…large full body drape. Lidocaine 10 mg/mL for local anaesthesia, normal saline to flush all lumens, suture material or a securement device, transparent dressing…

…94%. Provide an intravenous or intraosseous fluid bolus, beginning with 500 ml of normal saline over 5 10 minutes, adjusting based on response. If hypotension…

…metabolite with a half life exceeding 80 hours, allowing for sustained hemodynamic effects for days after the infusion is discontinued. Noradrenaline (norepinephrine) acts primarily as…

…Lathundar About this quick reference Treatment protocols differ between regions. Always follow the local protocol for exact infusion rates, electrolyte concentrations and level of care…

…mg/mL solution. 6. Continue with a continuous infusion of sodium bicarbonate , titrated against the urine pH. A common starting point is an infusion rate…

…given over 10 minutes. Maximum infusion of 226 mg, which is 56,5 ml of the 4 mg/ml solution. Cumulative doses of more than…

…masks the diagnosis has been disproved — withholding it delays the investigation instead. Preparation and equipment Working venous access and an infusion solution. A pulse oximeter…

…precipitate ventricular fibrillation. Prioritise rewarming. Bradycardia in a patient with a normal circulation and no symptoms requires no pacing, only monitoring and preparedness. Asystole with…

…not by the potassium value alone. A normal ECG does not exclude dangerous hyperkalaemia. Record a 12 lead ECG and start cardiac monitoring at a…

…Significant right to left shunt (e.g., Eisenmenger syndrome). Qp/Qs ≈ 1 : Normal, no significant shunt. Clinical Relevance of Shunt Fraction Diagnosis of Shunt Severity…

…to the local protocol. Usually a bolus followed by repeated doses or an infusion Suspected adrenal crisis Give the corticosteroid immediately. Do not wait for…

…of drug, formulations and infusion rates may differ. Always follow the current hospital protocol and check the strength and the maximum infusion rate. Rapid overview…

…Hypertension and hypertensive emergency. Treatment of postoperative hypertension. Mechanism of action Ultra short acting calcium channel blocker (CCB). Half life: 5 minutes. Rapidly inactivated by…

…control supraventricular tachycardia (rate control). • Esmolol may be used to reduce myocardial ischemia in the CCU or ICU. Time to onset of action 1 minute…

…minutes Delivery IV Dose Initial infusion dose: 0.1 μg/kg/minute iv. Titrated at 15 minutes intervals. Maximum infusion dose: 1.6 μ…

…20 min to desired blood pressure. Maximum infusion rate 5 mg/hour. • Antihypertensive treatment : Start infusion at 5 mg/hour. Increase by 2.5 mg…

…guide the choice of agent. Calcium channel blockers (CCB) Clevidipine Drug Clevidipine Brand names Cleviprex ® Indications Hypertension and hypertensive emergency. Treatment of postoperative hypertension…

…minutes Duration of action 2 to 4 hours Delivery IV Dose Can be given as repeated intravenous bolus injections or as a constant dose infusion…

…Pregnancy induced hypertension. Angina pectoris Prinzmetal's angina Mechanism of action Nicardipine is a dihydropyridine calcium channel blocker (CCB). Nicardipine inhibits the influx of extracellular…

…to onset of action 2 to 5 minutes Duration of action 5 to 10 minutes Delivery IV Dose Initial infusion dose: 5 μg/min…

…to 1 minute Duration of action 1 to 10 minutes Delivery IV Dose Infusion: Starting dose: 0.25 to 0.5 μg/kg/minute…

…to 15 minutes as necessary. Continuous infusion: Start infusion at 0.1 mg/min and increase in increments of 0.1 mg. Adverse effects Tachycardia…

…guide the choice of agent. Calcium channel blockers (CCB) Clevidipine Drug Clevidipine Brand names Cleviprex ® Indications Hypertension and hypertensive emergency. Treatment of postoperative hypertension…

…central venous catheter). The hemodynamic effects persist for 7–10 days after the end of infusion. Refer to Table 2 for a comparison between levosimendan…

…during anaesthesia, a drug infusion or the administration of contrast medium Skin symptoms are absent in approximately 10 to 20 percent of anaphylactic reactions. The…

…If there is no response, give glucagon 1–5 mg IV followed by an infusion. Arrhythmias Drug Adult Child Comment : : : : Adenosine 6 mg as a…

…Enteral or parenteral nutrition Insulin is needed around the clock. A continuous infusion or repeated doses, according to the local protocol Renal failure The insulin…

…vasopressor and inotropic effects (Figure 1). Below follows a drug manual for use in the CCU (coronary care unit), ICU (intensive care unit) or ER…

…15 mg/min for 10 minutes. This is followed by a slower infusion of 1 mg/min for 6 hours, and then 0.5 mg…

…an event. EPS can thoroughly assess AV conduction and may include the infusion of agents to stress the AV node and His Purkinje system, such…

…vasopressor and inotropic effects (Figure 1). Below follows a drug manual for use in the CCU (coronary care unit), ICU (intensive care unit) or ER…

…infusion Antidote to beta blockers. Calcium Counteracts calcium channel blockers (CCB). Antidote to CCBs. 10 ml calcium 0.2 mmol/ml iv. Antidote to CCBs…

…coma. As above but with lower temperatures. Electrolyte replacement. Large infusions of fluids are typically needed. Table 1. Grading of hyperthermia. Body temperature should decrease…

…often enough: undressing the patient, lowering the room temperature, a fan, paracetamol, cold infusions. A ventilator, an arterial line, a central venous catheter, ECG monitoring…

…not treated away. Incision and drainage is the treatment; antibiotics are normally neither necessary nor sufficient in an uncomplicated cutaneous abscess in an otherwise healthy…

…Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus Incision and drainage Acute paronychia without pus formation Antibiotics and soaks alone Ingrown nail with…

…The varying inclusion criteria in these registries explain the marked differences in characteristics and outcomes across the data sources for out of hospital cardiac arrest…

…necrosis, bleeding, or pleural incision may expose cardiac antigens and initiate an inflammatory response. The presence of antibodies directed against cardiac tissue, the latent interval…

…the remaining ones are malignant. • Secondary cardiac tumours have spread to the heart by metastasis or invasion from surrounding tissue. Differential Diagnostics There are several…

…tubes according to local instructions, plus a formalin container for the biopsy. No. 11 scalpel for the skin incision, sterile dressings, pressure dressing. Procedure 1…