What is Persistent Pulmonary Hypertension in Newborns New York Attorney Bernard Daskal Explains
What is persistent pulmonary hypertension in newborns Hi. I'm Bernard Daskal of Lynch Daskal Emery in New York City. I represent individuals who've been harmed by pharmaceuticals or medical devices. And today I'm going to answer this important question for you. Our lungs perform an important function in our bodies. They take in oxygen, transmit that oxygen through our blood stream, but also expel carbon dioxide from our systems. In unborn babies, the task of oxygenating the blood is performed by the placenta not by the lungs. Therefore in an unborn baby the blood vessels to the lungs are.
Very constricted. After birth the umbilical cord is cut, those blood vessels to the lungs dilate, and the lungs take over the task of oxygenating the blood. Unfortunately, in some babies, those blood vessels to the lungs remain constricted causing pressure to build up in the pulmonary vessels. When that happens, you have pulmonary hypertension. If it's persistent if it doesn't go away that is a very serious condition because it means not enough oxygen is getting to the body's organs. Some studies have suggested that certain medications and particular SSRIs that's Selective Serotonin.
Human Sleep Cycle and How it works HEALTHY SLEEP Top 3 Magazine
Welcome to top three magazine in this tutorial you're gonna learn the sweet science behind the human sleep cycle fact number three there are two main types of sleep the first one is non REM this leap consistent four stages of sleep each deeper than the last Stage one transition to sleep this stage last about five minutes your eyes move slowly into your eyelids muscle activity slows down and you're easily a awakened stage 2 this is light sleep this is the first stage of your true sleep me lasted for ten to twenty five minutes your eye movement stops.
Your heart rate slows and your body temperature decreases stage 3 deep sleep your difficult to awaken and if you're awakened you do not adjust immediately and after feel groggy and disoriented for several minutes in this deepest stage of sleep your brainwaves are extremely slow blood flow is directed away from your brain and towards your muscles story physical energy the the second type of sleep is REM rapid eye movement about 70 to 90 minutes after falling asleep you enter REM's sleep where dreams occur your eyes move rapidly your breathing shallows.
And your heart rate and blood pressure increase also during this stage your arms and leg muscles are paralyzed fact number two sleep cycles your sleep follows a predictable pattern moving back and forth between the restorative sleep deep sleep and more alert stages and dreamy REM sleep together the stages of REM and NON REM sleep form a complete sleep cycle each cycle last about 90 minutes repeats four to six times over the course of the night and fact number one average sleep needs by age from newborns to adults.
Blood Sugar Boys Town National Research Hospital
It's important to keep an eye on your blood sugar because uncontrolled elevated blood sugar can lead to chronic diseases, such as kidney damage, nerve damage, coronary artery disease, heart damage a and eye damage. So it's really important to know what your numbers are and to keep them within the normal range. Most people with normal blood sugars, without diabetes, keep their blood sugars about 80 to 100. So a fasting blood sugar greater than 126 or hemoglobin a1c which is an average of your previous three months blood sugar of greater than 6.5,.
Is the definition of diabetes. Usually we recommend that people 35 and up are getting annual examinations. We would do this earlier if someone had a larger body and was holding on to extra weight or if they had a family history of diabetes. We would do this earlier if someone was symptomatic of high blood sugars. Symptoms can be being thirsty all the time or urinating quite a bit. Elevated blood sugars are an indicator that you could have diabetes but it's a very preventable disease and there's a lot of things that people can.
Cancer Meaning How Cancer Diagnosed Breast Cancer Early Symptoms
Disease, likewise called danger, is an anomalous development of cells. There are more than 100 sorts of growth, including bosom tumor, skin disease, lung malignancy, colon growth, prostate malignancy, and lymphoma. Side effects change contingent upon the sort. Malignancy treatment may incorporate chemotherapy, radiation, andor surgery. Understanding Cancer Diagnosis and symptoms How Cancer Diagnosed The prior growth is analyzed and treated, the better the possibility of its being cured. A few sorts of tumor , for example, those of the skin, bosom, mouth, testicles, prostate, and rectum may be distinguished by routine selfexam or other screening measures before.
