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    Radioisotope renography is a form of medical imaging of the kidneys that uses radiolabelling. A renogram, which may also be known as a MAG3 scan, allows a nuclear medicine physician or a radiologist to visualize the kidneys and learn more about how they are functioning. MAG3 is an acronym for mercapto acetyl tri glycine, a compound that is chelated with a radioactive element – technetium-99m. The two most common radiolabelled pharmaceutical agents used are Tc99m-MAG3 (MAG3 is also called mercaptoacetyltriglycine or mertiatide) and Tc99m-DTPA (diethylenetriaminepentacetate). Some other radiolabelled pharmaceuticals are EC (Ethylenedicysteine) and 131-iodine labelled OIH (ortho-iodohippurate). After injection into the venous system, the compound is excreted by the kidneys and its progress through the renal system can be tracked with a gamma camera. Processing then involves drawing a region of interest (ROI) around both kidneys, and a computer program produces a graph of radioactivity inside the kidney with time, representing the quantity of tracer, from the number of counts measured inside in each image (representing a different time point). If the kidney is not getting blood for example, it will not be viewed at all, even if it looks structurally normal in medical ultrasonography or magnetic resonance imaging. levitra coupons pharmacy The goals of pharmacotherapy for heart failure are to reduce morbidity and to prevent complications. Along with oxygen, medications assisting with symptom relief include: (1) diuretics, which reduce edema by reduction of blood volume and venous pressures; (2) vasodilators, for preload and afterload reduction; (3) digoxin, which can cause a small increase in cardiac output; (4) inotropic agents, which help to restore organ perfusion and reduce congestion; (5) anticoagulants, to decrease the risk of thromboembolism; (6) beta-blockers, for neurohormonal modification, left ventricular ejection fraction (LVEF) improvement, arrhythmia prevention, and ventricular rate control; (7) angiotensin-converting enzyme inhibitors (ACEIs), for neurohormonal modification, vasodilatation, and LVEF improvement; (8) angiotensin II receptor blockers (ARBs), also for neurohormonal modification, vasodilatation, and LVEF improvement; and (9) analgesics, for pain management. Ivabradine, an I(f) inhibitor is available in the United States. It blocks the hyperpolarization-activated cyclic nucleotide-gated (HCN) channel responsible for the cardiac pacemaker I(f) "funny" current, which regulates heart rate without any effect on ventricular repolarization or myocardial contractility. Sacubitril/valsartan (Entresto), an angiotensin receptor-neprilysin inhibitor (ARNI), was approved by the FDA in July 2015 to reduce the risk of cardiovascular death and hospitalization for heart failure in patients with congestive heart failure (New York Heart Association [NYHA] class II-IV) and reduced ejection fraction. Drugs that can exacerbate heart failure should be avoided, such as nonsteroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers (CCBs), and most antiarrhythmic drugs (except class III). NSAIDs can cause sodium retention and peripheral vasoconstriction, and they can attenuate the efficacy and enhance the toxicity of diuretics and ACEIs.

