…perforation. Sources Endocrine Society clinical practice guideline on the diagnosis and treatment of primary adrenal insufficiency. The summary of product characteristics for each glucocorticoid preparation…

…more malignant in men, the reason for which remains elusive. Gene mutations can be confirmed in roughly 60% of individuals with ARVC. Mutations in the…

…These thresholds are also assay dependent. Follow up of known HPA suppression to determine whether replacement can be stopped. The test is not the first…

…same time reduces the passage of salicylate into the central nervous system. Contact your national or regional poison control centre for advice on the treatment…

…g in 1 ml vial. Dilute with 10 ml of normal saline and give by slow injection over 5 10 minutes. Dilute immediately before use…

…or those undergoing aortic valve replacement [1, 5, 10]. A history of increasing frequency of hospitalizations and visits for heart failure without disease recognition in…

…typical range of 36.5 37.6°C (97.7 99.7°F). It arises when heat production or acquisition surpasses the body's capacity for heat…

…Guidelines for Valvular Heart Disease (2018). Filsoufi F, Anyanwu AC, Salzberg SP, Frankel T, Cohn LH, Adams DH. Long term outcomes of tricuspid valve replacement…

…for at least 12 hours 3 At least 3.0 times baseline, or a creatinine of at least 353.6 µmol/L, or renal replacement…

…on the ventilator. See the article on confusion for the management of delirium in intensive care. Renal replacement therapy Absolute indications: refractory hyperkalaemia, refractory acidosis…

…but the cannula kinks when the arm is flexed. The dorsum of the hand is suitable for finer cannulae. Avoid the lower limb in adults…

…73 m² Advanced renal dysfunction High likelihood of progression to end stage renal disease; preparation for renal replacement therapy is required 5 <15 mL/min…

…previous acute coronary syndrome. The available evidence supports consideration of low dose colchicine as an adjunct to, rather than a replacement for, established secondary prevention…

…Assessment should integrate the history, physical examination, laboratory data and diagnostic testing. Examination for congestion Useful bedside indicators of persistent or improving congestion include: J

…Wait 60 seconds before attempting a third dose. Third dose : 12 or 16 mg. Renal failure or renal replacement therapy No dosage adjustment is required…

…for a duration of 3 to 4 days post infusion, thereby providing extended therapeutic benefits. 2 Infusion of levosimendan can be repeated at 2 6…