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Central venous catheter

…patient's next focus of infection. Indications Infusion of vesicant solutions: vasopressors, concentrated potassium, cytotoxic drugs, parenteral nutrition. The need for several simultaneous, incompatible infusions…

Management and treatment of AV block (atrioventricular blocks)

…bradycardia is caused by beta blockers. Adrenaline (Epinephrine) α and β agonist Infusion of 2–10 μg/min (titrate as needed). T½ 5 min…

Transcutaneous and transvenous pacing

…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…

🟠 Phentolamine

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

Corticosteroids: quick reference for dose equivalents and stress dosing

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

Opioid therapy in severe pain

…Preparation and equipment Working venous access and an infusion solution. A pulse oximeter, a blood pressure cuff, a clock. The respiratory rate is counted manually…

Inpatient insulin therapy: quick reference

…a high risk of hypoglycaemia 8–12 mmol/L The critically ill patient in intensive care According to the local protocol Avoid tight targets in…

Abscess incision and drainage

…whole length of the abscess or at least half its diameter. Too small an incision is the commonest technical error. 4. Cut straight into the…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…behind — which is the commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus Incision and drainage Acute paronychia without pus…

Bone marrow aspiration and biopsy

…What usually ruins the examination is not the technique but the handling of the specimen — an aspirate that clots before the smears are made is…

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