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Ambulatory blood pressure monitoring and Holter ECG

…The set up and the instructions decide whether the investigation will be usable. Ambulatory blood pressure monitoring (ABPM) Indications Confirmation of newly detected hypertension — recommended…

Amiodarone: Loading, Maintenance Dosing and Monitoring Schedule

…nor desethylamiodarone is dialyzable. The volume of distribution is large, averaging 60 L/kg, and the drug is highly protein bound (96%). The elimination half…

Management of bradycardia (bradyarrhythmia)

…hypoperfusion (assess skin temperature, color, sweat). Table 1. Initial evaluation of bradycardia according to ABCDE. Symptoms of bradycardia Bradycardia may be an incidental and asymptomatic…

Poisoning: quick reference for antidotes and initial management

…naloxone is prepared C Pulse, blood pressure, peripheral perfusion, two intravenous cannulae and continuous ECG monitoring. Fluid where hypovolaemia is likely, but avoid repeated blind…

Reduction of dislocations

…skin tenting — reduce promptly, before radiography. The longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and…

Leg ulcers — wound debridement and compression therapy

…30 mmHg) under vascular surgical supervision Diabetes with neuropathy Reduced compression, closer monitoring — the patient cannot feel pressure injury Peripheral neuropathy of other cause As…

Sepsis and septic shock: quick reference for the first hour

…systolic blood pressure of 100 mmHg or less, a MAP below 65 mmHg, delayed capillary refill, cold or mottled skin Metabolism and perfusion A lactate…

Transcutaneous and transvenous pacing

…in units with airway expertise. Procedure 1. Dry the skin and shave where necessary. Do not clip the hair — small cuts cause burning pain. 2…

Central venous catheter

…dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted…

Arterial line

…anaesthetic also improves the chance of success by counteracting vascular spasm. Pressure monitoring set: stiff, short tubing, a transducer, and a flush system with physiological…

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