CPR Cardiac arrest during pregnancy and childbirth All healthcare units capable of managing pregnant women in cardiac arrest should engage in specialized clinical training to…

…with older maternal age at first childbirth and the rising prevalence of obesity. Gestational hypertension is defined in the supplied guideline material as blood pressure…

…Pregnancy induced hypertension. Angina pectoris Prinzmetal's angina Mechanism of action Nicardipine is a dihydropyridine calcium channel blocker (CCB). Nicardipine inhibits the influx of extracellular…

…Hypertensive emergency, including in pregnancy. Postoperative hypertension. Mechanism of action Combined beta adrenergic and alpha adrenergic blocker with rapid onset of action. Labetalol has less…

…recorder Contraindications None. Practical obstacles are skin disease or allergy to the electrode gel, and marked body hair that cannot be shaved. Set up 1…

…whatever the ferritin Vitamin B12 150–650 pmol/L Grey zone 150–250: add homocysteine or methylmalonic acid Folate 7 nmol/L Electrolytes and renal…

…principle, not a universal target. Chronic hypertension shifts autoregulation in the brain and kidneys towards higher pressures. Too rapid a normalisation can therefore cause cerebral…

…pulse oximetry and repeated blood pressure measurement when a hypertensive emergency is suspected. 3. Insert a peripheral venous cannula. 4. Measure the blood pressure in…

…is a compromise and does not protect the airway completely. Relative contraindications: A high risk of aspiration: a non fasted patient, ileus, third trimester pregnancy…

…pregnancy or malignancy. A markedly raised GGT with the other tests normal is most often enzyme induction by alcohol or drugs and is often of…

…Pregnancy, previous extensive abdominal surgery Ultrasound guidance; choose a new site if in doubt Cellulitis over the insertion site Change the puncture site Preparation and…

…whether the intake was single or repeated a modified release preparation or a combination product concurrent drugs, alcohol and illicit substances weight, age, pregnancy and…

…adherence, pregnancy after the first trimester under specialist care). Rheumatic mitral stenosis with atrial fibrillation. In uncomplicated atrial fibrillation and in ordinary venous thromboembolism, a…

[calc_aorta] Sinus of Valsalva (SOV) and Aortic Root Assessment The sinus of Valsalva diameter (SOVd) is a critical measurement in evaluating aortic root morphology…

…Severe heart failure. Doses 100 mg/day during the third trimester of pregnancy. Dosage Acute myocardial infarction: Initial loading dose: 300–500 mg as soon…

…Brand names Vasotec IV ® Indications Hypertension and hypertensive emergency. Acute left ventricular failure. Mechanism of action Enalaprilat is the active metabolite (ester) of enalapril…

…during pregnancy or after delivery. The clinical context is particularly important. SCAD should be considered in a young or middle aged woman with ACS and

…hypercoagulability, and pregnancy are common risk factors (see Risk factors below). A significant proportion of cases with pulmonary embolism require thrombolysis to dissolve the occlusion…

…and the serological crossmatch have a limited period of validity — usually about five days — because new antibodies can form after transfusion or pregnancy. Check the…

…for adults and summarises the order in which measures are taken and the principles that are common to all protocols. Children, pregnant women and patients…

…Urosepsis with shock and suspected ESBL meropenem 1 g × 3 IV Do not treat asymptomatic bacteriuria. The exceptions are pregnancy and the period before a…

…in pregnancy — a speculum may be used, but not digital examination until the position of the placenta is known. Recent gynaecological surgery. Preparation and equipment…

…hypovolaemia and an increased transfusion requirement. Pregnancy, medication and arrhythmia affect its interpretation. The shock index must never replace clinical assessment [1]. In trauma, the…

…unit and which reference system your own laboratory uses before applying it. The D dimer is raised in pregnancy, malignancy, infection, surgery, trauma and old…

…pressure ≥180 mmHg and/or diastolic pressure ≥120 mmHg) with concurrent signs of acute organ damage or failure. Any of the drugs listed below may…

…including Takayasu arteritis and giant cell arteritis Bicuspid aortic valve Coarctation of the aorta Previous aortic trauma Pregnancy, particularly the third trimester Weightlifting Cocaine use…

…adults with elevated blood pressure (BP), in whom absolute cardiovascular risk varies considerably according to age and the presence of concomitant risk factors. In contrast…

…gestational age delivery Placental abruption Pregnancy loss Polycystic ovary syndrome Functional hypothalamic amenorrhoea Fertility therapy and assisted reproductive technology The extent to which these conditions…

…sufficient Severe elevation Acute HMOD Present Absent clinically Symptoms Often present and related to the affected organ May be absent or nonspecific Treatment setting Usually…

…heart failure may indicate the need for inodilator therapy. Furthermore, acute heart failure and cardiogenic shock can present de novo in pregnant women without pre…

…pressure ≥180 mmHg and/or diastolic pressure ≥120 mmHg) with concurrent signs of acute organ damage or failure. Any of the drugs listed below may…

…Children, pregnant women, patients after allogeneic stem cell transplantation and patients treated with CAR T cells or other advanced immunotherapies may require separate local protocols…

…NO) that induces vasodilatation of both arterioles and veins via generation of cyclic GMP, which then activates calcium sensitive potassium channels in the cell membrane…