Patients who get a kidney transplant before dialysis usually do better overall than patients who are on dialysis who get a transplant. They live longer and the transplant itself lasts…
If your kidneys are working very poorly, waste products build up in your blood. At some point, it is too dangerous to undergo an elective surgery without getting dialysis first.…
When is starting dialysis before getting a transplant better for me? If you are having severe symptoms of kidney failure or have an excess of blood abnormalities (like very high…
Do I need to have a dialysis fistula placed even if I have a live donor?This is a difficult question to answer. Each case is different. If you still have…
When do I need a transplant if I haven’t started dialysis yet? There are several ways of judging how well your kidneys are working. One is looking at a blood…
Adult Child (Age 1 Through Onset of Puberty) Head-Tilt/Chin-Lift Past neutral position Slightly past neutral position Respiratory Arrest 1 ventilation every 5 to 6 seconds 1 ventilation every 3 seconds…
LevophedClassification:Adrenergic stimulator (sympathetic nervous system). VasopressorIndications:• Hypotension refractory to Dopamine• SBP < 70 mmHg and low peripheral resistanceActions:• Primarily alpha effects causing an increase in systemic vascular resistance through vasoconstrictionDosage:•…
Calcium Chloride, CalciumGluconateIndications: (Should not be administered unless these conditions exist)• Hypocalcemia• Hyperkalemia• Calcium Channel Blocker or Magnesium overdoseActions:• Increased inotropic effect, increased automaticityDosage:• Calcium Chloride: 2 – 4mg/kg of…
DOPAMINE Classification: Adrenergic stimulator (sympathetic nervous system), inotrope, and chronotropeIndications:• Symptomatic hypotension (SBP 70 -100 mmHg with signs of shock)• Refractory bradycardia (administer 5-20mcg/min)Actions:• Beta effects (2 – 10mcg/kg/min): Primarily…
NaHCO3 Classification:Alkalinizer, bufferIndications: • Metabolic acidosis from any cause (arrest, shock, renal failure, ketoacidosis)• Tricyclic antidepressant overdose• HyperkalemiaActions:• Increases pH, reverses acidosisDosage:• 1mEq/kg IV push, followed by 0.5mEq/kg every 10…
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