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This file was processed as: EPOC Installation Package
(archive/epocInstallationPackage).
| Confidence | Program | Detection | Match Type | Support
|
|---|
| 100%
| dexvert
| EPOC Installation Package (archive/epocInstallationPackage)
| magic
| Supported |
| 1%
| dexvert
| Symbian Series 3 Installation file (other/symbianSeries3InstallationFile)
| ext
| Unsupported |
| 100%
| file
| Symbian installation file (EPOC release 3/4/5)
| default
| |
| 99%
| file
| data
| default
| |
| 100%
| TrID
| EPOC Installation package (rel. 2,3,5)
| default
| |
| 100%
| gt2
| Kopftext: 'nnt;m'
| default (weak)
| |
| 100%
| xdgMime
| application/vnd.symbian.install
| default
|
|
hex view+--------+-------------------------+-------------------------+--------+--------+
|00000000| 6e 6e 74 3b 6d 00 00 10 | 19 04 00 10 84 92 3c a2 |nnt;m...|......<.|
|00000010| 8a 3a 01 00 02 00 00 00 | 00 00 00 00 00 00 00 00 |.:......|........|
|00000020| 64 00 00 00 00 00 00 00 | 01 00 00 00 00 00 00 00 |d.......|........|
|00000030| 44 00 00 00 46 00 00 00 | 8e 00 00 00 00 00 00 00 |D...F...|........|
|00000040| 8e 00 00 00 01 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000050| 00 00 0e 00 00 00 96 00 | 00 00 15 00 00 00 a4 00 |........|........|
|00000060| 00 00 cd cc 00 00 f0 00 | 00 00 00 00 00 00 01 00 |........|........|
|00000070| 00 00 02 00 00 00 12 00 | 00 00 b9 00 00 00 19 00 |........|........|
|00000080| 00 00 cb 00 00 00 88 02 | 00 00 bd cd 00 00 0c 00 |........|........|
|00000090| 00 00 e4 00 00 00 43 3a | 5c 53 69 73 74 65 6d 70 |......C:|\Sistemp|
|000000a0| 5c 4d 65 64 21 3a 5c 50 | 73 69 6f 6e 35 43 44 31 |\Med!:\P|sion5CD1|
|000000b0| 5c 4d 65 64 35 5c 4d 65 | 64 43 3a 5c 53 69 73 74 |\Med5\Me|dC:\Sist|
|000000c0| 65 6d 70 5c 42 69 73 2e | 74 78 74 21 3a 5c 50 73 |emp\Bis.|txt!:\Ps|
|000000d0| 69 6f 6e 35 43 44 31 5c | 4d 65 64 35 5c 42 69 73 |ion5CD1\|Med5\Bis|
|000000e0| 2e 74 78 74 4d 65 64 35 | 20 35 31 2e 32 20 6b 42 |.txtMed5| 51.2 kB|
|000000f0| 50 00 00 10 6d 00 00 10 | 86 00 00 10 fe a1 08 55 |P...m...|.......U|
|00000100| 06 93 01 00 00 00 00 00 | 2b cb 00 00 5f 5c 09 40 |........|+..._\.@|
|00000110| 00 00 00 00 00 00 00 00 | 00 0a 40 69 00 00 10 00 |........|..@i....|
|00000120| 01 00 00 00 00 0d 40 03 | 00 00 00 30 00 00 00 00 |......@.|...0....|
|00000130| 00 00 00 00 28 40 69 00 | 00 10 00 01 00 00 00 02 |....(@i.|........|
|00000140| 1a 54 61 62 6c 65 31 04 | 16 43 6f 6c 41 31 0e 00 |.Table1.|.ColA1..|
|00000150| 16 43 6f 6c 42 31 10 00 | 20 04 00 00 00 00 06 40 |.ColB1..| ......@|
|00000160| 00 00 00 00 00 00 20 80 | 00 00 00 00 00 00 00 00 |...... .|........|
|00000170| 04 00 00 00 00 00 00 00 | 00 00 26 00 00 00 00 50 |........|..&....P|
|00000180| 00 00 00 00 17 00 00 00 | 1d 41 41 75 67 6d 65 6e |........|.AAugmen|
|00000190| 74 69 6e 20 44 6f 73 65 | 73 3a 06 06 49 6e 66 61 |tin Dose|s:..Infa|
|000001a0| 6e 74 20 75 70 20 74 6f | 20 33 20 6d 6f 6e 74 68 |nt up to| 3 month|
|000001b0| 73 20 3a 20 32 35 6d 67 | 2f 6b 67 20 74 64 73 06 |s : 25mg|/kg tds.|
|000001c0| 43 68 69 6c 64 20 75 6e | 64 65 72 20 36 20 79 72 |Child un|der 6 yr|
|000001d0| 73 20 3a 20 41 75 67 6d | 65 6e 74 69 6e 20 31 32 |s : Augm|entin 12|
|000001e0| 35 2f 33 31 20 53 46 20 | 53 75 73 70 65 6e 73 69 |5/31 SF |Suspensi|
|000001f0| 6f 6e 2e 20 20 35 6d 6c | 73 20 74 64 73 2e 06 43 |on. 5ml|s tds..C|
|00000200| 68 69 6c 64 20 36 20 2d | 20 31 32 79 72 73 20 3a |hild 6 -| 12yrs :|
|00000210| 20 41 75 67 6d 65 6e 74 | 69 6e 20 32 35 30 2f 36 | Augment|in 250/6|
|00000220| 32 20 53 46 20 53 75 73 | 70 65 6e 73 69 6f 6e 2e |2 SF Sus|pension.|
|00000230| 20 20 35 6d 6c 73 20 74 | 64 73 2e 06 41 62 6f 76 | 5mls t|ds..Abov|
|00000240| 65 20 31 32 20 79 72 73 | 20 3a 20 32 35 30 2f 31 |e 12 yrs| : 250/1|
|00000250| 32 35 20 28 33 37 35 6d | 67 29 20 74 61 62 6c 65 |25 (375m|g) table|
|00000260| 74 73 2e 20 20 54 20 74 | 64 73 2e 06 41 64 75 6c |ts. T t|ds..Adul|
|00000270| 74 20 73 65 72 69 6f 75 | 73 20 69 6e 66 65 63 74 |t seriou|s infect|
|00000280| 69 6f 6e 73 20 3a 20 35 | 30 30 2f 31 32 35 20 28 |ions : 5|00/125 (|
|00000290| 36 32 35 6d 67 29 20 74 | 61 62 6c 65 74 73 2e 20 |625mg) t|ablets. |
|000002a0| 54 20 74 64 73 2e 06 0e | 42 42 61 63 6b 20 66 72 |T tds...|BBack fr|
|000002b0| 6f 6d 20 49 54 55 20 43 | 68 65 63 6b 75 70 3a 06 |om ITU C|heckup:.|
|000002c0| 06 50 6f 73 74 20 6f 70 | 20 64 61 79 20 31 20 28 |.Post op| day 1 (|
|000002d0| 50 4f 23 31 29 06 52 65 | 74 75 72 6e 20 66 72 6f |PO#1).Re|turn fro|
|000002e0| 6d 20 49 54 55 20 2f 20 | 48 44 55 06 4f 70 65 72 |m ITU / |HDU.Oper|
|000002f0| 61 74 69 6f 6e 06 44 72 | 61 69 6e 73 20 26 20 6c |ation.Dr|ains & l|
|00000300| 69 6e 65 73 2e 20 3f 4f | 78 79 67 65 6e 2e 20 3f |ines. ?O|xygen. ?|
|00000310| 4d 6f 6e 69 74 6f 72 06 | 4e 65 75 72 6f 3a 2d 20 |Monitor.|Neuro:- |
|00000320| 41 77 61 6b 65 20 26 20 | 54 61 6c 6b 69 6e 67 2e |Awake & |Talking.|
