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Levosimendan (Simdax, Simendan) in acute heart failure

…and initiation of renal replacement therapy. The study found no significant differences between the two treatment groups with respect to either the primary or secondary…

Urinary alkalinisation

…Heart failure, pulmonary oedema and other conditions with a high risk of fluid overload — a relative contraindication requiring invasive monitoring and slower administration. Significant metabolic…

Diuretic Strategy and Decongestion in Heart Failure

…diuretic classes Diuretic resistance or end stage renal failure Consider renal replacement therapy Hypoperfusion with persistent organ injury Consider mechanical circulatory support Refractory advanced disease…

Short Synacthen test

…or with suspected suppression of the HPA axis after long term glucocorticoid treatment. A basal morning cortisol in the grey zone. A morning value below…

Corticosteroids: quick reference for dose equivalents and stress dosing

…about suppression of the HPA axis, where a long half life produces more marked suppression. Stress dosing in known adrenal insufficiency A patient with primary…

Cardiac amyloidosis

…patients with severe aortic stenosis, particularly the low flow, low gradient phenotype, or those undergoing aortic valve replacement [1, 5, 10]. A history of increasing…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…names : Adenocor Mechanism of action Adenosine works by slowing down the impulse transmission through the atrioventricular (AV) node, thereby interfering with the pathway that enables…

Peripheral venous cannula and intraosseous access

…with needles in three lengths: short for children and slim limbs, medium for most adults, long for thick soft tissue and for the head of…

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

…injury, AKI, is a syndrome of rapidly deteriorating renal function. Management is governed not by the creatinine value alone but by the course, urine output…

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