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Amiodarone: Loading, Maintenance Dosing and Monitoring Schedule

…5 µg/mL, though greater arrhythmia suppression may occur up to 3.5 µg/mL at the cost of increased toxicity risk. In routine clinical…

Unstable Angina: Definition and Contemporary Management

…Angina occurring after a recent myocardial infarction. UA belongs to the broader spectrum of acute coronary syndromes, which may present with recent changes in symptoms…

Drugs in the emergency setting

…not a treatment review. For a fuller account of two of the commonest acute drug problems, see Warfarin therapy and Opioid therapy in severe pain…

Spirometry

…Assessment of pulmonary involvement in systemic disease, for example rheumatoid arthritis or scleroderma, and during treatment with pulmonary toxic drugs. Contraindications Forced expiration raises the…

🟠 Inotropes and Vasopressors

…with ECG, central vein catheter and intra arterial catheter (A line) is warranted. Overview of vasopressors and inotropes Inotropes and vasopressors. Table 1. Drug manual…

Acute Coronary Syndrome: Definitions and Initial Triage

…chronic coronary syndromes Chronic coronary syndromes (CCS) describe stable period clinical presentations arising from structural or functional abnormalities of the coronary arteries or coronary microcirculation…

Coronary CT Angiography and CAD-RADS Reporting

…likelihood or no previous diagnosis of CAD Characteristics suggesting that good quality imaging is achievable It is particularly useful when the clinical question is whether…

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…denotes treatment with aspirin plus a P2Y12 receptor inhibitor. In the setting of acute coronary syndrome (ACS), DAPT is used to reduce recurrent myocardial infarction…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…electrophysiologic effects on the His Purkinje system and ventricular muscle are minimal, except in cases of toxic concentrations. In most patients, the sinus rate and…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…is the most common symptom initiating evaluation for ACS. Features that increase the likelihood of ACS include: Sudden symptoms at rest or with minimal exertion…

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