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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
January 04, 2012 - In this study, only one-quarter of children with high blood pressure were correctly diagnosed with hypertension … The authors attribute this to two factors: pediatricians' lack of knowledge of the normal blood pressure … range for different ages and lack of awareness of patients' previous blood pressure measurements.
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - Shortly thereafter, the patient became hypotensive with a systolic blood pressure (BP) of 65 mm Hg. … However, this may not apply to certain high-risk medications (e.g., intravenous potassium chloride or … At minimum, a review of medications and doses by the team should happen every morning (perhaps twice … daily in an ICU) on rounds and should include a pharmacist.( 13,16 ) High-risk medications need to … No checks and balances for high-risk medications High Division of labor between
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - 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/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - She was overweight but otherwise healthy and was not taking any medications prior to admission. … Over the next few minutes, the patient's blood pressure skyrocketed to 250/135 mm Hg. … Advances include practice guidelines, newer and shorter acting medications, new equipment for airway … Yet, anesthesia is also uniquely vulnerable to medication errors—in that perioperative medications are … The medications most frequently involved included propofol, phenylephrine, and fentanyl, and errors occurred
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Antihypertensives or other medications that affect blood pressure or heart rate are often ordered to … Reporting
agencies have been able to identify the most common culprit medications. … Providers should be
aware that when medications are discontinued in the acute care setting, the medications … In addition, orders to "resume all pre-op medications" or "continue all prior medications"
should be … patients with instructions for when medications should be restarted.
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - The blood pressure cuff
(which was partly fabric and partly nylon) was saturated with so much blood … Blood pressure cuffs are already known to be reservoirs of bacterial pathogens such as Clostridium
https … Until the cost-effectiveness of disposable blood pressure cuffs has
been established, we can at least … recommend explicit attention to the cleaning and disinfection of blood
pressure cuffs between patients … Clostridium difficile contamination of blood pressure cuffs: a call for a
closer look at gloving practices
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - One morning when the nurse was delivering her morning medications, the patient was found to be confused … She was febrile to 102°F and had a blood pressure of 110/70 mm Hg, which was lower than her usual. … residents in US nursing homes are predominantly elderly, have multiple chronic conditions, take multiple medications … resident identification, safe medication use, reduced health care-associated infections, reconciled medications … In one particular nursing home, residents taking high risk medications such as anticoagulants are monitored
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - One
morning when the nurse was delivering her morning medications, the patient was found to be confused … She was febrile to
102°F and had a blood pressure of 110/70 mm Hg, which was lower than her usual. … residents in US nursing homes are predominantly elderly, have multiple
chronic conditions, take multiple medications … resident
identification, safe medication use, reduced health care-associated infections, reconciled medications … In one particular
nursing home, residents taking high risk medications such as anticoagulants are monitored
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Despite aggressive efforts with physical therapy
and medications to treat his pain, the patient continued … In patients like the one presented, hypertension must be adequately controlled and antihypertensive
medications … Insulin and other diabetic medications should be continued until the day of surgery and then withheld … STOP stands for loud snoring, tiredness during the daytime, o
bserved apneas, and high blood pressure
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - ulcer, presented to the emergency department (ED) with asymptomatic post-dialysis hypertension, with a blood … pressure of 246/100. … He reported taking his regular blood pressure medications without any clear trigger for this hypertensive … He was treated in the ED with hydralazine and clonidine, with mild improvement in blood pressure. … to his SNF, as he remained asymptomatic, with recommendations to resume his usual antihypertensive medications
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. … Near Miss with Bedside Medications. PSNet [internet]. … Near Miss with Bedside Medications. PSNet [internet]. … On further history, he revealed that he had recently increased his beta-blocker, a blood pressure medication … Near Miss with Bedside Medications. PSNet [internet].
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - His initial vital signs showed a blood pressure of 130/75 mm hg, heart rate of 65 beats per minute, respiratory … He ordered an echocardiogram for the next morning and prescribed diuretic medications. … or >12,000/μL or >10% bands 0–4 ≥ 2 qSOFA (quick Sequential Organ Failure Assessment score) Systolic blood … pressure Heart rate Respiratory rate Temperature AVPU score (alert, voice, pain, unresponsive) 0–15 … pressure) Renal (BUN, creatinine, urine output) Pulmonary (PaO2/FiO2 ratio) Hematologic (WBC,
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - laryngospasm appears to be similar irrespective of
whether the patient is intubated or not.9
Some medications … Assessing the position of the eyes, the pupil diameter, the frontalis muscle and the heart rate and blood … pressure can help the anesthesiologist assess the depth of anesthesia.25 Processed electro-
encephalography … laryngospasm than other drugs like thiopental and ketamine.26,27 Atropine and other anticholinergic
medications
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - His only medications were nasal fluticasone and oral tamsulosin. … Over the next 14 hours, the patient’s
blood pressure remained at or below 90/60, and he was described
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - 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 … Uterotonic medications were ordered and administered. … 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
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psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
July 20, 2022 - Study
Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries.
Citation Text:
Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…
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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 … Uterotonic medications were ordered and administered. … 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
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Despite aggressive efforts with physical therapy and medications to treat his pain, the patient continued … Hypertension and diabetes require special attention to achieve adequate control and management of medications … STOP questionnaire is a simple tool:
Snoring
Tiredness during the daytime
Observed apneas
High blood … Pressure
BANG: BMI, Age, Neck circumference, Male Gender
Polysomnography is the gold standard test
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psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care
June 20, 2011 - The analysis identified logically inconsistent blood pressure measurements, which suggested data-entry … September 3, 2014
Discontinuity of chronic medications in patients discharged from the
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Commentary
Preventing pressure ulcers: the goal is zero.
Citation Text:
Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10.
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