Download e-book for kindle: Anaesthesia and intensive care A-Z : an encyclopaedia of by S M Yentis; Nicholas Hirsch; James K Ip; G B Smith

By S M Yentis; Nicholas Hirsch; James K Ip; G B Smith

ISBN-10: 0702044202

ISBN-13: 9780702044205

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Extra info for Anaesthesia and intensive care A-Z : an encyclopaedia of principles and practice

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CSF pH is returned towards normal. Pulmonary vasoconstriction may result in right heart strain. Highaltitude illness is thought to be related to acute hypoxia and alkalosis; it consists of headache, malaise, nausea and diarrhoea, and may lead to pulmonary or cerebral oedema. g. ambient temperature is –20°C at 18 000 ft (5486 m). g. inner ear. ◗ decompression sickness. ◗ anaesthetic apparatus at high altitude: - vaporisers: SVP is unaffected by atmospheric pressure; thus the partial pressure of volatile agent in the vaporiser is the same as at sea level.

Normal blood level is 100–200 mg/l; levels rise in the presence of severe liver disease or a portal–systemic blood shunt. Ammonia intoxication causes tremor, slurred speech, blurred vision and coma. There is a weak association between blood ammonia level and the degree of hepatic encephalopathy in hepatic failure. g. ornithine carbamoyltransferase deficiency) lead to hyperammonaemia; similarly, treatment with sodium valproate may result in raised ammonia levels due to interference with the urea cycle.

Important in the maintenance of plasma oncotic pressure, as a buffer, and in the transport of various molecules such as bilirubin, hormones, fatty acids and drugs. It is synthesised by the liver and removed from the plasma into the interstitial fluid. It may then pass via lymphatics back to the plasma, or into cells to be metabolised. May have a role as a free radical scavenger. Depletion occurs in severe illness, infection and trauma. 5% and 20% solutions; currently the most expensive nonblood plasma substitute.

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Anaesthesia and intensive care A-Z : an encyclopaedia of principles and practice by S M Yentis; Nicholas Hirsch; James K Ip; G B Smith


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