|00000330| 20 3f 50 61 69 6e 2e 06 | 43 56 53 3a 2d 20 50 75 | ?Pain..|CVS:- Pu|
|00000340| 6c 73 65 2c 20 42 50 2c | 20 4a 56 50 2c 20 41 70 |lse, BP,| JVP, Ap|
|00000350| 65 78 2c 20 48 53 2e 06 | 57 65 6c 6c 20 48 79 64 |ex, HS..|Well Hyd|
|00000360| 72 61 74 65 64 2e 20 20 | 57 61 72 6d 20 50 65 72 |rated. |Warm Per|
|00000370| 69 70 68 65 72 69 65 73 | 2e 06 43 68 65 73 74 3a |ipheries|..Chest:|
|00000380| 2d 20 54 72 61 63 68 65 | 61 2c 20 52 52 2c 20 42 |- Trache|a, RR, B|
|00000390| 53 2c 20 41 64 64 65 64 | 20 53 6f 75 6e 64 73 2e |S, Added| Sounds.|
|000003a0| 06 41 62 64 6f 6d 65 6e | 06 46 6c 75 69 64 20 42 |.Abdomen|.Fluid B|
|000003b0| 61 6c 61 6e 63 65 3a 2d | 06 2d 20 43 72 79 73 74 |alance:-|.- Cryst|
|000003c0| 61 6c 6f 69 64 20 69 6e | 20 26 20 55 72 69 6e 65 |aloid in| & Urine|
|000003d0| 20 6f 75 74 06 2d 20 43 | 6f 6c 6c 6f 69 64 20 69 | out.- C|olloid i|
|000003e0| 6e 20 26 20 43 6f 6c 6c | 6f 69 64 20 6f 75 74 20 |n & Coll|oid out |
|000003f0| 28 45 67 2e 20 66 72 6f | 6d 20 64 72 61 69 6e 73 |(Eg. fro|m drains|
|00000400| 29 06 2d 20 54 6f 74 61 | 6c 20 66 6c 69 75 64 20 |).- Tota|l fliud |
|00000410| 62 61 6c 61 6e 63 65 06 | 42 6c 6f 6f 64 73 3a 06 |balance.|Bloods:.|
|00000420| 2d 20 46 42 43 3a 20 57 | 42 43 2c 20 48 62 2c 20 |- FBC: W|BC, Hb, |
|00000430| 50 6c 61 74 2c 20 48 63 | 74 2e 06 2d 20 55 2b 45 |Plat, Hc|t..- U+E|
|00000440| 3a 20 4e 61 2c 20 4b 2c | 20 55 72 65 61 2c 20 43 |: Na, K,| Urea, C|
|00000450| 72 65 61 74 2e 06 2d 20 | 41 42 47 27 73 3a 20 70 |reat..- |ABG's: p|
|00000460| 48 2c 20 70 4f 32 2c 20 | 70 43 4f 32 2c 20 48 43 |H, pO2, |pCO2, HC|
|00000470| 4f 33 2c 20 42 45 20 28 | 42 61 73 65 20 45 78 63 |O3, BE (|Base Exc|
|00000480| 65 73 73 29 2c 20 4f 32 | 20 53 61 74 2e 06 45 43 |ess), O2| Sat..EC|
|00000490| 47 06 43 58 52 06 50 6c | 61 6e 3a 20 50 68 79 73 |G.CXR.Pl|an: Phys|
|000004a0| 69 6f 2c 20 46 42 43 2c | 20 44 61 78 2c 20 43 58 |io, FBC,| Dax, CX|
|000004b0| 52 2c 20 45 43 47 06 08 | 4a 42 69 6f 63 68 65 6d |R, ECG..|JBiochem|
|000004c0| 69 73 74 72 79 20 4e 6f | 72 6d 61 6c 20 56 61 6c |istry No|rmal Val|
|000004d0| 75 65 73 20 28 50 6c 61 | 73 6d 61 29 20 3a 06 06 |ues (Pla|sma) :..|
|000004e0| 41 63 69 64 20 50 68 6f | 73 70 68 61 74 61 73 65 |Acid Pho|sphatase|
|000004f0| 20 20 28 54 6f 74 61 6c | 29 09 09 09 31 20 2d 20 | (Total|)...1 - |
|00000500| 35 20 49 55 2f 6c 06 41 | 63 69 64 20 50 68 6f 73 |5 IU/l.A|cid Phos|
|00000510| 70 68 61 74 61 73 65 20 | 20 28 50 72 6f 73 74 61 |phatase | (Prosta|
|00000520| 74 69 63 29 09 09 30 20 | 2d 20 31 20 49 55 2f 6c |tic)..0 |- 1 IU/l|
|00000530| 06 41 43 54 48 09 09 09 | 09 09 09 09 09 09 3c 20 |.ACTH...|......< |
|00000540| 38 30 20 6e 67 2f 6c 06 | 41 6c 62 75 6d 69 6e 09 |80 ng/l.|Albumin.|
|00000550| 09 09 09 09 09 09 09 33 | 35 20 2d 20 35 30 20 67 |.......3|5 - 50 g|
|00000560| 2f 6c 06 41 6c 6b 61 6c | 69 6e 65 20 50 68 6f 73 |/l.Alkal|ine Phos|
|00000570| 70 68 61 74 61 73 65 20 | 20 28 41 6c 6b 20 50 68 |phatase | (Alk Ph|
|00000580| 6f 73 29 09 33 30 20 2d | 20 33 30 30 20 55 2f 6c |os).30 -| 300 U/l|
|00000590| 06 41 6c 61 6e 69 6e 65 | 20 41 6d 69 6e 6f 74 72 |.Alanine| Aminotr|
|000005a0| 61 6e 73 66 65 72 61 73 | 65 20 20 28 41 4c 54 29 |ansferas|e (ALT)|
|000005b0| 09 35 20 2d 20 33 35 20 | 55 2f 6c 06 41 6d 79 6c |.5 - 35 |U/l.Amyl|
|000005c0| 61 73 65 09 09 09 09 09 | 09 09 09 33 30 20 2d 20 |ase.....|...30 - |
|000005d0| 31 37 30 20 55 2f 6c 06 | 41 6e 69 6f 6e 20 47 61 |170 U/l.|Anion Ga|
|000005e0| 70 09 09 09 09 09 09 09 | 31 32 20 2d 20 31 38 20 |p.......|12 - 18 |
|000005f0| 6d 69 6c 6c 69 2d 65 71 | 69 76 2f 6c 06 41 73 70 |milli-eq|iv/l.Asp|
|00000600| 61 72 74 61 74 65 20 41 | 6d 69 6e 6f 74 72 61 6e |artate A|minotran|
|00000610| 73 66 65 72 61 73 65 20 | 28 41 53 54 29 09 37 2d |sferase |(AST).7-|
|00000620| 34 30 20 55 2f 6c 06 42 | 69 63 61 72 62 6f 6e 61 |40 U/l.B|icarbona|
|00000630| 74 65 09 09 09 09 09 09 | 09 32 33 20 2d 20 33 30 |te......|.23 - 30|
|00000640| 20 6d 6d 6f 6c 2f 6c 06 | 42 69 6c 69 72 75 62 69 | mmol/l.|Bilirubi|
|00000650| 6e 20 28 54 6f 74 61 6c | 29 09 09 09 09 09 09 33 |n (Total|)......3|
|00000660| 20 2d 20 31 37 20 6d 69 | 63 6d 6f 6c 2f 6c 06 43 | - 17 mi|cmol/l.C|
|00000670| 61 6c 63 69 75 6d 09 09 | 09 09 09 09 09 09 32 2e |alcium..|......2.|
|00000680| 31 35 20 2d 20 32 2e 36 | 35 6d 6d 6f 6c 2f 6c 06 |15 - 2.6|5mmol/l.|
|00000690| 43 6f 72 72 65 63 74 65 | 64 20 43 61 6c 63 69 75 |Correcte|d Calciu|
|000006a0| 6d 20 09 09 09 09 09 41 | 64 64 20 30 2e 30 32 20 |m .....A|dd 0.02 |
|000006b0| 66 6f 72 20 65 76 65 72 | 79 20 67 2f 6c 20 74 68 |for ever|y g/l th|
|000006c0| 65 06 09 09 09 09 09 09 | 09 09 09 09 6d 65 61 73 |e.......|....meas|
|000006d0| 75 72 65 64 20 41 6c 62 | 75 6d 69 6e 20 69 73 20 |ured Alb|umin is |
|000006e0| 3c 20 34 30 2e 06 43 68 | 6c 6f 72 69 64 65 09 09 |< 40..Ch|loride..|
|000006f0| 09 09 09 09 09 09 39 35 | 20 2d 20 31 30 38 20 6d |......95| - 108 m|
