Rapid response systems (RRS) have been recommended as a strategy to prevent and treat deterioration in acute care patients.
A caveat to these findings is that specific interventions to prevent and treat deteriorations were not discussed.
Unfortunately we don't know whether our educated staff may have early identified or earlier and/or better treated clinical deterioration, or both according to the education received.
The next day, on the ward, the psychiatrist made the decision to treat her with fluoxetine at 20 mg/day, on account of the chronology that had been noted: appearance of a depressive state, in November, which was not treated, and deterioration of the depressive state, followed by appearance of Ganser symptoms (clouding of consciousness, approximate answers, and visual hallucinations).
In these patients an intensification of antirheumatic therapy was required to treat the deterioration of SAPHO syndrome activity.
Unfortunately, managing glycemia or targeting vascular complications with anti-vascular endothelial growth factor agents has shown only limited efficacy in treating the deterioration of vision in diabetic retinopathy.
The current therapeutic strategy, enzyme replacement therapy (ERT), is effective in peripheral organs but cannot treat brain deterioration because the recombinant enzyme does not cross the blood brain barrier.
Nonetheless, in the absence of co-morbid events or changes due to concurrent medications, the need for increased corticosteroids to treat neurologic deterioration is usually due to progressive tumour.
Histological examination of testis of genistein treated rats indicated deterioration in testicular architecture.
In conservatively treated children, neurologic deterioration is most often due to repeated ischemic strokes that occur with progression of arterial occlusion.
