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Lumbar puncture

…of herniation — deep unconsciousness with unreactive pupils, an altered breathing pattern, a rising blood pressure with bradycardia. A known or suspected intracranial space occupying lesion…

Spirometry

…an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An ongoing respiratory infection with a risk of transmission…

Delirium in older adults: quick reference

…Delirium is common but often missed. On medical and geriatric wards a substantial proportion of older patients are affected, and the incidence is particularly high…

Intensive care parameters

…raises the intracranial pressure. Circulation Parameter Target Comment : : : MAP ≥ 65 mmHg 80–85 mmHg in chronic hypertension or when there are signs of inadequate perfusion…

Warfarin therapy

…coagulopathy. Severe uncontrolled hypertension. Recent intracranial haemorrhage without a fresh assessment of benefit and risk. An inability to attend for sampling and follow up — relative…

🟠 Fenoldopam

…Increased intra ocular pressure in patients with glaucoma. Caution Used cautiously in patients with glaucoma or increased intracranial pressure. Fenoldopam doses and administration in hypertension.

🟠 Prasugrel (Effient, Efient, Prasita)

…with or without food. Administering a 60 mg loading dose on an empty stomach may provide the fastest onset of effect. Do not crush or…

🟠 Ticagrelor (Brilinta, Brilique)

…interpreting platelet function tests for HIT. Other cosiderations Based on a relationship observed in the PLATO study between the maintenance dose of ASA and the

Aspirin in Primary Prevention: Current Recommendations

…Nevertheless, the clinical importance of non fatal gastrointestinal and intracranial haemorrhage is substantial, particularly because the absolute cardiovascular benefit is small in many primary prevention…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…Hyperthermia Increased intracranial pressure Irreversible causes of sinus node dysfunction Age related degenerative disease (fibrosis) Myocardial ischemia/infarction Lesions due to heart surgery Myocarditis Collagen…

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