19 träffar

DrugCalcium salt for intravenous membrane stabilisation and calcium supplementation
Calcium gluconate

…but does not lower potassium by a tenth of a millimole. Insulin-glucose, beta-agonists, and dialysis must be started in parallel, otherwise the arrhythmia…

DrugSynthetic catecholamine, β₁-agonist (inotropy)
Dobutamine

Dobutamin Hameln Synthetic catecholamine, β₁-agonist (inotropy) Pure inotropy when the problem is the pump and not vascular tone. Strong β₁ effect with marked β₂…

DrugLoop diuretic
Furosemide

…The dose–response relationship is a threshold curve, not a line: below the threshold nothing happens, and in renal failure the threshold dose must be…

DrugEndogenous purine nucleoside, AV-nodal blocking agent
Adenosine

…both therapeutic for reentry involving the node and diagnostic for arrhythmias that do not — atrial flutter and atrial tachycardia are unmasked when the ventricular response…

Drugα- and β-agonist
Adrenaline

…cardiac arrest treatment. The most clinically dangerous property is not pharmacological but practical: two concentrations with a tenfold difference are used in the same setting.

DrugXanthine oxidase inhibitor
Allopurinol

…gout, with the goal of titrating upward until serum urate is stably below 360 μmol/l — not setting a fixed dose and leaving it…

DrugTricyclic antidepressant
Amitriptyline

…already at 10–50 mg and depends on noradrenergic and sodium-channel-mediated modulation, not on antidepressant action. What limits treatment is anticholinergic side effects…

DrugAminopenicillin with extended Gram-negative spectrum
Amoxicillin

…determines its use. Amoxicillin is therefore not first-line for uncomplicated acute otitis media — that role belongs to phenoxymethylpenicillin — but for treatment failure, recurrent otitis…

DrugSecond-generation H₁-antihistamine
Cetirizine

…the blood-brain barrier poorly, but it is not entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…depression and generalised anxiety disorder. What governs dosing is not efficacy but the heart: a dose-dependent QT prolongation was identified, and the maximum dose…

DrugSelective cholesterol absorption inhibitor
Ezetimibe

…statin dose. The first step when the statin is maximised and the LDL target is still not reached — a fixed dose of 10 mg, no…

DrugIsoxazolylpenicillin, staphylococcal penicillin
Flucloxacillin

…Absorption is destroyed by food, making the timing of administration a genuine treatment variable and not a formality. The most clinically important adverse effect is…

DrugConcentrated carbohydrate solution for acute hypoglycaemia
Glucose (concentrated, IV)

…is available. The effect arrives within a minute but is also short-lived — the bolus reverses unconsciousness but does not treat the cause. What determines…

DrugNon-selective β₁- and β₂-agonist without alpha effect
Isoprenaline

…while systemic vascular resistance and diastolic blood pressure fall, so the drug raises rate but not pressure. Used where rate itself is the problem: bradycardia…

DrugNarrow-spectrum beta-lactam antibiotic
Phenoxymethylpenicillin (penicillin V)

…Sweden maintains a favourable resistance situation. The spectrum covers group A streptococci and pneumococci but not Haemophilus influenzae or staphylococci. Dosing differs substantially between indications…

DrugElectrolyte concentrate for potassium replacement
Potassium chloride

…store — the plasma value indicates the starting point, not the magnitude of the deficit. Rate, not daily dose, is what determines safety: peripherally 10 mmol…

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…receive a full steroid dose without an injection, and the long biological duration means a single dose suffices. Potency is approximately 25 times that of…

DrugSynthetic vasopressin analogue (V2 agonist)
Desmopressin

…V2 receptor means it lacks the vasoconstrictive effect of vasopressin. The danger is not the drug itself but the fluid the patient drinks with it.

DrugLong-acting basal insulin
Insulin glargine

…in two strengths, 100 units/ml and 300 units/ml, and the two are not the same medicine even though both are dosed in units.