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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…Immunosuppression. Suspicion of another diagnosis: gout, a felon (pulp abscess), herpetic whitlow ( never incise a herpetic whitlow ), subungual melanoma (a pigmented longitudinal nail band that…

Arterial line

…unreliable: marked obesity, pronounced vasoconstriction, arrhythmia, intra aortic balloon pump. Assessment of stroke volume variation as part of fluid management. Contraindications Infection, burn or trauma…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…in its inhibition of the Na+ K+ ATPase, the enzymatic equivalent of the cellular sodium pump. Digoxin binds reversibly to a specific high affinity site…

STEMI: Primary PCI and System-of-Care Time Targets

…two broad categories: Electrical complications , particularly ventricular arrhythmias. Mechanical or pump failure complications , including heart failure and cardiogenic shock. Most out of hospital deaths occur…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…Life Support (ECLS) encompasses several extracorporeal systems designed to assist in cases of cardiac or respiratory failure by means of an extracorporeal pump and oxygenator…

Relaxation of the left ventricle

…These factors include age, afterload, myocardial synchronization and intracellular processes ( e.g intracellular calcium signaling, the sodium–potassium pump, mitochondrial function, actin myosin interactions, etc…

Casting and immobilisation

…cast has set. 2. Pull on the stockinette so that it extends a few centimetres beyond the planned ends of the cast. 3. Pad evenly…

Corticosteroids: quick reference for dose equivalents and stress dosing

…evening. See the quick reference on inpatient insulin therapy Peptic ulcer A proton pump inhibitor with concomitant NSAID use or a history of ulcer, not…

Injection technique — intramuscular, subcutaneous and intradermal

…middle fingers . The Z track technique for depot preparations and irritant drugs: pull the skin and subcutaneous tissue 2–3 cm to one side, inject…

Inpatient insulin therapy: quick reference

…reduced food intake Insulin pump The patient manages the pump themselves where possible. In impaired consciousness or DKA: remove the pump and change to an…

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