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psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - She was admitted to the stroke unit and
received aggressive treatment to control her blood pressure. … At that time,
the patient's blood pressure was still elevated, requiring pushes of intravenous antihypertensives … The nurse decided to check the
patient's blood pressure one more time before leaving her and found that … Reassured, she
also left the room but forgot to notify the MRI technician that the blood pressure cuff … He entered the room and realized that the blood pressure cuff had a metal
bar (around which the Velcro
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 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 … temperature of 39° C, respiratory rate 18 breaths per minute, heart rate of 104 beats per minute, and blood … pressure 80/40 mm Hg, the EMR would generate a sepsis alert. … pressure Reprinted from ( 4 ) with permission from Wolters Kluwer Health, Inc.
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psnet.ahrq.gov/node/49732/psn-pdf
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 … temperature of 39° C,
respiratory rate 18 breaths per minute, heart rate of 104 beats per minute, and blood … pressure 80/40 mm
Hg, the EMR would generate a sepsis alert. … pressure
Reprinted from (4) with permission from Wolters Kluwer Health, Inc.
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psnet.ahrq.gov/node/49611/psn-pdf
October 01, 2010 - Specifically, a primary care physician prescribed psychiatric medications for a patient with depression … in the United States, with more prescriptions than those to treat high blood
pressure, high cholesterol … In general, it takes 10 to 14 days to notice any effect from
antidepressant medications, and up to 6 … Understand the Complex Effect Profiles of Psychoactive Medications
Last, primary care physicians may … , both the patient population and the
medications can be complex, and errors do occur.
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psnet.ahrq.gov/web-mm/limb-loss-after-vasopressor-use
March 14, 2012 - 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. … Abnormalities
July 2, 2019
WebM&M Cases
High-Risk Medications
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - patient.(12) Furthermore, the operative field may appear dry during the
procedure when the patient's blood … pressure is low, only to have significant bleeding later emerge when
severe hypertensive pressures … If bleeding is recognized, the standard next steps include administering secondary medications like … If medications and mechanical devices are
unsuccessful and bleeding continues, uterine artery embolization … This includes having a
hemorrhage cart full of the equipment needed, rapid access to key medications
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - The Case
A man in his 70s with a history of multiple myeloma (a cancer of the bone marrow), high blood … pressure, osteoporosis, and pulmonary embolus, was admitted to a hospital with gastrointestinal symptoms … Clinicians who prescribe immunosuppressive medications should also know how to properly treat these patients … before they receive corticosteroids or other medications that could put them at risk of hyper-infection … Any patient who is being considered for treatment with steroidal or immunosuppressive medications and
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - She was admitted to the stroke unit and received aggressive treatment to control her blood pressure. … At that time, the patient's blood pressure was still elevated, requiring pushes of intravenous antihypertensives … The nurse decided to check the patient's blood pressure one more time before leaving her and found that … Reassured, she also left the room but forgot to notify the MRI technician that the blood pressure cuff … He entered the room and realized that the blood pressure cuff had a metal bar (around which the Velcro
-
psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - 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.
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - This includes assessing for blood pressure, heart rate, and capillary refill, and
establishing IV access … Signs of hemorrhagic shock are low blood pressure,
tachycardia, flat neck veins (no central venous filling … penetrating cardiac wounds who have some sign of
life at the time of EMS arrival (pulse, respiration, blood … pressure, organized cardiac rhythm) and who can
be transported to a trauma center expeditiously should
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - The pain was difficult to control even with opioid medications. … Eventually, compartment pressure exceeds diastolic blood pressure, arresting perfusion and causing ischemia … pressure difference (∆P) of less than 30 mmHg for more than 2 hours. … for CS
Source: Garner MR, et al (2014) Note: “PP” in this Figure refers to pulse … pressure, also known as “∆P” as referenced above.
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - Specifically, a primary care physician prescribed psychiatric medications for a patient with depression … in the United States, with more prescriptions than those to treat high blood pressure, high cholesterol … In general, it takes 10 to 14 days to notice any effect from antidepressant medications, and up to 6 … Understand the Complex Effect Profiles of Psychoactive Medications Last, primary care physicians … , both the patient population and the medications can be complex, and errors do occur.
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psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - Such accreditation generally ensures that the facility has all the equipment, staff, and
medications … Less frequent complications were blood pressure alterations, deep venous
thrombosis, and pulmonary embolism … Blood and Medications
Are appropriate intravenous fluids available? … Is there proper anesthetic equipment and medications available?
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - The patient admitted not taking his medications or checking his blood sugars regularly. … at
home, ambulatory practices also provide and administer medications in the office. … enter a code to
retrieve the medications. … Insulin holds a special place in the pantheon of high-risk medications. … Take-Home Points
Clinicians administer a wide range of medications in ambulatory care.
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psnet.ahrq.gov/node/49621/psn-pdf
March 01, 2011 - Describe the importance of weight-based dosing of medications and fluids in pediatrics. … Evaluation by the intern revealed a low blood pressure, high heart rate, decreased muscle tone, and … developmental issues, and minor legal status
issues.(2) For example, the recommended energy intake, normal blood … pressure ranges, daily fluid intake
requirements, and medication doses in pediatrics all vary with … As some medications are not readily
available in liquid suspensions, pharmacists may have to manually
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - On arrival at the ED, he was afebrile, heart rate was 98 beats per minute (bpm), blood pressure was 103 … Soon after receiving these medications, he became unresponsive and pulseless. … In certain circumstances, even routine medications such as furosemide or insulin are not benign. … when resuscitating patients in cardiac arrest, responders should be mindful of the side effects of medications … Impact of clinical decision support preventing the use of QT-prolonging medications for patients at risk
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - He had no fevers or other infectious symptoms, bleeding, or recent changes to his medications. … If a patient develops a large fall in blood pressure, as occasionally occurs, I would give vasopressor … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment.
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psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
October 19, 2022 - In this quality improvement project, a multi-component intervention including remote blood pressure … monitoring was found to increase the rate of completed postpartum blood pressure checks among individuals
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - The patient admitted not taking his medications or checking his blood sugars regularly. … at home, ambulatory practices also provide and administer medications in the office. … enter a code to retrieve the medications. … Insulin holds a special place in the pantheon of high-risk medications. … Take-Home Points Clinicians administer a wide range of medications in ambulatory care.
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - roles to team
members (e.g., the nurses talk about pain, family issues, lines; the pharmacists review medications