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Anticoagulants: quick reference for dosing, renal adjustment and reversal

…see the acute stroke quick reference. Stopping the drug and forgetting to restart it after the procedure. Document the restart date in the medical record…

Cardiac arrest in intoxication (poisoning)

…If the patient is intubated, administer activated charcoal through a gastric tube at a dose of 0.5 g/kg. Refrain from using activated charcoal…

Ambulatory blood pressure monitoring and Holter ECG

Procedurer Two recordings that are performed in primary care but interpreted as specialist investigations. Both fail more often for practical than for medical reasons: the…

Warfarin therapy

…with a weekly dose schedule. With an acute indication: LMWH at treatment dose in parallel. Procedure Initiation with a loading dose Used when a rapid…

Urinary alkalinisation

…The treatment looks simple — bicarbonate and a look at the urine dipstick — but it fails routinely for one single reason: without normal potassium the urine…

Arterial line

…planned vascular access for dialysis. Previous vascular surgery in the area. Coagulopathy and thrombolytic treatment are relative contraindications and are an argument for a superficial…

Ankle-brachial index (ABI)

…stockings. Avoid measuring the arm pressure on the side with a dialysis fistula, lymphoedema after axillary clearance or a recently inserted venous port. Procedure 1…

Injection technique — intramuscular, subcutaneous and intradermal

…Withdraw the needle at the same angle and press with a dry swab. Do not massage. Intramuscular — ventrogluteal The first choice for larger volumes and…

Opioid therapy in severe pain

…Procedure Intravenous titration in acute severe pain Practical points during titration: Give the injection slowly over at least a minute; a rapid injection causes nausea…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…with a peak at approximately 3–5 days and resolution within about 1 week in the usual course. Severe AKI requiring dialysis is uncommon except…

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