|00000700| 6d 6f 6c 2f 6c 06 43 68 | 6f 6c 65 73 74 65 72 6f |mol/l.Ch|olestero|
|00000710| 6c 09 09 09 09 09 09 09 | 33 2e 35 20 2d 20 36 2e |l.......|3.5 - 6.|
|00000720| 37 20 6d 6d 6f 6c 2f 6c | 06 09 09 09 09 09 09 56 |7 mmol/l|.......V|
|00000730| 4c 44 4c 09 09 09 30 2e | 31 32 38 20 2d 20 30 2e |LDL...0.|128 - 0.|
|00000740| 36 34 35 20 6d 6d 6f 6c | 2f 6c 06 09 09 09 09 09 |645 mmol|/l......|
|00000750| 09 4c 44 4c 09 09 09 31 | 2e 35 35 20 2d 20 34 2e |.LDL...1|.55 - 4.|
|00000760| 34 20 6d 6d 6f 6c 2f 6c | 06 09 09 09 09 09 09 48 |4 mmol/l|.......H|
|00000770| 44 4c 09 09 09 30 2e 39 | 20 2d 20 31 2e 39 33 20 |DL...0.9| - 1.93 |
|00000780| 6d 6d 6f 6c 2f 6c 06 43 | 6f 72 74 69 73 6f 6c 09 |mmol/l.C|ortisol.|
|00000790| 09 09 09 4d 69 64 6e 69 | 67 68 74 20 09 09 38 30 |...Midni|ght ..80|
|000007a0| 20 2d 20 32 38 30 20 6e | 6d 6f 6c 2f 6c 06 09 09 | - 280 n|mol/l...|
|000007b0| 09 09 09 09 39 2e 33 30 | 61 6d 09 09 34 35 30 20 |....9.30|am..450 |
|000007c0| 2d 20 37 30 30 20 6e 6d | 6f 6c 2f 6c 06 43 72 65 |- 700 nm|ol/l.Cre|
|000007d0| 61 74 69 6e 69 6e 65 09 | 09 09 09 09 09 09 37 30 |atinine.|......70|
|000007e0| 20 2d 20 31 35 30 20 6d | 69 63 6d 6f 6c 2f 6c 06 | - 150 m|icmol/l.|
|000007f0| 43 72 65 61 74 69 6e 65 | 20 4b 69 6e 61 73 65 20 |Creatine| Kinase |
|00000800| 20 28 43 4b 29 09 09 09 | 09 32 35 20 2d 20 32 30 | (CK)...|.25 - 20|
|00000810| 30 20 55 2f 6c 06 46 65 | 72 72 69 74 69 6e 09 09 |0 U/l.Fe|rritin..|
|00000820| 09 09 4d 61 6c 65 73 09 | 09 09 31 36 20 3c 20 39 |..Males.|..16 < 9|
|00000830| 30 20 3c 20 33 33 30 20 | 6e 67 2f 6d 6c 06 09 09 |0 < 330 |ng/ml...|
|00000840| 09 09 09 09 46 65 6d 61 | 6c 65 73 09 09 35 20 3c |....Fema|les..5 <|
|00000850| 20 31 38 20 3c 20 31 32 | 30 20 6e 67 2f 6d 6c 06 | 18 < 12|0 ng/ml.|
|00000860| 46 53 48 09 09 09 09 09 | 46 6f 6c 6c 69 63 75 6c |FSH.....|Follicul|
|00000870| 61 72 09 09 31 20 2d 20 | 31 30 20 55 2f 6c 06 09 |ar..1 - |10 U/l..|
|00000880| 09 09 09 09 09 4c 75 74 | 65 61 6c 09 09 36 20 2d |.....Lut|eal..6 -|
|00000890| 20 32 35 20 55 2f 6c 06 | 09 09 09 09 09 09 4d 61 | 25 U/l.|......Ma|
|000008a0| 6c 65 09 09 09 31 20 2d | 20 37 20 55 2f 6c 06 67 |le...1 -| 7 U/l.g|
|000008b0| 47 54 09 09 09 09 09 4d | 61 6c 65 09 09 09 31 31 |GT.....M|ale...11|
|000008c0| 20 2d 20 35 31 20 55 2f | 6c 06 09 09 09 09 09 09 | - 51 U/|l.......|
|000008d0| 46 65 6d 61 6c 65 09 09 | 37 20 2d 20 33 33 20 55 |Female..|7 - 33 U|
|000008e0| 2f 6c 06 47 6c 6f 62 75 | 6c 69 6e 09 09 09 09 09 |/l.Globu|lin.....|
|000008f0| 09 09 09 31 38 20 2d 20 | 33 32 20 67 2f 6c 06 47 |...18 - |32 g/l.G|
|00000900| 6c 75 63 6f 73 65 20 28 | 46 61 73 74 69 6e 67 29 |lucose (|Fasting)|
|00000910| 09 09 09 09 09 34 20 2d | 20 36 20 6d 6d 6f 6c 2f |.....4 -| 6 mmol/|
|00000920| 6c 06 47 6c 79 63 6f 73 | 79 6c 61 74 65 64 20 48 |l.Glycos|ylated H|
|00000930| 61 65 6d 61 67 6c 6f 62 | 69 6e 09 09 09 35 20 2d |aemaglob|in...5 -|
|00000940| 20 38 25 06 47 72 6f 77 | 74 68 20 48 6f 72 6d 6f | 8%.Grow|th Hormo|
|00000950| 6e 65 20 28 47 48 29 09 | 09 09 09 3c 20 32 30 20 |ne (GH).|...< 20 |
|00000960| 6d 55 2f 6c 06 48 44 4c | 20 4c 69 70 6f 70 72 6f |mU/l.HDL| Lipopro|
|00000970| 74 65 69 6e 09 09 09 09 | 09 09 30 2e 39 20 2d 20 |tein....|..0.9 - |
|00000980| 31 2e 37 20 6d 6d 6f 6c | 2f 6c 06 49 72 6f 6e 09 |1.7 mmol|/l.Iron.|
|00000990| 09 09 09 09 4d 61 6c 65 | 09 09 09 31 34 20 2d 20 |....Male|...14 - |
|000009a0| 33 30 20 6d 69 63 6d 6f | 6c 2f 6c 06 09 09 09 09 |30 micmo|l/l.....|
|000009b0| 09 09 46 65 6d 61 6c 65 | 09 09 31 31 20 2d 20 33 |..Female|..11 - 3|
|000009c0| 30 20 6d 69 63 6d 6f 6c | 2f 6c 06 49 72 6f 6e 20 |0 micmol|/l.Iron |
|000009d0| 69 6e 64 69 6e 67 20 43 | 61 70 61 63 69 74 79 20 |inding C|apacity |
|000009e0| 28 54 49 42 43 29 09 09 | 34 34 2d 37 30 20 6d 69 |(TIBC)..|44-70 mi|
|000009f0| 63 6d 6f 6c 2f 6c 06 4c | 61 63 74 61 74 65 20 44 |cmol/l.L|actate D|
|00000a00| 65 68 79 64 72 6f 67 65 | 6e 61 73 65 20 28 4c 44 |ehydroge|nase (LD|
|00000a10| 48 29 09 09 36 30 20 2d | 20 34 35 30 20 55 2f 6c |H)..60 -| 450 U/l|
|00000a20| 06 4c 48 09 09 09 09 46 | 6f 6c 6c 69 63 75 6c 61 |.LH....F|ollicula|
|00000a30| 72 09 09 09 31 20 2d 20 | 32 31 20 55 2f 6c 06 09 |r...1 - |21 U/l..|
|00000a40| 09 09 09 09 4d 69 64 20 | 43 79 63 6c 65 09 09 09 |....Mid |Cycle...|
|00000a50| 34 2e 35 20 2d 20 37 30 | 20 55 2f 6c 06 09 09 09 |4.5 - 70| U/l....|
|00000a60| 09 09 4c 75 74 65 61 6c | 09 09 09 31 20 2d 20 31 |..Luteal|...1 - 1|
|00000a70| 33 20 55 2f 6c 06 09 09 | 09 09 09 4d 61 6c 65 09 |3 U/l...|...Male.|
|00000a80| 09 09 09 31 20 2d 20 31 | 30 20 55 2f 6c 06 4d 61 |...1 - 1|0 U/l.Ma|
|00000a90| 67 6e 65 73 69 75 6d 09 | 09 09 09 09 09 09 30 2e |gnesium.|......0.|
|00000aa0| 37 35 20 2d 20 31 2e 30 | 35 20 6d 6d 6f 6c 2f 6c |75 - 1.0|5 mmol/l|
|00000ab0| 06 4f 73 6d 6f 6c 61 6c | 69 74 79 09 09 09 09 09 |.Osmolal|ity.....|
|00000ac0| 09 09 32 38 30 20 2d 20 | 32 39 35 20 6d 69 6c 6c |..280 - |295 mill|
