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Neutropenic fever: quick reference for emergency management

…urinary tract and neurology 7 Give an intravenous antipseudomonal beta lactam as soon as possible, aiming for within 60 minutes 8 Give oxygen, fluid and…

Empirical antibiotic therapy: quick reference for common infections

…airway infection cefotaxime 1–2 g × 3 IV Depends on the diagnosis Always assess the severity clinically, whatever the DS CRB65 score. Urinary tract Diagnosis…

Antibiotic dosing in renal impairment: quick reference

…urinary tract infection. At an eGFR <30 mL/min the antibacterial effect is lost. Dosed independently of renal function Doxycycline, erythromycin, clindamycin, metronidazole, moxifloxacin and…

Edrophonium test

…the bowel or the urinary tract. Marked bradycardia, sick sinus syndrome or high grade AV block without pacemaker protection. Asthma and other marked obstructive airways…

Urinary catheterisation

…anaesthesia. Bladder washout and continuous irrigation in macroscopic haematuria with clots (a three way catheter). Instillation therapy and contrast studies of the urinary tract. Wound…

Acute kidney injury: quick reference for management

…kidneys and urinary tract when a postrenal cause cannot confidently be excluded. 10. Contact nephrology early in severe, progressive or diagnostically unclear AKI. Definition and…

Urinary alkalinisation

…MCPA) and methotrexate overdose. Tumour lysis syndrome appears as an indication in older protocols but is no longer routinely recommended — alkaline urine increases the precipitation…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…3 months and have health implications. Diagnostic criteria include an estimated glomerular filtration rate (eGFR) below 60 mL/min/1.73 m², excess urinary albumin…

Delirium in older adults: quick reference

…not the end. In a frail older patient an apparently small insult — sleep deprivation, urinary retention or a new sedative drug, for example — may be…

Hypertensive crisis: drugs and doses

…following 24 to 48 hours [3,4,6]. This is a general principle, not a universal target. Chronic hypertension shifts autoregulation in the brain and…

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