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Central venous catheter

…mask, sterile gown, sterile gloves and a large full body drape. Lidocaine 10 mg/mL for local anaesthesia, normal saline to flush all lumens, suture…

Cardiac arrest due to anaphylaxis

…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…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…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…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…while the osmolality is corrected cautiously [1,3]. Euglycaemic DKA Euglycaemic DKA means ketosis and metabolic acidosis despite a normal or only moderately raised glucose…

Urinary alkalinisation

…adult this corresponds to the order of 100–200 mL of the 50 mg/mL solution. 6. Continue with a continuous infusion of sodium bicarbonate …

🟠 Vernakalant (Brinavess)

…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…

Opioid therapy in severe pain

…and an infusion solution. A pulse oximeter, a blood pressure cuff, a clock. The respiratory rate is counted manually. Naloxone 0.4 mg/mL out…

Transcutaneous and transvenous pacing

…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…

Hyperkalaemia: quick reference for emergency treatment

…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…

🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…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…

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