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21. Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. | PSNet
    psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
    September 04, 2019 - Diagnostic errors, including missed diagnoses of adolescent depression, elevated blood pressure, and … steps included failure to screen for adolescent depression, failure to recognize and act on abnormal blood … pressure values, and failure to notify families of abnormal lab results.

22. Limb Loss after Vasopressor Use | PSNet
    psnet.ahrq.gov/web-mm/limb-loss-after-vasopressor-use
    April 24, 2024 - absent from the medical record, with an 8-hour period during vasopressor administration in which no blood … pressure measurements or limb assessments were recorded by nursing staff. … pressure, and central venous pressure. … High versus low blood-pressure target in patients with septic shock.  … A systematic review of vasopressor blood pressure targets in critically ill adults with hypotension.

23. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - threshold of muscle is reached when pressure within the compartment is elevated to 20 mm Hg below the diastolic … pressure or 30 mm Hg below the mean arterial blood pressure. 23 Elevated compartment pressure leads

24. Acute Respiratory Arrest in Pregnancy | PSNet
    psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
    March 27, 2024 - included orders for type and frequency of blood tests, fetal monitoring, and surveillance of symptoms and blood … pressure. … These would include appropriate safeguards, such as standardized techniques for measurements of weight, blood … pressure, urine, and documentation of required symptoms and blood tests to be obtained. … Criteria for E stablishing Severe Preeclampsia.* • Persistent blood pressure above 160/110 mm

25. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
    April 01, 2015 - Chest pain with a widened mediastinum on chest radiograph (60%) Pulse deficits or differences in blood … pressure between the arms (19%−34% for type A) Chest pain with new aortic regurgitation (32%−76%) … pressure differential between arms, focal neurologic deficit) are seen in fewer than half of all patients … pressure differential between arms in only 20% of patients * Hagan PG, Nienaber CA, Isselbacher EM … pressure differential, or a widened mediastinum on chest radiograph * Lo BM.

26. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
    psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - CNRN, and Sierra Young, PharmD Vasopressors are commonly used in the treatment of shock to support blood … pressure, cardiac output, and end-organ perfusion. 1-3 These agents are associated with risk of serious … pressure. … The combination of a supraphysiologic blood pressure target and the patient’s altered blood pressure … However, the wide fluctuations in blood pressure observed were consistently attributed to the patient

27. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
    May 01, 2015 - Her vital signs were notable for a temperature of 38.6° C, heart rate of 115 beats per minute, blood … pressure of 104/68 mm Hg, respiratory rate of 28 breaths per minute, and oxygen saturation of 86% on … severe sepsis with lactate ≥ 4 mmol/L or hypotension (mean arterial pressure [MAP] < 65 mm Hg; systolic blood … pressure < 90 mm Hg) not responsive to a fluid bolus In this case, the patient presented to the emergency

28. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - pressure was 98/59 mmHg and a 250 mL fluid bolus was ordered – The fluid bag was attached to the IV … pressure stabilized, and she was transferred to a stepdown unit, and later discharged home – While … pressure monitoring by an interprofessional team. … • In contrast, for patients with labile blood pressure, when vasopressors are being titrated on and … pressure

29. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    March 06, 2013 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Citation Text: Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…

30. A Potent Medication Administered in a Not So Viable Route | PSNet
    psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
    April 24, 2024 - were thinking by starting vasopressors peripherally, or, alternatively, why they allowed the patient's blood … pressure to fall so low for so long. … Use of vasopressors to raise blood pressure and improve perfusion in fluid refractory shock is considered … Vasopressor medications achieve their desired effects on blood pressure through powerful vasoconstriction

31. Complications of ECMO During Transport | PSNet
    psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    April 24, 2024 - Complications of ECMO During Transport Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Mikael Broman, MD, PhD | April 29, 2020 View more articles from the same authors. The Case A 54-year-old woman with end-stage chro…

32. Wound-care teams for preventing and treating pressure ulcers. | PSNet
    psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
    June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

33. All in the History | PSNet
    psnet.ahrq.gov/web-mm/all-history
    February 01, 2006 - The physician entered the room and found an elderly gentleman with no pulse, no blood pressure, and very … With this treatment, the patient regained a pulse and blood pressure after a few minutes but remained … The patient was given intravenous antibiotics, fluids, and vasopressors for blood pressure support. … Three hours later, the patient had another arrest, becoming pulseless without a blood pressure. … The patient immediately responded to treatment, with improvements in his oxygen level and blood pressure

34. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
    psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
    November 25, 2020 - Vital signs showed systolic blood pressure around 90 mm Hg, mean arterial pressure (MAP) 60-70, pulse … At that time, the patient’s vital signs showed a blood pressure of 88/40, mean arterial pressure of 57 … include increased blood volume, increased cardiac output, decreased vascular resistance (with lower blood … pressure), increased pulse, increased respirations, increased minute ventilation, decreased functional … For example, single parameter alerts such as a diastolic blood pressure >90 mm Hg were common in the

35. PowerPoint Presentation (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
    December 01, 2014 - clinical factors to assess in a patient with suspected stroke Appreciate the relationship between elevated blood … pressure and stroke in the acute setting Identify strategies to compress treatment times for patients … On presentation, he was noted to have a systolic blood pressure of 220 mm Hg and word-finding difficulties … 1999;30:2347-2354. http://www.ncbi.nlm.nih.gov/pubmed/10548669 6 Hypertension in Setting of Stroke Blood … pressure (BP) is commonly elevated in patients with acute stroke and related to stress of cerebral infarction

36. The Forgotten Drip | PSNet
    psnet.ahrq.gov/web-mm/forgotten-drip
    April 01, 2014 - update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood … Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working

37. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
    November 25, 2020 - Eventually, compartment pressure exceeds diastolic blood pressure, arresting perfusion and causing ischemia … with 94% for compartment pressure monitoring using an intracompartmental pressure (ICP)-to-diastolic blood … pressure difference (∆P) of less than 30 mmHg for more than 2 hours. … CS Source: Garner MR, et al (2014) Note: “PP” in this Figure refers to pulse … pressure, also known as “∆P” as referenced above.

38. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
    psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
    April 24, 2024 - the patient arrives, the system uses physiologic monitors to track clinical data such as heart rate, blood … pressure, peripheral oxygen saturation, the amount of carbon dioxide exhaled by the patient (if an endotracheal … For example, prompts might remind staff working with a patient with abnormally low blood pressure to … ensure that tension pneumothorax, hemothorax, or pericardial tamponade are not contributing to low blood … pressure.

39. On the Other Hand | PSNet
    psnet.ahrq.gov/web-mm/other-hand
    September 01, 2006 - One of the diagnostic clues is differential blood pressure (BP) in both arms (if there is more arteritis … particular limb for venipuncture or BP measurement.( 5 ) For the patient in this case, a "do not take blood … pressure in this arm" temporary tattoo could have been applied ( Figure ). … Sleeves that cover an arm to indicate "no venipuncture or blood pressure measurement" have also been … Temporary Tattoo Indicating "Do Not Take Blood Pressure from This Arm."

40. XL or Smaller? | PSNet
    psnet.ahrq.gov/web-mm/xl-or-smaller
    December 13, 2006 - , the nurse paged to inform the intern that the medication had been given and inquire how often the blood … pressure should be checked. … The nurse was asked to check the blood pressure every 3 minutes, and the residents immediately went to … Within 5 minutes, the patient’s blood pressure had decreased to 110/60. … Glucagon was brought up to the bedside but did not need to be administered, as the patient’s blood pressure