Geriatric patients. See Elderly patientsGlanzmann disease, 44Glasgow Coma Scale, 193, 202Glomerular filtration rate (GFR), 214Glomerulonephritis, 142, 208Glucagon, 73, 183, 228, 229Glucocorticoids, 53, 184, 186Glucosefor hyperosmolar non-ketotic diabetic coma,182for hypoglycemia, 183Glycoprotein IIB/IIIa deficiency, 44Glycoprotein IIb/IIIa inhibitors, plateletdysfunction associated with, 44Glycosuria, 180, 181, 182Goiter, 186Goodpasture syndrome, 212Graft failure, in transplant recipients, 28Graft-versus-host disease (GVHD), 28, 141, 265Gram-positive organisms, in intravenous catheterinfection, 144Granulocytosis, in neuroleptic malignantsyndrome, 197Grey Turner sign, in pancreatitis, 173Group A streptococcal infection, 146Guillain-Barré syndrome, 192Gynecologic surgery, DVT prophylaxis for, 7HHACEK group, 142Haemophilus influenzae, 135Hallucinations, 189, 226, 228, 231, 251, 252Haloperidol, 189, 233, 241Hamman crunch, in Boerhaave syndrome, 164Hand washing, 152Headache, 138, 231, 235, 247, 248, 252, 256,271in head injury, 193in HIV-infected patients, 135in increased ICP, 194in meningitis, 133, 148in renal failure, 213in respiratory disorders, 68, 108in SAH, 203in scleroderma, 220in SVC, 281Head injuries, 13, 193Head trauma, 77DVT prophylaxis for, 7in respiratory failure from neuromusculardisorders, 106vs. PCP intoxication, 233Heart block, 122, 228, 229Heart ratein hemodialysis, 216in hypovolemia, 64Heat intolerance, in thyroid storm, 186Heat rash, 267Heat stroke, 250Helical (spiral) CT scan, 90HELLP syndrome, 288Helobacter pylori, 168Hemarthroses, bleeding associated with, 39Hematemesis, 174, 175, 232, 239, 244in upper GI bleeding, 176and variceal bleeding, 167Hematochezia, 167, 171, 174, 176, 232, 244Hematologic system, during pregnancy, 27Hematomas, 7, 39Hematuria, 123, 210, 212, 244, 291Hemianopia, 201Hemiparesis, 201Hemiplegia, in stroke, 201Hemodialysis, 207, 216, 219, 235, 239, 242,282. See also Dialysisin acute renal failure, 212for chronic renal failure, 26in electrolyte imbalances, 53, 55, 57, 61in hypertensive crisis, 123for hypervolemia, 63intermittent, 216in lithium toxicity, 234management <strong>of</strong>, 216in metabolic acidosis, 65in renal failure, 209Hem<strong>of</strong>iltration, 216Hemoglobin, in gastritis, 168Hemoglobinuria, 256Hemolysis, 47, 211, 256Hemoperfusion, in theophylline overdose, 242Hemophilia, coagulopathy due to, 41Hemoptysis, 145, 220, 221life-threatening, 96in renal disorders, 212Hemorrhage. See also Bleedingalveolar, 212subarachnoid, 203Henderson-Hasselbalch equation, 67Heparin, 49, 90, 124, 129in arterial insufficiency, 118coagulopathies associated with, 40flushes, 42subcutaneous low-dose, 6, 7Heparin-induced thrombocytopenia (HIT), 42Hepatic encephalopathy, 13, 56, 169Hepatic failure, 169, 183, 225, 252Hepatic necrosis, in iron overdose, 232Hepatic steatosis, prevention <strong>of</strong>, 15Hepatic toxicity, in mushroom poisoning, 252Hepatorenal syndrome, 209Herbicides, poisoning from, 238Heroin, 134, 237Herpes encephalitis, 138Herpes simplex, 148Herpes zoster infection, 275Heyde syndrome, 171Hip replacement, DVT prophylaxis for, 7Hirsuitism, in Cushing syndrome, 180Histamine, in anaphylaxis, 83Histamine antagonists, 73, 168HIV-infected patientsCNS infections in, 135pulmonary infections in, 151, 153tuberculosis in, 145HIV testing, in patients with psoriasis, 263, 264HMG-CoA reductase inhibitors, 115, 129Hungry-bone syndrome, 54Hydralazine, 117, 121, 123, 288Hydration, for toxicology disorders, 226. Seealso Fluid managementHydrocortisone, 73, 78, 83, 179, 183Hyperalimentation, in scleroderma, 220Hyperbilirubinemia, in renal failure, 209Hypercalcemia, 53in endocrine problems, 179hemodialysis for, 216in toxicology disorders, 234Hypercapnia, 87, 89, 93, 287arterial, 108on mechanical ventilation, 99, 102“permissive,” 68and respiratory failure due to COPD, 105Hypercortisolism, 180Hyperemesis gravidarum, 15Hyperemia, 157, 249, 274Hyperglycemia, 180, 181ICU management <strong>of</strong>, 12in toxicology disorders, 229Hyperinflation, in status asthmaticus, 110Hyperkalemia, 55, 65, 200, 282dialysis for, 213from digitalis toxicity, 231