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    Subscribe to nurse bob's mail group It is the best way for critical care nurses to stay in touch with each other. Section 2 - Critical Care Concepts Section 3 - Cardiology in Critical Care Section 4 - Pulmonary Concepts in Critical Care Section 5 - Hemodynamics in Critical Care Section 6 - Gastroenterology in Critical Care Section 7 - Neurology in Critical Care Section 8 Nephrology in Critical Care Section 9 Endocrinology in Critical Care Section 10 Hematology in Critical Care Section 11 Shock Section 12 Fluids and Electrolytes in Critical Care Section 13 Infection Control in Critical Care Section 14 Medication in Critical Care Section 15 Overdose and Drug Reaction Section 16 Venous Access in Critical Care Section 17 Diagnostic Test in Critical Care Section 18 Unclassified Conditions in Critical Care Section 1 1 Forward - Forward 1.1 Index - Index 1.2 Disclaimer - READ THIS DISCLAIMER 1.3 Send Us Mail - Send Us Mail Section 2 Critical Care Concepts 2.1 Critical Care Concepts - Nursing Protocol for Critical Care 2.2 Critical Care Concepts - Apache II Score 2.3 Critical Care Concepts - Ethical Decision Making 2.4 Critical Care Concepts - Abbreviations and Terms 2.5 Critical Care Concepts - Electrical Safety Section 3 Cardiology in Critical Care 3.1 Cardiology in Critical Care - Cardiovascular Anatomy and Physiology 3.1.1 Cardiology in Critical Care - Starling's Law 3.1.2 Cardiology in Critical Care - Left Ventricular Function 3.1.3 Cardiology in Critical Care - Sounds of the Heart 3.1.4 Cardiology in Critical Care - Electrocardiogram 3.2 Cardiology in Critical Care - Arrhythmia Recognition 3.2.1 Cardiology in Critical Care - Sinus Rhythms - Normal Sinus Rhythm 3.2.2 Cardiology in Critical Care - Sinus Rhythms - Sinus Arrhythmia 3.2.3 Cardiology in Critical Care - Sinus Rhythms - Sinus Tachycardia 3.2.4 Cardiology in Critical Care - Sinus Rhythms - Sinus Bradycardia 3.2.5 Cardiology in Critical Care - Sinus Rhythms - Sinus Pause 3.2.6 Cardiology in Critical Care - Sinus Rhythms - Sinus Arrest 3.3 Cardiology in Critical Care - Deadly Rhythms 3.3.1 Cardiology in Critical Care - Deadly Rhythms - Premature Ventricular Complexes (PVC) 3.3.2 Cardiology in Critical Care - Deadly Rhythms - Ventricular Tachycardia (VT, Vtach) 3.3.3 Cardiology in Critical Care - Deadly Rhythms - Ventricular Flutter 3.3.4 Cardiology in Critical Care - Deadly Rhythms - Ventricular Fibrillation (VFib) 3.3.5 Cardiology in Critical Care - Deadly Rhythms - Asystole (Ventricular standstill) 3.3.6 Cardiology in Critical Care - Deadly Rhythms - Sinus arrest 3.3.7 Cardiology in Critical Care - Deadly Rhythms - Pulseless Electrical Activity (PEA) 3.4 Cardiology in Critical Care - Atrial Rhythms 3.4.1 Cardiology in Critical Care - Atrial Rhythms - Atrial Fib 3.4.2 Cardiology in Critical Care - Atrial Rhythms - Atrial Flutter 3.4.3 Cardiology in Critical Care - Atrial Rhythms - Atrial Premature Beat (APB) 3.4.4 Cardiology in Critical Care - Atrial Rhythms - Atrial Tachycardia 3.4.5 Cardiology in Critical Care - Atrial Rhythms - Premature Atrial Contractions (PAC) 3.5 Cardiology in Critical Care - Junctional Rhythms 3.5.1 Cardiology in Critical Care - Junctional Rhythms - Junctional Premature Beats 3.5.2 Cardiology in Critical Care - Junctional Rhythms - Junctional Tachycardia 3.5.3 Cardiology in Critical Care - Junctional Rhythms - Supraventricular Tachycardia 3.5.4 Cardiology in Critical Care - Junctional Rhythms - Idiojunctional Rhythm 3.6 Cardiology in Critical Care - Heart Blocks 3.6.1 Cardiology in Critical Care - Heart Blocks - Bundle Branch Block (BBB) 3.6.2 Cardiology in Critical Care - Heart Blocks - First Degree AV Block 3.6.3 Cardiology in Critical Care - Heart Blocks - Second Degree AV Block Type I (Wenckebach) 3.6.4 