To control a patient's blood pressure, an ED nurse began an infusion with a bag of dopamine from an automated dispensing cabinet (ADC), but the nurse failed to realize that instead of the usual concentration of 400 mg/250 mL, the bag contained 400 mg/500 mL that had accidentally been stocked there.
In a study recently published in The Archives of Surgery, researchers developed an outpatient surgery admission index from independent predictors of immediate hospital admission using the following point values:
"We know about 1 in 200 patients get admitted to hospital following outpatient surgery, but that rate can easily vary. Outpatient surgery centers are going to continue pushing the envelope, and it is imperative that patients and physicians take control back.
The debate surrounding the relative merits of abstinence and fidelity vs. condom use (as if the two were mutually exclusive) remains a hotly contested issue, at least in the United States, where it has even spilled over into U.S. international family planning policy.
Prophylaxis against pcp remains the single most cost-effective intervention in HIV+ patients at risk. But treatment has, in some ways, become a moving target in some patients, as their CD4 count rises and falls with newer HIV therapies, medication side effects, and variable compliance.