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Liver parameters

…the suspicion to bone, pregnancy or malignancy. A markedly raised GGT with the other tests normal is most often enzyme induction by alcohol or drugs…

Oxygen therapy

Procedurer Oxygen is a drug and must be prescribed as one: with an indication, a route of administration and a target range for the saturation …

Delirium in older adults: quick reference

…surroundings Other cognitive disturbance Disorientation, memory impairment, disorganised thinking, language disturbance or perceptual disturbance Organic cause The condition can be linked to illness, drugs, poisoning…

Transcutaneous and transvenous pacing

…when every pacing spike is followed by a wide QRS complex and a pulse that can be felt. The other predictable error is forgetting that…

Urinary alkalinisation

…The benefit of alkalinisation over fluids alone is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends…

Hyponatraemia: quick reference for work-up and correction

…breathing and circulation. 2. Assess the neurological symptoms and at the same time exclude other acute causes, for example hypoglycaemia, poisoning, stroke, meningitis and a…

Gastric lavage and activated charcoal

…treatment of poisoning. Charcoal also does not bind every poison. With the following substances charcoal is ineffective and management is instead governed by the antidote…

Poisoning: quick reference for antidotes and initial management

…poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system. Discuss the…

Cardiac arrest in intoxication (poisoning)

CPR Poisoning and drug toxicity In adolescents and young adults, intoxication events leading to cardiac arrest are notably prevalent, primarily due to the misuse of…

Nasogastric tube

…and drug administration when the patient cannot swallow safely, for example after a stroke. Sampling of gastric contents and evacuation in poisoning (see the separate…

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