…obesity. Gestational hypertension is defined in the supplied guideline material as blood pressure 140/90 mmHg on two separate occasions after 20 weeks of gestation…

…than 1% of AMI cases and is seen predominantly after larger infarctions and/or delayed reperfusion. Its typical onset is 1–2 weeks after AMI…

…infectious diseases physician early in a high risk course, in instability, with resistance problems, or with suspected fungal infection 10 Document the times of triag

…10 micrograms/L (FEU). Check which unit and which reference system your own laboratory uses before applying it. The D dimer is raised in pregnancy…

…and short acting, not a depot preparation, and gives a shorter duration of effect. Lidocaine 10 mg/mL without adrenaline , 2–5 mL. Needles: 21…

…days as necessary. Supplemental infusions of 150 mg over 10 minutes can be utilized for breakthrough ventricular tachycardia (VT) or ventricular fibrillation (VF). IV infusions…

…shorter DAPT regimens are used. BMS now account for less than 10% of contemporary PCI procedures according to the source material. First generation DES The…

…should be distinguished from severe muscle injury. Myopathy is characterized by muscle symptoms accompanied by CK greater than 10 times the upper limit of no

…at 2 6 weeks intervals, or more frequently, as individually appropriate. 3 Important study: Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock…

…The choice of recording is governed by the frequency of symptoms: Symptom interval Method : : Daily 24 hour Holter A few times per week 48–72…

…3. Instil 10–20 mL of lidocaine gel into the urethra. Pinch the meatus closed and wait at least 3–5 minutes — the anaesthetic and…

…up to 2 weeks after a heart attack. The larger the infarction, the higher the troponin level and the longer the duration of elevated troponin…

…persist for hours, days and weeks. It reduces cardiac output and lower blood pressure. Cardiogenic shock may develop as a result of stunning. The systemic…

…of cycles Margin : : : : Actinic keratosis, thin 5–10 s 1 1–2 mm Actinic keratosis, hypertrophic 10–15 s 2 2 mm Verruca vulgaris 10…

…required to up to 900 μg/day. Transdermal (one patch lasts for a week): • Catapress TTS 1 (0.1 mg/24hrs). • Catapress TTS 2 …

…each week. Activities need not be undertaken in bouts of at least 10 minutes; shorter episodes also contribute to health. Spreading activity across the week…

…chapters, to which links are provided throughout the text. Heart rate During the first week of life, the heart rate is approximately 120 beats/min…

…and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal radiograph. Contraindications An open fracture or a wound…

…to adults in sinus rhythm, recorded at a paper speed of 50 mm/s with 1 mV = 10 mm. At 50 mm/s a…

…a decrement ≥ 10 % at 3 Hz, sensitivity about 75 %; single fibre EMG about 95 %). Contraindications Known hypersensitivity to edrophonium. Mechanical obstruction of the bowel or…

…begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical contact, attach continuous rhythm monitoring…

…glucose : : Most inpatients 6–10 mmol/L Frail older people, a short expected survival, a high risk of hypoglycaemia 8–12 mmol/L The critically…

…Time to onset of action 50 to 10 minutes Duration of action 30 to 60 minutes Delivery IV Dose Initial infusion dose: 0.1 μ…

…TYPE OF MOTION DEFINITION WALL MOTION SCORE Normal Normal thickening (typically 30% thickening from end diastole to end systole). 1 Hypokinesia Reduced thickening (typically 10…

…1 Initial diagnosis of STEMI ECG Management Recommendation Level of evidence A 12 lead ECG should be interpreted immediately (within 10 minutes) at first medical…

…10.1093/ejechocard/jen303. 2. Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009): Echocardiographic assessment of…

…Time to onset of action 1 to 2 minutes Duration of action 10 to 30 minutes Delivery IV Dose Bolus injection : 5 to 15 mg…

…10.1093/ejechocard/jen303. 2. Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009): Echocardiographic assessment of…

…10.1093/ejechocard/jen303. 2. Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009): Echocardiographic assessment of…

…penetrating atherosclerotic ulcer (PAU). Aortic dissection accounts for approximately 80%–90% of acute aortic syndromes, IMH for approximately 10%–20%, and PAU for about 5…

…and SCORE2 Older Persons (SCORE2 OP) are European risk prediction models designed to estimate 10 year risk of both fatal and non fatal CVD events…

…other leads apply in the absence of left ventricular hypertrophy or left bundle branch block [8, 10]. Characteristics of ST Elevation in Acute Transmural Ischemia…