|00000ad0| 69 20 6f 73 6d 6f 6c 73 | 2f 6b 67 06 50 61 72 61 |i osmols|/kg.Para|
|00000ae0| 74 68 79 72 6f 69 64 20 | 48 6f 72 6d 6f 6e 65 20 |thyroid |Hormone |
|00000af0| 28 50 54 48 29 09 09 09 | 30 2e 34 20 2d 20 30 2e |(PTH)...|0.4 - 0.|
|00000b00| 39 20 6e 67 2f 6d 6c 06 | 09 09 09 09 09 09 09 09 |9 ng/ml.|........|
|00000b10| 09 09 28 30 2e 38 20 2d | 20 38 2e 35 20 70 6d 6f |..(0.8 -| 8.5 pmo|
|00000b20| 6c 2f 6c 29 06 50 68 6f | 73 70 68 61 74 65 09 09 |l/l).Pho|sphate..|
|00000b30| 09 09 09 09 09 30 2e 38 | 20 2d 20 31 2e 34 35 20 |.....0.8| - 1.45 |
|00000b40| 6d 6d 6f 6c 2f 6c 06 50 | 6f 74 61 73 73 69 75 6d |mmol/l.P|otassium|
|00000b50| 09 09 09 09 09 09 09 09 | 33 2e 35 20 2d 20 35 2e |........|3.5 - 5.|
|00000b60| 30 20 6d 6d 6f 6c 2f 6c | 06 50 72 6f 6c 61 63 74 |0 mmol/l|.Prolact|
|00000b70| 69 6e 09 09 09 09 09 09 | 09 09 36 30 20 2d 20 33 |in......|..60 - 3|
|00000b80| 36 30 20 55 2f 6c 06 50 | 72 6f 73 74 61 74 69 63 |60 U/l.P|rostatic|
|00000b90| 20 53 70 65 63 69 66 69 | 63 20 41 6e 74 69 67 65 | Specifi|c Antige|
|00000ba0| 6e 20 28 50 53 41 29 09 | 30 20 2d 20 34 20 6e 67 |n (PSA).|0 - 4 ng|
|00000bb0| 2f 6c 06 50 72 6f 74 65 | 69 6e 20 28 54 6f 74 61 |/l.Prote|in (Tota|
|00000bc0| 6c 29 09 09 09 09 09 09 | 36 30 20 2d 20 38 30 20 |l)......|60 - 80 |
|00000bd0| 67 2f 6c 06 52 65 6e 69 | 6e 20 20 28 45 72 65 63 |g/l.Reni|n (Erec|
|00000be0| 74 2f 52 65 63 75 6d 62 | 65 6e 74 29 09 09 09 32 |t/Recumb|ent)...2|
|00000bf0| 2e 38 2d 34 2e 35 20 2f | 20 31 2e 31 2d 32 2e 37 |.8-4.5 /| 1.1-2.7|
|00000c00| 20 70 6d 6f 6c 2f 6d 6c | 2f 68 72 06 53 6f 64 69 | pmol/ml|/hr.Sodi|
|00000c10| 75 6d 09 09 09 09 09 09 | 09 09 31 33 35 20 2d 20 |um......|..135 - |
|00000c20| 31 34 35 20 6d 6d 6f 6c | 2f 6c 06 54 65 73 74 6f |145 mmol|/l.Testo|
|00000c30| 73 74 65 72 6f 6e 65 09 | 09 09 4d 61 6c 65 09 09 |sterone.|..Male..|
|00000c40| 09 39 20 2d 20 32 34 20 | 6e 6d 6f 6c 2f 6c 06 09 |.9 - 24 |nmol/l..|
|00000c50| 09 09 09 09 09 46 65 6d | 61 6c 65 09 09 30 2e 35 |.....Fem|ale..0.5|
|00000c60| 20 2d 20 32 2e 35 20 6e | 6d 6f 6c 2f 6c 06 54 68 | - 2.5 n|mol/l.Th|
|00000c70| 79 72 6f 78 69 6e 65 20 | 28 46 72 65 65 20 54 34 |yroxine |(Free T4|
|00000c80| 29 09 09 09 09 09 39 20 | 2d 20 32 33 20 70 69 63 |).....9 |- 23 pic|
|00000c90| 6d 6f 6c 2f 6c 06 54 68 | 79 72 6f 78 69 6e 65 20 |mol/l.Th|yroxine |
|00000ca0| 28 54 6f 74 61 6c 29 09 | 09 09 09 09 37 30 20 2d |(Total).|....70 -|
|00000cb0| 20 31 34 30 20 6e 6d 6f | 6c 2f 6c 06 54 68 79 72 | 140 nmo|l/l.Thyr|
|00000cc0| 6f 69 64 20 42 69 6e 64 | 69 6e 67 20 47 6c 6f 62 |oid Bind|ing Glob|
|00000cd0| 75 6c 69 6e 20 20 28 54 | 42 47 29 09 37 20 2d 20 |ulin (T|BG).7 - |
|00000ce0| 31 37 20 6d 67 2f 6c 06 | 54 72 69 2d 69 6f 64 6f |17 mg/l.|Tri-iodo|
|00000cf0| 74 68 79 72 6f 6e 69 6e | 65 20 28 54 6f 74 20 54 |thyronin|e (Tot T|
|00000d00| 33 29 09 09 09 31 2e 35 | 20 2d 20 33 2e 31 6e 6d |3)...1.5| - 3.1nm|
|00000d10| 6f 6c 2f 6c 06 54 53 48 | 09 09 09 09 09 4d 61 6c |ol/l.TSH|.....Mal|
|00000d20| 65 73 09 09 09 30 2e 34 | 35 20 2d 20 33 2e 38 20 |es...0.4|5 - 3.8 |
|00000d30| 55 2f 6c 06 09 09 09 09 | 09 09 46 65 6d 61 6c 65 |U/l.....|..Female|
|00000d40| 73 09 09 30 2e 34 20 2d | 20 34 2e 38 20 55 2f 6c |s..0.4 -| 4.8 U/l|
|00000d50| 06 09 09 09 09 09 46 65 | 6d 61 6c 65 73 20 3e 35 |......Fe|males >5|
|00000d60| 31 20 79 72 73 20 09 30 | 2e 34 30 20 2d 20 35 2e |1 yrs .0|.40 - 5.|
|00000d70| 37 20 55 2f 6c 06 54 72 | 69 67 6c 79 63 65 72 69 |7 U/l.Tr|iglyceri|
|00000d80| 64 65 73 09 09 09 09 09 | 09 09 30 2e 38 20 2d 20 |des.....|..0.8 - |
|00000d90| 31 2e 39 20 6d 6d 6f 6c | 2f 6c 06 55 72 61 74 65 |1.9 mmol|/l.Urate|
|00000da0| 20 2f 20 55 72 69 63 20 | 41 63 69 64 09 09 4d 61 | / Uric |Acid..Ma|
|00000db0| 6c 65 09 09 09 32 34 30 | 20 2d 20 35 30 30 20 6d |le...240| - 500 m|
|00000dc0| 69 63 6d 6f 6c 2f 6c 06 | 09 09 09 09 09 09 46 65 |icmol/l.|......Fe|
|00000dd0| 6d 61 6c 65 09 09 31 37 | 30 20 2d 20 34 35 30 20 |male..17|0 - 450 |
|00000de0| 6d 69 63 6d 6f 6c 2f 6c | 06 55 72 65 61 09 09 09 |micmol/l|.Urea...|
|00000df0| 09 09 09 09 09 09 32 2e | 35 20 2d 20 36 2e 37 20 |......2.|5 - 6.7 |
|00000e00| 6d 6d 6f 6c 2f 6c 06 56 | 69 74 61 6d 69 6e 20 42 |mmol/l.V|itamin B|
|00000e10| 31 32 09 09 09 09 09 09 | 09 30 2e 31 33 20 2d 20 |12......|.0.13 - |
|00000e20| 30 2e 36 38 20 6e 6d 6f | 6c 2f 6c 20 20 28 3e 31 |0.68 nmo|l/l (>1|
|00000e30| 35 30 6e 67 2f 6c 29 06 | 06 50 6c 65 75 72 61 6c |50ng/l).|.Pleural|
|00000e40| 20 41 73 70 69 72 61 74 | 65 20 50 72 6f 74 65 69 | Aspirat|e Protei|
|00000e50| 6e 09 09 09 09 3e 33 30 | 20 3d 20 45 78 75 64 61 |n....>30| = Exuda|
|00000e60| 74 65 06 09 09 09 09 09 | 09 09 09 09 09 3c 20 33 |te......|.....< 3|
|00000e70| 30 20 3d 20 54 72 61 6e | 73 75 64 61 74 65 06 09 |0 = Tran|sudate..|
|00000e80| 09 20 09 09 09 09 09 09 | 09 09 28 42 75 74 20 74 |. ......|..(But t|
|00000e90| 61 6b 65 20 69 6e 74 6f | 20 61 63 63 6f 75 6e 74 |ake into| account|
