Medicine

Download Acute Geriatric Medicine by J. R. Playfer (auth.), M. Lye (eds.) PDF

By J. R. Playfer (auth.), M. Lye (eds.)

Most sufferers in constructed countries with clinical difficulties requiring sanatorium care are aged. more and more the dividing line among normal inner medi­ cine and acute geriatric medication is turning into extra blurred. it's, however, obvious that a few aged sufferers on clinical or sub-specialty clinic wards develop into 'bed blockers'. Why? additionally, why are 'bed blockers' much less of an issue on an acute geriatric ward? Many clinicians think this is often concerning a quicker entry to the long-stay beds of the geriatric unit. Even a short research of medical institution working facts will exhibit this isn't and can't be the case. while geria­ tricians are requested to work out aged 'bed blockers' on colleagues' wards they strategy with nervousness simply because those sufferers usually must be put on a protracted ready checklist for those scarce and extremely dear carrying on with care beds. Do geria­ tricians see various acute scientific difficulties in comparison with their colleagues? the answer's no longer instantly noticeable, notwithstanding geriatricians are inclined to obtain extra power 'bed blockers' than their normal clinical colleagues. How is it then, that geriatricians appear to cope larger than their colleagues? All geriatricians have event of basic inner medication however the contrary regrettably doesn't carry. This ebook is written within the wish of redressing the imbalance.

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Ikram, H. and Espiner, E. A. (1983). Hemodynamic, hormonal and electrolyte effects of enalapril in heart failure. British Heart Journal, 50, 163-9 Flegg, J. , Gottlieb, S. H. and Lakatta, E. G. (1982). Is digoxin really important in the treatment of compensated heart failure? A placebo controlled crossover study in patients with sinus rhythm. , Mitchell-Heggs, P. and Guz, A. (1978). The clinical value of digoxin in patients with heart failure and sinus rhythm. Quarterly Journal oj Medicine, 47, 401-19 Montgomery, A.

M. and Avery, G. S. (1983). Captopril: An update review of its pharmacological properties and therapeutic efficacy in congestive heart failure. Drugs, 25, 6-40 Satinsky, J. D. (1983). Chronic heart failure in the elderly: vasodilator therapy. Angiology, 34, 509-16 3 Acute Stroke Illness in the Elderly R. C. TALLIS INTRODUCTION Epidemiology It would be difficult to exaggerate the importance of stroke illness. , cerebrovascular disease is the third most frequent cause of death and the commonest cause of severe disability.

Respiratory obstruction, pulmonary disease or neurogenic hypoventilation will predispose to hypoxia. Obstruction should be avoided by appropriate positioning and, where necessary, a Brook's airway. Elevation of the foot of the bed may improve lung drainage. Aspiration of mucoid sputum under bronchoscopic control is sometimes required. The usual precautions with oxygen must be taken in patients with a history of chronic respiratory disease. Neurogenic hypoventilation usually occurs in a brain stem stroke.

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