By Dennis L. Kasper, Anthony S. Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo
Essential medical details Drawn From Harrison’s
Harrison’s guide of Medicine is a concise, bedside source derived from content material present in Harrison’s rules of inner Medicine, 19th Edition. Perfect to be used on the aspect of care, the Manual provides scientific details overlaying key features of the prognosis, scientific manifestations, and therapy of the most important ailments which are prone to be encountered in clinical practice.
Presented in complete colour and incorporating an effective mixture of succinct textual content, bullet issues, algorithms, and tables Harrison’s handbook of Medicine, 19th variation covers each zone of scientific drugs, including:
· Etiology and Epidemiology
· Clinically appropriate Pathophysiology
· Signs and Symptoms
· Differential Diagnosis
· Physical and Laboratory Findings
· Therapeutics
· Practice Guidelines
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Sample text
Las ondas T picudas (derivaciones precordiales) van seguidas de ondas R bajas, QRS ancho, PR prolongado, pérdida de onda P y, por último, onda sinusal. ción al interior de las células y 3) eliminación del K+ del organismo. El cuadro 2-5 resume el tratamiento de la hiperpotasemia. TRASTORNOS ACIDOBÁSICOS (FIG. 45) depende tanto de los pulmones como de los riñones. Según la ecuación de Henderson-Hasselbalch, el pH es una función de la proporción entre el bicarbonato (HCO3–; regulado por los riñones y la Pco2 (regulada por los pulmones).
Tratamiento Calcio Eliminación de K+ 10 U con 50 ml de glucosa 50% si la glucemia <250 mg/100 ml Albuterol nebulizado, Agonista β2 10-20 mg en 4 ml de solución salina Sulfonato sódico 30-60 g VO en sorbitol de poliestireno 20% Furosemida 20-250 mg IV Hemodiálisis Dosis Gluconato de Ca 10%, 10 ml en 10 min 4-6 h 4-6 h 15 min Inmediato 2-4 h 30 min 1-2 h 4-6 h Duración 30-60 min 30 min Inicio 1-3 min Puede ser sinérgico o aditivo a la insulina; no debe usarse como tratamiento único; usar con cuidado si hay cardiopatía; puede causar taquicardia e hiperglucemia.
Espacio retroesternal. 10. Ventrículo derecho. 11. Hemidiafragma izquierdo (con burbuja gástrica). 12. Bronquio del lóbulo superior izquierdo. 28 SECCIÓN 1 Atención del paciente hospitalizado • No debe realizarse con refuerzo con bario cuando se sospecha perforación intestinal, gas en la vena porta o megacolon tóxico. • Se usa para valorar el diámetro intestinal: 1. El diámetro normal del intestino delgado normal es <3 cm. 2. El calibre normal del ciego es de hasta 9 cm; el diámetro del resto del intestino grueso es de hasta 6 centímetros.
