Prevention and Treatment of Infection
Prevention and treatment of infections important in MODS.
Minimize risks of nosocomial infections.
Early surgery to remove necrotic tissue that may provide a medium for bacterial growth.
Once a specific organism is identified, therapy should be modified.
Aggressive pulmonary management is indicated to avoid respiratory infections.
Strict asepsis is indicated for all patients with MODS.
Maintenance of Tissue Oxygenation
Maintaining adequate oxygenation is important.
Interventions that decrease O2 demand and increase O2 delivery are essential.
Sedation, mechanical ventilation, analgesia, paralysis, and rest decrease O2 need.
Appropriate Support of Individual Failing Organs
The patient with ARDS needs aggressive oxygen herapy and mechanical ventilation.
Nutritional and Metabolic Support
Providing adequate nutrition is important.
The total energy expenditure is 1.5 to 2 times normal and protein calorie malnutrition is common
Enteral nutrition is preferred because of a decreased risk of bacterial translocation
TPN is indicated if the enteral route is unavailable or insufficient.
(Lewis, et. al 2007 pg 1795-1796)
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HOW I GOT CURED OF HERPES VIRUS.
ReplyDeleteHello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i recieved through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email--- drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
This testimony serve as an expression of my gratitude. he also have herbal cure for COLD SORE, SHINGLES, CANCER, HEPATITICS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, COUGH, ULCER, ARTHRITIS, LEUKEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.
I Never believed i was ever going to be HSV FREE again, DR.Ehiaguna has given me reasons to be happy, i was HSV positive for 2 years and all the means and medicine i tried for treatment was not helpful to me, but when i came on the Internet i saw great testimony about DR.Ehiaguna on how he was able to cure someone from HSV 2, this person said great things about this man, and advice we contact him for any Disease problem that DR.Ehiaguna can be of help, well i decided to give him a try, he requested for my information which i sent to him, and he told me he was going to prepare for me a healing portion, which he wanted me to take for days, and after which i should go back to the hospital for check up, well after taking all the treatment sent to me by DR.Ehiahuna , i went back to the Hospital for check up, and now i have been confirmed HSV NEGATIVE, friends you can reach DR.Ehiaguna on any treatment of any Disease cos i saw many testimony of different disease like, HEPATITIS,HIV AIDS,EPILEPSY, CANCER,CFS he is the one only one i can show you all up to, reach him on drehiaguna@gmail.com or whatsApp him now +2348073908953. quick contact him for help and you can just quickly drop your number on your first mail as i did for easily conversation
DeleteJust wanna say a big thank you Neme Amber for introducing me to Dr Emmanuel the great HERBALIST that helped me prepare home remedies that cured my herpes (HSV 2).
DeleteI was infected with HSV 2 for the past two years and i was unable to get a better job cos all the company i was to get employed checked our blood test and found out that i was positive to GENITAL HERPES and i loosed employment.
So i was desperate to get a cure so that i can live normal and get my job training.
i earlier made some research and i contacted some doctors online but they keep on asking for money for courier after that they'll tell you that tax and so more so i became broke and frustrated.
One day i was less busy so i decided to make latest research on herpes cure and i found a site were everyone was talking about DR Emmanuel and herbs ability to cure herpes.
So i discussed with Neme Amber and she explained to me that its very easy working with Dr Emmanuel so i contacted DR Emmanuel via email ( nativehealthclinic@gmail.com ) and he helped me just as he has helped others now im cured and different medical centers has tested me and approved me cured.
so i decided to thank Neme Amber cos she made it possible for me.
and i can also assure you that he can also help you. so if you need the service of DR emmanuel, ill put his details here so that you can easily get in touch wif him.
his email: nativehealthclinic@gmail.com or WhatsApp him at +2348140073965.
my Name is Grace from US,once again thanks to Neme Amber. im fucking hapy....
ARE YOU AWARE THAT MODERN NATURAL HERBAL MEDICINES OF THIS GENERATION NOW PERMANENTLY CURE DRUG RESISTANT DISEASES LIKE; HSV/HERPES, CANCERS, HIV/AIDS, ERECTILE DISJUNCTION/ IMPOTENCY, DIABETES FOREVER WITHOUT A POSSIBLE COME BACK OR AFTER EFFECTS?
ReplyDeleteIt wonderfully worked for me;
At first I was a bit skeptical about this Natural cure for herpes and other similar medicines. Discovering people with similar symptoms who are treated and cured by Dr Utu both on medias and in social medias on daily basis motivated me, so I contacted him for help!
At first, I was a bit curious about this possible cure, but! I don't want to be left out without giving it a trial, so I contacted him as well.
Some hours later he replied me, then he asked me some private questions, of which I honestly answered, I told him how I have lived and suffered with this disease and how much I will do anything to get rid of it. He assured me of total cure after taking his herbal medicines. It was even more easier than I expected. Also I never even imagined to get my parcels within five working days, but to my greatest surprise my parcels was brought to my doorstep by the end of the second day. I collected the parcel which I followed all the instructions as he had directed. Just as I was told "four weeks medication " my medicine finished in four weeks exactly. From week one of my medication I started noticing positive change in health. and in week two I could tell much more differences and I was so eager to even testify of life again in me.
