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Hyponatraemia: quick reference for work-up and correction

…least 48 hours Unknown Treated as chronic with respect to the correction limits The brain adapts to prolonged hypotonicity by extruding electrolytes and organic osmolytes…

Cardiac arrest in intoxication (poisoning)

…promptly upon suspicion of poisoning. Decontamination Disrobe the patient of any attire possibly contaminated with the toxicant. Irrigate skin and eyes using saline solution (NaCl…

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

…Ventilate by mask in opioid induced respiratory depression while naloxone is prepared C Pulse, blood pressure, peripheral perfusion, two intravenous cannulae and continuous ECG monitoring…

Urinary alkalinisation

…weak acids by keeping them in a charged form in the tubular fluid, where they cannot be reabsorbed. The treatment looks simple — bicarbonate and a…

Nasogastric tube

…the lung. No tube may be used before its position has been verified by an approved method, and auscultation is not such a method. Indications…

Transcutaneous and transvenous pacing

…block) and second degree AV block Mobitz type 2. Marked sinus bradycardia, sinus arrest, sick sinus syndrome with long pauses. Bradycardia in poisoning with a…

Delirium in older adults: quick reference

…distress. Delirium is an acute neuropsychiatric syndrome and a clinical diagnosis, often described as acute brain failure. It is precipitated by somatic illness, drugs, poisoning…

Liver parameters

…limit of normal: paracetamol poisoning, ischaemic hepatitis ("shock liver") or acute viral hepatitis. The three are distinguished by the history and the speed of the…

Oxygen therapy

…concentration is given irrespective of the saturation Carbon monoxide poisoning. The pulse oximeter does not distinguish carboxyhaemoglobin from oxyhaemoglobin and shows a falsely normal value…

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