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Atrial fibrillation: quick reference for emergency management

…as an add on Slow onset. Dose reduction in renal failure and in old age Amiodarone In severe haemodynamic compromise where the above cannot be…

Warfarin therapy

…to the anticoagulation clinic, and a decision on who will dose during the first week. Written patient information: the Waran booklet (the Swedish warfarin patient…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…the value of echocardiographic examination depends on the pre test probability, which is the probability that the patient actually has endocarditis (this the probability should…

🟠 Calculate CHADS-VASc Score and evaluate indication for anticoagulation

…Patient preference and the balance of risk and benefit determine whether treatment is initiated. High 3 9 As above. Very high Oral anticoagulation (warfarin or…

Amiodarone: Loading, Maintenance Dosing and Monitoring Schedule

…monitoring. The onset of action depends on the route of administration. Intravenous (IV) amiodarone generally acts within 1 to 2 hours. Oral onset is delayed…

Corticosteroids: quick reference for dose equivalents and stress dosing

…infection or gastroenteritis at home Double or triple the oral daily dose during the days of illness (the patient's sick day rules) Vomiting or…

Empirical antibiotic therapy: quick reference for common infections

…bacteriuria. The exceptions are pregnancy and the period before a urological procedure. A positive urine dipstick in an older patient is difficult to interpret. Skin…

Oesophageal ECG

…difficulties that prevent the patient from cooperating. Suspected base of skull fracture or marked coagulopathy argues against the nasal route; the oral route may then…

Renal parameters

…1 % suggests a prerenal cause, above 2 % acute tubular necrosis — but the value is unreliable during diuretic therapy, where a fractional excretion of urea below…

Short Synacthen test

…not cross react in the cortisol assay and can be given as steroid cover during the test Oestrogen and the combined oral contraceptive These raise…

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