…ulcer A proton pump inhibitor with concomitant NSAID use or a history of ulcer, not routinely Infection Consider Pneumocystis prophylaxis with high doses over a…

…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…

…and a history of anaphylaxis — a relative contraindication; the test is then performed with preparedness for anaphylaxis. An untreated Addisonian crisis in progress: treat first…

…Potassium replacement is not the management of a side effect; it is part of the treatment itself. Indications Salicylate poisoning with symptoms or a rising…

…Potent blood pressure lowering effect. Pain relief. Delivery IV, IM, PO, transdermal Dose Injection IV: • 150 μg in 1 ml vial. Dilute with 10…

…10]. Physical examination may reveal a normal or low pulse pressure, an elevated jugular venous pressure with a paradoxical rise on inspiration (Kussmaul sign), and…

…convulsion, tachycardia, hypotension, coma. As above but with lower temperatures. Electrolyte replacement. Large infusions of fluids are typically needed. Table 1. Grading of hyperthermia. Body…

…alter disease progression. Diuretics may be used for symptom relief. Surgical repair or valve replacement is considered when medical therapy is insufficient, or when concomitant…

…or renal replacement therapy started Below 0.3 mL/kg/h for at least 24 hours, or anuria for at least 12 hours Use whichever…

…circulatory and haemodynamic parameters for pressures, flows and shock profiles. Acid–base and electrolytes in intensive care Neurological monitoring Parameter Target Comment : : : Intracranial pressure (ICP)…

…tissue and for the head of the humerus. A pressure bag or a 50 mL syringe with a three way tap — intraosseous flow requires pressure …

…may produce cardiorenal syndrome. Worsening renal function in the presence of persistent congestion is particularly associated with elevated central venous pressure, which is transmitted to…

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

…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…

…Generally, adenosine is considered safe for patients with narrow complex tachycardia (NCT). Adenosine typically causes a short lasting second or third degree AV block which…

…severe acute or chronic heart failure. Consider urgent angiography in patients with unknown etiology for acute severe heart failure. A recent echocardiographic examination should be…