Symptoms of serotonin syndrome include a classic triad of mental status changes (eg, anxiety, delirium, confusion, restlessness), autonomic dysregulation (eg, diaphoresis, tachycardia, hypertension, hyperthermia, diarrhea, mydriasis), and neuromuscular hyperactivity (eg, hyperreflexia, tremor, rigidity, myoclonus, ocular clonus). Serotonin syndrome is clinically diagnosed and laboratory tests are used to rule out other etiologies. It usually occurs due to inadvertent interactions between drugs, therapeutic use of multiple serotonergic agents, or serotonergic medication overdose. Treatment involves discontinuation of serotonergic drugs, supportive measures, and sedation with benzodiazepines. In severe cases, a serotonin antagonist (cyproheptadine) may be used.

There are several approaches to scoliosis surgery, but all use modern instrumentation systems in which hooks and screws are applied to the spine to anchor long rods. The rods are then used to reduce and hold the spine while bone that is added fuses together with existing bone.

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Intramuscular Injection Techniques (Nursing Skills)

In this video, we’re going to look at proper administration techniques for intramuscular medication administration. Of course, always follow your 5 rights and calculate the correct volume for administration. We love you guys! Go out and be your best selves today! And, as always, happy nursing!

Bookmarks:
0.05 Introduction to Intramuscular injections
0.16 site and needle selection
0.35 site sterilization
0.43 Z track method
0.58 needle insertion
1.10 medication injection
1.14 needle removal
1.25 bandaging and needle disposal
1.30 documentation and patient monitoring
1.35 Outro

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This video may contain images of a medical doctor providing emergency care for a patient.

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The camera sends images to an external monitor so the doctor can study the inside of your colon. The doctor can also insert instruments through the channel to take tissue samples (biopsies) or remove polyps or other areas of abnormal tissue. A colonoscopy typically takes about 20 minutes to an hour.

A detailed description of the approach to a use of bleeding disorders. This presentation includes the causes, history, clinical features and diagnosis of specific bleeding disorders. These include Haemophilia, DIC, Von Willebrand Disease and others. The final differentiation is often made on the basis of the Prothrombin Time, activated Partial thromboplastin time and platelet count.

This 3d medical animation features a dramatic operative room overview of a left leg below the knee surgical amputation following severe trauma to the ankle and foot.

Diabetic ketoacidosis is an acute complication of uncontrolled hyperglycaemia characterised by high anion gap metabolic acidosis, dehydration and other metabolic abnormalities. Upto half of patients with Type 1 diabetes mellitus may have DKA. The incidence in T2DM is also rising. Precipitants include acute illness such as myocardial infarction, trauma and infection. Paitents of diabetic ketoacidosis may present with vomiting, pain abdomen and lethargy. Mental obtundation may also be present. Management of diabetic ketoacidosis revolves around administration of IV normal saline, insulin, replacement of potassium with frequent monitoring of sugars and electrolytes.

With ECT, electrodes are placed on the patient's scalp and a finely controlled electric current is applied while the patient is under general anesthesia. The current causes a brief seizure in the brain. ECT is one of the fastest ways to relieve symptoms in severely depressed or suicidal patients.

In a small but promising Phase II clinical trial of breast cancer treatment, cryoablation killed 25 early-stage tumors in 13 women. The tumors ranged in size from .5 cm (very small) to 5.8 cm (very large), with an average size of 1.7cm. Patients were first given a local anesthesia with mild sedation before physicians used ultrasound with or without computed tomography (CT) imaging to guide needle-like probes to deliver very low temperature gas to the tumor site. The ultra-cold gas forms a ball of ice around the probe tip, then expands and destroys surrounding tumor cells. A harmless saline solution was first injected into the chest wall and skin of the breast to protect the tissue surrounding the tumor from the freezing effects. Patients experienced very little pain and most healed completely within six months with no complications and with little or no scarring. The cryotherapy margins of each participant were biopsied immediately after the procedures, and all were negative, with no evidence of cancerous tissue. All 13 patients were without recurrence at an average of 18 months and up to five years following the procedure. These results are promising, but larger studies with lengthier follow-up are needed to determine whether cryotherapy as effective as lumpectomy. A study involving cryoablation of mouse tumors at the University of Michigan Comprehensive Cancer Center found that the freezing procedure also works like a vaccine, boosting the immune system to reduce the likelihood of recurrence. Just how quickly the tumor was frozen made a difference: a 30-second freeze killed tumors and also boosted the immune system, inhibiting metastases to the lungs. A slower freezing lasting several minutes destroyed tumors just as effectively, but actually suppressed the immune system, resulting in greater metastases to the lungs.

This video documents the experience of one of our Mommy Makeover patients. She is 39 years old, 5’4” tall, and of average weight. Following the birth of her twins, she wanted to improve her abdominal wall contour and correct the lack of shape and firmness in her breasts.

Curious about LASIK eye surgery? NVISION's Dr. Richard Mauer talks risks, life-changing benefits, and outcomes (plus why he loves what he does!).

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A cricothyrotomy (also called crike, thyrocricotomy, cricothyroidotomy, inferior laryngotomy, intercricothyrotomy, coniotomy or emergency airway puncture) is an incision made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations, such as airway obstruction by ...

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