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Anticoagulants: quick reference for dosing, renal adjustment and reversal

…creatinine ≥133 µmol/L Rivaroxaban 20 mg once daily with food 15 mg once daily at eGFR 15 49 mL/min Edoxaban 60 mg once…

Ivabradine: Indications, Dosing and Heart-Rate Targets

…with symptomatic HFrEF. The guideline defined population includes: LVEF ≤35%; sinus rhythm; resting heart rate ≥70 beats/min; persistent symptoms despite evidence based therapy with…

Atrial fibrillation: ECG, classification, causes, risk factors & management

…myocarditis or pulmonary embolism is often a reversible arrhythmia with low risk of recurrence. Atrial fibrillation in other circumstances (particularly those listed above) is usually…

Opioids in acute pain: quick reference for dosing and conversion

…doses per day are needed. Dose adjustment Situation Adjustment : : eGFR < 30 mL/min Avoid morphine (the active metabolite accumulates). Oxycodone at a reduced dose…

Pulmonary embolism: quick reference for risk stratification and treatment

…molecular weight heparin. Consider the bleeding risk with gastrointestinal and urogenital tumours Marked renal failure Low molecular weight heparin with dose adjustment, or warfarin Subsegmental…

🟠 Prasugrel (Effient, Efient, Prasita)

…dose adjustment is required for patients with mild to moderate hepatic impairment (Child Pugh Class A and B). Limited experience exists for patients with mild…

Antianginal Therapy: Beta-Blockers, Calcium Channel Blockers, Nitrates, and Ranolazine

…Response to treatment should be reviewed after initiation and after each adjustment. Persistent symptoms despite appropriately titrated medical therapy should prompt consideration of coronary angiography…

Sotalol: Initiation, QT Monitoring and Renal Dosing

…and severe bradycardia. Patients should be monitored for arrhythmias and QT prolongation with each dose adjustment, typically waiting 2 to 3 days to attain a…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…contraindication) . Irregular wide complex tachycardia is most often due to atrial fibrillation with wide QRS complexes due to bundle branch blocks or other conduction defects…

🟠 Aorta, aortic stenosis (AS), aortic regurgitation (AR)

…36 mm 13 17 mm/m2 Aortic arch 22 36 mm Descending aorta 20 30 mm ​Adjustment refers to adjusting for body surface area (BSA)…

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