By John Papadopoulos
This is a no-nonsense consultant to drug remedy within the in depth care unit. It covers the main usually encountered stipulations and is geared up through process. administration of every situation is tersely defined step by step in desk layout. The publication additionally comprises non-drug details that's necessary to making knowledgeable, evidence-based pharmacotherapy judgements, corresponding to threat ratings, scales, and evaluation instruments.
The moment variation has been revised to mirror the newest serious care perform guidance and updated drug and non-drug information.
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Extra resources for Pocket Guide to Critical Care Pharmacotherapy
Example text
5 (range 2–3), dabigatran, or LMHW for at least 3 weeks before elective cardioversion and for at least 4 weeks after successful cardioversion. Decisions beyond 4 weeks should be based on risk-based recommendations for long-term anticoagulation ○ If duration less than 48 h, can perform electric or pharmacological cardioversion with intravenous unfractionated heparin or full dose low molecular weight heparin (LMWH) initiated at presentation then therapeutic anticoagulation for at least 4 weeks after successful cardioversion.
5 (range between 2 and 3) plus single antiplatelet therapy for the first 12 months. 5 (range 2–3), dabigatran, or LMHW for at least 3 weeks before elective cardioversion and for at least 4 weeks after successful cardioversion. Decisions beyond 4 weeks should be based on risk-based recommendations for long-term anticoagulation ○ If duration less than 48 h, can perform electric or pharmacological cardioversion with intravenous unfractionated heparin or full dose low molecular weight heparin (LMWH) initiated at presentation then therapeutic anticoagulation for at least 4 weeks after successful cardioversion.
5–1 g/h • 1 mEq/kg IVP 14 Advance Cardiac Life Support Use cautiously in patients with left ventricular dysfunction IVP Intravenous push, SQ Subcutaneous, CPR Cardiopulmonary resuscitation Notes: 1. Pharmacological agents play a secondary role to electric cardioversion in unstable patients 2. Priorities for drug access are: intravenous > intraosseous > endotracheal 3. Intravenous route: a peripheral IV is preferred for drug administration, unless a central line is already present; administer intravenous drugs by rapid bolus followed with a 20 mL flush of intravenous fluid; elevated the extremity above the level of the heart for 10–20 s if peripheral venous access is utilized during resuscitation 4.
