Anxiety and A. fib w/ RVR

Recently overnight in the ICU, 70 y/o s/p LUL lobectomy for adenocarcinoma, a fib, HTN, HLD. Came out of surgery in a fib with RVR 2 days prior in the 140s, w/ steady pressures. Hard to rate control, but manageable the past 2 days. At 3AM get a call, hes a. fib in the 160-170s pressure 120/60, received 1 x metop push during the day, 25 mg atenolol BID that day. At bedside patient is extremely anxious, excessively worried about his heart rate, however not fidgety or agitated. Adminstered 1 x... Anxiety and A. fib w/ RVR
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums

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Authors: Montemurro S, Ammendola M, Gallo G, Romano R, Condoluci A, Curto L, DE Franciscis S, Serra R, Sacco R, Sammarco G Abstract BACKGROUND: Colorectal cancer is one of the most common invasive cancers, and it is responsible for considerable physical and psychosocial morbidity specially in older patients. However, only few reports focused on quality of life, cost-effectiveness and clinical outcomes of rectal cancer patients undergone to surgery. This retrospective study compares short-term and long- term outcomes in rectal cancer patients with more and less 75 years of age. METHODS: Four hundred consecutive ...
Source: Minerva Chirurgica - Category: Surgery Tags: Minerva Chir Source Type: research
ConclusionsRegorafenib improved DFS without an excessively negative effect on QoL. Progressing development to the phase III setting is warranted.
Source: Gastric Cancer - Category: Gastroenterology Source Type: research
In conclusion, strategies for the prevention and amelioration of long-term morbidities in PCOS are presented. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Seminars in Reproductive Medicine - Category: Reproduction Medicine Authors: Tags: Review Article Source Type: research
Conclusions:In the context of SPS spectrum disorders, GlyRα1antibody is a biomarker of an immunotherapy-responsive neurological disease.Study Supported by:Funding: Mayo Clinic Center for Individualized Medicine and Department of Laboratory Medicine and Pathology.Disclosure: Dr. Lopez-Chiriboga has nothing to disclose. Dr. Hinson has received (royalty or license fee or contractual rights) payments from Mayo Foundation. Dr. Bower has nothing to disclose. Dr. Matsumoto has nothing to disclose. Dr. Hassan has nothing to disclose. Dr. Basal has nothing to disclose. Dr. Lennon has received personal compensation from Mayo F...
Source: Neurology - Category: Neurology Authors: Tags: Neuromuscular and Clinial Neurophysiology (EMG): Peripheral Neuropathy II Source Type: research
Introduction Perioperative chemotherapy is the gold standard treatment of the resectable gastro-oesophageal adenocarcinoma. However, 70% of patients cannot receive the complete sequence because of a postoperative complication or a decrease in functional and nutritional reserves. Recently, a new concept appeared in digestive surgery: prehabilitation. This interventional process consists of patient preparation, between surgical consultation and surgery, and is based on 3 components: (1) physical management, (2) nutritional care and (3) psychological care. Prehabilitation should decrease postoperative complications and improv...
Source: BMJ Open - Category: Journals (General) Authors: Tags: Open access, Oncology, Rehabilitation medicine, Surgery Protocol Source Type: research
BackgroundLong term patient‐reported symptoms and quality of life (QOL) are important outcome metrics following cancer operations, but have been poorly described in patients who have previously undergone pancreatectomy. MethodsWe conducted a cross‐sectional survey of recurrence‐free survivors of pancreatic ductal adenocarcinoma, periampullary carcinomas, and pancreatic neuroendocrine tumors who had undergone prior pancreatectomy. QOL and symptom burden were measured using the Functional Assessment of Cancer Therapy–Hepatobiliary Questionnaire, and psychosocial distress was measured using the Hospital Anxiety an...
Source: Journal of Surgical Oncology - Category: Cancer & Oncology Authors: Tags: Research Article Source Type: research
Conclusion ACa, AIS and AAH nodules detected on LDCT included more women (77%) than men in our cohort. Smoking as inclusive criteria for LDCT screening of lung cancer needs to be further evaluated in the Chinese population. The reconstructed nodule shape, density and margin may help radiologists to identify small cancer and pre-cancer nodules from benign conditions.
Source: European Journal of Radiology Open - Category: Radiology Source Type: research
A 46-year-old man presented to the emergency department with postprandial abdominal pain and nausea. One month previously, a poorly differentiated invasive adenocarcinoma of the stomach had been diagnosed after a work-up for an unintentional 13.5-kg weight loss, abdominal pain, nausea, and night sweats. At the current presentation, he noted increasing anxiety and difficulty staying hydrated. His medical history included hypertension, hyperlipidemia, and reactive airway disease. His medications included atenolol, atorvastatin, omeprazole, and inhaled beclomethasone.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Residents' clinic Source Type: research
CONCLUSION: Despite the late presentation of prostate cancer in KZN, patients are waiting an average of 3 months from initial referral for a prostate biopsy to institution of definitive management. PMID: 26716167 [PubMed - in process]
Source: South African Medical Journal - Category: African Health Tags: S Afr Med J Source Type: research
DiscussionPatients with advanced PDAC are strongly affected by fatigue, and are thus likely to benefit from an exercise intervention. Moreover, exercise may have a potential beneficial effect on tumor outcome by reducing insulin resistance and insulin/insulin-like growth factor-1 (IGF-1) secretion. However, an exercise intervention may appear challenging due to multiple PDAC-related symptoms such as fatigue, depression, pain, and denutrition. We hypothesize that an APA program taking into account specific characteristics of PDAC may improve symptoms and HRQoL. If demonstrated to be feasible and effective, such APA programs...
Source: Trials - Category: Journals (General) Authors: Source Type: research
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