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Acute kidney injury: quick reference for management

…or is there approaching, an indication for dialysis? AKI occurs in about one fifth of adults during a hospital episode in international studies and is…

Cardiac arrest in intoxication (poisoning)

…Tricyclic Antidepressants Sodium Bicarbonate Unfractionated Heparin Protamine Valproic acid L carnitine (limited evidence) Warfarin Vitamin K Fresh frozen plasma Prothrombin complex concentrate Actions in suspected…

Urinary alkalinisation

…mmol sodium bicarbonate per mL) for bolus and infusion, and glucose 50 mg/mL as carrier solution according to local protocol. Potassium chloride for infusion…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…has high diagnostic accuracy [2]. A venous blood gas is generally sufficient for the assessment of pH and bicarbonate. An arterial blood gas is needed…

Drugs in the emergency setting

…below apply to adults unless otherwise stated, and paediatric doses are given per kilogram with the stated maximum. Always check against the local guideline and…

Blood gas interpretation: quick reference for acid-base disorders

…pH. Agreement is usually good for pH and reasonable for bicarbonate and base excess, but considerably poorer for pCO₂ and entirely inadequate for pO₂. The…

Hyperkalaemia: quick reference for emergency treatment

…a need for repeated calcium treatment. Urgent investigations As a rule, take: Plasma potassium as a central laboratory sample. A blood gas with pH, bicarbonate…

Otoscopy and ear syringing

…sodium bicarbonate drops, olive oil, carbamide peroxide) are instilled 15–30 minutes before the procedure, or over a few days at home for a hard…

Poisoning: quick reference for antidotes and initial management

…in selected cases, enhanced elimination. For many poisonings, well delivered supportive treatment matters more than the antidote [1,2]. Telephone your national or regional poison…

Renal parameters

…reduced G5 < 15 Kidney failure Albuminuria Albuminuria is an independent risk marker for both kidney failure and cardiovascular death — a patient with an eGFR…

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