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Injection technique — intramuscular, subcutaneous and intradermal

…injection in marked coagulopathy or thrombocytopenia (< 50 ×10⁹/L) — choose the subcutaneous route if possible, otherwise give IM with a fine needle and 5…

Soft tissue corticosteroid injection

…contraindication to these superficial injections. Preparation and equipment Chlorhexidine in alcohol, an iodine solution or isopropyl alcohol. A depot glucocorticoid: triamcinolone hexacetonide (Lederspan 20 mg…

Short Synacthen test

…0.25 mg/mL, one ampoule. A peripheral venous cannula and a saline flush. A tube for serum or plasma cortisol according to local instructions…

🟠 Phentolamine

…IV Dose Bolus injection : 5 to 15 mg every 5 to 15 minutes as necessary. Continuous infusion: Start infusion at 0.1 mg/min and…

Invasive Coronary Angiography: Indications and Vascular Access

…selective intracoronary contrast injection under fluoroscopy. The procedure is performed by advancing guidewires and diagnostic catheters from a percutaneous arterial access site to the aortic…

Corticosteroids: quick reference for dose equivalents and stress dosing

…s sick day rules) Vomiting or diarrhoea, unable to keep tablets down Parenteral hydrocortisone. The patient must have an emergency injection at home Acute illness…

Joint aspiration

…diagnostic work up. Haemarthrosis after trauma. A symptomatic effusion causing pain or restricted movement (therapeutic aspiration). Intra articular corticosteroid injection in verified inflammatory or osteoarthritis…

🟠 Clonidine

…daily increased as required to up to 900 μg/day. Transdermal (one patch lasts for a week): • Catapress TTS 1 (0.1 mg/24hrs)…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…ventricle. Studies from the US and Japan has estimated that up to 2% of patients referred to PCI with a suspicion of STE ACS/STEMI…

Edrophonium test

…effect, 40 seconds to 5–10 minutes after the injection . 7. Stop the test in the event of bradycardia, bronchospasm, marked salivation or increasing weakness…

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