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Opioid therapy in severe pain

…started in an opioid naive patient, or when a conversion between drugs is made without reduction for incomplete cross tolerance. Indications Acute severe nociceptive pain…

Transcutaneous and transvenous pacing

…line for prolonged pacing. Venous access, oxygen, suction, airway equipment. Analgesia and sedation: an opioid (morphine or fentanyl) combined with a benzodiazepine (midazolam or diazepam…

Injection technique — intramuscular, subcutaneous and intradermal

…Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there is a risk of blood contact. An alcohol or…

Soft tissue corticosteroid injection

…blood glucose for 2–5 days. Suspected or known tendon rupture. No response to previous injections at the same site. More than three injections at…

Short Synacthen test

…tetracosactide or ACTH. Marked atopic disease, particularly severe asthma and a history of anaphylaxis — a relative contraindication; the test is then performed with preparedness for…

🟠 Phentolamine

…2 minutes Duration of action 10 to 30 minutes Delivery IV Dose Bolus injection : 5 to 15 mg every 5 to 15 minutes as necessary…

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

…ulcer A proton pump inhibitor with concomitant NSAID use or a history of ulcer, not routinely Infection Consider Pneumocystis prophylaxis with high doses over a…

Joint aspiration

…site — use another approach or refrain. Bacteraemia without suspicion of joint infection (relative; aspiration can seed a sterile joint). Marked coagulopathy or an anticoagulant at…

🟠 Clonidine

…1 ml vial. Dilute with 10 ml of normal saline and give by slow injection over 5 10 minutes. Dilute immediately before use. PO: Alternatives…

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