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FIGURE 51.1 Percentage of housestaff physicians and ICU nurses who answered incorrectly when asked if diazepam (Valium) relieved pain. Pain in Critically Ill Patients Surveys indicate that 50–80% of ICU patients…

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The Physics Teacher1969 Magnesium is an essential element for the utilization of energy in the organic world. In green plants, magnesium is the heart of the chlorophyll molecule that captures…

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The Art of War The concept of the bowel as noxious reservoir first appeared in the early years of the twentieth century, when a Scottish surgeon William Arbuthnot-Lane began performing…

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PREVENTIVE MEASURES Aspiration of pathogenic organisms from the oropharynx is believed to be the inciting event in most cases of VAP (10). The pathogens that most often colonize the oropharynx…

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FIGURE 23.1 Microscopic images of a normal lung and a lung in the advanced stages of ARDS, which shows a dense infiltration of leukocytes and proteinaceous material that fills and obliterates…

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Henry VIII The human body is a metabolic furnace that generates enough heat to raise the body temperature by 1°C every hour, even at rest (1). For-tunately, the external surface…

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1875 The earliest sea-living organisms showed a preference for intracellular potassium and a disdain for intracellular sodium, and this behavior eventually changed the composition of the oceans from a potassium…

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Table 53.2 Effects of Catecholamine Drugs on Adrenergic Receptors Dobutamine Dobutamine is a synthetic catecholamine that is classified as an inodilator because it has positive inotropic and vasodilator effects. Actions…

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1903 The conventional modes of ventilation described in the last chapter are appropriate for most patients with acute respiratory failure. However, there are occasions when conventional mechanical ventilation is either…

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FIGURE 46.1 Areas of brain injury and corresponding neurological abnormalities. ‡Indicates deficits involving the same side of the face and the opposite side of the body. Stroke Mimics For patients admitted…

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