The manifestations get to be not kidding. Most instances of disease are identified and analyzed after a tumor can be felt or when different manifestations create. In a couple cases, malignancy is analyzed of course as an aftereffect of assessing or treating other restorative conditions. Tumor finding starts with a careful physical exam and a complete therapeutic history. Research facility investigations of blood, pee, and stool can distinguish anomalies that may show tumor. At the point when a tumor is suspected, imaging tests, for example, Xbeams, registered tomography CT, attractive reverberation.
Imaging MRI, ultrasound, and fiberoptic endoscopy examinations offer specialists some assistance with determining the disease's area and size. To affirm the determination of most growths , a biopsy should be performed in which a tissue test is expelled from the suspected tumor and examined under a magnifying instrument to check for malignancy cells. Comprehension Breast Cancer Symptoms What Are the Symptoms of Breast Cancer In its initial stages, bosom malignancy for the most part has no indications. As a tumor creates, you may take note of the accompanying signs An irregularity in the bosom or underarm that endures after your menstrual cycle. This is.
Frequently the first obvious indication of bosom malignancy. Protuberances connected with bosom disease are normally effortless, albeit some may bring about a thorny sensation. Bumps are generally noticeable on a mammogram much sooner than they can be seen or felt. Swelling in the armpit. Agony or delicacy in the bosom. Despite the fact that bumps are normally easy, agony or delicacy can be an indication of bosom malignancy. An observable smoothing or space on the bosom, which may demonstrate a tumor that can't be seen or felt. Any adjustment in the size, form, composition,.
Or temperature of the bosom. A rosy, set surface like the skin of an orange could be an indication of cutting edge bosom tumor. An adjustment in the areola, for example, an areola withdrawal, dimpling, tingling, a smoldering sensation, or ulceration. A layered rash of the areola is symptomatic of Paget's malady, which may be connected with a hidden bosom disease. Abnormal release from the areola that may be clear, grisly, or another shading. It's typically brought on by generous conditions however could be because of disease at times. A marblelike range under the skin.
Medical Symptoms Mesothelioma Symptoms
Hi are you experiencing shortness of breath, cough, a little chest pressure That might be pneumonia and then again it might be something else such as Mesothelioma. I'm Dr. Savage. I'm an osteopathic family practice physician in Tampa and I'm here to describe the symptoms associated with Mesothelioma. Quite simply it is very similar in symptomatology as having a pneumonia or a viral bronchitis. What happen is you'll have most commonly labored breathing. What happens is the tumor actually has a tendency to cause a collection of fluid referred to as aplural effusion which encroaches on the normal lung function, hence, the labored breathing.
Easy Cardiac Auscultation Intro S3 S4 S1 S2 Heart Sounds Tutorial 27
This is your heart atrium and ventricles. V on the bottom for ventricles The heart has four valves. remembered by My Tri Pulls All Mitral, Tricuspid, Pulmonary, Aortic Like a tube of toothpaste, the heart squeezes from the bottom. so, Mitral and Tricuspid valves close first, then Pulmonary and Aortic. You can hear these valves slap closed through a stethoscope, lub dub, lub dub. Or, Fock You, Fock You. S3 gallop Kentucky, Kentucky, Kentucky or FOCK you're screwed, FOCK you're screwed. When your heart fails, you're screwed. S4 gallop Tennesee Tennesee, Tennessee, or.
Common Intubation Scenarios Elevated ICP by Drs. Mancuso Wolbrink for OPENPediatrics
Common Intubation Scenarios Elevated Intracranial Pressure, by Dr. Thomas Mancuso and Dr. Traci Wolbrink. Hello, my name is Dr. Thomas Mancuso. I'm one of the intensivists at Children's Hospital Boston. And I'm Tracy Wolbrink, one of the clinical fellows in pediatric critical care at Children's Hospital Boston. Today we're going to be talking to you about different scenarios for intubating typical patients you might see in the pediatric intensive care unit. Case Description. So Tom, I just wanted to talk to you about this patient here. This is a 5yearold boy who was admitted to our ICU approximately one hour ago. He is a child.
That was in a bicycle versus motor vehicle accident. He suffered a right femoral fracture, as well as a left tibial fracture. And on his head CT, he does have a small left subdural hematoma. Over the last 10 minutes or so, his exam has changed. His mental status is depressed. His pupils have become unequal. And his heart rate has decreased from 100s to 60s, as well as his blood pressure has been increasing. In addition, his respiratory pattern has become quite irregular and he's taking very big deep breaths. It looks like.
