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Digoxin: Dosing, Therapeutic Range and Toxicity Management

…sodium pump. Digoxin binds reversibly to a specific high affinity site on the extracytoplasmic face of the alpha subunit of the Na+ K+ ATPase. This…

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

…advanced. An introducer for the atraumatic needle — it is too soft to pass through the skin on its own. Local anaesthesia: lidocaine 10 mg/mL…

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)

…in steps of 2–3 cmH₂O every 5–10 min towards 20–25 cmH₂O according to tolerance and pCO₂ SpO₂ 88–92% Obesity hypoventilation Bilevel…

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

…bite within 2 days phenoxymethylpenicillin 1 g × 3 10 days Cat bite after 2 days, close to a joint or on the face amoxicillin–clavulanic…

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