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New guidelines for the evaluation and management of chronic heart failure from the American College of Cardiology and the American Heart Association reflect a new emphasis on prevention.
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The four pharmacologic pillars of heart failure management are diuretics, beta-blockers, angiotensin-converting enzyme inhibitors, and lanoxin.
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The scenario described in this article illustrates two important new approaches given in updated guidelines for the evaluation and management of chronic heart failure, published jointly by the Bethesda, MD-based American College of Cardiology and the Dallas-based American Heart Association.
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Thomson American Health Consultants is offering "Imminent Smallpox Vaccinations in Hospitals: Consequences for You and Your Facility," a 90-minute audio conference Wednesday, Dec. 11, from 2-3:30 p.m., EST.
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The final part of this three-part series focuses on diagnosis and management of hand infections and deep tissue injuries. Guidelines for patient evaluation, surgical consultation, and initial antibiotic therapy, when indicated, are provided.
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Health care providers are understandably concerned about the legal climate in which they live, observes Marshall B. Kapp, JD, MPH, professor in the department of community health at Wright State University School of Medicine in Dayton, Ohio. But ICU physicians can rest easier than many. Even though malpractice cases abound, the reality is that very few medical malpractice claims or other adverse legal actions happen due to thoughtful decisions to withhold or withdraw treatment for dying patients in the ICU.
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With the health care penny being squeezed dry its not unexpected that nurses report they are unable to provide quality of care consistent with professional standards in todays hospitals, says Julie Sochalski, RN, PhD, professor of nursing at the University of Pennsylvania School of Nursing.
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Intravascular catheters are an essential component of the practice of critical care medicine. These devices are used to deliver life-sustaining intravenous fluids, antibiotics, parenteral nutrition, blood, and blood products, and to monitor the hemodynamic status of critically ill patients.