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Explain Sedationin details?
Intubation and mechanical ventilation is associated with a significant degree of discomfort. In addition, many of the procedures done routinely in ICUs carry with them pain and discomfort - suctioning, cannulation, etc. Hence, it is important give pain relief and administer sedation as appropriate. This is conveniently done as a continuous infusion of a narcotic + benzodiazepine (morphine + midazolam or fentanyl + midazolam). Besides, adequate explanations should be given before every procedure. Sedation should be stopped routinely in the morning to allow the patient to waken up and assess neurological status before restarting. This would prevent accumulation of long acting sedatives and allow earlier weaning and extubation and thereby, shorten ICU stay. Earlier, it was considered necessary to use muscle relaxants all the time for patients on mechanical ventilation. This is no longer true with the newer modes like pressure support that allow partial as well as full ventilator support and preserves spontaneous breathing. Some degree of spontaneous breathing is always preferable as this would allow diaphragmatic activity, prevention of basal collapse and also reduce the incidence myopathies associated with the use of long acting muscle relaxants.
Explain Gelation Gelation, which occurs when yolk is frozen and thawed, is apparently due to the aggregation of yolk lipoproteins because of the imbalance and shift in water.
Avian infectous bronchitis (IB) IB virus is caused by Infectious bronchitis virus of the genus Coronavirus in the family Coronaviridae, which is a positive sense ssRNA virus. I
Explain Heat Preservation - Method of Food Preservation? The process of heating was used centuries before its action was understood. Food is heated up or cooked. Heat kills mi
Define glycolysis Glycolysis or the citric acid cycle in which the direction of the reactions is well defined, the interconversion reactions of the HMP pathway can function
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EXTINCTIO N - It refers to disappearance of a species from earth when its last surviving member dies. Organic evolution not only creats new sps. but also eliminates some ol
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Explain about the Serum vitamin B12 assay? Serum vitamin B 12 assay: The vitamin B 12 content of serum can be determined. A serum level of 12 deficiency.
Which of the following best describes the reasons why the sliding clamp is able to confer processivity on DNA polymerase and not DNA primase? A. The sliding clamp coats the tem
Blood transfusion The blood of Raja cannot be transfused to Rama because the blood group of Raja is ‘B' and blood group of Rama is ‘A'. If Raja's blood with group ‘B' is
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