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Inpatient insulin therapy: quick reference

Endokrinologi & metabolism Lathundar An inpatient has a different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal…

Acute kidney injury: quick reference for management

…is suspected. 7. Review all medication, including over the counter preparations, herbal remedies, contrast media and recently stopped drugs. 8. Treat sepsis, bleeding, shock, hypoxia…

Anaphylaxis: quick reference for emergency management

…hypotension, collapse or impaired consciousness Adrenaline, oxygen, intravenous access, fluid and early contact with anaesthesia or intensive care Refractory anaphylaxis Persisting airway, respiratory or circulatory…

Blood Pressure Targets in Older and Frail Adults

…orthostatic hypotension, or impaired autonomic compensation limits tolerability. Evidence Base and Its Limitations Few adults aged 85 years or older have been included in randomized…

Right ventricular strain: definition, causes, echocardiography

…that the right ventricle is pressure and/or volume loaded. The load itself leads to impaired right ventricular function, especially if the load becomes prolonged…

Strain, strain rate and speckle tracking: Myocardial deformation

…ventricle with varying orientation. This organization allows the left ventricle to contract in a highly sophisticated and effective way (Figure 1). Myocardial fibers adjacent to…

Left ventricular diastolic function

…an intuitive basis. Consider the fact that the left ventricle contracts and ejects blood into the aorta roughly 100,000 times daily, each time overcoming…

Massive haemorrhage and transfusion: quick reference

…leader and one person responsible for recording the transfusions, the sampling, the incoming products and contact with the blood bank. 3. Secure large bore access…

Poisoning: quick reference for antidotes and initial management

…centre , which in most countries is staffed around the clock for health care professionals. Contact the centre early in serious, unusual or unclear poisoning, with…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…disseminated intravascular coagulation, and abrupt deterioration in renal function. By contrast, hypertensive urgency describes severe hypertension without clinical evidence of acute, ongoing target organ damage…

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