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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…or a damaged nail fold edge Nail avulsion and inspection of the nail bed, with suture of any nail bed laceration Contraindications There are no…

Peripheral venous cannula and intraosseous access

…Infection or burns over the puncture site. Osteogenesis imperfecta and severe osteoporosis (relative). An inability to identify the landmarks. Choice of vein and cannula size…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…Use of cannabis, electronic cigarettes or other inhaled products. Readiness to attempt cessation. Depression, schizophrenia, schizoaffective disorder, HIV infection or other circumstances that may affect…

Soft tissue corticosteroid injection

…10–20 mg 20–40 mg 1–2 mL The doses follow the summaries of product characteristics: Lederspan specifies 10–20 mg periarticularly in bursitis…

Nasogastric tube

Procedurer The insertion itself is rarely the difficult part — it is the confirmation of the position that determines whether the tube is safe. A misplaced…

Common laboratory tests

…in T4 produces a large change in TSH. During acute illness the TSH can be falsely low or high in the absence of thyroid disease…

Poisoning: quick reference for antidotes and initial management

…level of consciousness, the pupils, tone, clonus and seizures. Give glucose in hypoglycaemia and a benzodiazepine for toxicological seizures E Temperature, skin, smell, injection marks…

Pulmonary Hypertension: Classification and Treatment Principles

…disease is the most common risk factor for PH. It produces postcapillary PH through elevation of left atrial and pulmonary venous pressure. In some patients…

Edrophonium test

…gaze palsy — that can be assessed before and during the window of effect. The muscarinic effect may at the same time produce marked bradycardia and…

Adenosine: Administration Technique, Dose Escalation and Precautions

…the sinus rate. In the AV node, adenosine produces a transient, rate dependent prolongation of the A H interval, frequently manifesting as transient first , second …

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