Hyperkalemia (continued)in endocrine problems, 179hemodialysis for, 216in renal disorders, 211in renal failure, 213Hyperlipidemia, in transplant recipients, 28Hypermagnesemia, 57Hypernatremia, 59Hyperparathyroidism, in lithium toxicity, 234Hyperphosphatemia, 61, 62, 211, 282Hyperpigmentation, with endocrine problems,179Hyperreflexia, 54, 234, 241, 242Hypertension, 87, 180, 186, 189, 197, 220. Seealso Portal hypertension; Pulmonaryhypertensionanxiety associated with, 3in insect bites, 256malignant, 123in pregnancy, 289in renal disorders, 208in toxicology disorders, 226, 227, 230, 235,237, 241Hypertensive crisis, 123Hyperthermia, 227, 230, 234, 236, 237, 239, 241in environmental injury, 250malignant, 197in neuroleptic malignant syndrome, 197Hyperthyroidism, 185Hyperuricemia, in tumor lysis syndrome, 282Hyperventilationfor head injury, 193in increased ICP, 194on mechanical ventilation, 101Hypervolemia, 63, 253Hypoalbuminemia, 14, 65, 169Hypocalcemia, 26, 54, 282in hyperphosphatemia, 61hypomagnesemia associated with, 58and phosphate salts, 62in renal disorders, 211Hypogastrium, in large-bowel obstruction, 170Hypoglycemia, 179, 183, 228, 239in hepatic failure, 169in myxedema coma, 184Hypokalemia, 56hypomagnesemia associated with, 58in hypophosphatemia, 62in toxicology disorders, 242Hypomagnesemia, 58in hypocalcemia, 54in hypophosphatemia, 62Hyponatremia, 60in endocrine problems, 179in myxedema coma, 184Hypoparathyroidism, 54Hypoperfusion, in hypovolemia, 64Hypophosphatemia, 62Hyposplenism, 141Hypotension, 65, 66, 74, 75, 78, 83, 129, 157,164, 207, 219, 228, 229, 236, 242, 243,290in air embolism syndrome, 94in amniotic fluid embolism, 286in atrial fibrillation, 119and cerebral blood flow, 201in cholangitis, 165in endocrine problems, 179in environmental injury, 247, 250, 251, 255in hepatic failure, 169in hypermagnesemia, 57in hypovolemia, 64in hypovolemic shock, 76on mechanical ventilation, 97, 100, 101in mitral regurgitation, 125in necrotizing infection, 146in neurogenic shock, 77with PEEP, 104in peritonitis, 150in pulmonary thromboembolism, 90in syncopal event, 128Hypothermia, 31, 181, 184, 251in environmental injury, 253in hyperosmolar non-ketotic diabetic coma,182in toxicology disorders, 236Hypotonicity, in near drowning, 253Hypoventilation, 87in increased ICP, 194on mechanical ventilation, 101in metabolic alkalosis, 66Hypovolemia, 64in endocrine problems, 179in environmental injury, 250in hyponatremia, 60Hypovolemic shock, 76Hypoxemia, 68, 87, 89, 105, 110, 121, 129, 151,184in air embolism syndrome, 94ARDS associated with, 93in asthma, 287life-threatening, 215on mechanical ventilation, 99, 102and PaO 2, 109PEEP for, 104in pneumonia, 137in pregnancy, 289in pulmonary thromboembolism, 90and respiratory failure due to COPD, 105respiratory failure from, 109in respiratory failure from neuromusculardisorders, 106Hypoxia, in opioid overdose, 236Hysterectomy, for septic abortion, 291IIbupr<strong>of</strong>en, 249ICU stayaltered mental status during, 189and sedation, 3Idiopathic thrombocytopenic purpura (ITP), 45Ileusadynamic (paralytic), 162in TCA overdose, 243Imaging studies. See also CT scans; Magneticresonance imaging; Radiographicstudiesfor pregnant patients, 27for pulmonary thromboembolism, 90in spinal cord compression, 280in urosepsis, 158Immune reconstitution syndrome, 135Immune-suppression, in HIV-infected patients,153Immunization, in tetanus, 156Immunocompromised patientsinfections in, 141intra-abdominal infection in, 143rubeola in, 272VZV infections in, 275Immunoglobulin, 73, 192, 196intravenous (IGIV), 272for thrombocytopenia, 45Immunological markers, in glomerulonephritis,208Immunologic reaction, life-threatening, 73Immunosuppressionin GVHD, 265for vasculitis, 222Immunosuppressive therapy, 196, 221in renal disorders, 212in scleroderma, 220
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