…more common). The prevalence of atrial fibrillation correlates strongly with age. Approximately 10% of individuals aged 80 years and above have atrial fibrillation, whereas the…

…Biological death usually occurs within minutes thereafter; survival is highly unlikely after 8–10 minutes of no flow (i.e. cardiac arrest without any circulation)…

…10. Call anaesthetics and intensive care early with life threatening features or an inadequate response. First line treatment is oxygen in hypoxaemia, repeated doses of…

…distal ulcer. Before compression treatment of a leg ulcer — compression in arterial insufficiency can cause necrosis. Screening in diabetes of 10 years' duration, or in…

…with the same risk as manifest hypertension. Non dipping: a nocturnal fall in pressure of < 10% of the daytime value; an independent risk marker…

…µg/L (women 10–150) An acute phase protein — a normal ferritin does not exclude iron deficiency in the presence of inflammation Transferrin saturation 15…

…8 mmol) IV in torsades or hypomagnesaemia 25–50 mg/kg, maximum 2 g Calcium chloride 10 mL of 100 mg/mL in hyperkalaemia, hypocalcaemia…

Endokrinologi & metabolism Akutsjukvård Lathundar Emergency overview Measure the plasma glucose immediately in everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour…

…antipsychotics, hydroxocobalamin, adrenaline in anaphylaxis, ceftriaxone, ferric carboxymaltose Rapid, 10–20 min Subcutaneous (SC) Insulin, low molecular weight heparin, GLP 1 analogues, methotrexate, biological agents…

…hypertension or when there are signs of inadequate perfusion Urine output 0.5 mL/kg/h Lactate Falling A clearance 10 % per 2 h is…

…the threshold, but the threshold varies between regions. Infection of the skin over the puncture site. Marked haemodynamic instability — stabilise the patient first. CT before…

…normal or high ratio. Reversibility: an increase in FEV₁ or FVC of 10 % of the predicted value after a bronchodilator suggests asthma. Severity in COPD…

…mg 10 mg Hydromorphone 4 mg 2 mg Ketobemidone 30 mg 10 mg Fentanyl patch: 12 micrograms/hour corresponds approximately to 25–30 mg of…

…Method of interpretation Heart rate Heart rhythm The P wave The PR interval The QRS complex The ST segment The T wave The U wave…

…cold periphery Almost always Pulsus paradoxus above 10 mmHg A fall in systolic blood pressure during inspiration; one of the most useful signs Low voltage…

…at the same time By about 10 to 20 minutes at the latest Give a full loading dose of an intravenous antiseizure drug If the…

…shockable initial rhythm More patients with a good neurological outcome (CPC 1–2) at 90 days, 10.2 % versus 5.7 %; no difference in mortality…

…10.4 ≥5 High 12.3 Interpretation of HEMORR₂HAGES score. Comparison with ATRIA and HAS BLED Scores Several studies have compared the predictive performance of…

…The rapid reduction of afterload is desired in conditions requiring afterload reduction. Time to onset of action 10 30 minutes. Duration of action <4 hours…

…with ECG, central vein catheter and intra arterial catheter (A line) is warranted. Overview of vasopressors and inotropes Inotropes and vasopressors. Table 1. Drug manual…

…20 mg IV bolus over 2 minutes, followed by 20 to 80 mg every 10 minutes to a total dose of 300 mg. Infusion regime : •…

…or ≥30 ≥30 ≥30 ≥30 AR speed (cm/s) <35 <35 <35 ≥35 ≥35 ≥35 e' speed (cm/s) 10 8 <8 <8 <8 <8

…Increase by 5 10 μg/min every 5 min to desired blood pressure. Maximum dose: 100 μg/min. Time to onset of action:…

…1 to 10 minutes Delivery IV Dose Infusion: Starting dose: 0.25 to 0.5 μg/kg/minute. Increased as necessary (increments of 0…

…or active peptic ulcer). Patients weighing < 60 kg (maintenance dose of 5 mg recommended instead of 10 mg). Patients receiving medications that increase bleeding…

…Note that 10% of wide complex tachycardias actually originate from the atria but the QRS complexes become wide due to abnormal ventricular depolarization (e.g…

…7–105 (60) 7–98 (54) 8–100 (55) 7–104 (55) 10–140 (66) 9–115 (61) 11–133 (58) 15 – 110 QRS duration…

…10.1093/ejechocard/jen303. 2. Baumgartner, Helmut; Hung, Judy; Bermejo, Javier; Chambers, John B.; Evangelista, Arturo; Griffin, Brian P. et al. (2009): Echocardiographic assessment of…