By Kevin Conrad
Hospital medication has elevated past the perform of inner drugs to co-manage sufferers within the fields of orthopedics, neurosurgery and common surgical procedure. This concise advisor covers the evolution and increasing scope of medical institution drugs and the range of scientific, moral and administrative events a Hospitalist encounters. 500 questions about inpatient care, co-management of sufferers and health center process administration are supplied with the objective of assessing scientific and educational competency. Questions function genuine instances with evidence-based strategies. important to physicians, condo employees and complex nurse practitioners, this updated referenced studying textual content encompasses all facets of medical institution care.
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Additional info for Absolute Hospital Medicine Review: An Intensive Question & Answer Guide
A) Nighttime use of melatonin B) Mobilizing patient to the chair early C) Prophylactic use of rivastigmine D) Maintaining lights on for visual stimulation Answer: B Delirium is a common problem in the hospitalized patient, especially with a history of underlying dementia or psychiatric disease. So far, only simple interventions focused on maintaining normal environmental issues have been proven to be of any benefit. These include promoting sleep by decreasing nighttime stimuli, use of hearing aids and eyeglasses, and minimizing restraints.
1995;36:344–8. Greenberg BM. The neurologic manifestations of systemic lupus erythematosus. Neurologist. 2009 May. 15(3):115–21 48. Which of the following regimens are most appropriate for the treatment of Clostridium difficile infections? A) Moderate to severe initial episode: vancomycin 125 mg QID for a total of 10–14 days B) Severe initial episode complicated with shock and megacolon: vancomycin 125 mg po QID plus metronidazole 500 mg Q8 h IV. 5 times the premorbid level – vancomycin 125 mg 4 times per day by mouth for 10–14 days First episode, severe and complicated by hypotension or shock, ileus, megacolon – vancomycin 500 mg 4 times per day by mouth or by nasogastric tube, plus metronidazole 500 mg every 8 h intravenously If complete ileus, consider adding rectal instillation of vancomycin.
She has a history of prior dementia. On her previous admissions, she has had episodes of delirium, which have resulted in prolonged hospitalization. On admission she is on no sedatives or antipsychotic meds. The family is concerned about the possibility of hospitalinduced delirium and would like efforts be made to prevent this. 28 L. Bateman and K. Conrad In an effort to reduce the incidence of delirium in this patient, which of the following should you undertake? A) Nighttime use of melatonin B) Mobilizing patient to the chair early C) Prophylactic use of rivastigmine D) Maintaining lights on for visual stimulation Answer: B Delirium is a common problem in the hospitalized patient, especially with a history of underlying dementia or psychiatric disease.
Absolute Hospital Medicine Review: An Intensive Question & Answer Guide by Kevin Conrad