|00000ea0| 06 09 09 09 09 09 09 09 | 09 09 09 50 6c 61 73 6d |........|...Plasm|
|00000eb0| 61 20 54 6f 74 61 6c 20 | 50 72 6f 74 65 69 6e 29 |a Total |Protein)|
|00000ec0| 06 bf 41 42 69 6f 63 68 | 65 6d 69 73 74 72 79 20 |..ABioch|emistry |
|00000ed0| 4e 6f 72 6d 61 6c 20 56 | 61 6c 75 65 73 20 28 55 |Normal V|alues (U|
|00000ee0| 72 69 6e 65 29 20 3a 06 | 06 41 6d 79 6c 61 73 65 |rine) :.|.Amylase|
|00000ef0| 09 09 09 31 30 30 20 2d | 20 36 30 30 20 55 6e 69 |...100 -| 600 Uni|
|00000f00| 74 73 2f 64 61 79 06 43 | 61 6c 63 69 75 6d 09 09 |ts/day.C|alcium..|
|00000f10| 09 32 2e 35 20 2d 20 37 | 2e 35 20 6d 6d 6f 6c 2f |.2.5 - 7|.5 mmol/|
|00000f20| 64 61 79 06 43 68 6c 6f | 72 69 64 65 09 09 09 36 |day.Chlo|ride...6|
|00000f30| 30 20 2d 20 31 38 30 20 | 6d 6d 6f 6c 2f 64 61 79 |0 - 180 |mmol/day|
|00000f40| 06 43 6f 72 74 69 73 6f | 6c 20 28 46 72 65 65 29 |.Cortiso|l (Free)|
|00000f50| 09 3c 32 38 30 20 6e 6d | 6f 6c 2f 64 61 79 06 43 |.<280 nm|ol/day.C|
|00000f60| 72 65 61 74 69 6e 69 6e | 65 09 09 35 2e 37 20 2d |reatinin|e..5.7 -|
|00000f70| 20 31 37 20 6d 6d 6f 6c | 2f 64 61 79 06 4f 73 6d | 17 mmol|/day.Osm|
|00000f80| 6f 6c 61 6c 69 74 79 09 | 09 33 35 30 20 2d 20 31 |olality.|.350 - 1|
|00000f90| 30 30 30 20 6d 6f 73 6d | 6f 6c 2f 6b 67 06 4f 78 |000 mosm|ol/kg.Ox|
|00000fa0| 61 6c 61 74 65 09 09 09 | 30 2e 30 35 20 2d 20 30 |alate...|0.05 - 0|
|00000fb0| 2e 34 30 20 6d 6d 6f 6c | 2f 64 61 79 06 50 72 6f |.40 mmol|/day.Pro|
|00000fc0| 74 65 69 6e 20 28 54 6f | 74 61 6c 29 09 3c 20 31 |tein (To|tal).< 1|
|00000fd0| 35 30 20 6d 67 20 20 28 | 41 76 65 72 61 67 65 20 |50 mg (|Average |
|00000fe0| 31 30 20 2d 20 39 30 20 | 6d 67 29 06 50 68 6f 73 |10 - 90 |mg).Phos|
|00000ff0| 70 68 61 74 65 09 09 31 | 36 20 2d 20 34 38 20 6d |phate..1|6 - 48 m|
|00001000| 6d 6f 6c 2f 64 61 79 06 | 50 6f 74 61 73 73 69 75 |mol/day.|Potassiu|
|00001010| 6d 09 09 09 32 30 20 2d | 20 31 32 30 20 6d 6d 6f |m...20 -| 120 mmo|
|00001020| 6c 2f 64 61 79 06 53 6f | 64 69 75 6d 09 09 09 36 |l/day.So|dium...6|
|00001030| 30 20 2d 20 32 35 30 20 | 6d 6d 6f 6c 2f 64 61 79 |0 - 250 |mmol/day|
|00001040| 06 55 72 65 61 09 09 09 | 09 32 35 30 20 2d 20 35 |.Urea...|.250 - 5|
|00001050| 30 30 20 6d 6d 6f 6c 2f | 64 61 79 06 55 72 69 63 |00 mmol/|day.Uric|
|00001060| 20 41 63 69 64 09 09 09 | 3c 3d 20 33 2e 36 32 20 | Acid...|<= 3.62 |
|00001070| 6d 6d 6f 6c 2f 64 61 79 | 20 20 28 55 72 61 74 65 |mmol/day| (Urate|
|00001080| 29 06 4f 44 42 6c 6f 6f | 64 20 42 6f 74 74 6c 65 |).ODBloo|d Bottle|
|00001090| 20 43 6f 6c 6f 75 72 73 | 3a 06 06 4d 61 75 76 65 | Colours|:..Mauve|
|000010a0| 20 2f 20 50 75 72 70 6c | 65 20 2d 20 45 44 54 41 | / Purpl|e - EDTA|
|000010b0| 20 28 33 6d 6c 73 29 06 | 46 42 43 2c 20 52 65 74 | (3mls).|FBC, Ret|
|000010c0| 69 63 73 2c 20 52 65 64 | 20 43 65 6c 6c 20 46 6f |ics, Red| Cell Fo|
|000010d0| 6c 61 74 65 2c 20 56 69 | 73 63 6f 73 69 74 79 2c |late, Vi|scosity,|
|000010e0| 20 48 62 41 31 63 2c 20 | 48 62 41 32 2c 06 53 69 | HbA1c, |HbA2,.Si|
|000010f0| 63 6b 6c 65 20 26 20 48 | 62 20 45 6c 65 63 74 72 |ckle & H|b Electr|
|00001100| 6f 70 68 6f 72 65 73 69 | 73 2c 20 43 79 63 6c 6f |ophoresi|s, Cyclo|
|00001110| 73 70 6f 72 69 6e 2c 20 | 4c 65 61 64 2c 20 06 50 |sporin, |Lead, .P|
|00001120| 61 75 6c 20 42 75 6e 6e | 65 6c 6c 20 54 65 73 74 |aul Bunn|ell Test|
|00001130| 2c 20 4b 6c 65 69 68 61 | 75 65 72 20 54 65 73 74 |, Kleiha|uer Test|
|00001140| 2c 20 43 6f 6f 6d 62 73 | 20 54 65 73 74 2c 06 54 |, Coombs| Test,.T|
|00001150| 72 61 6e 6b 65 74 6f 6c | 61 73 65 2c 20 43 61 72 |ranketol|ase, Car|
|00001160| 62 6f 78 79 68 61 65 6d | 61 67 6c 6f 62 69 6e 2e |boxyhaem|aglobin.|
|00001170| 06 06 42 6c 75 65 20 2d | 20 53 6f 64 69 75 6d 20 |..Blue -| Sodium |
|00001180| 43 69 74 72 61 74 65 20 | 28 31 3a 39 29 20 28 34 |Citrate |(1:9) (4|
|00001190| 2e 35 6d 6c 73 29 06 43 | 6f 61 67 75 6c 61 74 69 |.5mls).C|oagulati|
|000011a0| 6f 6e 20 53 74 75 64 69 | 65 73 20 3a 20 49 4e 52 |on Studi|es : INR|
|000011b0| 2c 20 4b 43 43 54 2c 20 | 41 50 54 54 2c 20 46 69 |, KCCT, |APTT, Fi|
|000011c0| 62 72 69 6e 6f 67 65 6e | 2c 20 41 6e 74 69 74 68 |brinogen|, Antith|
|000011d0| 72 6f 6d 62 69 6e 20 33 | 2e 06 06 42 6c 61 63 6b |rombin 3|...Black|
|000011e0| 20 2d 20 53 6f 64 69 75 | 6d 20 43 69 74 72 61 74 | - Sodiu|m Citrat|
|000011f0| 65 20 28 31 3a 34 29 20 | 28 32 2e 34 6d 6c 73 29 |e (1:4) |(2.4mls)|
|00001200| 06 45 53 52 20 6f 6e 6c | 79 06 06 52 65 64 20 2f |.ESR onl|y..Red /|
|00001210| 20 42 72 6f 77 6e 20 2d | 20 50 6c 61 69 6e 20 3d | Brown -| Plain =|
|00001220| 20 4e 6f 20 41 64 64 69 | 74 69 76 65 20 28 35 6d | No Addi|tive (5m|
|00001230| 6c 73 29 06 41 6e 74 69 | 62 69 6f 74 69 63 20 41 |ls).Anti|biotic A|
|00001240| 73 73 61 79 2c 20 43 6f | 6c 64 20 41 67 67 6c 75 |ssay, Co|ld Agglu|
|00001250| 74 69 6e 69 6e 73 2c 06 | 42 6c 6f 6f 64 20 47 72 |tinins,.|Blood Gr|
|00001260| 6f 75 70 20 41 6e 74 69 | 62 6f 64 79 20 49 6e 76 |oup Anti|body Inv|