These are clinical signs of increased intracranial pressure. You agree I agree. What do you think we should do for him So I think we should intubate this patient and take over his breathing pattern, slightly hyperventilate this patient while we're waiting for a repeat head CT, as well as decreasing his cerebral metabolism to allow us to prevent further herniation. We already have the head of his is bed elevated. That's one step that we took first. He may be hypercarbic and that will certainly worsen his raised ICP problems.
I agree. We should secure the airway and control ventilation. Great. I'll call the neurosurgical resident and I'll get the intubation supplies if you'll get the medications ready. Yes I'll do that. Please note that if a patient has signs and symptoms of acute brain herniation, this represents an emergency situation and steps need to be initiated in a simultaneous emergent fashion. Therefore, you may need to bring in more personnel and support as needed to perform all of these tasks. Equipment. So Tom, I've gathered all the equipment that I feel will be necessary to intubate.
Delivery of Babies with Congenital Diaphragmatic Hernia CDH 4 of 11
Gtgt A LOT OF FAMILIES ASK US, AM I GOING TO HAVE TO HAVE A CSECTION BECAUSE MY BABY'S GOING TO BE SO ILL AND I THINK THAT, OVERALL, VAGINAL DELIVERY IS PREFERABLE. gtgt MOST INFANTS WITH CDH WILL UNDERGO A FAIRLY ROUTINE LABOR. THEY'LL BE MONITORED TYPICALLY, AND MOST OF THEM UNDERGO A VAGINAL DELIVERY. gtgt WE WERE SURPRISED BECAUSE WE THOUGHT THAT IT WOULD BE BETTER FOR THEM JUST TO GET HER OUT REAL FAST AND BE ABLE TO DO WHAT THEY NEEDED TO DO WITH HER. BUT THEY ACTUALLY TOLD US THAT IT WOULD BE BETTER FOR HER TO BE.
DELIVERED NATURALLY. SO WE DID THAT, AND SHE WAS BORN NATURALLY. gtgt MANY TIMES WHAT WE WILL DO IS SCHEDULE AN INDUCTION OF LABOR, AS LONG AS THE CERVIX IS FAVORABLE. SUCH THAT EVERYBODY HAS A HEADSUP AND IS READY AND WAITING FOR THE BABY WHEN IT'S BORN. gtgt IT'S A BIG DEAL TO COORDINATE EVERYTHING. SO IT'S IMPORTANT THAT OBSTETRICIANS AND THE SURGEONS AND THE NEONATOLOGISTS AND THE ECMO TEAM AND THE NURSING STAFF KNOW WHEN THAT BABY'S COMING, BECAUSE WE ALL WANT TO BE THERE, AND WE WANT TO BE READY.
Gtgt THE FETUS AND THE NEWBORN WITH THE SEVERE DIAPHRAGMATIC HERNIA PROBLEM IS AS FRAGILE AS ANY BABY WE TAKE CARE OF AT THE CHILDREN'S HOSPITAL OF PHILADELPHIA. gtgt AND ONE OF THE THINGS THAT'S IMPORTANT IS TO MONITOR LABOR PROGRESS AND THE STATUS OF THE FETUS IN UTERO JUST PRIOR TO LABOR AND BE ABLE TO HAND THE NEONATOLOGIST A BABY WHO IS AN OPTIMAL CONDITION FOR RESUSCITATION. gtgt THE ISSUE IS TO MINIMIZE INCREMENTAL RISK FACTORS THAT COULD LEAD TO THE BABY DYING. AND ONE SUCH RESOURCE, WHICH IS AMAZING,.
