“Buffalo hump,” in Cushing syndrome, 180Bullous drug reactions, 268Burkitt lymphoma, 282Burn patients, 25Burns, in electrical shock, 248CCalcific aortic stenosis, 171Calcification, metastatic, 61Calcitonin, for hypercalcemia, 53Calcium, 54, 57, 229Calcium channel blocker overdose, 229Calcium channel blockers, 57, 115, 116, 119,203Calcium level, correction <strong>of</strong>, 53Calorie needs, increased, 16, 172. See alsoNutritionCalorimetry, indirect, 16Candidiasis, 140, 259Capnography, 10Carbamazepine, 270Carbicarb, in metabolic acidosis, 65Carbon dioxide, partial pressure <strong>of</strong> (PaCO 2),109, 202, 287in mixed acid-base disorders, 67monitoring <strong>of</strong> end-tidal, 10in respiratory acidosis, 68in respiratory alkalosis, 69Carbon monoxide (CO) poisoning, 247Carboxyhemoglobin, 247Carboxyhemoglobinemia, 20Carboxyhemoglobin level, in smoke inhalation,82Carcinoma, and large-bowel obstruction, 170Cardiac compressive shock, 74Cardiac index (CI), 19Cardiac output, 77, 78on mechanical ventilation, 97, 101with PEEP, 104Cardiac tamponade, 19, 74, 120Cardiogenic shock, 19, 75, 228Cardiomyopathy, in pregnancy, 289Cardiopulmonary resuscitation (CPR), 32, 94Cardiovascular collapse, 239, 240Cardiovascular system, during pregnancy, 27Cardioversion, 119, 127, 130Catastrophic antiphospholipid syndrome, 219Cathartics, in salicylate poisoning, 239Catheterization, cardiac, 75, 117, 121, 125,126Catheterscentral venous, 94double-lumen hemodialysis, 216Foley, 200intravenous, 144intraventricular, 13pericardial, 74Catheters, pulmonary artery, 19, 74, 75, 120,219, 288in cardiogenic shock, 75in preeclampsia and eclampsia, 288Cefotaxime, 133Ceftriaxone, 95, 133, 266Celiac disease, 141Centrally suppressing agents, contraindicationsfor, 87Central nervous system infections, in HIVinfectedpatients, 135Central venous catheters, 94Central venous pressure (CVP)in hypovolemia, 64measurement <strong>of</strong>, 19monitoring <strong>of</strong>, 5Cephalosporins, 133, 136, 137, 144, 150, 158,244Cerebrospinal fluid (CSF), in meningitis, 133C1 esterase inhibitor deficiency, 94Charcoal, activated, 231, 236, 239, 240, 242,252Charcoal hemoperfusion, in beta-blockeroverdose, 228Chelation therapy, for iron overdose, 232Chemotherapy, 279, 280, 281Chest pain, 81, 115, 122, 127, 130, 221, 247.See also Pleuritic chest painin AMI, 126in aortic dissection, 116in aortic valvular disease, 117in atrial fibrillation, 119in pneumothorax, 89Chest radiographs, 121, 153, 236, 281, 289Chest tube drainage, for pleural effusions, 88Chest tube thoracostomy, 85Chills, 136, 263, 264, 290Chloramphenicol, 271Chloride, 55, 57, 66Cholangitis, acute, 165Cholecystectomy, 161Cholecystitis, acalculous, 161Cholecystokinin test, 172Cholestasis, prevention <strong>of</strong> intrahepatic, 15Cholestatic syndromes, diarrhea caused by,166Cholinergic crisis, 196Chronic obstructive pulmonary disease (COPD)end-tidal PCO 2 in, 10mechanical ventilation in, 97NIPPV in, 103respiratory acidosis associated with, 68respiratory failure from, 105Chronic renal failure, 26. See also Renal failureChurg-Strauss syndrome, 212Chvostek sign, in hypocalcemia, 54Cimetidine, 8, 244Cipr<strong>of</strong>loxacin, for meningococcemia, 266Cirrhosis, with ascites, 163Clindamycin, 95, 136, 151Clonidine, in opioid withdrawal, 237Clopidogrel, 44, 126, 129Clostridial infection, 146Clostridium difficile, 136, 166Clostridium tetani, 156Clotrimazole, 259Coagulation factor deficiency, 46Coagulation time, 40Coagulopathies, 39, 40, 41, 232, 255in amniotic fluid embolism, 286FFP requirement for, 43hemoptysis in, 96in hepatic failure, 169in renal failure, 209Cocaine toxicity, 230Cocaine use, AMI associated with, 126Cognitive Test for Delirium (CTD), 189Cold intolerance, in myxedema coma, 184Colloid, 64, 76Colonoscopy, 170, 171Colony stimulating factors, 254Coma, 202, 225, 229, 232, 234, 235, 239, 240,243, 250, 254in electrolyte imbalances, 57, 62in hepatic failure, 169in metabolic acidosis, 65myxedema, 184in obesity-hypoventilation syndrome, 86in renal failure, 213in respiratory failure, 108in thyroid storm, 186Community-acquired pneumonia, 136Compartment syndrome, 211, 255Complement components, in anaphylaxis, 83C1 inhibitor concentrate, for angioedema, 84