Cardiology in Critical Care - Heart Blocks - Second Degree AV Block Type II (Mobitz) 3.6.5 Cardiology in Critical Care - Heart Blocks - Third Degree AV Block (Complete) 3.7 Cardiology in Critical Care - Cardiac Procedures 3.7.1 Cardiology in Critical Care - Cardiac Procedures Cardiac Catheterization Care 3.7.2 Cardiology in Critical Care - Cardiac Procedures PTCA 3.8.2 Cardiology in Critical Care - Cardiac Procedures - Coronary Angiogram 3.8.3 Cardiology in Critical Care - Cardiac Procedures - Sheath Removal 3.9.1 Cardiology in Critical Care - Cardiac Procedures - Cardioversion 3.9.1.1 Cardiology in Critical Care - Cardiac Procedures - Cardioversion Checklist 3.9.1.2Cardiology in Critical Care - Cardiac Procedures - Chemical Cardioversion 3.9.2 Cardiology in Critical Care - Cardiac Procedures - Defibrillation 3.9.2.1 Cardiology in Critical Care - Cardiac Procedures - Defibrillation Checklist 3.9.3 Cardiology in Critical Care - Cardiac Procedures - Electrophysiology Studies (EP) 3.9.4 Cardiology in Critical Care - Cardiac Procedures - Pericardiocentesis 3.10 Bradycardia and Pacemakers 3.10.1 Cardiology in Critical Care - Bradycardia 3.10.2 Cardiology in Critical Care - Bradycardia - Pacemakers 3.11.2 Cardiology in Critical Care - Bradycardia - Pacemakers - Temporary Pacemaker Insertion 3.11.3 Cardiology in Critical Care - Bradycardia - Pacemakers - Transcutaneous Pacing Checklist 3.11.4 Cardiology in Critical Care - Bradycardia - Pacemakers - Transvenous Insertion Procedure 3.12 Cardiology in Critical Care - Intraaortic Balloon Pump (IABP) 3.12.1 Cardiology in Critical Care - IABP - IABP Intraaortic Balloon Pump 3.12.2 Cardiology in Critical Care - IABP - IABP Insertation 3.12.3 Cardiology in Critical Care - IABP - IABP Patient Information 3.13 Cardiology in Critical Care - Cardiac Conditions 3.13.1 Cardiology in Critical Care - Cardiac Conditions - Endocarditis, Myocarditis, Pericarditis 3.13.2 Cardiology in Critical Care - Cardiac Conditions - Heart Failure 3.13.1 Cardiology in Critical Care - Cardiac Conditions - Hypertension 3.13.1.1 Cardiology in Critical Care - Hypertension Section 4 Pulmonary Concepts in Critical Care 4.1 Pulmonary Concepts in Critical Care - Physiology 4.1 Pulmonary Concepts in Critical Care - Physiology - Breath Sounds 4.1.1 Pulmonary Concepts in Critical Care - Physiology - Pulse Oximetry 4.1.2 Pulmonary Concepts in Critical Care - Physiology - ABG's Acid Base Disturbance 4.1.3 Pulmonary Concepts in Critical Care - Physiology - Acid Base Physiology 4.2 Pulmonary Concepts in Critical Care - Respiratory Conditions 4.2 Pulmonary Concepts in Critical Care - Respiratory Conditions - Respiratory Problems 4.2.1 Pulmonary Concepts in Critical Care - Respiratory Conditions - COPD Exacerbations 4.2.2 Pulmonary Concepts in Critical Care - Respiratory Conditions - ARDS Acute Respiratory Distress Syndrome 4.2.3 Pulmonary Concepts in Critical Care - Respiratory Conditions - Pulmonary Embolism 4.3 Pulmonary Concepts in Critical Care - Ventilatory Management 4.3.1 Pulmonary Concepts in Critical Care - Ventilatory Management - Oxygen Delivery Systems 4.3.2 Pulmonary Concepts in Critical Care - Ventilatory Management - Suctioning The Airway 4.3.2.1 Pulmonary Concepts in Critical Care - Ventilatory Management - Suctioning Checklist 4.3.3 Pulmonary Concepts in Critical Care - Ventilatory Management - Intubation 4.3.4 Pulmonary Concepts in Critical Care - Ventilatory Management - Mechanical Ventilation 4.3.4.1 Pulmonary Concepts in Critical Care - Ventilatory Management - Ventilator Care 4.3.4.2 Pulmonary