…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…

…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…

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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…measure in decontamination, and gastric lavage is today a rare procedure reserved for very serious poisonings in which the patient reaches hospital early. The benefit…

…parenteral nutrition. The need for several simultaneous, incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple…

…an indication for dialysis? AKI occurs in about one fifth of adults during a hospital episode in international studies and is linked to substantial mortality…

…plasma glucose closely for at least 6 hours after insulin. 7. Contact nephrology early in anuria, in a dialysis patient, in severe acute kidney injury…

…pregnancy, children, a need for an antidote or dialysis, and whenever the clinical course deviates from what was expected. The poison control centre is the…

…06.019. 6. Lip GYH, Banerjee A, Boriani G, et al. Antithrombotic therapy for atrial fibrillation: CHEST guideline and expert panel report. Chest . 2018;154…

…0 × the baseline, or a creatinine ≥ 354 µmol/L, or the start of dialysis < 0.3 mL/kg/h for ≥ 24 h, or anuria…