Creatine Kinase Bb Isoenzyme

Man SectionNext former firm for 25 years with a history of asthma poorly controlled section reduced to home in the afternoon, complained of shortness of breath after yesterday. The accident was witnessed by his father, but it was unlikely that this apparent resuscitation CPR (CPR) have been made before the arrival of the ambulance. When the ambulance arrived at 6 min, that emergency services were contacted when he had, there was no arrangement, respiratory tract and no obvious momentum. Monitor ECG showed hit a HR 24 min-1. Started the RPC and intubated patient trachea. After a carotid pulse more than 3 minutes at a speed of 107 hits min-1 felt. The patient begins to breathe, but he remains unconscious with a coma of Glasgow (BSC) 3 points. A 98% oxygen saturation was on scene with assisted ventilation and the patient was transferred to the accident and emergency service. Please click on the entry in the emergency department that makes oxygen saturation of patients and accident of spontaneous respiratory efforts was 100%. The heart rate of 120 beats was min - 1, with a pressure of 190/120 mm Hg. The pupils are dilated but react to light. The patient initially does not respond and in 5 minutes, took a position decortichi. He was sedated with propofol, some Atracurium and transferred to the intensive care unit (ICU) for the management of more unit. In the ICU, patients hemodynamically stable when many times, sometimes they need small quantities of noradrenaline to maintain your blood pressure greater than 90 mm Hg. Bronchospasm was present, but not heavy and increased to aminophylline and nebulizer ipratropium and salbutamol, hydrocortisone. The next day, the patient said Myoclonic, which frequently involve the head and four limbs. Insensitive to shock of repeated doses of clonazepam, phenytoin and magnesium. Later in the day, they performed a computed tomography scan of the head and was normal. Serum theophylline was within the therapeutic range. EEG recording after the withdrawal showed generalized sedation status epilepticus. At this time, the prediction was probably very poor. But it was how inappropriate, given the status epilepticus of palliative medicine, wants to conceal their conscious level potential. He witnessed the plan to rethink the seats with anticonvulsants and his State of consciousness after sedation. Because the get repeated attacks proved impossible to verify with the therapeutic dosage of clonazepam, magnesium sulphate, Midazolam, phenytoin and sodium valproate. An infusion of thiopental has been added and achieved the removal of the explosion. Once it drop by drop of thiopental, the patient remained in a State of coma and convulsions. A later EEG showed a return of epileptic activity and the emergence of frequency of Alpha activity. Although potentially drug, this possibility of coma Alpha and a severe disorder of the Pontine steps suggest. Taking into account its uncontrolled seizure, activity and neurological status, assumes that the patient has undergone severe hypoxia, cerebral and her injury gave an independent existence without risk of confusion. creatine kinase bb isoenzyme A decision of palliative care has been agreed with the family. Because the patient breathing spontaneously, the trachea is ex turbieren and entered in the General section the day 6. The headquarters of patients has improved his neurological status. First it was his BSc 3/15, but this has been improved to 10-15 day 16. At this point, he can respond he nodded and his name is pronounced. A generalized muscle weakness, it can command to move the arms and legs. It could maintain the sitting balance. Against these palliative care, neurological advances has been declassed decision. 34. based on the date and the hour of the day. You can repeat short sentences and in cash back from 20 to 1. Had no contractions and demonstrated the strength in the arms and legs. Sensation in the extremities was normal. He could sit a supine and rising from a Chair using position. He was able to swallow the thick liquid. At that time, referred to as rehabilitation for management unit more. During their stay at the resort the patient are still recurrent Myoclonic. In various antiepileptic medicines of treatments, including phenytoin, phenobarbital, Natriumvalproat, clonazepam and Piracetam. EEG recording day 18 showed the improvement in activity maintains eminent epileptic brain activity, but and it fits well with the Myoclonic. A CT scan of the head April 19 was normal. Myoclonic jerks have been more frequent and more severe in amplitude when the patient is directed movements. He continues his rehabilitation, in particular its ability to not supported are worrying. The patient had a BSC of week 15 19. It was all the time and the place and has been able to entertain, but it maintained a dysarthria. Has not been without normal pupillary reflexes, no visual or hearing impairments, no asymmetry facial and normal force and a sensation in the arms and legs. Was the length of the station with one side of the room, and with the help of two people in the on position. A meal can be regular, solid foods, including washing and season with some support. I have had no urinary or fecal incontinence. The Myoclonic were less frequent and less severe. He was released by the Department of rehabilitation physiotherapy House appointments. .