Concepts in Critical Care - Ventilatory Management - Ventilator Checklist 4.3.5 Pulmonary Concepts in Critical Care - Ventilatory Management - Ventilator Associated Pneumonia 4.3.5.1 Pulmonary Concepts in Critical Care - Ventilatory Management - Forced Expiratory Volume 4.4 Pulmonary Concepts in Critical Care - Chest Tubes 4.4.1 Pulmonary Concepts in Critical Care - Chest Tubes Chest Tubes Section 5 Hemodynamics in Critical Care 5.1 Hemodynamics in Critical Care - Hemodynamics Overview 5.1.1 Hemodynamics in Critical Care - An Overview of Hemodynamics Overview - An Overview of Hemodynamics Overview 5.2 Hemodynamics in Critical Care - Measurement Devices 5.2.1 Hemodynamics in Critical Care - Measurement Devices Transducer Information 5.2.2 Hemodynamics in Critical Care - Measurement Devices Transducer Checklist 5.2.3 Hemodynamics in Critical Care - Measurement Devices - Arterial Line 5.2.4 Hemodynamics in Critical Care - Measurement Devices - SVO2 Monitoring 5.3 Hemodynamics in Critical Care - Cardiac Parameters 5.3.1 Hemodynamics in Critical Care - Cardiac Parameters Cardiac Parameters 5.3.2 Hemodynamics in Critical Care - Cardiac Parameters MAP Mean Arterial Pressure 5.3.3 Hemodynamics in Critical Care - Cardiac Parameters CVP Central Venous Pressure 5.4 Hemodynamics in Critical Care - Cardiac Parameters Swan Gantz 5.4.4.1 Hemodynamics in Critical Care - Cardiac Parameters - Pulmonary Artery Wedge Pressure 5.4.4.3 Hemodynamics in Critical Care - Cardiac Parameters - Cardiac Output 5.4.4.3.1 Hemodynamics in Critical Care - Cardiac Parameters - Cardiac Output Short Version 5.4.4.3.2 Hemodynamics in Critical Care - Cardiac Parameters - Cardiac Output List Section 6 Gastroenterology in Critical Care 6.1 Gastroenterology in Critical Care - Anatomy and Function 6.1.1 Gastroenterology in Critical Care - Anatomy and Function - Liver 6.1.2 Gastroenterology in Critical Care - Anatomy and Function - Liver and Gallbladder 6.2 Gastroenterology in Critical Care - Gastrointestinal Conditions 6.2.2 Gastroenterology in Critical Care - Gastrointestinal Conditions - Liver Conditions 6.2.1 Gastroenterology in Critical Care - Gastrointestinal Conditions - Cirrhosis 6.2.3 Gastroenterology in Critical Care - Gastrointestinal Conditions - Hepatitis 6.3 Gastroenterology in Critical Care - Gastrointestinal Conditions - Gastrointestinal Bleeding 6.3.1 Gastroenterology in Critical Care - GI Bleeding - Gastrointestinal Bleeding 6.4 Gastroenterology in Critical Care - Gastrointestinal Conditions - Pancreatitis 6.4.1 Gastroenterology in Critical Care - Gastrointestinal Conditions - Acute Abdomen 6.5 Gastroenterology in Critical Care - Gastrointestinal Procedures 6.5.1 Gastroenterology in Critical Care - Gastrointestinal Procedures - Upper Endoscopy 6.5.2 Gastroenterology in Critical Care - Gastrointestinal Procedures - Colonoscopy 6.5.3 Gastroenterology in Critical Care - Gastrointestinal Procedures - Intra-abdominal Pressure Measurement 6.5.4 Gastroenterology in Critical Care - Gastrointestinal Procedures - Rectal Tube 6.5.5 Gastroenterology in Critical Care - Gastrointestinal Procedures - Transjuglar Intrahepatic Portosystemic Shunt (TIPS) 6.6 Gastroenterology in Critical Care - Nutritional Support 6.6.1 Gastroenterology in Critical Care - Nutritional Support Nutritional Support 6.6.2 Gastroenterology in Critical Care - Nutritional Support - Enteral Nutrition 6.6.3 Gastroenterology in Critical Care - Nutritional Support - Parenteral Nutrition Section 7 Neurological Concepts in Critical Care 7.1 Neurological Concepts in Critical - Neurological Overview 