23 träffar

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…was identified, and the maximum dose has since been capped at 20 mg for adults and 10 mg for patients over 65 years. In the…

DrugHigh-potency glucocorticoid with long duration
Betamethasone

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

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

…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

…Synthetic vasopressin analogue (V2 agonist) The same substance is used for four entirely different indications with doses differing up to a hundredfold — antidiuretic substitution in…

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

…prone patient, and when surgery or thrombolysis may become necessary at short notice. The disadvantages are continuous infusion, an unpredictable dose–response relationship due to…

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

…eliminated renally, so renal function governs treatment entirely. Dyspepsia affects one in ten patients and is the most common reason for discontinuation in clinical practice.

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…

DrugUltra-short-acting β₁-selective blocker
Esmolol

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

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

…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.