|00001270| 65 73 74 69 67 61 74 69 | 6f 6e 73 2e 06 20 06 4d |estigati|ons.. .M|
|00001280| 6f 74 74 6c 65 64 20 52 | 65 64 20 26 20 42 72 6f |ottled R|ed & Bro|
|00001290| 77 6e 20 2f 20 59 65 6c | 6c 6f 77 20 2d 20 53 53 |wn / Yel|low - SS|
|000012a0| 54 20 43 6c 6f 74 20 41 | 63 74 69 76 61 74 6f 72 |T Clot A|ctivator|
|000012b0| 06 43 68 65 6d 69 73 74 | 72 79 20 2d 20 55 2b 45 |.Chemist|ry - U+E|
|000012c0| 2c 20 4c 46 54 2c 20 42 | 6f 6e 65 2c 20 54 46 54 |, LFT, B|one, TFT|
|000012d0| 2c 20 52 61 6e 64 6f 6d | 20 47 6c 75 63 6f 73 65 |, Random| Glucose|
|000012e0| 2c 20 06 42 31 32 20 26 | 20 46 6f 6c 61 74 65 2c |, .B12 &| Folate,|
|000012f0| 20 49 72 6f 6e 20 26 20 | 54 72 61 6e 73 66 65 72 | Iron & |Transfer|
|00001300| 72 69 6e 2c 20 43 61 72 | 64 69 61 63 20 45 6e 7a |rin, Car|diac Enz|
|00001310| 79 6d 65 73 2c 20 4c 48 | 2c 20 46 53 48 2c 06 49 |ymes, LH|, FSH,.I|
|00001320| 6d 6d 75 6e 6f 6c 6f 67 | 79 2c 20 52 68 65 75 6d |mmunolog|y, Rheum|
|00001330| 61 74 6f 6c 6f 67 79 2c | 56 69 72 6f 6c 6f 67 79 |atology,|Virology|
|00001340| 20 26 20 4d 69 63 72 6f | 62 69 6f 6c 6f 67 79 2c | & Micro|biology,|
|00001350| 06 44 72 75 67 20 4c 65 | 76 65 6c 73 20 2d 20 44 |.Drug Le|vels - D|
|00001360| 69 67 6f 78 69 6e 2c 20 | 43 61 72 62 61 6d 61 7a |igoxin, |Carbamaz|
|00001370| 65 70 69 6e 65 2c 20 4c | 69 74 68 69 75 6d 2c 20 |epine, L|ithium, |
|00001380| 41 6d 69 6e 6f 70 68 79 | 6c 6c 69 6e 65 2c 06 09 |Aminophy|lline,..|
|00001390| 09 20 20 20 20 20 20 50 | 68 65 6e 79 74 6f 69 6e |. P|henytoin|
|000013a0| 2c 20 53 6f 64 69 75 6d | 20 56 61 6c 70 72 6f 61 |, Sodium| Valproa|
|000013b0| 74 65 2c 20 56 61 6e 63 | 6f 6d 79 63 69 6e 2c 20 |te, Vanc|omycin, |
|000013c0| 47 65 6e 74 61 6d 69 63 | 69 6e 2e 06 06 47 72 65 |Gentamic|in...Gre|
|000013d0| 65 6e 20 2d 20 48 65 70 | 61 72 69 6e 20 28 31 30 |en - Hep|arin (10|
|000013e0| 6d 6c 73 29 06 48 61 65 | 6d 61 67 6c 6f 62 69 6e |mls).Hae|maglobin|
|000013f0| 20 50 69 67 6d 65 6e 74 | 73 2c 20 4f 73 6d 6f 74 | Pigment|s, Osmot|
|00001400| 69 63 20 46 72 61 67 69 | 6c 69 74 79 2c 06 52 65 |ic Fragi|lity,.Re|
|00001410| 6e 61 6c 20 44 69 61 6c | 79 73 69 73 20 44 61 78 |nal Dial|ysis Dax|
|00001420| 2c 20 43 6f 72 74 69 73 | 6f 6c 2c 20 43 68 72 6f |, Cortis|ol, Chro|
|00001430| 6d 6f 73 6f 6d 65 73 2c | 20 47 61 73 74 72 69 6e |mosomes,| Gastrin|
|00001440| 2e 06 06 47 72 65 79 20 | 2d 20 46 6c 75 6f 72 69 |...Grey |- Fluori|
|00001450| 64 65 20 2b 20 4f 78 61 | 6c 61 74 65 20 28 32 6d |de + Oxa|late (2m|
|00001460| 6c 73 29 06 47 6c 75 63 | 6f 73 65 2c 20 41 6c 63 |ls).Gluc|ose, Alc|
|00001470| 6f 68 6f 6c 2c 20 48 62 | 41 31 43 2c 20 4c 61 63 |ohol, Hb|A1C, Lac|
|00001480| 74 61 74 65 2c 20 58 79 | 6c 6f 73 65 06 06 50 75 |tate, Xy|lose..Pu|
|00001490| 72 70 6c 65 20 2f 20 50 | 69 6e 6b 20 2d 20 50 6c |rple / P|ink - Pl|
|000014a0| 61 69 6e 20 3d 20 4e 6f | 20 41 64 64 69 74 69 76 |ain = No| Additiv|
|000014b0| 65 20 28 37 6d 6c 73 29 | 06 47 72 6f 75 70 20 26 |e (7mls)|.Group &|
|000014c0| 20 53 61 76 65 2c 20 43 | 72 6f 73 73 20 4d 61 74 | Save, C|ross Mat|
|000014d0| 63 68 06 62 41 42 6c 6f | 6f 64 20 54 72 61 6e 73 |ch.bABlo|od Trans|
|000014e0| 66 75 73 69 6f 6e 20 43 | 6f 6d 70 6c 69 63 61 74 |fusion C|omplicat|
|000014f0| 69 6f 6e 73 06 06 31 2e | 09 49 6d 6d 65 64 69 61 |ions..1.|.Immedia|
|00001500| 74 65 20 68 61 65 6d 6f | 6c 79 74 69 63 20 72 65 |te haemo|lytic re|
|00001510| 61 63 74 69 6f 6e 06 32 | 2e 09 44 65 6c 61 79 65 |action.2|..Delaye|
|00001520| 64 20 68 61 65 6d 6f 6c | 79 74 69 63 20 72 65 61 |d haemol|ytic rea|
|00001530| 63 74 69 6f 6e 06 33 2e | 09 46 65 62 72 69 6c 65 |ction.3.|.Febrile|
|00001540| 20 72 65 61 63 74 69 6f | 6e 06 34 2e 09 41 6e 61 | reactio|n.4..Ana|
|00001550| 70 68 79 6c 61 63 74 69 | 63 20 72 65 61 63 74 69 |phylacti|c reacti|
|00001560| 6f 6e 06 35 2e 09 44 65 | 63 72 20 69 6d 6d 75 6e |on.5..De|cr immun|
|00001570| 69 74 79 06 36 2e 09 49 | 6e 66 65 63 74 69 6f 6e |ity.6..I|nfection|
|00001580| 20 74 72 61 6e 73 6d 69 | 73 73 69 6f 6e 06 37 2e | transmi|ssion.7.|
|00001590| 09 47 72 61 66 74 20 76 | 73 2e 20 48 6f 73 74 20 |.Graft v|s. Host |
|000015a0| 64 69 73 65 61 73 65 2e | 06 2e 06 4d 61 73 73 69 |disease.|...Massi|
|000015b0| 76 65 20 42 6c 6f 6f 64 | 20 54 72 61 6e 73 66 75 |ve Blood| Transfu|
|000015c0| 73 69 6f 6e 20 3a 2d 06 | 31 2e 09 48 79 70 6f 74 |sion :-.|1..Hypot|
|000015d0| 68 65 72 6d 69 61 06 32 | 2e 09 49 6e 63 72 2e 20 |hermia.2|..Incr. |
|000015e0| 4b 2b 06 33 2e 09 41 63 | 69 64 6f 73 69 73 06 34 |K+.3..Ac|idosis.4|
|000015f0| 2e 09 48 61 65 6d 6f 6c | 79 74 69 63 20 6a 61 75 |..Haemol|ytic jau|
|00001600| 6e 64 69 63 65 06 35 2e | 09 44 49 43 06 36 2e 09 |ndice.5.|.DIC.6..|
|00001610| 41 52 44 53 06 37 2e 09 | 41 72 72 79 74 68 6d 69 |ARDS.7..|Arrythmi|
|00001620| 61 73 06 38 2e 09 43 69 | 74 72 61 74 65 20 54 6f |as.8..Ci|trate To|
|00001630| 78 69 63 69 74 79 06 75 | 41 42 72 61 69 6e 20 53 |xicity.u|ABrain S|
