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Whole bowel irrigation uses large volumes of balanced polyethylene glycol-electrolyte solution to mechanically cleanse the entire intestinal tract Because of the composition of the irrigating solution, there is no significant gain or loss of systemic fluids or electrolytes 1 Indications Whole bowel irrigation is particularly effective for massive iron ingestion in which intact tablets are visible on abdominal x-ray It has also been used for ingestions of sustained-release and enteric-coated tablets as well as swallowed drug-filled packets 2 Contraindications Do not use in patients with suspected intestinal obstruction Use with caution in patients who are obtunded or have depressed airway protective reflexes 3 Technique Administer a balanced polyethylene glycolelectrolyte solution (CoLyte, GoLYTELY) into the stomach via gastric tube at a rate of 1 2 L/h until the rectal effluent is clear This may take several hours It is most effective when patients are able to sit on a commode to pass the intestinal contents

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Poison Carbamazepine Ethylene glycol Lithium Methanol Phenobarbital Salicylate Indications1 Seizures, severe cardiotoxicity; serum level > 60 mg/L Acidosis, serum level > 50 mg/dL Severe symptoms; level > 4 mEq/L more than 12 hours after last dose Acidosis, serum level > 50 mg/dL Intractable hypotension, acidosis despite maximal supportive care Severe acidosis, CNS symptoms, level > 100 mg/dL (acute overdose) or > 60 mg/dL (chronic intoxication) Serum level > 90 100 mg/L (acute) or seizures and serum level > 40 60 mg/L (chronic) Serum level > 900 1000 mg/L or deep coma, severe acidosis

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how to read pdf file in asp.net c#

The Visual Studio 2008 IDE provides enormous advantages to the C# programmer. This book tacitly assumes that you ll use Visual Studio 2008 or Visual C# 2008 Express for your work. However, the discussion focuses more on the language and the platform than on the tools. Nonetheless, 2 provides an introduction to the IDE in some detail. 9 returns to the IDE to examine the debugger, which will help you find and correct problems in your code. You can use the C# language to develop four types of applications: Console applications A console application runs in a console window, as you saw with Hello World. A console window (or DOS box) provides simple text-based output. Console applications are very helpful when you re learning a language because they strip away the distraction of the Windows graphical user interface (GUI). Rather than spending your time creating complex windowing applications, you can focus on the details of the language constructs, such as how you create classes and methods, how you branch based on runtime conditions, and how you loop. We will cover all of these topics in detail in later chapters.

1 Urinary Manipulation Forced diuresis is hazardous; the risk of complications (pulmonary edema, electrolyte imbalance) usually outweighs its benefits Acidic drugs (eg, salicylates, phenobarbital) are more rapidly excreted with an alkaline urine Acidification (sometimes promoted for

Examples: Atropine, scopolamine, other naturally occurring and pharmaceutical anticholinergics, antihistamines, tricyclic antidepressants

The Contents pane The next component of the project window is the Contents Pane, shown in figure 3.10. The Contents pane provides various views of project items, as well as easy access to the individual items that compose the target:

The identity of the ingested substance or substances is usually known, but occasionally a comatose patient is found with an unlabeled container or refuses or otherwise fails to give a coherent history By performing a directed physical examination and ordering common clinical laboratory tests, the clinician can often make a tentative diagnosis that may allow empiric interventions or may suggest specific toxicologic tests

The following clinical laboratory tests are recommended for screening of the overdosed patient: measured serum osmolality and osmolar gap, electrolytes, glucose, creatinine, blood urea nitrogen (BUN), urinalysis (eg, oxalate crystals with ethylene glycol poisoning, myoglobinuria with rhabdomyolysis), and electrocardiography Serum acetaminophen and ethanol quantitative levels should be determined in all patients with drug overdoses

1. Place a breakpoint in Run( ) on the following line, and then run the program: