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Injection technique — intramuscular, subcutaneous and intradermal

…For vaccination: adrenaline 1 mg/mL, an antihistamine, oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid…

Soft tissue corticosteroid injection

…injections. Preparation and equipment Chlorhexidine in alcohol, an iodine solution or isopropyl alcohol. A depot glucocorticoid: triamcinolone hexacetonide (Lederspan 20 mg/mL) or methylprednisolone acetate…

Short Synacthen test

…3. Take the baseline sample : cortisol and plasma ACTH. The ACTH sample is taken before the injection and handled chilled. 4. Inject 0.25 mg…

🟠 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

…and Clinical Role Invasive coronary angiography (ICA) is a catheter based investigation that visualizes the coronary arterial tree after selective intracoronary contrast injection under fluoroscopy…

Corticosteroids: quick reference for dose equivalents and stress dosing

…dose to a patient with adrenal insufficiency during acute illness. Confusing dexamethasone 0.75 mg with prednisolone 0.75 mg. A tenfold difference in effect…

Joint aspiration

…equipment Chlorhexidine in alcohol 5 mg/mL: clean with 3–4 swabs in wide circles and let it dry for a couple of minutes before…

🟠 Clonidine

…lasts for a week): • Catapress TTS 1 (0.1 mg/24hrs). • Catapress TTS 2 (0.2 mg/24hrs) • Catapress TTS 3 (0.3 mg/24hrs…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…finding that 75% of patients have increased plasma levels of catecholamines. References A recent consensus document has been issued by the European Society for Cardiology…

Edrophonium test

…for a few minutes. 5. If the patient tolerates the test dose without troublesome adverse effects, give a further 8 mg intravenously , slowly. Rapid injection…

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