60+ träffar

ArticleProcedurer
Eye examination and corneal foreign body

…Suspected acute glaucoma (tonometry). Contraindications Absolute contraindications to instrumental removal: Suspected penetrating injury or an intraocular foreign body — shield the eye with a rigid shield…

ArticleReferensvärden
Lung function and respiration

…age, height and ethnicity — not against absolute figures. Since 2022 the z score with a lower limit of normal at z = −1.64 (the…

ArticleProcedurer
Ambulatory blood pressure monitoring and Holter ECG

…Hypertension in pregnancy. Contraindications There are no absolute contraindications. Refrain or adapt in atrial fibrillation with a rapid and irregular ventricular rate (oscillometric measurement becomes…

ArticleProcedurer
Ankle-brachial index (ABI)

…potential in ulcers and before deciding the level of amputation. Contraindications There are no absolute contraindications. Refrain or modify in: Deep vein thrombosis in the…

ArticleProcedurer
Cryotherapy of skin lesions

…moment the spray starts. Let the tissue thaw completely between cycles — it is the freeze–thaw–freeze cycle that causes cell death, not the cold…

ArticleProcedurer
Dix–Hallpike test and Epley manoeuvre

…Sit the patient up again and observe the eyes for a further period — reversal of the nystagmus is common. 6. Repeat on the left side…

ArticleProcedurer
Endotracheal intubation

…surgery — and cardiac arrest. Contraindications There are no absolute contraindications in the emergency situation. Consider alternatives when: Intubation is not consistent with the treatment plan…

ArticleProcedurer
Exercise stress test on cycle ergometer

…angiography, myocardial perfusion scintigraphy, stress echocardiography) has greater diagnostic accuracy. Contraindications Absolute: Acute coronary syndrome within 48 hours, or ongoing unstable angina. Uncontrolled symptomatic arrhythmia…

ArticleProcedurer
Foreign body in the ear and nose

…small child is a foreign body until proven otherwise. Contraindications Absolute: that you cannot see the object, or cannot reach it with the instruments available…

ArticleKardiologi
Hypertensive crisis: drugs and doses

…Common manifestations are hypertensive encephalopathy, intracerebral haemorrhage, acute coronary syndrome, acute left ventricular failure with pulmonary oedema, acute aortic syndrome, acute kidney injury, microangiopathic haemolysis…

ArticleProcedurer
Joint aspiration

…surgeon under strictly sterile conditions. For corticosteroid injection there is an additional absolute contraindication: the slightest suspicion of septic arthritis. If the picture is unclear…

ArticleProcedurer
Nasogastric tube

…Contraindications Type Condition : : Absolute Suspected base of skull fracture or a marked midfacial fracture — the tube can pass through a fracture in the cribriform plate…

ArticleProcedurer
Otoscopy and ear syringing

…wax retains moisture. Contraindications Absolute contraindications to irrigation: A known or suspected perforation of the tympanic membrane — including a history of grommets, ear discharge or…

ArticleProcedurer
Paracentesis

…straightforward: ultrasound to find the fluid, an insertion site in the left lower quadrant lateral to the rectus sheath, and a cell count plus albumin…

ArticleProcedurer
Pericardiocentesis

…made the procedure considerably safer than the blind subxiphoid technique still described in older textbooks. Indications Cardiac tamponade — the only absolute indication, and always urgent…

ArticleProcedurer
Pleural aspiration and chest drain

…and in empyema there are no absolute contraindications — the procedure is life saving and necessary respectively. Otherwise: Type Contraindication : : Absolute No safe pocket of fluid…

ArticleReferensvärden
Renal parameters

…which measure the dosing recommendation is based on. The absolute GFR (mL/min) must be used for dosing, not the value normalised to body surface…

ArticleProcedurer
Soft tissue corticosteroid injection

…an NSAID, an orthosis — has not given a sufficient effect. Contraindications Absolute: Cellulitis, a skin wound or other infection over the injection site. Bacteraemia or…

ArticleProcedurer
Urinary catheterisation

…or as a substitute for mobilisation and bladder training. Contraindications Type Condition : : Absolute Suspected urethral injury — blood at the meatus, a perineal or scrotal haematoma…

ArticleCardiology
Aspirin in Primary Prevention: Current Recommendations

…gastrointestinal and intracranial haemorrhage is substantial, particularly because the absolute cardiovascular benefit is small in many primary prevention populations. Bleeding risk is especially relevant in…

ArticleCardiology
Hypertension: Initial Combination Therapy and Drug Selection

…reduction sufficient to reduce cardiovascular risk while preserving tolerability and daily function. Decisions should incorporate the confirmed blood pressure level, absolute cardiovascular risk, comorbidities, frailty…

ArticleCardiology
Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…with caution in patients with obstructive lung disease or asthma. Irregular wide complex tachycardia (absolute contraindication) . Irregular wide complex tachycardia is most often due to…

ArticleCardiology
Pulmonary Embolism (PE)

…embolism require thrombolysis to dissolve the occlusion. Administration of thrombolysis requires careful consideration of absolute and relative contraindications (discussed below), and assessment of differential diagnoses…

ArticleProcedurer
Deceased donor organ donation

…raised — the two decisions must never be conflated. There is no absolute upper age limit. Suitability is determined organ by organ in consultation between the…

ArticleProcedurer
Gynaecological examination and cervical smear

…refrain from investigating postmenopausal bleeding or a visible cervical lesion. Contraindications There are no absolute contraindications, but refrain or adapt in: The patient does not…

ArticleReferensvärden
Intensive care parameters

…replacement therapy Absolute indications: refractory hyperkalaemia, refractory acidosis, refractory fluid overload, uraemic symptoms (pericarditis, encephalopathy) and certain poisonings. Early initiation without an absolute indication has…

ArticleProcedurer
Oxygen therapy

…international guidelines are decompression sickness and sickle cell crisis. Contraindications There are no absolute contraindications in hypoxaemia. Take particular care in: A risk of hypercapnic…

ArticleProcedurer
Skin biopsy — punch, shave and excision

…Simple, with a good cosmetic result Suspected cutaneous lymphoma Several 4–6 mm punches Broad sampling increases the yield Contraindications There are no absolute contraindications…

ArticleCardiology
Myocardial Perfusion Imaging With SPECT and PET

…Detect and characterize myocardial scar. Estimate the risk of major adverse cardiovascular events. Assess left ventricular volumes, regional wall motion, and ejection fraction using ECG…

ArticleCPR
Arrhythmias before and during cardiac arrest

…rhythm to ventricular tachycardia (VT), to ventricular fibrillation (VF) and ultimately asystole and death is not an absolute rule. While it often holds true for…