…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…

…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…

…intake Insulin pump The patient manages the pump themselves where possible. In impaired consciousness or DKA: remove the pump and change to an infusion or…

…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…

…consent if the patient is awake, and scan the vessel with ultrasound before you drape — a thrombosed or non compressible vein changes the plan wh

…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…

…and nicardipine in hypertensive emergencies. Time to onset of action 2 4 minutes Duration of action 5 15 minutes Delivery IV (infusion). Dose Initial dose:…

…bolus over 1 minute. Infusion start dose: 25–50 μg/kg/min. Maximum infusion dose: 300 μg/kg/min. Bolus doses of 300…

…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…

…and nicardipine in hypertensive emergencies. Time to onset of action 2 4 minutes Duration of action 5 15 minutes Delivery IV (infusion). Dose Initial dose:…

…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…

…to onset of action 5 to 15 minutes Duration of action 1.5 to 5 hours Delivery IV Dose 5–15 mg/hour IV infusion…

…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…

…®, Rogitine ® Indications Hypertensive crisis. Mechanism of action Phentolamine is a non selective alpha adrenergic blocker. Phentolamine reduces blood pressure while increasing catecholamine activity…

…onset atrial fibrillation to sinus rhythm. Vernakalant is used in the following settings: Non surgery patients: atrial fibrillation ≤7 days duration. Post cardiac surgery: atrial…

…inadequate, consider an intravenous bolus of epinephrine (20 50 μg) or an epinephrine infusion (0.01 to 0.10 μg/kg/min). Pediatric…

…and nicardipine in hypertensive emergencies. Time to onset of action 2 4 minutes Duration of action 5 15 minutes Delivery IV (infusion). Dose Initial dose:…

…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…

…circulatory compromise severe gastrointestinal symptoms, particularly after exposure to a drug, insect venom or another non food allergen 2. Acute airway, respiratory or circulatory compromise…

…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…

…for pain). An opioid is rarely the right choice in nociplastic or neuropathic pain, in chronic non cancer pain, or in headache. A failure to…

…delay pacing in order to try yet another dose. Chronotropic support is given as an infusion of isoprenaline, adrenaline or dopamine according to local practice…

…mmol sodium bicarbonate per mL) for bolus and infusion, and glucose 50 mg/mL as carrier solution according to local protocol. Potassium chloride for infusion…

…Epinephrine Shock (any) Cardiac arrest Bronchospasm Anaphylaxis Bradycardia (second line alternative) Infusion : 0.01 to 0.10 μg/kg/min Bolus : 1 mg IV…

…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…

…A broad spectrum of pharmacologic agents can induce bradycardia or conduction disorders. These include beta blockers, non dihydropyridine calcium channel blockers, antiarrhythmic drugs (amiodarone, dronedarone…

…Epinephrine Shock (any) Cardiac arrest Bronchospasm Anaphylaxis Bradycardia (second line alternative) Infusion : 0.01 to 0.10 μg/kg/min Bolus : 1 mg IV…

…treatment with a class I recommendation for the management of acute bradycardia is transcutaneous pacing. Pharmacological interventions (Table 4) should be considered temporary, often insufficient…

…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…

…Insert at least one functioning intravenous cannula. Stop potassium infusions and temporarily withdraw drugs that can raise the potassium. Assess the urine output and ask…

…hours versus 37 °C, with a non shockable initial rhythm More patients with a good neurological outcome (CPC 1–2) at 90 days, 10.2 …

…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…

…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…

…ventricular septal defects (VSD), and patent ductus arteriosus (PDA). Echocardiography provides a non invasive, accessible method to calculate this ratio, guiding clinical decisions about intervention…