IS THE SPECIAL DELIVERY UNIT, WHERE ALL OF THE BABY'S CARE, ALL OF THE MOTHER'S CARE CAN OCCUR IN ONE PLACE. gtgt THE SPECIAL DELIVERY UNIT, OR SDU, IS A UNIT THAT WAS DESIGNED ESPECIALLY FOR A BABY BORN WITH AN ANOMALY, WHO'S GOING TO NEED AN INTERVENTION SHORTLY AFTER BIRTH. gtgt ALL OF THE BABY'S CARE, ALL OF THE MOTHER'S CARE CAN OCCUR IN ONE PLACE WITH STATEOFTHEART RESOURCES, BEFORE BIRTH, DURING BIRTH, AND AFTER BIRTH. gtgt SO THE BABY WITH CONGENITAL DIAPHRAGMATIC HERNIA, WHO NEEDS EXPERT MULTIDISCIPLINARY CARE FROM.
THE FIRST MOMENT, IS THE PERFECT EXAMPLE OF THE TYPE OF PREGNANCY THAT WE FEEL SHOULD BE DELIVERED IN THE SDU. gtgt WE WEREN'T EXPECTING HER TO CRY. SO SHE CRIED OUT AND SHE LOOKED SHE OPENED HER EYES AND LOOKED AT US. gtgt THEY LET US SAY HELLO AND WHISKED HER INTO THE NEXT ROOM TO START TAKING CARE OF HER. gtgt THE BABY REQUIRES PROMPT INTUBATION WITH AN ENDOTRACHEAL TUBE, REQUIRES PLACEMENT OF A NASOGASTRIC TUBE, WHICH DECOMPRESSES WHAT IS OFTEN A DILATED STOMACH. gtgt REMEMBER, THE STOMACH IS IN THE CHEST.
SO, IF THE BABY GULPS AIR, THE STOMACH EXPANDS, TAKES UP EVEN MORE SPACE IN THE CHEST. gtgt REQUIRES PLACEMENT OF INTRAVENOUS LINES, MONITORING LINES, USUALLY AN UMBILICAL ARTERIAL LINE, FOR ARTERIAL BLOOD PRESSURE MONITORING AND FOR BLOOD GASES, ALL THAT NEEDS TO BE DONE QUICKLY AND EXPERTLY. gtgt AND THEN, ONCE THE BABY IS STABILIZED, THEY TRANSPORT THE BABY OVER TO THE NEONATAL INTENSIVE CARE UNIT, WHERE ADDITIONAL PERSONNEL FROM THE TEAM ARE READY AND WAITING FOR THE BABY TO FURTHER EVALUATE THE BABY AND DECIDE WHAT THE BEST MEDICAL MANAGEMENT IS.
Greenwich Hospital Lindsay
My name is Lindsay MacLeod I'm a registered nurse on the telemetry intermediate care unit at Greenwich Hospital. Basically we're a stepdown for the ICU. People are often very scared, but in a short period of time you're able to build a rapport and really make a connection with the patients. So your heart rate is in a normal sinus rhythm, your rate is good. Everyone has a telemetry monitor which monitors the heart rate and heart rhythm. They have every test available, the stress test, the cardiac cath lab is here, we do EKGs on the floor, MRI, MRA, cat scan, everything.
To have all that available here and not have to outsource to other hospitals is quite a big deal. After you've worked in telemetry for so long you can kind of cross train to the ICU and the people that I work with, clinical leaders, nurse managers are really key on you getting to that level. I went to University in Halifax Nova Scotia, Canada. In my last year of university I actually met the nurse recruiter at a job fair. We just decided to come down, take them up on their offer of site visits, interviews.
As soon as we came to Greenwich we knew for sure that we were going to be coming to Greenwich Hospital. Initially you walk into the hospital and you're greeted by this beautiful lobby, with a grand piano playing. To have hardwood floors even in patient's rooms is unheard of. The meals. Actually tonight is lobster night. The people that I work with are amazing, they're very open. Everyone says hello to you. For the most part most people don't pick on me about my Canadian accent. It really is a great place to work.
Blood Pressure Facts What Is The Normal Blood Pressure For A Human
Blood Pressure Facts What Is The Normal Blood Pressure For A Human,The normal blood pressure reading for an adult is 120 over 80, while a child might have a normal reading of 110 over 70. Learn how blood pressure readings for..
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Blood Pressure Facts Normal Blood Pressure Readings For Teens
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Mother Wakes Up From Coma After Hearing Her New Born Baby Cry- Shelly Cawley.A mother identified as Shelly Cawley who slipped into coma after the birth of her child had miraculously woken up after the she heard her babys cries. The family..