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STANDARD OF CARE CONTINUOUS LATERAL ROTATION (CLRT)

Ensure that patient and health care provider safety standards are met during this procedure including: Risk assessment and appropriate PPE 4 Moments of Hand Hygiene Procedural Safety Pause is performed Two patient identification Safe patient handling practices Biomedical waste disposal policies...

STANDARDS FOR FLUID BALANCE MONITORING

Ensure that patient and health care provider safety standards are met during this procedure including: Risk assessment and appropriate PPE 4 Moments of Hand Hygiene Procedural Safety Pause is performed Two patient identification Safe patient handling practices Biomedical waste disposal policies...

LHSC’s T.I.M.E. program offers innovative care model

February 8, 2023 Finding out she was pregnant with her second child at 41 left Allison Zietsma feeling both surprised and anxious. “My second pregnancy was a surprise, and due to my age and family/personal history of pregnancy complications I was referred to a high-risk OB,” Allison begins. And as a...

Patient and care partner participation in Accreditation 2023

February 10, 2023 We all care about quality care, whether we are patients, care partners, staff or physicians. To ensure that hospitals provide the best possible care, they are routinely evaluated by Accreditation Canada. This voluntary non-profit organization defines the standards of care that all...

EPINEPHRINE (Adrenalin)

Name: EPINEPHRINE (Adrenalin R ) Classification: sympathomimetic Stimulates beta adrenergic receptors increases myocardial contractility, positive chronotrope, positive dromotrope, bronchodilator used to treat bradycardias, severe left ventricular dysfunction or anaphylaxis Stimulates alpha...

NOREPINEPHRINE (Levophed)

Name: NOREPINEPHRINE (Levophed R ) Classification: sympathomimetic, vasopressor stimulates alpha adrenergic receptors, producing vasoconstriction and decreased heart rate at low doses (< 2 mcg/min), stimulates beta adrenergic receptors to enhance myocardial contractility First line pharmacological...

DOPAMINE (Intropin)

Name: DOPAMINE (Intropin R ) Classification: sympathomimetic beta receptors - increases myocardial contractility alpha receptors - vasoconstriction dopamine has not been shown to improve renal function when administered at low doses (dopaminergic doses). Dose: beta dose 5 - 10 mcg/kg/min (titrate to...

DOBUTAMINE (Dobutrex)

Name: DOBUTAMINE (Dobutrex R ) Classification: sympathomimetic; inotropic agent Synthetic derivative of isoproterenol; decreases afterload Stimulates beta 1 adrenergic receptors to increase myocardial contractility (inotrope) with varying degrees of chronotrope (increase in HR) Has some bet 2...

Phenylephrine (Neosynephrine)

Name: Phenylephrine (Neosynephrine R ) Classification: sympathomimetic, vasopressor stimulates alpha adrenergic receptors resulting in vasoconstriction decreased heart rate increased peripheral resistance used to increase blood pressure Dose: Bolus dose : hypotension or shock: 0.1-0.5mg (100-500 mcg...