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Pulmonary Hypertension: Classification and Treatment Principles

…hypoxia, or sleep disordered breathing Group 4: Chronic thromboembolic pulmonary hypertension (CTEPH) and chronic thromboembolic pulmonary disease Group 5: PH with unclear or multifactorial mechanisms…

Acute exacerbation of COPD: quick reference

…saturation : : Known COPD or another clear risk of hypercapnic respiratory failure 88 to 92 percent No risk of hypercapnia and a normal blood gas Usually…

Opioids in acute pain: quick reference for dosing and conversion

…25–50 per cent and titrate. At a high dose, in old age or in renal failure, reduce it further. Starting doses in acute pain…

Paracentesis

…with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain and peritonism and instead presents as encephalopathy, renal failure or…

ACE Inhibitor Cough and Angioedema: Practical Management

…the management of hypertension, chronic ischemic heart disease, heart failure with reduced ejection fraction (HFrEF), and post myocardial infarction (MI) care. Despite their proven morbidity…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…pH and bicarbonate. An arterial blood gas is needed mainly when concomitant respiratory failure or an exact assessment of oxygenation requires it [3]. Calculation of…

Lung function and respiration

…1 respiratory failure: PaO₂ < 8 kPa with a normal or low PaCO₂ — a problem of oxygenation. Type 2: PaO₂ < 8 kPa with a…

Opioid therapy in severe pain

…A failure to improve function is a reason to taper off, not to increase the dose. Contraindications Ongoing respiratory depression, or untreated severe respiratory failure…

Type 2 Myocardial Infarction: Mechanisms and Management

…respiratory failure with severe hypoxaemia, severe anaemia, and hypotension or shock. Conversely, mechanisms that increase myocardial oxygen demand include sustained tachyarrhythmia and severe hypertension, with…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…Life Support (ECLS) encompasses several extracorporeal systems designed to assist in cases of cardiac or respiratory failure by means of an extracorporeal pump and oxygenator…

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