' NHS Foundation Trust and an Honorary Professor of Medicine at King's College, London, UK.


Critical Care Medicine at a Glance The market-leading at a Glance series is popular among healthcare students and newly qualified practitioners for its concise, simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text. Covering a wide range of topics, books in the at a Glance series are ideal as introductory texts for teaching, learning and revision, and are useful throughout university and beyond. Everything you need to know about Critical Care Medicine at a Glance! Critical Care Medicine at a Glance, Fourth Edition provides a succinct, accessible, highly illustrated introduction to the care of the critically ill patient. Designed for medical students, junior doctors and nurses alike, this authoritative revision guide covers the essential clinical, diagnostic, and therapeutic skills required to manage critically ill patients with a wide range of conditions in a variety of settings. Colour-coded chapters which contain concise explanatory text, applications to practice, and numerous high-quality photographs, illustrations, diagrams and tables. Fully revised to reflect current guidelines, changes in practice and recent medical innovations, this fourth edition includes expanded coverage of resus, sepsis, COVID-19, ECMO, dermatological emergencies, envenomation and other key conditions and procedures. Updated chapters incorporate current assessment methods used by medical schools and postgraduate training programmes, whilst additional Pearls of Wisdom boxes and Wise Owl Reading reference suggestions are integrated throughout to aid learning and comprehension. Allows rapid access to the knowledge and skills required to care for the acute and critically ill Covers a wide range of topics such as respiratory and neurological emergencies, arrhythmias, ventilation and intubation, trauma surgery and abdominal imaging Features contributions from leading critical care practitioners Provides normal values, reference ranges and treatment and monitoring guidelines for various critical care scenarios Includes practical case studies, revision questions and self-assessment tests with answers Contains several useful appendices, including information on pacemaker types and classifications Critical Care Medicine at a Glance, Fourth Edition is a must-have for medical students, junior doctors and nurses in intensive care and emergency medicine and those undertaking postgraduate exams. For more information on the complete range of Wiley Medical Education publications, please visit: www.wiley.com To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email All content reviewed by students for students Wiley Medical Education books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind. If you would like to be one of our student reviewers, go to www.reviewmedicalbooks.com to find out more. This book is also available as an e-book. For more details, please see www.wiley.com/buy/9781119605881

The medical profession and scientific community generally use SI (Système International) units.

Pressure conversion. SI unit of pressure: 1 Pa (Pa) = 1 N/m2. Because this is small, in medicine the kPa (=103 Pa) is more commonly used. Note that millimetres of mercury (mmHg) are still the most common unit for expressing arterial and venous blood pressures, and low pressures – e.g. central venous pressure and intrapleural pressure – are sometimes expressed as centimetres of H2O (cmH2O). Blood gas partial pressures are reported by some laboratories in kPa and by some in mmHg, so you need to be familiar with both systems.

1 kPa = 7.5 mmHg = 10.2 cmH2O

1 mmHg = 1 Torr = 0.133 kPa = 1.36 cmH2O

1 cmH2O = 0.098 kPa = 0.74 mmHg

1 standard atmosphere (≈ 1 bar) = 101.3 kPa = 760 mmHg = 1033 cmH2O

Contents are still commonly expressed per 100 mL (dL−1), and these need to be multiplied by 10 to give the more standard SI unit per litre. Contents are also increasingly being expressed as mmol/L.

For haemoglobin: 1 g/dL = 10 g/L = 0.062 mmol/L

For ideal gases (including oxygen and nitrogen): 1 mmol = 22.4 mL standard temperature and pressure dry (STPD ).

For non‐ideal gases, such as nitrous oxide and carbon dioxide: 1 mmol = 22.25 mL STPD.

Symbols used in respiratory and cardiovascular physiology are shown in Table 1.

Typical inspired, alveolar and blood gas values in healthy young adults are shown in Table 2. Ranges are given for arterial blood gas values. Mean arterial Po2 falls with age, and by 60 years is about 11 kPa/82 mmHg. Typical values for lung volumes and other lung function tests are given in Table 3 and Ward et al. (2022). Ranges for many values are affected by age, sex and height, as well as by the method of measurement; hence it is necessary to refer to appropriate nomograms.

