RESUMO
There are many rural areas where obstetric care is predominately performed by family medicine physicians. As such, it is important for family medicine physicians to stay up to date with the latest obstetric guidelines. Preeclampsia is a well-established disorder and the guidelines for screening and treatment are well known. However, atypical presentations of preeclampsia have been less studied. Notably, what constitutes atypical preeclampsia and when to be concerned for increased morbidity and mortality in the mother and neonate. This report describes a unique case in which a woman with proteinuria of pregnancy developed atypical preeclampsia with severe features. This report discusses the care that was given by a practicing family medicine physician and the reasoning behind it.
Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Pneumopatias/terapia , Asma/terapia , Hospitais Universitários/organização & administração , Humanos , Pneumopatias/tratamento farmacológico , Equipe de Assistência ao Paciente , Serviço de Farmácia Hospitalar/organização & administração , Prevalência , Doença Pulmonar Obstrutiva Crônica/terapia , Encaminhamento e Consulta , Abandono do Hábito de Fumar , Tennessee/epidemiologiaAssuntos
Benzimidazóis/efeitos adversos , Creatinina/metabolismo , Epistaxe/induzido quimicamente , Epistaxe/diagnóstico , Taxa de Depuração Metabólica/efeitos dos fármacos , beta-Alanina/análogos & derivados , Idoso de 80 Anos ou mais , Dabigatrana , Feminino , Humanos , Taxa de Depuração Metabólica/fisiologia , beta-Alanina/efeitos adversosRESUMO
OBJECTIVE: To examine readability characteristics of step-by-step directions presented in "How to Use" sections of over-the-counter (OTC) nicotine replacement therapy (NRT) products. METHODS: Step-by-step directions of all (n=6) currently available OTC NRTs were assessed on reading grade level, text point size, dimensions, and illustrations. RESULTS: The mean readability was at grade level 10.5+/-0.8, whereas the average text point size was 9.2+/-1.3. Two OTC NRT products provided illustrations to supplement step-by-step directions. CONCLUSION: As currently presented, the readability characteristics of "How to Use" sections of OTC NRTs do not facilitate consumer understanding.