Update in Hospital Medicine, An Issue of Medical Clinics of North America

1st Edition, Volume 104-4 - June 9, 2020
Editor: Andrew S. Dunn
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 7 2 2 - 5
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 7 2 3 - 2

This issue of Medical Clinics, guest edited by Dr. Andrew Dunn, is an Update in Hospital Medicine. Articles in this issue include: Sepsis, severe sepsis, and septic shock,… Read more

Update in Hospital Medicine, An Issue of Medical Clinics of North America

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This issue of Medical Clinics, guest edited by Dr. Andrew Dunn, is an Update in Hospital Medicine. Articles in this issue include: Sepsis, severe sepsis, and septic shock, Pneumonia, Acute congestive heart failure, Acute exacerbation of COPD, Acute manifestations of alcohol use disorder, Opioid use disorder, Acute Venous Thromboembolism, Acute liver Injury / Decompensated cirrhosis, Hospital-acquired infections, Peri-operative management of anticoagulation, Teamwork essentials for the hospitalist, Teaching at the bedside, and more.

Cover image
Title page
Table of Contents
Copyright
CME Accreditation Page
Medical Clinics of North America
Contributors
Foreword
Preface
Sepsis and Septic Shock – Basics of diagnosis, pathophysiology and clinical decision making
Key points
Introduction
Epidemiology
Pathophysiology
Clinical manifestations by organ system
Management of sepsis and septic shock
Summary
Management of Pneumonia Syndromes in the Hospital: Make Pneumonia Your Best Friend
Key points
Introduction
Community-acquired pneumonia
Health care–associated pneumonia
Hospital-acquired pneumonia and ventilator-associated pneumonia
Aspiration
Summary
Advances in the Management of Acute Decompensated Heart Failure
Key points
Epidemiology
Pathophysiology
Patient assessment
Treatment
Safe transitions in care
Summary
Recent Advances in the Management of Acute Exacerbations of Chronic Obstructive Pulmonary Disease
Key points
Definition and epidemiology
Causes
Clinical presentation and assessment
Emergency room management and triaging
Inpatient management
Consequences of chronic obstructive pulmonary disease exacerbations
Preventative strategies
Summary
Treatment of Acute Venous Thromboembolism
Key points
Introduction and epidemiology
Pulmonary embolism
Deep vein thrombosis
Venous thromboembolism treatment
Special populations
Acute Liver Injury and Decompensated Cirrhosis
Key points
Acute liver injury and acute liver failure
Portal hypertension and decompensated liver disease
Alcohol and the Hospitalized Patient
Key points
Neurologic manifestations
Liver disease
Hematological effects
Malnutrition and electrolyte derangements
Treatment of alcohol withdrawal
Other agents
Nonpharmacologic interventions
Drugs for alcohol abstinence
Diagnosis and Management of Opioid Use Disorder in Hospitalized Patients
Key points
Background
Identifying and diagnosing opioid use disorder in hospitalized patients
Identifying and managing acute opioid withdrawal
Initiating medication for opioid use disorder in the hospital setting
Medication for opioid use disorder
Acute pain and perioperative management
Harm reduction education and techniques
Discharge planning
Periprocedural Management of Oral Anticoagulation
Key points
Introduction
Pharmacokinetics and pharmacodynamics of vitamin K antagonists
Periprocedural bridging anticoagulation therapy
Pharmacokinetics, pharmacodynamics, and periprocedural management of direct oral anticoagulants
The role of direct oral anticoagulant laboratory testing in the perioperative setting
Neuraxial anesthesia
Thromboembolic risk stratification
Procedural bleeding risk stratification
A practical approach to periprocedural anticoagulation management
Teamwork Essentials for Hospitalists
Key points
Importance of teamwork
Challenges to teamwork in hospital medicine
Teamwork constructs and frameworks
Measurement of teamwork
Interventions to improve teamwork in hospital medicine
Bundled interventions to redesign systems of care
Summary
Using Bedside Rounds to Change Culture
Key points
Introduction
Barriers to bedside rounds
Understanding the discordance in the evidence
Strategies and tactics to optimize bedside rounds
Summary

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Andrew S. Dunn