23 träffar

DrugBroad-spectrum tetracycline
Doxycycline

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

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…child with croup or a patient with an allergic reaction to receive a full steroid dose without an injection, and the long biological duration means…

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

…treat the cause. What determines management is the underlying aetiology: long-acting insulin and in particular sulphonylurea require follow-up infusion and hours of monitoring…

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

…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…

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…

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…

DrugNMDA-receptor antagonist, dissociative anaesthetic
Ketamine

…stabilises the circulation — the indirect sympathetic stimulation makes ketamine the first choice for induction in the bleeding, septic, or otherwise preload-dependent patient, and the…

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

…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…

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

…is the symptomatic patient with HFrEF who remains above 70 beats per minute despite maximally tolerated beta-blockade, where SHIFT demonstrated reduced risk of heart…

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

…80 % of absorbed drug is eliminated renally, so renal function governs treatment entirely. Dyspepsia affects one in ten patients and is the most common reason…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…Escitalopram Accord Selective serotonin reuptake inhibitor (SSRI) The most selective of the SSRIs and one of the best tolerated for depression and generalised anxiety disorder…

DrugUltra-short-acting β₁-selective blocker
Esmolol

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

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…

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…