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Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1
Metabolism of ester anesthetics is by plasma cholinesterase, whereas amides are metabolized by the cytochrome P450 system in the liver. [6] 6] Action of local anesthetics is dependent upon the molecule crossing the plasma membrane in a unionized form. [2] If epinephrine is used, small initial doses ( <1 ug/kg) are preferred.
Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1
The first was the suggestion to use balanced crystalloid fluids, such as lactated ringers or plasma-lyte, instead of normal saline. 34 If a MAP of 65 mmHg is still not achieved, epinephrine should be added as a third agent (Figure 1). Restriction of Intravenous Fluid in ICU Patients with Septic Shock. units/minute. N Engl J Med.
Chest compressions were continued, and the patient was given 1 round of epinephrine, calcium, bicarb, glucose. Terbutaline and Albuterol for Lowering of Plasma Postassium Initial labs returned and confirmed critical hyperkalemia and new renal failure. We should also have given 0.25mg intramuscular terbutaline, but we did not.
Episode 112: Guillain-Barr Syndrome Part 2 ED treatment: IVIG and plasma exchange are the main treatment modalities. Have push dose epinephrine at the bedside as induction can remove sympathetic tone and result in a vagal episode. For the presentation and ED evaluation of GBS, please see Part 1. Rocuronium is the preferred paralytic.
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