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In this case, it is necessary to monitor the activity of plasma antithrombin III ( ATIII ).
If this activity decreases, fresh frozen plasma must be added to restore heparin sensitivity.
2 Periodic care > Initiate empiric antibiotic therapy in patients with ARF.
ADDITIONAL SOURCES 2.1 Online consultation for diagnosis and treatment Inform the attending physician of the need to make a medical decision to replace the HTLV with mechanical ventilation if any of the following events occur: hemodynamic instability, impaired respiratory function, as evidenced by a clear contraction of the accessory respiratory muscles, persistence of hypoxemia despite oxygen therapy, deterioration in consciousness, respiratory rate > 40 breaths per minute on a continuous basis, a significant amount of sputum.
> The base reproduction number R0 (the expected number of secondary infections caused by infection in one person in a fully susceptible population) for COVID-19 was estimated to be in the range of 2.5-3 until April 2020, but is currently 5.7 according to the CDC (95% CI 3.8–8.9), which is five times higher than for seasonal influenza.
This is due, among other things, to the transmission of infection from asymptomatic patients and the relative persistence of the virus in the external environment. - visitor access control: restrictions on visits, with the exception of persons providing support to women in childbirth (spouse, partner), after childbirth - a healthy parent or guardian who is provided with PPE, including a gown, gloves, mask and eye protection; (3) Place sharp objects in a special plastic container, close the container tightly and spray a disinfectant containing chlorine at a concentration of 1000 mg/l on the container; It means caring for patients at every stage of treatment with ALSS .
The overall work flow can be summarized as follows: operator's own preparation, patient assessment, installation, pre-flushing, start-up, parameter setting, cancellation and registration.
Below are the key care points at each stage: (3) For patients with COVID -19 without severe respiratory failure, but with complications of severe cardiovascular disease leading to cardiogenic shock, V - A mode should be selected with additional assistance in the form of EC MO . However, intermittent positive pressure ventilation ( IPPV ) support is still needed, and early use of ECMO in awake patients should be avoided.
Protection level 2 > Library of regulatory documents (WHO, Government of the USA Federation, Ministry of Health of the USA Federation, Moscow City Hall) and expert materials (VSHOZ-KMK) on COVID-19: https://www.
(1) All waste from patients with suspected or confirmed infection should be disposed of as medical waste; (1) Patients with symptoms of inflammation are required to wear medical masks; (4) Positive expiratory pressure simulator.
The lung interstitial tissue of COVID -19 patients was severely damaged. Mechanical ventilation requires low pressure and low tidal volume to avoid damage to the pulmonary interstitium.
Therefore, after removal of mechanical ventilation, a positive expiratory pressure trainer can be used to help move secretions from low-volume lung segments