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The physiology of cardiopulmonary resuscitation (CPR)

CPR The forces that drive coronary and cerebral perfusion, and ventilation of the lungs during cardiopulmonary resuscitation (CPR) differ substantially from normal circumstances. The purpose…

Assessment of the pupillary reflex in cardiac arrest

…result, pupils often dilate widely within 30–120 seconds of cardiac arrest and light reactivity is lost when cerebral blood flow ceases. In other words…

Short and long-term prognostication in cardiac arrest

…there is no cerebral perfusion, with an equal degree of hypoxia in all neurons. There is one fundamental difference between neurons and myocardium in the…

Hyponatraemia: quick reference for work-up and correction

…The brain adapts to prolonged hypotonicity by extruding electrolytes and organic osmolytes. This adaptation reduces the cerebral oedema but makes the brain sensitive to a…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…PAD), and other manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack (TIA) or stroke…

Hypertensive crisis: drugs and doses

…rapid a normalisation can therefore cause cerebral, coronary or renal ischaemia. Neurological status, urine output, creatinine, acid–base status and signs of myocardial ischaemia must…

Hypertensive crisis: quick reference for acute blood pressure lowering

…and current antihypertensive treatment. Missed doses or abrupt withdrawal of a beta blocker, clonidine or another sympatholytic drug. Cocaine, amfetamine, other sympathomimetics, herbal remedies and…

Intensive care parameters

…traumatic brain injury Cerebral perfusion pressure (CPP) 60–70 mmHg CPP = MAP − ICP RASS −2 to 0 Lightly sedated to awake and calm CAM…

🟠 Inotropes and Vasopressors

…dose : 0.5 3.0 μg/kg/min + + + +++++ Low dose dopamine stimulates D1 receptors and induces vasodilation in coronary, renal, cerebral and mesenteric vessels…

🟠 Nitroglycerin

Nitroglycerin Patients using nitroglycerin regularly may have developed tolerance and require higher doses, alternatively nitroprusside to achieve desirable blood pressure lowring effect. Drug Nitroglycerin Brand…

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