Akutsjukvård Psykiatri Lathundar Delirium in older adults: quick reference A quick reference for ward and on call physicians: recognise hypoactive delirium, stabilise the patient, work…

…intervention (PCI). Contraindications Prasugrel should not be used in the following situations: Hypersensitivity to the active substance or any of the excipients. Active pathological bleeding…

…often despite a reduced food intake Insulin pump The patient manages the pump themselves where possible. In impaired consciousness or DKA: remove the pump and…

…50 Dose reduction as in the table above for rivaroxaban and edoxaban. Check every 6 months 15 30 Dabigatran contraindicated. The other DOACs are possible…

…be administered with or without food. For patients who cannot swallow the tablets whole, they can be crushed, mixed in half a glass of water…

…tongue, and uvula causing airway obstruction Cardiovascular: Hypotension Circulatory collapse culminating in cardiac arrest Anaphylaxis can develop without dermatological or upper airway manifestations. Anaphylactic cardiac…

…be suspected? Anaphylaxis is a clinical diagnosis. Treat as anaphylaxis in any of the following: 1. Acute onset of skin or mucosal symptoms , for example…

…Cocaine, amfetamine, other sympathomimetics, herbal remedies and performance enhancing preparations. Monoamine oxidase inhibitors and recent intake of tyramine rich food or interacting drugs. Corticosteroids, calcineurin…

…associated with reductions in sudden cardiac death and atrial fibrillation. Dietary quality also affects energy balance. Highly processed foods may promote greater ad libitum intake…

…The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed…

…a BMI < 20 in people under 70 years or < 22 above 70 years, and reduced food intake together form the basis of most…

…to three fold greater prevalence of asymptomatic atherosclerotic cardiovascular disease (ASCVD) than the general population. The evidence for premature atherosclerosis is particularly strong in RA…

…particularly stroke. In untreated AF, stroke risk is increased approximately five fold, and AF is associated with roughly one in five strokes. Thrombus formation is…

…troponin T (cTNT). The following differences exist between troponin I and T: An increase in troponin I (cTnI) is only seen in myocardial injury. Hence…

…flap of skin that extends from the proximal fold over the base of the plate. Preparation and equipment Chlorhexidine in alcohol or an iodine solution…

…a fold presses on a bony prominence until the skin breaks down. An acute, fresh injury is therefore immobilised in a backslab or in a…

Procedurer The single most important step in any eye injury is to measure and document the visual acuity before anything else is done. The second…

…serum concentration. Alkalinisation increases renal elimination several fold and at the same time reduces the passage of salicylate into the central nervous system. Contact your…

…condition. It is associated with a two to four fold increase in lifetime cardiovascular disease (CVD) risk and approximately doubles cardiovascular risk on average. Its…

…signal is sought on the dorsum of the foot lateral to the extensor hallucis longus tendon. Measure in the same way as on the arm…

…the foot Deep compartments Orthopaedic surgeon Close to large vessels, in the groin or on the neck Bleeding, vascular injury, pseudoaneurysm Surgeon, ultrasound first Other…

…closer monitoring — the patient cannot feel pressure injury Peripheral neuropathy of other cause As above Severe pain Titrate the pressure up gradually Rheumatoid arthritis with…

…rapidly. Rapid enlargement is defined in the source recommendations as at least 10 mm per year or at least 5 mm over 6 months. Such…

…Dipyridamole, Regadenoson : Should be avoided in patients with active bronchospasm, severe hypotension, or high degree AV block. Caffeine and other methylxanthines, which antagonize adenosine receptors…

…to six fold higher in affected adults. True, apparent, and pseudo resistant hypertension The term resistant hypertension should be reserved for patients in whom the…

…of the aorta or arteries supplying the limbs. In adults over 40 years of age, atherosclerosis is the predominant cause. Other mechanisms include thrombosis, embolism…

…drug induced arrhythmias in patients receiving agents known to alter the electrical properties of the heart (inducing QRS or QT prolongation) or causing electrolyte abnormalities…