1.
A team approach to supporting the nutritional needs of patients living with multiple sclerosis.
Bell, N, Brammer, L
British journal of community nursing. 2017;(3):124-128
Abstract
Multiple sclerosis is the most common cause of non-traumatic disability in young adults, with most diagnoses occurring between the ages of 25-49 years. Nutrition must be managed effectively and holistically to improve health and quality of life. Dysphagia management is collaborative and can enhance nutrition and hydration goals as well as reduce the risk of aspiration pneumonia. A case study demonstrates the specialist clinical skills and frameworks used to achieve nutrition, hydration, safety and patient focused outcomes.
2.
Hypertension in severe pediatric diabetic ketoacidosis: case report and review of literature.
Bin Salleh, H, Mujawar, QM
Pediatric emergency care. 2013;(1):82-3
Abstract
Dehydration from fluid loss secondary to glycosuria is the central pathogenesis of diabetic ketoacidosis (DKA). Decreased oral intake and increased insensible water loss are also common in DKA. Severe dehydration should lead to hypovolemia and hypotension. We present a case of DKA with severe dehydration and hypertension in contrast to expected hypotension. The aim of this article was to increase awareness that pediatric DKA could present with hypertension, and this should be looked at and included in DKA management protocols.