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ACE Inhibitor Cough and Angioedema: Practical Management

…Evaluation and Physical Examination The evaluation of chronic cough in a patient taking an ACE inhibitor should begin with a comprehensive history and physical examination…

Nasogastric tube

…the tube is safe. A misplaced tube in the airway produces no reliable symptoms in a patient with an impaired cough reflex, and the first…

Acute exacerbation of COPD: quick reference

…subacute worsening of dyspnoea, cough and sputum in particular that exceeds the patient's normal variation and requires a change of treatment. Common precipitants are…

Anaphylaxis: quick reference for emergency management

…swelling of the tongue or throat dyspnoea, hypoxia, bronchospasm or severe cough hypotension, collapse, impaired consciousness or new onset marked weakness rapidly progressive symptoms from…

Spirometry

…coach actively, and do not accept a trace you would not be prepared to show a colleague. Indications Investigation of chronic cough, dyspnoea, wheeze or…

Pleural aspiration and chest drain

…of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when the…

Cardiac arrest due to anaphylaxis

…wheezing, or coughing before cardiac arrest also speak for anaphylaxis (airway obstruction caused by a foreign body is an important differential). Treatment of anaphylaxis and…

CPAP and non-invasive ventilation (NIV)

…Marked agitation or inability to cooperate. Copious secretions without an effective cough. Choice of method and settings Condition Method Starting pressure Escalation Oxygen target : : : : : Cardiogenic…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…intense emotion, the sight of blood, unpleasant sights and odors, and orthostatic stress. Situational triggers such as acute hemorrhage, cough, defecation, laugh, micturition, sneeze, swallow…

Laryngeal mask and difficult airway

…be moved. 3. Ensure that the patient is sufficiently deeply sedated or relaxed — a half awake patient coughs, clenches the jaw and develops laryngospasm . 4…

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