Carbamazepine for schizophrenia (Review)

Many people with schizophrenia do not achieve a satisfactory treatment response with just antipsychotic drug treatment and various adjunct medications are used to promote additional response. The antiepileptic carbamazepine is one such dru

Nursing care of a Patients with the Third Stage of the Atrioventricular Blocade

Cílem této bakalářské práce je zpracování případové studie paní L. Paní L. byla poskytnuta péče zdravotnické záchranné služby, kde byla diagnostikována atrioventrikulární (AV) blokáda III. stupně s podezřením na akutní infarkt myokardu (AIM). Dle této diagnózy byla poskytnuta péče zdravotnickou záchrannou službou (ZZS) v režimu rychlé lékařské pomoci (RLP) a pacientka transportována na nejbližší jednotku kardiologické intervence kardiologického oddělení krajské nemocnice. Práce je rozdělena na dvě části, část klinickou a ošetřovatelskou. V klinické části se věnuji podstatě onemocnění, jeho vzniku, popisu a charakteristice. Dále je zde popsána léčba a intervence, a to jak přednemocniční v rámci poskytování neodkladné odborné první pomoci posádkou RLP, tak popis odborné kardiologické péče na oddělení kardiologie včetně stručného popisu diagnostiky a intervencí s tímto onemocněním souvisejících. Ošetřovatelská část se věnuje ošetřovatelské péči, jak nemocniční, tak rovněž přednemocniční. Pro posouzení stavu nemocné jsem použil model funkčního zdraví M. Gordonové. K práci je přiložena ošetřovatelská dokumentace

Prolongiertes Weaning in der neurologisch-neurochirurgischen Frührehabilitation

Prolonged weaning of patients with neurological or neurosurgery disorders is associated with specific characteristics, which are taken into account by the German Society for Neurorehabilitation (DGNR) in its own guideline. The current S2k guideline of the German Society for Pneumology and Respiratory Medicine is referred to explicitly with regard to definitions (e.g., weaning and weaning failure), weaning categories, pathophysiology of weaning failure, and general weaning strategies. In early neurological and neurosurgery rehabilitation, patients with central of respiratory regulation disturbances (e.g., cerebral stem lesions), swallowing disturbances (neurogenic dysphagia), neuromuscular problems (e.g., critical illness polyneuropathy, Guillain-Barre syndrome, paraplegia, Myasthenia gravis) and/or cognitive disturbances (e.g., disturbed consciousness and vigilance disorders, severe communication disorders), whose care during the weaning of ventilation requires, in addition to intensive medical competence, neurological or neurosurgical and neurorehabilitation expertise. In Germany, this competence is present in centers of early neurological and neurosurgery rehabilitation, as a hospital treatment. The guideline is based on a systematic search of guideline databases and MEDLINE. Consensus was established by means of a nominal group process and Delphi procedure moderated by the Association of the Scientific Medical Societies in Germany (AWMF). In the present guideline of the DGNR, the special structural and substantive characteristics of early neurological and neurosurgery rehabilitation and existing studies on weaning in early rehabilitation facilities are examined. Addressees of the guideline are neurologists, neurosurgeons, anesthesiologists, palliative physicians, speech therapists, intensive care staff, ergotherapists, physiotherapists, and neuropsychologists. In addition, this guideline is intended to provide information to specialists for physical medicine and rehabilitation (PMR), pneumologists, internists, respiratory therapists, the German Medical Service of Health Insurance Funds (MDK) and the German Association of Health Insurance Funds (MDS). The main goal of this guideline is to convey the current knowledge on the subject of "Prolonged weaning in early neurological and neurosurgery rehabilitation"