Liver trauma: current method of management.
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Biomedical subjects
Publications and source records attributed to M Steele.
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Protein-calorie malnutrition is commonly found in chronic CAPD patients and is a matter of concern since low serum albumin levels correlate with an increased risk of morbidity and mortality. Recognition of this link has therefore led to a growing interest in the efficacy of IPAA therapy as a possible treatment option. The present case study took place within a larger, ongoing clinical trial and outlines our experience of administering one exchange of 1.1% IPAA (Nutrineal, Baxter Healthcare Ltd) per day over 18 weeks to a patient identified as being protein malnourished.
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I work in a long-term setting where the residents all have written levels of intervention. Last week I came across a resident who was choking on a piece of food and unable to breathe. Even though I knew he had a DNR order as a component of his written level of intervention, I initiated action to rescue him. In thinking about this afterward, and discussing it with colleagues, we began to question whether I should have done this since it could be said that I was acting against his wishes. What is your opinion on this?
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