23 träffar

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…glucocorticoid with long duration Betapred is a distinctive formulation: the soluble tablet allows a child with croup or a patient with an allergic reaction to…

DrugSynthetic catecholamine, β₁-agonist (inotropy)
Dobutamine

…doses — good in the cold, hypoperfused patient with an acceptable blood pressure, less so when blood pressure is already low. The dose threshold lies around…

DrugSynthetic vasopressin analogue (V2 agonist)
Desmopressin

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

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

…acute hypoglycaemia The first-line treatment for severe hypoglycaemia in a patient who cannot swallow and in whom intravenous access is available. The effect arrives…

DrugAminobisphosphonate
Alendronate

…treatment in primary care. Efficacy for vertebral and hip fractures is well established, but depends on the patient's ability to follow the administration instructions…

DrugPancreatic hormone, glycogenolytic agent and inotrope
Glucagon

…when the patient cannot swallow and intravenous access is unavailable — the effect arrives within ten minutes through hepatic glycogenolysis. In beta-blocker intoxication, glucagon is…

DrugNMDA-receptor antagonist, dissociative anaesthetic
Ketamine

…preload-dependent patient, and the bronchodilation makes it valuable in life-threatening asthma. Respiratory drive and laryngeal reflexes are largely preserved, which is an explanation…

DrugNon-dihydropyridine calcium channel blocker (benzothiazepine)
Diltiazem

…so oral and intravenous diltiazem require a named-patient licence. Verapamil or a beta-blocker is therefore the practical first choice for rate control in…

DrugIndirect thrombin and factor Xa inhibitor via antithrombin
Heparin (unfractionated)

…measured in real time with APTT, and it can be neutralised completely with protamine within minutes. This is why unfractionated heparin is the first choice…

DrugSelective If-channel inhibitor in the sinus node
Ivabradine

…in atrial fibrillation the rate control sits in the AV node and ivabradine is ineffective. Its place in treatment is the symptomatic patient with HFrEF…

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…inhibits thrombin and the only one with a specific, rapidly acting antidote — idarucizumab achieves complete reversal within minutes, which weighs heavily in patients who may…

DrugBroad-spectrum tetracycline
Doxycycline

…It is the standard choice in pneumonia in penicillin-allergic patients and in atypical pneumonia, but the age limit of 8 years and pregnancy significantly…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…at 20 mg for adults and 10 mg for patients over 65 years. In the elderly, hyponatraemia is the adverse effect most often causing discontinuation.

DrugUltra-short-acting β₁-selective blocker
Esmolol

…9 minutes and the effect gone 20–30 minutes after the infusion ends, it is useful in patients where beta-blockade is desirable but risky…

DrugSecond-generation H₁-antihistamine
Cetirizine

…entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked about in professional drivers. Renal function governs the dose.

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…younger patients, and tenths of a milligram in delirium in the elderly, where the lowest effective dose for the shortest possible time is the whole…

DrugCardiac glycoside
Digoxin

…AV-node slowing. Rate control fails under adrenergic stress — making it a poor choice for the active patient and a reasonable one for the bedridden.

DrugSyntetiskt tyroideahormon (T4)
🇸🇪 Levothyroxine

…att patienten tar tabletten rätt. Ung och hjärtfrisk patient kan starta på full substitutionsdos omkring 1,6 μg/kg, medan äldre och patienter med…

DrugKarbapenem
🇸🇪 Meropenem

…i dag i huvudsak är förskonat från. Indikationen är verifierad eller starkt misstänkt ESBL, svikt på bredspektrumpenicillin, eller sepsis hos patient med känd multiresistent flora.

DrugIntravenöst anestetikum, GABA-A-potentierare
🇸🇪 Propofol

…blodtryckssänkning som är själva priset för den kontrollen. Propofol är inte analgetiskt: en patient som rör sig under ingreppet har ont, inte för lite propofol…

DrugFyrfaktorkoncentrat med faktor II, VII, IX och X
🇸🇪 Prothrombin complex concentrate

…och förstahandsval när warfarineffekt måste hävas omedelbart. Full effekt inom tio minuter och i en volym som en blödande patient tål, till skillnad från plasma…

DrugKompetitiv opioidreceptorantagonist
🇸🇪 Naloxone

…naloxon klingar av långt före metadon, depotoxikodon och de flesta fentanylanaloger, och en patient som vaknat till kan sjunka tillbaka i apné en halvtimme senare.

DrugIcke-selektiv COX-hämmare, propionsyraderivat med lång halveringstid
🇸🇪 Naproxen

…fyra doser. Naproxen har den mest gynnsamma kardiovaskulära profilen bland NSAID och är därför förstahandsval när ett NSAID måste ges till patient med hjärt-kärlsjukdom.