|00001640| 74 65 6d 20 44 65 61 74 | 68 06 06 31 2e 09 50 72 |tem Deat|h..1..Pr|
|00001650| 65 63 6f 6e 64 69 74 69 | 6f 6e 73 06 09 55 6e 72 |econditi|ons..Unr|
|00001660| 65 73 70 6f 6e 73 69 76 | 65 20 26 20 76 65 6e 74 |esponsiv|e & vent|
|00001670| 69 6c 61 74 65 64 2c 20 | 43 61 75 73 65 20 6f 66 |ilated, |Cause of|
|00001680| 20 63 6f 6d 61 20 6b 6e | 6f 77 6e 20 26 20 69 72 | coma kn|own & ir|
|00001690| 72 65 76 65 72 73 69 62 | 6c 65 2e 06 32 2e 09 45 |reversib|le..2..E|
|000016a0| 78 63 6c 75 73 69 6f 6e | 73 06 09 44 72 75 67 20 |xclusion|s..Drug |
|000016b0| 73 75 70 70 72 65 73 73 | 69 6f 6e 2c 20 73 68 6f |suppress|ion, sho|
|000016c0| 63 6b 2c 20 6d 65 74 61 | 62 6f 6c 69 63 2c 20 68 |ck, meta|bolic, h|
|000016d0| 79 70 6f 74 68 65 72 6d | 69 61 2e 06 33 2e 09 42 |ypotherm|ia..3..B|
|000016e0| 72 61 69 6e 73 74 65 6d | 20 52 65 66 6c 65 78 65 |rainstem| Reflexe|
|000016f0| 73 06 09 50 75 70 69 6c | 6c 61 72 79 20 6c 69 67 |s..Pupil|lary lig|
|00001700| 68 74 20 72 65 73 70 6f | 6e 73 65 2c 20 63 6f 72 |ht respo|nse, cor|
|00001710| 6e 65 61 6c 2c 20 76 65 | 73 74 69 62 75 6c 6f 2d |neal, ve|stibulo-|
|00001720| 6f 63 63 75 6c 61 72 2c | 20 67 61 67 2c 20 06 09 |occular,| gag, ..|
|00001730| 6d 6f 74 6f 72 20 72 65 | 73 70 6f 6e 73 65 73 2e |motor re|sponses.|
|00001740| 20 20 28 43 61 72 72 69 | 65 64 20 6f 75 74 20 62 | (Carri|ed out b|
|00001750| 79 20 32 20 64 6f 63 74 | 6f 72 73 29 06 34 2e 09 |y 2 doct|ors).4..|
|00001760| 41 70 6e 6f 65 61 20 54 | 65 73 74 06 09 44 69 73 |Apnoea T|est..Dis|
|00001770| 63 6f 6e 6e 65 63 74 20 | 76 65 6e 74 69 6c 61 74 |connect |ventilat|
|00001780| 6f 72 20 2d 20 4e 6f 20 | 72 65 73 70 20 61 74 74 |or - No |resp att|
|00001790| 65 6d 70 74 20 65 76 65 | 6e 20 77 68 65 6e 20 70 |empt eve|n when p|
|000017a0| 43 4f 32 20 40 20 36 2e | 36 35 6b 50 61 06 99 45 |CO2 @ 6.|65kPa..E|
|000017b0| 43 61 6c 63 69 75 6d 20 | 2f 20 48 79 70 65 72 63 |Calcium |/ Hyperc|
|000017c0| 61 6c 63 61 65 6d 69 61 | 20 2f 20 48 79 70 6f 63 |alcaemia| / Hypoc|
|000017d0| 61 6c 63 61 65 6d 69 61 | 06 06 48 79 70 65 72 63 |alcaemia|..Hyperc|
|000017e0| 61 6c 61 65 6d 69 61 20 | 3a 2d 06 43 6c 69 6e 69 |alaemia |:-.Clini|
|000017f0| 63 61 6c 20 65 66 66 65 | 63 74 73 20 2d 06 09 42 |cal effe|cts -..B|
|00001800| 6f 6e 65 73 2c 20 4d 6f | 61 6e 73 2c 20 47 72 6f |ones, Mo|ans, Gro|
|00001810| 61 6e 73 20 26 20 50 73 | 79 63 68 69 63 20 6d 6f |ans & Ps|ychic mo|
|00001820| 61 6e 73 2e 06 09 41 62 | 64 6f 20 70 61 69 6e 2c |ans...Ab|do pain,|
|00001830| 20 4e 26 56 2c 20 43 6f | 6e 73 74 69 70 61 74 69 | N&V, Co|nstipati|
|00001840| 6f 6e 2c 20 50 6f 6c 79 | 75 72 69 61 2c 20 44 65 |on, Poly|uria, De|
|00001850| 70 72 65 73 73 69 6f 6e | 2c 20 41 6e 6f 72 65 78 |pression|, Anorex|
|00001860| 69 61 2c 06 09 57 74 20 | 6c 6f 73 73 2c 20 50 6f |ia,..Wt |loss, Po|
|00001870| 6c 79 64 69 70 73 69 61 | 2c 20 54 69 72 65 64 6e |lydipsia|, Tiredn|
|00001880| 65 73 73 2c 20 57 65 61 | 6b 6e 65 73 73 2c 20 4c |ess, Wea|kness, L|
|00001890| 6f 77 20 42 50 2c 20 50 | 79 72 65 78 69 61 2c 20 |ow BP, P|yrexia, |
|000018a0| 06 09 44 65 63 72 20 63 | 6f 6e 73 63 69 6f 75 73 |..Decr c|onscious|
|000018b0| 6e 65 73 73 2c 20 53 75 | 64 64 65 6e 20 63 61 72 |ness, Su|dden car|
|000018c0| 64 69 61 63 20 61 72 72 | 65 73 74 2c 20 52 65 6e |diac arr|est, Ren|
|000018d0| 61 6c 20 63 61 6c 63 75 | 6c 69 2c 06 09 52 65 6e |al calcu|li,..Ren|
|000018e0| 61 6c 20 66 61 69 6c 75 | 72 65 2c 20 43 6f 72 6e |al failu|re, Corn|
|000018f0| 65 61 6c 20 63 61 6c 63 | 69 66 69 63 61 74 69 6f |eal calc|ificatio|
|00001900| 6e 2e 20 20 45 43 47 20 | 2d 20 51 54 20 69 6e 74 |n. ECG |- QT int|
|00001910| 65 72 76 61 6c 2e 06 43 | 61 75 73 65 73 20 2d 06 |erval..C|auses -.|
|00001920| 09 4d 61 6c 69 67 6e 61 | 6e 63 69 65 73 2c 20 65 |.Maligna|ncies, e|
|00001930| 73 70 20 63 20 42 6f 6e | 65 20 6d 65 74 61 73 74 |sp c Bon|e metast|
|00001940| 61 73 65 73 2c 20 43 68 | 72 6f 6e 69 63 20 52 65 |ases, Ch|ronic Re|
|00001950| 6e 61 6c 20 46 61 69 6c | 75 72 65 2c 20 06 09 48 |nal Fail|ure, ..H|
|00001960| 79 70 65 72 74 68 79 72 | 6f 69 64 69 73 6d 20 26 |yperthyr|oidism &|
|00001970| 20 48 79 70 65 72 70 61 | 72 61 74 68 79 72 6f 69 | Hyperpa|rathyroi|
|00001980| 64 69 73 6d 2c 20 09 4d | 69 6c 6b 2d 41 6c 6b 61 |dism, .M|ilk-Alka|
|00001990| 6c 69 20 73 79 6e 64 72 | 6f 6d 65 2c 20 06 09 56 |li syndr|ome, ..V|
|000019a0| 69 74 61 6d 69 6e 20 44 | 20 65 78 63 65 73 73 2c |itamin D| excess,|
|000019b0| 20 4d 79 65 6c 6f 6d 61 | 2c 20 53 61 72 63 6f 69 | Myeloma|, Sarcoi|
|000019c0| 64 6f 73 69 73 2e 06 09 | 41 72 74 69 66 61 63 74 |dosis...|Artifact|
|000019d0| 20 2d 20 49 66 20 62 6c | 6f 6f 64 20 73 61 6d 70 | - If bl|ood samp|
|000019e0| 6c 65 20 77 61 73 20 74 | 61 6b 65 6e 20 63 20 74 |le was t|aken c t|
|000019f0| 6f 75 72 6e 69 71 75 65 | 74 20 6f 6e 2e 06 54 72 |ournique|t on..Tr|
|00001a00| 65 61 74 6d 65 6e 74 20 | 2d 06 09 54 72 65 61 74 |eatment |-..Treat|
