CURRENT Essentials of Critical Care.pdf

Streptococcus pneumoniae, 135“Stress ulcer,” 174Stroke, 201, 230and blood pressure reduction, 123hemorrhagic, 6, 201hyperglycemia following, 12and infective endocarditis, 142Stupor, 202, 240, 250Subarachnoid hemorrhage (SAH), 13, 203Succinylcholine, in muscular dystrophy, 195Sucralfate, 21Suctioning, 164, 173, 175in mechanical ventilation, 99nasogastric, 162in pneumonia, 149pulse oximetry during, 20for ventilator-associated pneumonia, 111Sulfadiazine, 135Sulfonamide sensitivity, 273Sulfonylureas, 183Superior vena cava (SVC) syndrome, 281Supraventricular tachycardia, 127, 231Surgery, 124, 170, 280antimicrobial prophylaxis in, 155DVT prophylaxis for, 7pulse oximetry during, 20Surgical exploration, for necrotizing infection,146Surgical site infection (SSI), 155Sweating, 183, 186. See also Diaphoresisin AMI, 126in dermatology disorders, 267in toxicology disorders, 226Sympathomimetic overdose, 241Syncope, 90, 128in cardiac disorders, 117, 122, 126, 130in GI bleeding, 171, 176vasovagal, 128Syndrome of inappropriate diuretic hormone(SIADH), 60Systemic inflammatory response syndrome(SIRS), 78, 154Systemic lupus erythematosus (SLE), 141, 212,221Systemic vascular resistance (SVR), 19TTachyarrhythmias, 130, 241Tachycardia, 74, 78, 81, 120, 164, 186, 226,227, 230, 235, 242, 243, 247, 250, 251altered mental status associated with, 189anxiety associated with, 3in aortic dissection, 116in asthma, 287in hepatic failure, 169in hypertensive crisis, 123in metabolic alkalosis, 66in necrotizing infection, 146in neuroleptic malignant syndrome, 197in pulmonary thromboembolism, 90respiratory failure associated with, 109supraventricular, 127, 231and variceal bleeding, 167Tachypnea, 81, 90, 121, 164, 197, 290altered mental status associated with, 189in asthma, 287in environmental injury, 251, 255in pneumonia, 136respiratory failure associated with, 109TB skin test (PPD), 145Telangiectasias, 171, 176Terlipressin, 167, 176Tetanus, 156Tetany, 26, 54, 66, 69THAM, in metabolic acidosis, 65Theophylline, 214Theophylline overdose, 242Thermal injury, inhalation, 82Thiamine, 198, 202, 226Thinking, disorganized, 189Thioctic acid, in mushroom poisoning, 252Thirst, in hypovolemia, 64. See also FluidmanagementThoracentesis, 63, 88, 89, 153Thoracic cage disorders, 107Thoracostomy, 85Thrombin inhibitor, for HIT, 42Thrombocytopenia, 45, 81, 169, 219, 255, 279bleeding associated with, 39dermatology disorders associated with, 261heparin-induced, 42multiple transfusions associated with, 46in vasculitis, 222Thromboembolectomy, 118Thromboembolism, pulmonary, 90Thromboembolism prophylaxis, 27Thrombolytic reperfusion, for AMI, 126Thrombolytic therapy, 75, 90in arterial insufficiency, 118for mesenteric ischemia and infarction, 124“Thumbprinting” signs, 124“Thunderclap” headache, 203Thymectomy, 196Thyroid conditions, 184, 185Thyroid storm, 186Thyrotoxicosis, 129, 234Thyroxine (T 4), 184, 185, 186Ticlopidine, 44Tidal volume, 93, 98, 99, 101, 104Tilt-table testing, 128Tingling, in spinal cord compression, 199Tinnitus, in toxicology disorders, 234, 239Tissue plasminogen activator (r-tPA), 201Tongue, in myxedema coma, 184Torsade de pointes, 58, 130Total body surface area (TBSA), 25Total body water (TBW), in hypernatremia, 59Total parenteral nutrition (TPN), 15, 164Toxic epidermal necrolysis (TEN) 273Toxic shock syndrome, 157, 274Toxoplasmosis, in HIV-infected patients, 135Tracheostomy, 87, 156, 195Transfusion reactions, 46, 47Transfusion-related acute lung injury (TRALI), 47Transfusions. See also Blood productsfor leukemia, 279nonspecific complications of, 47plasma, 43platelet, 76red blood cell, 45, 46, 169, 247in SCD, 81unnecessary RBC, 46Transjugular intrahepatic portosystemic shunt(TIPS), 163, 167, 209, 215Transplantationbone marrow, 279kidney, 26, 209liver, 169, 225, 232Transplant recipientsinfections in, 141management of, 28posttransplant lymphoproliferative disorder(PTLD)in, 28Transtubular potassium gradient (TTKG), 55, 56Trauma, 77, 93. See also Head injuriesTreatment, forgoing of, 34Trembling, in hypoglycemia, 183Tremor, 68, 226, 227, 234, 241, 242Tricyclic antidepressants (TCAs), 9, 244Tricyclic antidepressant (TCA) overdose, 243Trimethoprim-sulfamethoxazole, 151, 212“Triple H” therapy, 203