I patiently continue medication till the last bottle which was then week four. I was the first person the next day in the clinic for lab test. Not even a particle of herpes was found in my system when I collected my result. Knowing I'm now herpes negative at this point I proceeded to inform my doctor, he doubted me, that day he gave me a month appointment to be closely monitored. It's my health so I waited more six Months and again i went for 'lab test' in a different clinical lab.
This time the result was still the same as the previous one. Also since this year I have been living my normal life and am still herpes free no symptoms and even till now no cold sore or outbreak. As a result of this herbal cure in my life and my family at large, I can boast of doctors today who through me, now uses African Traditional Roots and Herbs to TREAT AND CURE patients that are, CANCERS, HERPES, PARALYSIS, and HIV successfully today. Many are still ignorant of this I know.
Contact Dr Utu directly today on; "drutuherbalcure@gmail.com" to free yourself from emotional stress and become healthy again
I want to use this golden opportunity to say thanks to Chief Dr Wealthy for curing my ( DIABETES VIRUS) with his Herbal Medicine. i have being suffering from DIABETES Virus for 5 years now,and since then was using drug over which keep me till today,but one day as I was surfing through the Internet I met a post about a lady who was cured for DIABETES by Chief Dr Wealthy so I decided to give it a try to see if he could save my life Luckily for me I was cured by him. I cannot stop thanking him for what he has done for me if you are into similar problem you can contact him via email: wealthylovespell@gmail.com
ReplyDeleteChief Dr Wealthy have cure for any types of disease blows, call or Whats App +2348105150446.
WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to make search for cancer cure so that was how I find a lady called peter Lizzy she was testifying to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739 you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com
ReplyDeleteFINALLY FREE FROM HERPES VIRUSI thought my life had nothing to offer anymore because lifebecame meaningless to me because I had Herpes virus, thesymptoms became very severe and bold and made my familyrun from and abandoned me so they won't get infected. I gaveup everything, my hope, dreams,vision and job because thedoctor told me there's no cure. I consumed so many drugs butthey never cured me but hid the symptoms inside me makingit worse. I was doing some research online someday when Icame across testimonies of some people of how DR Ebhotacured them from Herpes, I never believed at first and thoughtit was a joke but later decided to contact him on the detailsprovided and when I messaged him we talked and he sent mehis herbal medicine and told me to go for a test after twoweeks. Within 7 days of medication the symptomsdisappeared and when I went for a test Lo and behold I wasNEGATIVE by the Doctor Who tested me earlier. Thank you DREbhota because I forever owe you my life and I'll keep ontelling the world about you. If you are going through samesituation worry no more and contact DR Ebhota viadrebhotasolution@gmail. com or WhatsApp him via +2348089535482.he also special on cureing 1. HIV/AIDS2. HERPES 3. CANCER 4.ALS 5. HEPATITIS B 6.DIABETES 7. HUMAN PAPILOMA VIRUS DISEASE(HPV)8. ALZHEIMER 9. LUPUS (Lupus Vulgaris or LupusErythematosus
ReplyDeleteI GOT CURED FROM HERPES VIRUS I was diagnosed of HERPES virus and i have tried all I can to get cured but all to no avail,,until I saw a post in a health forum about a herbalist man who prepare herbal medications to cure all kind of diseases including #HERPES virus,at first I doubted if it was real but decided to give it a try,when I contacted this herbalist via his email and he prepared a #HERPES herbal cure and sent it to me via DHL delivery company service, when I received this herbal medicine, he gave me step by direction on how to apply it,after applying the way I was instructed,I was totally cured of this deadly disease called HERPES, all thanks to Dr OGODO Email this great herbal doctor via his email Ogodoherbalhomesolution@gmail.com
ReplyDeleteYou can also WhatsApp him on +2349044680467
HE CAN ALSO CURE SICKNESS LIKE
{1}HIV/AIDS
{2}DIABETES
{3}EPILEPSY
{4} BLOOD CANCER
{5} HPV
{6} ALS
{7} HEPATITIS
{8}LOVE SPELL
{9} SICKLE AND ANEMIA
Only DR OGODO Can Help You I Love You Father.
Hello everyone I was diagnosed of HERPES Virus in 2014 and I have tried all I can to get cured but all to no avail, until i saw a post in a health forum about a herbalist man who prepare herbal medication to cure all kind of diseases including HERPES virus, at first i doubted if it was real but decided to give it a try, when i contact this herbalist via his email and he prepared a HERPES herbal cure and sent it to me via UPS delivery service, when i received this herbal cure, he gave me step and Instructions on how to apply it, when i applied it as instructed, i was totally cured of this disease within 14days of usage, I am now free from this horrible illness disease called herpes, All thanks to Dr.amehede for saving my life please I want everyone with this disease to be free by calling on this great herbal doctor call or whatsapp him +2347086177362 Email him on Dr.amehede@gmail.com He also have the herb to cure:
ReplyDelete- FIBROID DISEASE
- ABDOMINAL PAINS
- GENITAL WARTS
- HIV&AIDS,
- OVARIAN CYST,
- BREAST CANCER
- HSV 1&2
- PROSTRATE CANCER
- ARTHRITIS.
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.