scholarly journals The Role of Passive legs Raising Position in Hypovolemic Shock: A Case Report and Review of the Literature

2021 ◽  
Vol 4 (2) ◽  
pp. 177-184
Author(s):  
Ira Rahmawati ◽  
Ade Dilaruri ◽  
Sulastyawati ◽  
Supono
Keyword(s):  
Venous Blood ◽  
Hypovolemic Shock ◽  
Blood Gas Analysis ◽  
The Elderly ◽  
Nursing Intervention ◽  
Gas Analysis ◽  
Passive Leg Raising ◽  
Gastrointestinal Problems

Background: Hypovolemic shock can be catastrophic rapidly unless recognized and treated promptly. Although gastrointestinal loses might be the cause of hypovolemic shock in the elderly, it rarely causes a change in the blood gas analysis results.Purpose: This study aimed to report a case of a 75-year-old male with signs of hypovolemic shock caused by gastrointestinal loses and discuss the effect of passive leg raising procedure as an early nursing intervention in patients presenting with shock.Methods: The method used in this paper is a case study. The subject in this study is a 75-year-old male presenting to our Emergency Room with signs of shock which was caused by gastrointestinal problems. Passive leg raising or also known as modified Trendelenburg Position was performed as the patient presenting with low blood pressure. The results of physical dan laboratory investigation, as well as the nursing and medical therapies were presented, analyzed and discussed based on the recent literature.Results: There was an increase in the Mean Arterial Pressure (MAP) after the intervention was given for five minutes followed by fluid resuscitation with 1000 ml of warm Normal Saline. The patient responded well to the intervention given in the ED and was sent to the Intermediate Ward for further treatments.Conclusion: Passive leg raising might be beneficial to be performed in patients with hypovolemic shock as it increases the venous blood return the heart.

scholarly journals PROFILE OF DIABETIC KETOACIDOSIS PATIENTS AT REGIONAL PUBLIC HOSPITAL DR. SOETOMO IN 2017

2020 ◽  
Vol 8 (3) ◽  
pp. 301
Author(s):  
Desak Gde Ushadi Bulan Dewata ◽  
Hermina Novida ◽  
Aryati Aryati
Keyword(s):  
Diabetic Ketoacidosis ◽  
Public Hospital ◽  
Vital Signs ◽  
Blood Gas Analysis ◽  
The Elderly ◽  
Total Sample ◽  
Gas Analysis ◽  
Tract Infections ◽  
Almost All ◽  
Precipitating Factor

Background: Diabetic ketoacidosis (DKA) is one of many life-threatening complications of diabetes mellitus (DM), which is characterized by severe hyperglycemia, metabolic acidosis and ketonemia. This complication can eventually lead to coma and death if not treated properly. Purpose: The aim of this study is to describe the profile of the DKA patients who were at Regional Public Hospital (RSUD) Dr. Soetomo in 2017. Methods: This study was a descriptive study that used the medical record data of DKA patients who were at RSUD Dr. Soetomo in 2017. The study’s total sample size was 63 patients. The study’s variables were gender, age, type of DM, severity of DKA, precipitating factors, main complaints, vital signs, random plasma glucose level, electrolyte level, and blood gas analysis. The frequency, mean, and standard deviation were analyzed. Results: Most of the 63 DKA patients were female (66.67%), aged from 50–59 years (38.10%). The DKA cases being handled by the Dr. Soetomo Hospital were overwhelmingly of type 2 DM patients (88.89%). More than half the patients (58.73%) experienced severe DKA. Altered states of consciousness (46.03%) and shortness of breath (26.98%) were the most common main complains made by the DKA patients. Almost all patients experienced infection (88.89%) as the precipitating factor; the most common infections were sepsis (92.86%), pneumonia (30.36%), and urinary tract infections (23.21%). Two thirds of the patients (66.67%) had a length of stay of 0–7 days. About 57.14% of the DKA patients died while undergoing treatment. Conclusion: The number of severe DKA patients and the mortality rate in our study were higher than in other studies. Females and the elderly were more prone to DKA, and the most common precipitating factor was infection.

scholarly journals A paradigmatic case of haemolysis and pseudohyperkalemia in blood gas analysis

