…the pinna upwards and backwards in adults, downwards and backwards in small children. 3. Rest your hand against the patient's cheek so that the…

…3. Introduce the nasal speculum with the handle parallel to the floor and the index finger supported against the patient's nose and cheek . Open…

…6. Observe for 10 minutes and check the pharynx — blood running down into the pharynx means that the bleeding is not controlled. Petroleum jelly gauze…

…it is used : : : Blood grouping ABO and RhD typing. Requires two samples drawn on two separate occasions with a separate identity check each time Always…

…edge of the cast and smooth the edges. 7. Secure with an elastic bandage in even turns without tension . 8. Check that the slab ends…

… check previous culture results, antibiotics, allergies, renal function, health care exposure and the risk of resistant organisms 0 to 60 min Empirical intravenous antibiotics in…

…1. Check the mask, remove air from the cuff so that it is flat with a slightly upturned leading edge, and lubricate the dorsal surface…

…equal. Check against a manual measurement and document the difference. Programme measurements every 20 minutes during the day and every 30 minutes at night , or…

…cautious and consider referral in: Diabetes with neuropathy or peripheral arterial disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and…

…at insertion; a blood gas and electrolytes can be interpreted, but some laboratories do not accept marrow blood in their analysers — check locally. Contraindications Peripheral…

…until the next check. Interruption before an elective procedure The duration of interruption is governed by the bleeding risk of the procedure and by renal…

…phentolamine and sodium nitroprusside. Availability may change. Check the local formulary, the licensing status, the concentration, the dilution instructions and the local protocol before prescribing…

…per cent, 100 mL intravenously over about 10 to 20 minutes . Check the plasma sodium and the clinical response. The bolus can be repeated, usually…

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

…Duplication. Check that the patient is not already on an opioid patch, a modified release tablet and an as required opioid at the same time…

…and, when necessary, chest radiography. A chest radiograph can help identify the device and lead configuration when records are incomplete. A full device check should…

…the initial sympathetic response can give way to hypotension, hypoxia, hypoglycaemia and circulatory failure [5]. Plasma glucose immediately Check the capillary or venous glucose i

…and infiltrative causes are increasingly recognized. The burgeoning field of cardio oncology has highlighted the cardiotoxic effects of anthracyclines, HER2 inhibitors (trastuzumab), and immune check

…and paediatric doses are given per kilogram with the stated maximum. Always check against the local guideline and the Swedish medicines compendium (FASS) before administration…

…simple check is to ask the patient to recite the months of the year backwards. A normal result does not exclude delirium, however, and an…

…Check that the whole lesion, including the margin, has turned white. Contact technique with a cryoprobe gives a deeper and more controlled freeze on flat…

…Check Is the ventricular rate regular at 50–100 beats/min? Is there a P wave in front of every ventricular complex? Normal values and…

…are Swedish regional recommendations and reflect Swedish resistance patterns and formulary availability; check what applies where you work. They assume normal renal and hepatic function…

…body. 6. Check the plasma potassium after about 1 hour and follow the plasma glucose closely for at least 6 hours after insulin. 7. Contact…

…long period — check local availability. Betamethasone (Betapred 4 mg/mL) is water soluble and short acting, not a depot preparation, and gives a shorter duration…

…hearing loss and an inability to understand the instructions — spirometry requires active cooperation. Preparation and equipment Equipment: a calibrated spirometer with a daily volume check …

…Check the INR before the first dose. A raised baseline value suggests liver disease or vitamin K deficiency and must be investigated before treatment is…

…measure becomes a subjective guess. Procedure 1. Check the indication and contraindications, attach ECG monitoring and insert a venous cannula. 2. Document the baseline status…

…between patient groups and care settings [2]. Practical first actions Do the following in parallel, not sequentially: 1. Check previous creatinine values and establish the…

…2024 ESC guidelines and several Swedish clinical knowledge resources have tightened the former 48 hour rule for patients with risk factors. Check what applies in…

…cardioversion between 24 and 48 hours without ongoing anticoagulation is then reserved for patients with a CHA₂DS₂ VA score of 0–1. Check what applies…

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

…R < 2 cholestatic injury, and 2–5 a mixed pattern. Orders of magnitude that direct the work up ALT 50 × the upper limit of…

…Check the axillary nerve: sensation over the lateral part of the deltoid before and after the reduction , together with the distal pulse and sensation throughout…

…Clinicians often check pupil size and reactivity as part of initial and ongoing evaluations of patients in cardiac arrest or after return of spontaneous circulation…

…the shortest catheter, while left sided and femoral insertions require longer ones — check the length in the set against the chosen side. An ultrasound machine…

…GFR Iohexol clearance The reference method for cytotoxic drug dosing and donor assessment For drug dosing: check which measure the dosing recommendation is based on…

…check the sample type, supplemental oxygen, sampling technique, air bubbles and analytical delay, and compare with the electrolyte panel Rapid classification pH pCO₂ HCO₃ Likely…

…Check the phosphate, potassium and magnesium before and daily during the build up, give thiamine before nutrition is started , and increase the energy intake slowly…

…first step in BLS is to check the scene for safety. BLS can only commence if it is safe for the rescuer, victim and bystanders…