Standard respiratory symbols

Primary symbols
C = content of a gas in blood
F = fractional concentration of gas
V = volume of a gas
P = pressure or partial pressure
S = saturation of haemoglobin with oxygen
Q = volume of blood
A dot over a letter means a time derivative, e.g. = ventilation (l/min) = blood flow (l/min)
Secondary symbols
Gas
I = inspired gas
E = expired gas
A = alveolar gas
D = dead space gas
T = tidal
B = barometric
ET = end‐tidal
Blood
a = arterial
v = venous
c = capillary
A dash means mixed or mean, e.g. = mixed venous
A′ after a symbol means end, e.g. c' = end‐capillary
Tertiary symbols
O2 = oxygen
CO2 = carbon dioxide
CO = carbon monoxide
Examples o2 = oxygen consumption
PAco2 = alveolar partial pressure of carbon dioxide

Inspired, alveolar and blood gas values

Inspired Po2 (dry, sea level) 21 kPa 159 mmHg
Alveolar Po2 13.3 kPa 100 mmHg
Arterial Po2 12.5 (11.2–13.9) kPa 94 (84–104) mmHg
A–a Po2 gradient <2 kPa <15 mmHg (greater in elderly)
Oxygen saturation >97%
Oxygen content 200 mL/L 20 mL/dL
Inspired Pco2 0.03 kPa 0.2 mmHg
Alveolar Pco 5.3 (4.7–6.1) kPa 40 (35–45) mmHg
Arterial Pco2 5.3 (4.7–6.1) kPa 40 (35–45) mmHg
Arterial CO2 content 480 mL/L 48 mL/dL
Arterial [H+]/pH 36–44 nmol/L 7.44–7.35
Resting mixed venous Po2 5.3 kPa 40 mmHg
Resting mixed venous O2 content 150 mL/L 15 mL/dL
Resting mixed venous O2 saturation 75%
Resting mixed venous Pco2 6.1 kPa 46 mmHg
Resting mixed venous CO2 content 520 mL/L 52 mL/dL
Arterial [HCO3−] 24 (21–27) mM

Typical lung volumes for an adult male

Tidal volume (VT) (at rest) 500 mL
Vital capacity (VC) 5500 mL
Inspiratory capacity (IC) 3800 mL
Expiratory reserve volume (ERV) 1200 mL
Total lung capacity (TLC) 6000 mL
Functional residual capacity (FRC) 2200 mL
Residual volume (RV) 1000 mL
about
less than
greater than
with or without
amino acids
P(A−a)o2 gradient, the difference between alveolar and arterial Po2
airway, breathing, circulation,
abnormal conduction
airway, breathing, circulation, disability, exposure
arterial blood gas
acute bowel ischaemia
allergic bronchopulmonary aspergillosis
activated charcoal
anticoagulation
angiotensin‐converting enzyme
acetylcholine
acetylcholine receptor
acute confusional state
acute coronary syndrome
activated clotting time
adrenocorticotrophic hormone
antidiuretic hormone
adenosine diphosphate
acute exacerbation
atrial flutter; atrial fibrillation
amniotic fluid embolism
anion gap
acquired immunodeficiency syndrome
acute inflammatory phase
acute kidney injury
acute liver failure
acute lung injury
alkaline phosphatase
advanced life support
alanine transaminase
antinuclear antibodies
antineutrophil cytoplasmic antibodies
anteroposterior
Acute Physiology and Chronic Health Evaluation
antepartum haemorrhage
action potential
airway pressure release ventilation
activated partial thromboplastin time
acute respiratory distress syndrome
acute renal failure
atrial septal defect
aspartate transaminase
atrial tachycardia
acute tubular injury
advanced trauma life support
acute tubular necrosis
adenosine triphosphate
American Thoracic Society
atrioventricular
arteriovenous malformation
atrioventricular node
atrioventricular nodal re‐entrant...

Erscheint lt. Verlag 10.2.2023
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizin / Pharmazie Medizinische Fachgebiete Notfallmedizin
ISBN-10 1-119-60588-1 / 1119605881
ISBN-13 978-1-119-60588-1 / 9781119605881
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