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Central venous catheter

…Indications Infusion of vesicant solutions: vasopressors, concentrated potassium, cytotoxic drugs, parenteral nutrition. The need for several simultaneous, incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy…

Inpatient insulin therapy: quick reference

…Measure the glucose before every meal and at bedtime Enteral or parenteral nutrition Insulin is needed around the clock. A continuous infusion or repeated doses…

Alcohol withdrawal and delirium tremens: quick reference

…dose , titrated against clinical effect. 2. Parenteral thiamine early , preferably before or at the same time as carbohydrate administration. 3. Rapid identification of seizures, delirium…

Corticosteroids: quick reference for dose equivalents and stress dosing

…surgery Parenteral hydrocortisone, at a dose according to the local protocol. Usually a bolus followed by repeated doses or an infusion Suspected adrenal crisis Give…

Opioids in acute pain: quick reference for dosing and conversion

…is incomplete: reduce the calculated equianalgesic dose by 25–50 per cent and titrate. At a high dose, in old age or in renal failure…

Status epilepticus: quick reference for emergency treatment

…and parenteral treatment is needed. Prepare airway equipment and contact anaesthesia early with a prolonged seizure, repeated doses of benzodiazepine, aspiration, hypoventilation, circulatory failure or…

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