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Thyroid disease is commonly encountered in primary care practices because it occurs in a significant proportion of the general population. Routine thyroid disease usually is managed by the primary care provider. An understanding of the various diseases, appropriate diagnostic tests, therapeutic options, and complications of therapy is essential for proper management of the many patients with thyroid disorders.
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The National Cholesterol Education Program, a product of a collaboration of the National Heart, Lung, and Blood Institutes, the American College of Cardiology, and the American Heart Association, has updated its clinical practice guideline on cholesterol management.
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In this article, a leading expert in the area of improving health care quality argues that restricting visiting hours in ICUs is neither caring, compassionate, nor necessary.
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Clinicians have been criticized for prescribing too much, as well as too little, sedation for critically ill patients, especially patients who require mechanical ventilation. Over-sedation may prolong weaning from ventilatory support, increase ICU and hospital lengths of stay, and predispose to development of ventilator-associated pneumonia. Inadequate sedation predisposes the patient to pain and discomfort and can evoke a stress response that compromises recovery.
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Erythromycin and the Risk of Sudden Death; Vaccine Shortage Putting Americans At Risk; FDA Actions.
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In this study of anonymously reported adverse occurrences related to intra-hospital transportation of critically ill patients, problems were related to equipment in 39% and to patient/staff management issues in 61%; 31% of the incidents had serious adverse outcomes.
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During a 5-year period, 45 patients were admitted to an inner-city teaching hospital with angioedema caused by angiotensin-converting inhibitor medications, and 18 (40%) of them required ICU admission for potential upper-airway compromise.