2018 ◽  
Vol 29 (1) ◽  
pp. 169-172
Author(s):  
Gian Luca Salvagno ◽  
Davide Demonte ◽  
Giuseppe Lippi
Keyword(s):  
Reference Range ◽  
Point Of Care ◽  
Venous Blood ◽  
Blood Gas Analysis ◽  
Plasma Potassium ◽  
Gas Analysis ◽  
Blood Gas ◽  
High Potassium ◽  
Plastic Tube ◽  
History Of

A 51-year old male patient was admitted to the hospital with acute dyspnea and history of chronic asthma. Venous blood was drawn into a 3.0 mL heparinized syringe and delivered to the laboratory for blood gas analysis (GEM Premier 4000, Instrumentation Laboratory), which revealed high potassium value (5.2 mmol/L; reference range on whole blood, 3.5-4.5 mmol/L). This result was unexpected, so that a second venous blood sample was immediately drawn by direct venipuncture into a 3.5 mL lithium-heparin blood tube, and delivered to the laboratory for repeating potassium testing on Cobas 8000 (Roche Diagnostics). The analysis revealed normal plasma potassium (4.6 mmol/L; reference range in plasma, 3.5-5.0 mmol/L) and haemolysis index (5; 0.05 g/L). Due to suspicion of spurious haemolysis, heparinized blood was transferred from syringe into a plastic tube and centrifuged. Potassium and haemolysis index were then measured in this heparinized plasma, confirming high haemolysis index (50; 0.5 g/L) and pseudohyperkalemia (5.5 mmol/L). Investigation of this case revealed that spurious haemolysis was attributable to syringe delivery in direct ice contact for ~15 min. This case emphasizes the importance of avoiding sample transportation in ice and the need of developing point of care analysers equipped with interference indices assessment.

scholarly journals The role of pre-hospital blood gas analysis in trauma resuscitation

2010 ◽  
Vol 5 (1) ◽  
pp. 10 ◽  
Author(s):  
Milla Jousi ◽  
Janne Reitala ◽  
Vesa Lund ◽  
Ari Katila ◽  
Ari Leppäniemi
Keyword(s):  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Blood Gas ◽  
Trauma Resuscitation

The role of on the job training in the blood gas analysis process. BGA retraining

2019 ◽  
Vol 493 ◽  
pp. S651
Author(s):  
L. Rossi ◽  
I. Batini ◽  
D. Mazzei ◽  
G. Pellegrini ◽  
F. Naldi ◽  
...  
Keyword(s):  
Job Training ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Blood Gas ◽  
Analysis Process ◽  
On The Job Training

Accommodating the elderly: Invoking and extending a theory

1988 ◽  
Vol 17 (1) ◽  
pp. 1-41 ◽  
Author(s):  
Nikolas Coupland ◽  
Justine Coupland ◽  
Howard Giles ◽  
Karen Henwood
Keyword(s):  
The Elderly ◽  
Schematic Model ◽  
Psychological Processes ◽  
Social Psychological ◽  
Interpretive Analysis ◽  
The Social ◽  
Language Strategies ◽  
Accommodation Theory

ABSTRACTThe article begins by exploring briefly the role of the elderly in sociolinguistic theory and research. After an outline of the parameters of speech accommodation theory together with a new schematic model, it is argued that speech accommodation theory is a profitable framework for elucidating the sociolinguistic mechanics of, and the social psychological processes underlying, intergenerational encounters. A recent conceptual foray in this direction, which highlights young-to-elderly language strategies, is then overviewed with some illustrations. Contrastive data from a case study are then introduced, a discourse analysis of which allows us to conceptualize various elderly-to-young language strategies. This interpretive analysis suggests important avenues for extending speech accommodation theory itself. A revised, more sociolinguistically elaborated version of this framework is then presented which highlights strategies beyond those of convergence, maintenance, and divergence and leads to the conceptualization of over- and underaccommodation. Finally, and on the basis of the foregoing, a new model of intergenerational communication is proposed and Ryan et al.'s (1986) “communicative predicament” framework duly revised. (Accommodation theory, elderly, overaccommodation, case studies, discourse management, stereotypes, underaccommodation, interdisciplinary)

Sign in / Sign up

Export Citation Format

Share Document