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Opioid therapy in severe pain

…pain and pain in the palliative phase. Severe breathlessness in the palliative phase (at lower doses than for pain). An opioid is rarely the right…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…80% of cases. Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary muscle rupture with acute severe mitral regurgitation—predominant right…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…to BNP and NT proBNP in heart failure (HF). The biologically active natriuretic peptides promote vasodilation, renal sodium and water excretion, and reduction of cardiac…

Injection technique — intramuscular, subcutaneous and intradermal

…the inverted triangle formed between the acromion and the lower tip of the muscle insertion. 3. Stretch the skin with the thumb and index finger…

Left atrial enlargement (P mitrale) & right atrial enlargement (P pulmonale) on ECG

…The first half of the P wave is therefore a reflection of right atrial activation and the second half is a reflection of left atrial…

Overview of the ECG Waves, Deflections, Intervals, Durations

…left ventricle is usually considerably larger than the right ventricle, the QRS complex is actually a reflection of the electrical potentials generated by the left…

Technical aspects of the ultrasound image

…image of the tissue, the ultrasound machine must overcome the following technical obstacles. The ultrasound machine must know which sound waves are reflected and from…

ECG interpretation: Characteristics of the normal ECG (P-wave, QRS complex, ST segment, T-wave)

…left ventricle is many times larger than the vector generated by the right ventricle, the QRS complex is actually a reflection of left ventricular depolarization…

Brugada Syndrome: Diagnosis & SCD Prevention

Cardiology Introduction Since its initial description in 1992 as a syndrome of right bundle branch block, ST segment elevation, and sudden cardiac death (SCD), Brugada…

Diuretic Strategy and Decongestion in Heart Failure

…venous outflow and persistent right sided congestion may be important mechanisms. Diuretics relieve the hemodynamic consequences of congestion by producing a negative sodium and water…

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