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Continue reading →: Hidroxicobalamina – in hipotensiunea refractara
Mecanism Indicatii Administrare Efecte secundare
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Continue reading →: Rocuronium – blocare neuromusculara si reversie
Administrarea de rocuroniu – doza de IOT calculata la IBW 0.6 mg/kg IBW (doza se scade cu 15 % pentru femei) Monitorizare EMG – TOF count sau PTC – evitare administrare in ultimele 30 min ale procedurii daca este posibil Reversie Neostigmina 15-30 𝜇g/kg + Glicopirolat 1:5 imediat dupa neostigmina…
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Continue reading →: Hipertensiunea pulmonara arteriala vs venoasa
Parametru PAH Pulmonary Arterial Hypertension PVH Pulmonary Venous Hypertension RV ↑ ↑ LA ↓ ↑ RA/LASize ratio ↑ N ( LA > RA) Sept interatrial Impins spre stanga Impins spre stanga RVOT Frecvent Rar E/A < 1 >1 Lat e’ N ↓ Lat E/e’ > 8 > 10 Ao pressure…
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Continue reading →: Clasificarea NYHA
I B Insuficienta cardiaca fara limitare a activitatii fizice II B Insuficienta cardiaca cu limitare usoara a activitatii fizice, asimp la repaus, la act fizica dispnee, palpitatii III B Insuficienta cardiaca cu limitare severa a act fizice, asimp la repaus, la act fizica usoara oboseala, dispnee, palpitatii IV B Insuficienta cardiaca limitand orice…
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Continue reading →: ECG ff pe scurt
Tips and tricks HR = 300 / Nr de casute mari dintre 2 QRS 1 casuta mare = 0.2 sec1 casuta mica = 0.04 sec 1 casuta mica = 0.04 sec PR = 0.12 – 0.2 sec Indice Sokolov R5/6 + S1/2 > 3.5 mV QRS 0.1 sec > 0.12 sec BR…
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Continue reading →: Diabet insipid vs SIADH
Diabetul insipid SIADH Fiziopatologie Lipsa ADH Exces ADH Etiologie Neurogenica – lipsa de secretie ADHNefrogenica – insensibitate la ADH Secretia crescuta in ciuda osmolaritatii serice scazute Cauze NeurologiceTCC/Chirurgie cerebralaSarcoidozaTumoare cerebrala – Craniofaringeom/Pinealom/Meningeom/Disgerminom/ Glanda pituitaraNefrologiceHipopotasemieHipercalcemieHipotermieInsuficienta renal cronicaLitiuAlcool TCC/ Tumori SNCPost-chirurgicalProducere ectopica tumoralaB hepaticaCancer pulmonar/B pulmonaraHipotiroidismInsuficieta CSR Semne si simptome Modificari status…
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Continue reading →: Volum lichid pleural
Formula Balik Volum lichid pleural (ml) = Distanta masurata ecografic (mm) x 20 pH lichid pleural < 7.2 = infectie Lichidul este considerat exudat daca oricare dintre urmatoarele criterii sunt descoperite. Lichidul este considerat transudat daca toate criteriile lipsesc. Criteriile Light’s
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Continue reading →: Levosimendan
Studii LICORN – dupa inductie 24 h 0.1 𝛾/kg/min CHEETAH – postoperator 0.07 𝛾/kg/min 33h (12.5 mg/100 ml G5%) LEVO – CTS – 0.2 𝛾/kg/min 60 min, 0.1 𝛾/kg/min 23 h Simdax 2.5 mg/ml → 5 ml/flc → 12.5 mg/flc 12.5 mg/flc + 500 ml G5% → 0.025 mg/ml → 25 𝛾/ml 0.1…
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Continue reading →: GIK
→ 5 f G 33% + 10 ml KCl + 10 u Insulina → 70 ml/h → 500 ml G 10% + 10 u Insulina + 10 ml KCl → 100 ml/h – ionograma / 6 h – glicemie /2 h 1 mmol G = 18 mg/dl glicemie target 100…
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