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Corticosteroids: quick reference for dose equivalents and stress dosing

…The abdomen of a patient on corticosteroids can be silent despite perforation. Sources Endocrine Society clinical practice guideline on the diagnosis and treatment of primary…

Short Synacthen test

…Marked atopic disease, particularly severe asthma and a history of anaphylaxis — a relative contraindication; the test is then performed with preparedness for anaphylaxis. An untreated…

Urinary alkalinisation

…control centre for advice on the treatment threshold and on whether haemodialysis should be considered. Rhabdomyolysis with marked elevation of CK and threatened kidney injury…

Cardiac amyloidosis

…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…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…Contraindications Asthma and COPD. Adenosine has caused mild to moderate exacerbation of asthma symptoms. Adenosine should be used with caution in patients with obstructive lung…

Peripheral venous cannula and intraosseous access

…long for thick soft tissue and for the head of the humerus. A pressure bag or a 50 mL syringe with a three way tap…

Diuretic Strategy and Decongestion in Heart Failure

…therapy Increase diuretic dose and/or combine diuretic classes Diuretic resistance or end stage renal failure Consider renal replacement therapy Hypoperfusion with persistent organ injury…

Cardiac arrest in hyperthermia and malignant hyperthermia

…with lower temperatures. Electrolyte replacement. Large infusions of fluids are typically needed. Table 1. Grading of hyperthermia. Body temperature should decrease at a rate of…

Acute kidney injury: quick reference for management

…Definition and staging according to KDIGO Acute kidney injury is present when at least one of the following criteria is met [1]: A rise in…

Intensive care parameters

…the management of delirium in intensive care. Renal replacement therapy Absolute indications: refractory hyperkalaemia, refractory acidosis, refractory fluid overload, uraemic symptoms (pericarditis, encephalopathy) and certain…

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