Gastric, Testing the pH of a stomach aspirate to a value of 5.5 is the first-line diagnostic to assure correct nasogastric tube insertion and reduce the danger of potentially fatal aspiration.
Adult patients who had bronchoscopy or gastroscopy and had two (one fresh and one frozen) bronchial and esophageal samples or two bronchial and salivary samples each were included in this prospective observational study.
Kappa (k) statistics were used to determine the level of observer agreement for the pH of fresh and frozen samples. To distinguish between gastric and non-gastric aspirates, the sensitivities and specificities at pH 5.5 and the area under the receiver operating characteristics (ROC) curve at various pH cut-offs were computed.97 individuals underwent a gastroscopy, and 106 underwent a bronchoscopy. In 57/92 (62%) of the paired fresh and frozen stomach samples, there was total agreement between the observers (k=0.496, 95% CI 0.364 to 0.627).
The specificity of a pH 5.5 was 79% (95% CI 74 to 84), while the sensitivity of a pH 5.5 to accurately identify stomach samples was 68% (95% CI 57 to 77). Regardless of whether patients were using antacids or not, the overall accuracy to correctly categorize samples was between 76% and 77%. At various pH cut-offs, the ROC curve's area under the curve was 0.74.
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Answer:
Muhammad Arif
Explanation:
After a five-day day jury trial, Muhammad Arif, 61, of Katy, Texas, was found guilty of one count of conspiracy to unlawfully distribute and dispense controlled substances and three counts of unlawfully distributing and dispensing controlled substances.
C. Rugs and steps are slip-resistant
Answer:
"I take cimetidine rather than omeprazole for heartburn'" (Ans D)
Explanation:
Theophylline can cause seizures and life-threatening arrhythmias depending upon a route of administration and dose due to its narrow therapeutic range (10-20 mcg/mL).
The dose can be adjusted based on peak drug levels, obtained 30 minutes after the dose is given. Clients who have oral theophylline should avoid medications such as cimetidine, ciprofloxacin that increase serum theophylline levels and caffeinated products.