23 träffar

DrugNMDA-receptor antagonist, dissociative anaesthetic
Ketamine

…bleeding, septic, or otherwise preload-dependent patient, and the bronchodilation makes it valuable in life-threatening asthma. Respiratory drive and laryngeal reflexes are largely preserved…

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

…choice in severe renal failure, in the bleeding-prone patient, and when surgery or thrombolysis may become necessary at short notice. The disadvantages are continuous…

DrugUltra-short-acting β₁-selective blocker
Esmolol

…With a half-life of 9 minutes and the effect gone 20–30 minutes after the infusion ends, it is useful in patients where beta…

DrugBroad-spectrum tetracycline
Doxycycline

…and a long half-life make once-daily dosing possible. It is the standard choice in pneumonia in penicillin-allergic patients and in atypical pneumonia…

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…a distinctive formulation: the soluble tablet allows a child with croup or a patient with an allergic reaction to receive a full steroid dose without…

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

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

DrugAminobisphosphonate
Alendronate

…is well established, but depends on the patient's ability to follow the administration instructions and on adequate calcium and vitamin D status. After five…

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.

DrugNon-dihydropyridine calcium channel blocker (benzothiazepine)
Diltiazem

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

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…

DrugPancreatic hormone, glycogenolytic agent and inotrope
Glucagon

…mg intramuscularly is the treatment that a family member can give when the patient cannot swallow and intravenous access is unavailable — the effect arrives within…

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…

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.

DrugSelective If-channel inhibitor in the sinus node
Ivabradine

…blood pressure, or conduction — it inhibits the funny current (If) that drives spontaneous depolarisation of the sinus node and does nothing else. It therefore works…

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.

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…acting antidote — idarucizumab achieves complete reversal within minutes, which weighs heavily in patients who may need emergency surgery. The price is that approximately 80 % of…

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…

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…and minimal anticholinergic burden. The drug has two entirely different dosing worlds: a few milligrams in acute psychotic agitation in younger patients, and tenths of…

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…