7.1.1 Neurological Concepts in Critical - Neurological Overview Neurology Overview 7.1.2 Neurological Concepts in Critical - Neurological Overview Glascow Coma Scale 7.1.3 Neurology in Critical Care - Neurological Overview Modified Ramsey Sedation Scale 7.1.4 Neurology in Critical Care - Neurological Overview - Intercrainal Pressure 7.1.5 Neurological Concepts in Critical - Neurological Overview - Cerebral Perfusion Pressure 7.2 Neurological Concepts in Critical - Neurological Conditions 7.2.1 Neurological Concepts in Critical - Neurological Conditions - Subarachnoid Hemorrhage 7.2.2 Neurological Concepts in Critical - Neurological Conditions - Stroke 7.2.2.1 Neurological Concepts in Critical - Neurological Conditions - Stroke - NIH Stroke Scale Section 8 Nephrology in Critical Care 8.1 Nephrology in Critical Care - Anatomy and Physiology 8.1.1 Nephrology in Critical Care - Anatomy and Physiology - Structure and Function 8.2 Nephrology in Critical Care - Renal Failure 8.2.1 Nephrology in Critical Care - Introduction to Renal Failure 8.2.2 Nephrology in Critical Care - Congenital Defects 8.2.3 Nephrology in Critical Care - Urinary Tract Infections (UTI) 8.1 Nephrology in Critical Care - Renal Conditions 8.1.1 Nephrology in Critical Care - Renal Conditions - Renal Failure 8.2 Nephrology in Critical Care - Renal Procedures 8.2.1 Nephrology in Critical Care - Renal Procedures - Dialysis 8.2.2 Nephrology in Critical Care - Renal Procedures - Nephrostomy Tube Care Section 9 Endocrinology in Critical Care 9.1 Endocrinology in Critical Care - Glucose Regulation 9.1.1 Endocrinology in Critical Care - Hyperglycemia 9.1.2 Endocrinology in Critical Care - Hypoglycemia 9.1.3 Endocrinology in Critical Care - Insulin Preparations Section 10 Hematology in Critical Care 10.1 Hematology in Critical Care - Blood Components 10.1.1 Hematology in Critical Care - Blood Components - Packed Red Blood Cells 10.1.2 Hematology in Critical Care - Blood Components - Fresh Frozen Plasma (FFP) 10.1.3 Hematology in Critical Care - Blood Components - Platelets 10.1.4 Hematology in Critical Care - Blood Components - Cryoprecipate 10.1.5 Hematology in Critical Care - Blood Components - Factors 10.2 Hematology in Critical Care - Hematologic Conditions 10.2.1 Hematology in Critical Care - Hematologic Conditions - Disseminated Intravascular Coagulation (DIC) 10.2.2 Hematology in Critical Care - Hematologic Conditions - Thrombocytopenia 10.3 Hematology in Critical - Hemotological Procedures 10.3.1 Hematology in Critical Care - Hemotological Procedures - Blood Type Compatibility 10.3.2 Hematology in Critical Care - Hemotological Procedures - Blood Administration 10.3.3 Hematology in Critical Care - Plasmaphoresis Section 12 Fluids and Electrolytes in Critical Care 12.1 Fluids and Electrolytes in Critical Care - Biological Solution Concentrations 12.1.1 Fluids and Electrolytes in Critical Care - Hypotonic Solution 12.1.2 Fluids and Electrolytes in Critical Care - Isotonic Solution 12.2 Fluids and Electrolytes in Critical Care - Sodium Imbalance 12.3 Fluids and Electrolytes in Critical Care - Potassium Imbalance 12.3.1 Fluids and Electrolytes in Critical Care - Potassium Imbalance - Hyperkalemia 12.3.2 Fluids and Electrolytes in Critical Care - Potassium Imbalance - Hypokalemia 12.4 Fluids and Electrolytes in Critical Care - Calcium Imbalance 12.4.1 Fluids and Electrolytes in Critical Care - Hypercalcemia Section 13 Infection Control in Critical Care 13.1 Infection Control in Critical Care - Sepsis 13.1. 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