Question
challenging and advanced questions El calentamiento global es real, de eso no cabe duda. Diferentes medios de comunicacin a nivel mundial transmiten noticias sobre el
challenging and advanced questions
El calentamiento global es real, de eso no cabe duda. Diferentes medios de comunicacin a nivel mundial transmiten noticias sobre el asunto, algo que est sirviendo para despertar el inters pblico necesario y llevar a cabo medidas al respecto. Aunque an existen personas que prefieren dejar de lado este problema, la concientizacin sobre l ya se est realizando desde los centros educativos, de este modo, las nuevas generaciones estn creciendo con una mentalidad ms acorde. Entonces, solo queda establecer formas y acciones que ayuden a mitigar los efectos que est causando.
Es necesario entender la gravedad que involucra el calentamiento global para la humanidad, para conseguirlo se debe tener en claro de qu se trata. Consiste en el aumento progresivo de la temperatura promedio en el planeta Tierra, tanto en la atmsfera como en los mares. Esto produce variaciones en los patrones climticos, que se ven reflejadas en el retroceso de los glaciares, sequas, alteraciones de hbitats, lluvias, extincin de especies, entre otros.
Q1
Is the use of amlodipine or furosemide recommended to normalize blood
pressure in a case of hypertensive heart failure? If so, which is most
effective?
Q2
How can diabetes cause endothelial dysfunction? What are the roles of
ACE inhibitors in the kinin-kallikrein system? What are the mechanisms
by which a decrease in the level of nitric oxide causes endothelial
dysfunction?
Q3
Can sublingual nifedipine be given to a patient with malignant
hypertension/accelerated hypertension? It seems to be a controversial
issue with some favouring it and some against it.
Q4
Is the diagnosis of malignant hypertension based only on the basis of the
retinopathy (even in the presence of a normotensive state)? Labetalol,
parenterally, is suggested as a treatment for malignant hypertension.
What other more readily available preparations (besides sodium
nitroprusside) are recommended in addition to this drug? Parental
labetalol is not available in Pakistan!
Q5
Patients at medium risk of DVT and pulmonary embolism are usually
given specific prophylaxis with low-dose heparin at a dose of 5000 units
subcutaneously every 8-12 hours until the patient is ambulatory. Is the
Q6
'Anticoagulants are not necessary, as embolism does not occur from
superficial thrombophlebitis' (K&C 7e, p. 809). Why?
Q7
Can we use enoxaparin for deep vein thrombosis (DVT) prophylaxis
in the immediate postoperative period and in a case of cerebral
haemorrhage? Wouldn't it increase the risk of haemorrhage in
either case?
Q8
Can external jugular vein thrombosis cause tingling numbness over
the earlobe and adjoining part of the lower face?
Q9
For how long does a patient have to stay in bed to be labelled as
bedridden and to merit low-molecular-weight heparin (LMWH) as
prophylaxis for deep vein thrombosis?
Q10
Is an inferior vena cava filter an alternative treatment for a patient with
a history of recurrent deep vein thrombosis on lifelong anticoagulation1101120
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