Thursday, January 31, 2008
Severe Metabolic Alkalosis
Severe metabolic alkalosis (ie, blood pH >7.55) is a serious medical problem. Mortality rates have been reported as 45% in patients with an arterial blood pH of 7.55 and 80% when the pH was greater than 7.65.
Severe alkalosis causes diffuse arteriolar constriction with reduction in tissue perfusion. By decreasing cerebral blood flow, alkalosis may lead to tetany, seizures, and decreased mental status. Metabolic alkalosis also decreases coronary blood flow and predisposes persons to refractory arrhythmias.
Metabolic alkalosis causes hypoventilation, which may cause hypoxemia, especially in patients with poor respiratory reserve, and it may impair weaning from mechanical ventilation.
Alkalosis decreases the serum concentration of ionized calcium by increasing calcium ion binding to albumin. In addition, metabolic alkalosis is almost always associated with hypokalemia, which can cause neuromuscular weakness and arrhythmias, and, by increasing ammonia production, it can precipitate hepatic encephalopathy in susceptible individuals.
Severe alkalosis causes diffuse arteriolar constriction with reduction in tissue perfusion. By decreasing cerebral blood flow, alkalosis may lead to tetany, seizures, and decreased mental status. Metabolic alkalosis also decreases coronary blood flow and predisposes persons to refractory arrhythmias.
Metabolic alkalosis causes hypoventilation, which may cause hypoxemia, especially in patients with poor respiratory reserve, and it may impair weaning from mechanical ventilation.
Alkalosis decreases the serum concentration of ionized calcium by increasing calcium ion binding to albumin. In addition, metabolic alkalosis is almost always associated with hypokalemia, which can cause neuromuscular weakness and arrhythmias, and, by increasing ammonia production, it can precipitate hepatic encephalopathy in susceptible individuals.
Tuesday, January 29, 2008
Monday, January 28, 2008
Wednesday, January 23, 2008
Spring 2008 Practicum Schedule
Mondays: 8-12 Transitional Care Unit Patient Care
Tuesdays: 8-10:30 TCU Patient Care
10:30-Noon TCU Patient Care Conference
Wednesdays: 8-9 ETIVS Swallowing/Voice Rounds BSB 202
9-12 TCU Patient Care
Thursdays: 8-12 TCU Patient Care
Tuesdays: 8-10:30 TCU Patient Care
10:30-Noon TCU Patient Care Conference
Wednesdays: 8-9 ETIVS Swallowing/Voice Rounds BSB 202
9-12 TCU Patient Care
Thursdays: 8-12 TCU Patient Care
Tuesday, January 22, 2008
What is an Empyema?
Look up empyema? What is it? Would it have any effect on voice and/or swallowing? Why or why not? Are empyemas usually on the right side of the body?
Tuesday, January 15, 2008
Adult Clinical Rotations: Student Presentation Guidelines
Adult Clinical Rotations
Student Presentation Guidelines
Description: Students will be required to present a clinical topic to the adult speech pathologists. Oral and written components are required.
Topics: Teach us something new! Maybe a disorder you had an experience with during your rotation (something we could learn more about); patient and/or family information packets; or a treatment strategy. If you decide to present a treatment strategy, please include the following information: treatment efficacy, cost efficiency, availability, reliability, etc. If you have difficulty choosing a topic, ask your supervisor for suggestions.
Written requirement: Please prepare a summarized handout for clinicians (1-2 pages) or a packet for patients/families. Include references. Do not print something directly from a website. You should organize this information on your own. If creating a Pt/family packet, provide helpful web sites, phone numbers, support groups, etc.
Oral requirement: You will be given approximately 5-7 minutes including a question-answer period. This is not a great deal of time, so plan accordingly.
Date: TBA
Location: 11th floor of Rutledge Towers (ENT conference room). Please bring your lunch.
Student Presentation Guidelines
Description: Students will be required to present a clinical topic to the adult speech pathologists. Oral and written components are required.
Topics: Teach us something new! Maybe a disorder you had an experience with during your rotation (something we could learn more about); patient and/or family information packets; or a treatment strategy. If you decide to present a treatment strategy, please include the following information: treatment efficacy, cost efficiency, availability, reliability, etc. If you have difficulty choosing a topic, ask your supervisor for suggestions.
Written requirement: Please prepare a summarized handout for clinicians (1-2 pages) or a packet for patients/families. Include references. Do not print something directly from a website. You should organize this information on your own. If creating a Pt/family packet, provide helpful web sites, phone numbers, support groups, etc.
Oral requirement: You will be given approximately 5-7 minutes including a question-answer period. This is not a great deal of time, so plan accordingly.
Date: TBA
Location: 11th floor of Rutledge Towers (ENT conference room). Please bring your lunch.
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