nursing ASAP be sure to provide the correct answers For the…
Question Answered step-by-step nursing ASAP be sure to provide the correct answers For the… nursing ASAP be sure to provide the correct answers For the detection of new occupational health risks, instruments other than those used for monitoring known occupational diseases may be needed. Information that is routinely collected as part of the public health system could possibly be used to this end and several complementary methods are considered necessary for the detection of emerging risks, such as epidemiological studies, health surveillance studies, and the evaluation of cases, ideally by an (international) team of experts. A warning system for emerging biological risks should be combined with an action plan aiming at a rapid response to minimise the risks due to these agents at the workplace. In France, for example, an alert system ensures warnings are exchanged to prevent the spread of emerging zoonotic diseases for which registration is not mandatory. A network of professionals from (occupational) health services in multidisciplinary teams can exchange information on alerts. The target groups are farmers, and foresters, workers in animal husbandry, environment professionals and workers at zoological parks. This measure can likely be transferred to other countries and this example could be followed for other diseases61 I want to ask something about cerebrovascular accident (CVA). Can you please tell me how we can rapidly pinpoint the exact anatomical site of the neurological deficit using physical findings in the emergency room? 62 Why do you treat dissection of the carotid artery with an anticoagulant in the acute management of stroke secondary to dissection? To me this seems paradoxical as it would increase the severity of dissection. 63 Last week, in a neurology viva, I was asked about the indications for heparinization in patients with a stroke. I want to know when I can stop heparin and what test I should use for assessing its therapeutic range. 64 Has heparin a role in the management of acute ischaemic stroke not accompanied by atrial fibrillation? 65 1. In the treatment of a stroke, does low-molecular-weight heparin (LMWH) have an advantage over heparin? 2. In an ischaemic stroke in evolution, for how long should heparin be administered? 66 Can streptokinase be used in acute cerebral infarction and, if so, what is the dose? 67 There seems now to be a consensus about starting aspirin therapy in acute ischaemic strokes as early as possible. Why has this changed from past recommendations to avoid aspirin early (during the first 48 hours) during the ischaemic stroke on the pretext that it could convert an ischaemic infarct into a haemorrhagic one, thus increasing the dangers of complications like cerebral oedema and raised intracranial pressure? If both opinions are based on clinical trials, what is the significance of the much hyped ‘evidence-based medicine’? 68 I understand that a loading dose of clopidogrel 600-900 mg can be given to ischaemic stroke in evolution and can stop the evolving deficit. Would you agree? 69 Is there any rationale for giving patients with recurrent strokes a combination of aspirin and anticoagulant? 70 1. Does a dipyridamol-aspirin combination have any superiority over aspirin alone in the secondary prevention of a stroke? 2. Is an aspirin plus anticoagulant combination superior to a dipyridamol— aspirin combination in the treatment of recurrent ischaemic stroke not controlled by aspirin alone? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
