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  • Book
    Conrad Fischer, Caterina Oneto.
    Contents:
    ch. 1 Autonomy
    ch. 2 Competence and the capacity to make decisions
    Definitions
    Minors
    Psychiatric patients
    Capacity to refuse procedures in an otherwise mentally disabled patient
    ch. 3 Informed consent
    All options must be described
    All major adverse effects must be described
    Consent is required for each specific procedure
    Beneficence is not sufficient to eliminate the need for consent
    Decisions made when competent are valid when capacity is lost
    Consent is implied in an emergency
    The person performing the procedure should obtain consent
    Telephone consent is valid
    Pregnant women can refuse therapy
    Informed consent for a never-competent person
    ch. 4 Confidentiality and medical records
    Confidentiality
    Release of information
    Give medical information to the patient first, not the family
    Release of information to governmental organizations and the courts
    Breaking confidentiality to prevent harm to others
    Medical records
    Correcting medical record errors
    ch. 5 End-of-life issues
    Withholding and withdrawal of medical treatment
    Advance directives
    "Do not resuscitate" (DNR) orders
    Fluids and nutrition issues
    Physician-assisted suicide
    Euthanasia
    Terminal sedation of the "Law of double effect"
    Futile care
    Determination of death and brain death
    ch. 6 Reproductive issues
    Abortion
    Contraception
    Sterilization
    Minors
    Donation of sperm and eggs
    ch. 7 Organ and tissue donation
    Autonomy of the donor
    Organ donor network asks for consent for donation
    Payment for donations
    Organ donor cards
    ch. 8 Reportable illnesses
    ch. 9 HIV-related issues
    Confidentiality
    Partner notification
    HIV-positive health-care workers
    Refusal to treat HIV-positive patients
    ch. 10 Sexually transmitted diseases (STDs)
    ch. 11 Malpractice
    Definition
    Deviation from local standards of care
    Informed consent protection against liability
    Informed refusal is as important as informed consent
    Patients must fully inform the physician of their medical problems
    Risk management
    Medical errors
    ch. 12 Doctor/Patient relationship
    Beginning and ending the relationship
    Gifts from patients
    Doctor/Patient sexual contact
    ch. 13 Doctor and society
    Child abuse
    Elder abuse
    Impaired drivers
    Physician participation in executions
    Torture
    Spousal abuse
    Gunshot wounds
    Gifts and industry funding
    ch. 14 Doctor/Doctor relationship
    Reporting impaired physicians
    Physician disagreements
    ch. 15 Experimentation
    Research and experimentation-participation consent
    Prisoner participation
    Institutional review board (IRB)
    Financial disclosure.
    Print Access Request
    Location
    Version
    Call Number
    Items
    Exam Review Books (shelved at Information Desk)
    2012
    R834.5 .F572 2012
    1
  • Article
    White GL, Archer LT, Beller BK, Holmes DD, Hinshaw LB.
    Circ Shock. 1977;4(3):231-9.
    This laboratory has documented a progressively developing hypoglycemia associated with systemic hypotension, hepatosplanchnic pathology, and death in endotoxin-shocked dogs. Recent data documented accelerated uptake of glucose in blood following endotoxin, with certain components of the buffy coat responsible for the increased uptake. The present study utilizing the awake dog assayed a possible protective role of leukocytes against the lethal effects of endotoxin. Animals were divided into paired groups: saline controls (Group I) and endotoxin experimentals (Group II). Group II animals were injected intravenously with sublethal doses of E. coli endotoxin on 2 successive days (Days 1 and 2), LD100 on the third day, and 2 X LD100 on Day 4. The control group received equal volumes of saline on Days 1, 2, and 3, but on Day 4 received a superlethal dose of endotoxin identical to the experimental group. The awake dog became febrile and exhibited initial leukopenia with subsequent marked leukocytosis in response to endotoxin. Lethal hypoglycemia was not seen in animals demonstrating initial leukocytosis (zero time) on the day of superlethal endotoxin challenge, while animals with initial normal leukocyte counts died with low glucose concentrations (mean, 40 mg%). Results suggest that an initial leukocytosis and sustained gluconeogenic function are important factors in survivability to endotoxin shock.
    Digital Access Access Options