Medicina intensiva
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A 34-year old woman who developed persistent and severe acute respiratory distress syndrome with underlying myelomonocytic leukemia (M4FAB) is described. After ruling out the most common causes of pulmonary infiltration in this type of patient and one week of broad spectrum antibiotics and steroids therapy, we proposed leukemic pulmonary infiltration as etiological diagnosis. ⋯ The method, arterial blood gases, hemodynamic parameters and ventilatory mechanics before and after its use are described. The patient remained on P-ELA for nine days; one week later she was extubated and ten days after she was discharged from the Intensive Care Unit the patient left the hospital in good health condition.
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Infection prevention is an intervention opportunity to promote patient safety. The strategies to obtain the full implementation of available prevention measures is the main challenge in clinical practice. Using care bundles, continuing education and feedback on adherence to the measures proposed are key points to improve the safety of patients in the Intensive Care Unit.
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Letter Case Reports
[Severe hypernatremia due to sodium chloride intake].