Confusion, 227, 234, 235, 239, 240, 241, 247,250, 251, 254, 256. See also Mentalstatus, alteredin endocrine problems, 179in head injury, 193in hepatic failure, 169in hypoglycemia, 183in myxedema coma, 184in renal failure, 213in respiratory alkalosis, 69in respiratory failure, 108in thyroid storm, 186Confusion Assessment Method for Intensive<strong>Care</strong> Unit (CAM-ICU), 189Congestive heart failure (CHF), 119, 121Conjunctivitis, 270, 272Constipation, 170, 175, 184Continuous positive airway pressure (CPAP),87, 103, 104Continuous venovenous hem<strong>of</strong>iltration anddialysis (CVVHD), 216Cooling measures, 197, 230, 241for fever, 139in heat stroke, 250for pyelonephritis in pregnancy, 290Coronary artery bypass graft surgery (CABG),115Cor pulmonale, 5Corticosteroids, 73, 151, 185, 219, 220, 281,287in adrenal insufficiency, 179for angioedema, 84delirium associated with, 8in increased ICP, 194for myasthenia gravis, 196in renal disorders, 212for respiratory failure due to COPD, 105in SLE, 221for spinal cord compression, 199, 280for status asthmaticus, 100, 110for thrombocytopenia, 45for vasculitis, 222weakness caused by, 190Coryza, in measles, 272Cough, 81, 125, 151, 220, 272in aortic valvular disease, 117in asthma, 287in COPD, 105in pregnancy, 289in renal disorders, 212Cough, productivein HIV-infected patients, 153in pneumonia, 136in tuberculosis, 145Cranial nerves, 134Crescent formation, within glomeruli, 208CREST syndrome, 220Crush injury, and renal disorders, 211Crusted lesions, 269, 275Cryoprecipitate, 43, 261Crystalloid, 83, 169, 173, 174, 197for gastritis, 168for GI bleeding, 171, 176in hypovolemia, 64, 76for variceal bleeding, 167CT scans, 89, 193, 199, 200air embolism on, 94in encephalitis, 138in increased ICP, 194in intra-abdominal infectionfor seizure activity, 198in stroke, 201in SVC, 281Cullen sign, in pancreatitis, 173Cushing disease, 180Cushing reflex, 77Cushing syndrome, 180Cushing triad, in increased ICP, 194Cyanide toxicity, in inhalation injury, 82Cyanosis, 90, 109, 121, 281Cyclopeptides, 252Cyclophosphamide, 212, 219, 220, 221, 222, 269Cyclosporine, 264, 269Cystitis, 158DDanazol, 84Dantrolene, 197Dapsone, 151Death. See also Mortalitybrain, 31from organo-phosphate poisoning, 238from radiation injury, 254Debilitated patients, sepsis in, 78Debridement, 134, 143, 155, 156for frostbite, 249for immunocompromised patients, 141for necrotizing infection, 146Decision makers, 33, 34, 35Decision making“best interest,” 34for withdrawing care, 35Decontamination, for radiation injury, 254Decubitus ulcers, in elderly patients, 11Deep tendon reflexes (DTRs), 57, 58, 236Deep venous thrombosis (DVT), 6, 7, 11Deferoxamine, 232Defibrillation, 195, 251Defibrillator, implantable, 128Dehydration, 254. See also Fluid managementDelirium, 8, 11, 189Delirium tremens, 226Demeclocycline, 60Dementia, altered mental status in, 189Depression, 9, 184, 226Dermatitis, contact, 260Desmopressin, 41, 44, 45Desquamation, 263, 274Dexamethasone, 179Dexamethasone-CRH test, 180Dexamethasone suppression tes, 180Dextran, platelet dysfunction associated with, 44Dextrose, 169, 202Diabetesand SSI, 155in transplant recipients, 28Diabetes insipidus, 59, 234Diabetic coma, hyperosmolar non-ketotic, 182Diabetic ketoacidosis, 181Diabetic patients, infections in, 141Dialysis. See also Hemodialysisin heat stroke, 250modificationn <strong>of</strong> drug dosing in, 214in renal disorders, 208, 210Diaphoresis, 3, 109, 129, 197, 225, 227, 238Diarrhea, 124, 166, 232, 237, 254, 270Clostridium difficile-associated, 136in enteral nutrition, 14, 166in toxic shock syndrome, 157, 274Diazepam, 226, 227Dichloroacetate, 65Diencephalon lesions, 202Diet, in pancreatic insufficiency, 172. See alsoNutritionDietary restriction, in renal failure, 213. See alsoFluid restriction; Sodium restrictionDigitalis toxicity, 231Digoxin, 119, 121, 124, 214Digoxin-specific antibodies (Fab), 231Dilantin, 242Diphenhydramine, 73, 83Diplopia, 134, 196, 256
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