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Cardiovascular Risk Assessment with SCORE2 and SCORE2-OP

…circumstances where diabetes specific risk assessment or risk categorization is applicable Moderate or severe chronic kidney disease (CKD) Hypertension mediated organ damage (HMOD) Probable or…

Acute exacerbation of COPD: quick reference

…obstruction pH below 7.35 with raised pCO₂ Acute or acute on chronic hypercapnic respiratory failure Rapidly falling pH An urgent ventilatory problem Focal chest…

Blood pressure

…if tolerated 70–79 Diabetes 120–130 70–79 Chronic kidney disease 130–139 70–79 Avoid a systolic pressure < 120 mmHg and a…

Blood transfusion and massive haemorrhage

…assess the effect clinically and with a repeat haemoglobin before ordering the next unit. In chronic anaemia with a treatable cause — iron deficiency, B12 deficiency…

CPAP and non-invasive ventilation (NIV)

…steroids and controlled oxygen. Acute on chronic hypercapnic failure in obesity hypoventilation and neuromuscular disease. Hypercapnic failure in cardiogenic pulmonary oedema that does not improve…

Empirical antibiotic therapy: quick reference for common infections

…3 IV Pneumonia, in chronic lung disease amoxicillin 750 mg × 3 PO 5–7 days or benzylpenicillin 3 g × 4 IV Pneumonia, suspected atypical pathogen…

Hyperkalaemia: quick reference for emergency treatment

…Conversely, patients with chronic renal failure may have very high values without the classical ECG findings. A rapidly rising potassium is usually more dangerous than…

Hypertensive crisis: drugs and doses

…principle, not a universal target. Chronic hypertension shifts autoregulation in the brain and kidneys towards higher pressures. Too rapid a normalisation can therefore cause cerebral…

Hyponatraemia: quick reference for work-up and correction

…how acute the condition is. A patient with a chronic plasma sodium of 112 mmol/L may be relatively unaffected, while a rapid fall from…

Inotropes and vasopressors: doses, indications, contraindications and effects

…shock. Vasodilatory shock. Heart failure, acute or chronic. Bradycardia (second line option). 3.0–10.0 μg/kg/min + ++++ + +++++ Intermediate dose dopamine activates β1…

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