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Digoxin: Dosing, Therapeutic Range and Toxicity Management

…cytoplasmic face of the alpha subunit, thereby stabilizing the E2P conformation of the enzyme. By inhibiting this pump, digoxin affects multiple cellular processes critical to…

Abscess incision and drainage

…surgeon Close to large vessels, in the groin or on the neck Bleeding, vascular injury, pseudoaneurysm Surgeon, ultrasound first Other situations that argue for the…

Lumbar puncture

…Informed consent, coagulation status and an up to date medication list. A sterile fenestrated drape, chlorhexidine in alcohol, sterile gloves, a face mask. An atraumatic…

Skin biopsy — punch, shave and excision

…a needle holder. Sutures: 5 0 or 6 0 non absorbable for the face, 4 0 for the trunk and limbs. Haemostasis: aluminium chloride solution…

Wound suturing

…has not been inspected to its depth, and has not been assessed for tendon and nerve injury will heal badly however neatly the suture is…

ACE Inhibitor Cough and Angioedema: Practical Management

…point toward gastroesophageal reflux. Physical examination should include a speculum examination of the nose to look for excess mucoid or purulent secretions, inflamed and edematous…

Nasogastric tube

…Lubricate the outermost 10–15 cm of the tube. 4. Advance the tube perpendicular to the face, parallel to the floor of the nose — that…

CPAP and non-invasive ventilation (NIV)

…every 5–10 min towards 20–25 cmH₂O according to tolerance and pCO₂ SpO₂ 88–92% Obesity hypoventilation Bilevel NIV IPAP 14–16 and EPAP…

Epistaxis — compression, cautery and anterior nasal packing

…Wait 10–15 minutes. 3. Apply the silver nitrate stick to the vessel with light pressure , rolling it, for 4–5 seconds until a grey…

Empirical antibiotic therapy: quick reference for common infections

…close to a joint or on the face amoxicillin–clavulanic acid 500/125 mg × 3 10 days Dog or human bite amoxicillin–clavulanic acid 500…

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