l********y
发帖数: 2295 | 1 LIVER:
- Volume: be careful not to fluid overload these pts; hypoalbuminemic
already, 3rd spacing. If unstable, hypotensive, consider IV albumin rather
than NS. Can do salt-poor 12.5gm BID for a few days (not much data supports
use past albumin levels of 3.0); useful in renal failure to reperfuse
kidneys. Esp if concern for hepatorenal syndrome, can start albumin. If
bolus fluids, do so gently.
- Variceal bleeding: immediately place 2 LBIVs; reverse coagulopathy with
FFP (contains ALL coagulatio... 阅读全帖 |
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m****6
发帖数: 18 | 2 请求前辈们解释"Sengstaken-Blakemore tube" key points. Why should cut the
balloon ports and remove the tube when the pt. is in respiratory distress. I
think they are two different systems. Thanks! |
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f******o
发帖数: 86 | 3 Do you mean that why scissors have to be kept when insert the Sengstaken-
Blakemore tube?
if you mean that scissors are kept near patient at all times in case
balloons migrate superiorly and cause respiratory obstruction in non
intubated patients. The whole tube can be cut and removed, remembering to
grasp the tube between the patient and scissors. |
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