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Biomedical subjects

R Miranda Caballero

Publications and source records attributed to R Miranda Caballero.

5 recordsLinked to original sources

[Acute respiratory insufficiency].

Overall respiratory insufficiency is considered to be present when pO2 is less than 60 mm. Hg. and pCO2 is over 49 mm. Hg. If pO2 is low with normal pCO2, partial respiratory insufficiency will be present (hypoxemia without hypercapnia) which is the most frequent situation in children. Several fundamental facts on respiratory pathophysiology are made clear in order to understand the therapeutic procedures that are applied in respiratory insufficiency. Following this, the author describes some pathologic respiratory situations and their therapeutic management.

Acute Disease

[Cranioencephalic trauma].

It is an emergency which, in case of consciousness involvement, must be considered a severe condition; therefore, intensive control of the patient must be initiated at once, including a state of consciousness, respiration, temperature, pulse, signs of tissular perfsion, arterial blood pressure and in case of shock, central venous pressure hydroelectrolytic balance. At the general and neurological examination, nistagmus, ecchymoses of the eye bulbs, mydraisis and hemorrhages in the fundus of the eye must be investigated. Likewise, lesions or depressions of the skull, cefalhematoma; to achieve this, X-ray studies of skull are necessary. Detection of hemorrhages or spinal fluid through ears, nose or mouth. It is necessary to be on watch for endocranial hypertensive signs. Encephalograms and electroencephalograms if complications from hematoma or severe cerebral contusion are suspected. The prognosis depends on the deepness and duration of unconsciousness, on the range of the neurologic disturbance, and of added complications. Treatment including surgery, must be carried out adequately.

Blood Pressure

[Congestive heart failure].

A description is made of what it is and what causes a congestive heart failure, together with the symptoms. The aim of a treatment is to increase the strength and efficiency of the heart contraction and to reduce abnormal retention of sodium and water. To achieve this, several regimens and drugs are used.

Heart Failure

[Heart arrest and reanimation].

The author describes when stoppage of the heart muscle is really true and the most important causes of it. It is an emergency that must be prevented and to achieve this, the premonitory symtoms and their treatment are described.

Heart Arrest

[Diabetic coma].

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Age Factors