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Hypotension in adults is traditionally defined as a systolic blood pressure of 90 mm Hg or less or a mean arterial pressure of less than 60 65 mm Hg but must be evaluated relative to the patient s normal blood pressure A drop in systolic pressure of more than 10 20 mm Hg and an increase in pulse of more than 15 beats per minute with positional change suggests depleted intravascular volume However, blood pressure is often not the best indicator of organ perfusion because compensatory mechanisms, such as increased heart rate, contractility and, vasoconstriction can occur to prevent hypotension Patients often have cool or mottled extremities and weak or thready peripheral pulses Splanchnic vasoconstriction may lead to oliguria, bowel ischemia, and hepatic dysfunction, which can ultimately result in multiorgan failure Mentation may be normal or patients may become restless, agitated, confused, lethargic, or comatose as a result of inadequate perfusion of the brain Consequently, intubation and mechanical ventilation may be required to protect the patient s airway Hypovolemic shock is evident when signs of hypoperfusion, such as oliguria, altered mental status, and cool extremities, are present Jugular venous pressure is low, and there is a narrow pulse pressure indicative of reduced stroke volume TEE shows reduced left ventricular filling Rapid replacement of fluids restores tissue perfusion and often confirms the diagnosis In cardiogenic shock, there are signs of global hypoperfusion with oliguria, altered mental status, and cool extremities Jugular venous pressure is elevated TEE shows an enlarged left ventricle There may be evidence of pulmonary edema in the setting of left sided heart failure and evidence of ECG changes In obstructive shock, the central venous pressure may be elevated but the TEE shows reduced LV filling Pericardiocentesis or pericardial window, chest tube placement, or catheter-directed thrombolytic therapy can be lifesaving In distributive shock, signs include hyperdynamic heart sounds, warm extremities, and a wide pulse pressure indicative of large stroke volume Fluid resuscitation may have little effect on blood pressure, urinary output, or mentation Septic shock is diagnosed when there is clinical evidence of infection in the setting of persistent hypotension and evidence of organ hypoperfusion, such as in lactic acidosis, decreased urinary output, or altered mental status despite volume resuscitation.



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Print .js is a tiny javascript library to help printing from the web. Print friendly support for HTML elements, image files and JSON data. Print PDF files directly form ...

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The telephone company runs your T-carrier (or bigger) line to a demarc This demarc is important because this is where the phone company s responsibility ends! Everything on your side of the demarc is your responsibility From there, you or your ISP installs a CSU/DSU (for T-carriers) and that device connects to your router There s a tremendous amount of variance here depending on who does this for you The classic example (sticking with T-carrier here) is a demarc, CSU/DSU, and router setup, as shown in Figure 14-17





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javascript - How to print a base64 pdf ? - Stack Overflow
You can try to open your window and try to insert the pdf data as embed. Here is an piece of code I've found and used fine (I changed to fit on your code, but not ...

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Print .js - Javascript library for HTML elements, PDF and image files ...
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ing and assessment of hemodynamic parameters such as blood pressure and heart rate Cardiac monitoring can detect myocardial ischemia requiring cardiac catheterization or malignant arrhythmias, which can be treated by standard advanced cardiac life support (ACLS) protocols Unresponsive or minimally responsive patients should immediately be given 1 ampule of 50% dextrose intravenously and 2 mg of naloxone intravenously or intramuscularly An arterial line should be placed for continuous blood pressure measurement, and a Foley catheter should be inserted to monitor urinary output Blood specimens should be evaluated for complete blood count, electrolytes, glucose, arterial blood gas determinations, coagulation parameters, typing and cross-matching, and bacterial cultures

B Central Venous Pressure (CVP) or Pulmonary Capillary Wedge Pressure (PCWP)

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Early consideration is given to placement of a central line or pulmonary artery catheter for hemodynamic pressure measurements A pulmonary artery catheter can be helpful in distinguishing cardiogenic and septic shock and in monitoring the effects of volume resuscitation or pressor medications Because of the attendant risks associated with pulmonary artery catheters (such as infection, arrhythmias, vein thrombosis, and pulmonary artery rupture), the value of the information they might provide must be carefully weighed in each patient Pulmonary artery catheters are most useful in the management of patients with cardiogenic shock In patients with other types of shock, a central venous line may be adequate Central lines also can provide a measurement of the central venous oxygen saturation In general, a central venous pressure (CVP) or pulmonary capillary wedge pressure (PCWP) under 5 mm Hg suggests hypovolemia and over 18 mm Hg suggests volume overload, cardiac failure, tamponade, or pulmonary hypertension A cardiac index < 2 L/min/m2 indicates a need for inotropic support A high cardiac index > 4 L/min/m2 in a hypotensive patient is consistent with early septic shock The systemic vascular resistance is low (< 800 dyness/cm 5) in sepsis and neurogenic shock and high (< 1500 dynes/cm 5) in hypovolemic and cardiogenic shock Treatment is directed at maintaining a CVP of 8 12 mm Hg, and mean arterial pressure of 65 90 mm Hg, a cardiac index of 2-4 L/min/m2, and a central venous oxygen saturation of greater than 70%

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Treatment depends on prompt diagnosis and an accurate appraisal of inciting conditions Initial management consists of basic life support with an assessment of the patient s airway, breathing, and circulation This may entail airway intubation and mechanical ventilation Ventilatory failure should be anticipated in patients with a severe metabolic acidosis in association with shock Mechanical ventilation along with sedation and paralysis can decrease the oxygen demand of the respiratory muscles and allow improved oxygen delivery to other hypoperfused tissues Intravenous access and fluid resuscitation should be instituted along with cardiac monitor-

Volume replacement is critical in the initial management of shock Hemorrhagic shock is treated with immediate efforts to achieve hemostasis and rapid infusions of blood substitutes, such as type-specific or type O negative packed red blood cells (PRBC) or whole blood, which also provides extra volume and clotting factors Each unit of PRBC or whole blood is expected to raise the hematocrit by 3% Hypovolemic shock secondary to dehydration is managed with rapid boluses of isotonic crystalloid, usually in 1 liter increments Cardiogenic shock in the absence of fluid overload requires smaller fluid challenges usually in increments of 250 mL Septic shock usually requires large

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What i am trying to achieve is to have a button that executes a javascript to print to the adobe PDF printer ( Which actually saves it) 1.png.

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15 Jun 2017 ... jsPDF — A library to generate PDFs in client-side JavaScript . ... The reason why it's printPDF and not printPDF () is because we don't want to ...












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