|00001a10| 20 74 68 65 20 75 6e 64 | 65 72 6c 79 69 6e 67 20 | the und|erlying |
|00001a20| 63 61 75 73 65 2e 06 09 | 49 66 20 3e 32 2e 38 6d |cause...|If >2.8m|
|00001a30| 6d 6f 6c 2f 6c 20 2d 3e | 20 27 53 61 6c 69 6e 65 |mol/l ->| 'Saline|
|00001a40| 20 44 69 75 72 65 73 69 | 73 27 20 20 2d 20 30 2e | Diuresi|s' - 0.|
|00001a50| 39 25 20 73 61 6c 69 6e | 65 20 34 2d 36 4c 2f 32 |9% salin|e 4-6L/2|
|00001a60| 34 68 72 73 20 06 09 2b | 20 46 72 75 73 65 6d 69 |4hrs ..+| Frusemi|
|00001a70| 64 65 20 34 30 2d 31 32 | 35 6d 67 20 34 2d 36 68 |de 40-12|5mg 4-6h|
|00001a80| 72 6c 79 2e 06 09 43 61 | 6c 63 69 74 6f 6e 69 6e |rly...Ca|lcitonin|
|00001a90| 20 2f 20 50 6c 69 63 61 | 6d 79 63 69 6e 20 2f 20 | / Plica|mycin / |
|00001aa0| 42 69 73 70 68 6f 73 70 | 68 6f 6e 61 74 65 73 20 |Bisphosp|honates |
|00001ab0| 2f 20 48 79 72 6f 63 6f | 72 74 69 73 6f 6e 65 2e |/ Hyroco|rtisone.|
|00001ac0| 06 2e 06 48 79 70 6f 63 | 61 6c 63 61 65 6d 69 61 |...Hypoc|alcaemia|
|00001ad0| 20 3a 2d 06 53 79 6d 70 | 74 6f 6d 73 20 26 20 53 | :-.Symp|toms & S|
|00001ae0| 69 67 6e 73 20 2d 06 09 | 54 65 74 61 6e 79 2c 20 |igns -..|Tetany, |
|00001af0| 44 65 70 72 65 73 73 69 | 6f 6e 2c 20 50 65 72 69 |Depressi|on, Peri|
|00001b00| 6f 72 61 6c 20 61 6e 61 | 65 73 74 68 65 73 69 61 |oral ana|esthesia|
|00001b10| 2c 20 50 61 72 61 65 73 | 74 68 65 73 69 61 2c 06 |, Paraes|thesia,.|
|00001b20| 09 43 61 72 70 6f 2d 70 | 65 64 61 6c 20 73 70 61 |.Carpo-p|edal spa|
|00001b30| 73 6d 20 28 65 73 70 20 | 6f 6e 20 42 50 20 63 75 |sm (esp |on BP cu|
|00001b40| 66 66 20 69 6e 66 6c 61 | 74 69 6f 6e 20 2d 20 54 |ff infla|tion - T|
|00001b50| 72 6f 75 73 73 65 61 75 | 20 73 69 67 6e 29 06 09 |rousseau| sign)..|
|00001b60| 4e 65 75 72 6f 6d 75 73 | 63 75 6c 61 72 20 65 78 |Neuromus|cular ex|
|00001b70| 63 69 74 61 62 69 6c 69 | 74 79 20 28 54 61 70 70 |citabili|ty (Tapp|
|00001b80| 69 6e 67 20 6f 76 65 72 | 20 70 61 72 6f 74 69 64 |ing over| parotid|
|00001b90| 20 67 6c 61 6e 64 20 63 | 61 75 73 65 73 20 06 09 | gland c|auses ..|
|00001ba0| 66 61 63 69 61 6c 20 6d | 75 73 63 6c 65 73 20 74 |facial m|uscles t|
|00001bb0| 6f 20 74 77 69 74 63 68 | 20 2d 20 43 68 76 6f 73 |o twitch| - Chvos|
|00001bc0| 74 65 6b 27 73 20 73 69 | 67 6e 2e 29 06 09 45 43 |tek's si|gn.)..EC|
|00001bd0| 47 20 2d 20 4c 6f 6e 67 | 20 51 54 20 49 6e 74 65 |G - Long| QT Inte|
|00001be0| 72 76 61 6c 2e 06 43 61 | 75 73 65 73 20 2d 06 09 |rval..Ca|uses -..|
|00001bf0| 43 68 72 6f 6e 69 63 20 | 52 65 6e 61 6c 20 46 61 |Chronic |Renal Fa|
|00001c00| 69 6c 75 72 65 2c 20 54 | 68 79 72 6f 69 64 20 2f |ilure, T|hyroid /|
|00001c10| 20 50 61 72 61 74 68 79 | 72 6f 69 64 20 73 75 72 | Parathy|roid sur|
|00001c20| 67 65 72 79 2c 06 09 48 | 79 70 6f 70 61 72 61 74 |gery,..H|ypoparat|
|00001c30| 68 79 72 6f 69 64 69 73 | 6d 20 2f 20 50 73 65 75 |hyroidis|m / Pseu|
|00001c40| 64 6f 68 79 70 6f 70 61 | 72 61 74 68 79 72 6f 69 |dohypopa|rathyroi|
|00001c50| 64 69 73 6d 2c 06 09 4f | 73 74 65 6f 6d 61 6c 61 |dism,..O|steomala|
|00001c60| 63 69 61 2c 20 4f 76 65 | 72 68 79 64 72 61 74 69 |cia, Ove|rhydrati|
|00001c70| 6f 6e 2c 20 50 61 6e 63 | 72 65 61 74 69 74 69 73 |on, Panc|reatitis|
|00001c80| 2e 06 54 72 65 61 74 6d | 65 6e 74 20 2d 06 09 43 |..Treatm|ent -..C|
|00001c90| 61 6c 63 69 75 6d 20 47 | 6c 75 63 6f 6e 61 74 65 |alcium G|luconate|
|00001ca0| 20 31 30 6d 6c 20 31 30 | 25 20 6f 76 65 72 20 35 | 10ml 10|% over 5|
|00001cb0| 6d 69 6e 06 09 46 6f 6c | 6c 6f 77 65 64 20 62 79 |min..Fol|lowed by|
|00001cc0| 20 34 30 6d 6c 20 6f 76 | 65 72 20 32 34 68 72 73 | 40ml ov|er 24hrs|
|00001cd0| 06 09 54 68 65 6e 20 6f | 72 61 6c 20 43 61 20 2b |..Then o|ral Ca +|
|00001ce0| 20 43 61 6c 63 69 66 65 | 72 6f 6c 20 32 2e 35 6d | Calcife|rol 2.5m|
|00001cf0| 67 20 64 61 69 6c 79 2e | 06 2e 06 43 6f 72 72 65 |g daily.|...Corre|
|00001d00| 63 74 65 64 20 43 61 6c | 63 69 75 6d 20 09 41 64 |cted Cal|cium .Ad|
|00001d10| 64 20 30 2e 30 32 20 66 | 6f 72 20 65 76 65 72 79 |d 0.02 f|or every|
|00001d20| 20 67 2f 6c 20 74 68 65 | 06 09 09 09 09 09 09 6d | g/l the|.......m|
|00001d30| 65 61 73 75 72 65 64 20 | 41 6c 62 75 6d 69 6e 20 |easured |Albumin |
|00001d40| 69 73 20 3c 20 34 30 2e | 06 28 41 43 61 72 70 61 |is < 40.|.(ACarpa|
|00001d50| 6c 20 42 6f 6e 65 20 4d | 6e 65 6d 6f 6e 69 63 73 |l Bone M|nemonics|
|00001d60| 3a 06 06 53 68 65 20 4c | 6f 6f 6b 73 20 54 6f 6f |:..She L|ooks Too|
|00001d70| 20 50 72 65 74 74 79 20 | 20 28 50 72 6f 78 69 6d | Pretty | (Proxim|
|00001d80| 61 6c 2c 20 4c 61 74 65 | 72 61 6c 20 2d 20 4d 65 |al, Late|ral - Me|
|00001d90| 64 69 61 6c 29 06 54 72 | 79 20 54 6f 20 43 61 74 |dial).Tr|y To Cat|
|00001da0| 63 68 20 48 65 72 20 20 | 28 44 69 73 74 61 6c 2c |ch Her |(Distal,|
|00001db0| 20 4c 61 74 65 72 61 6c | 20 2d 20 4d 65 64 69 61 | Lateral| - Media|
|00001dc0| 6c 29 06 28 53 63 61 70 | 68 6f 69 64 2c 20 4c 75 |l).(Scap|hoid, Lu|
|00001dd0| 6e 61 74 65 2c 20 54 72 | 69 71 75 65 74 72 61 6c |nate, Tr|iquetral|
|00001de0| 2c 20 50 69 73 69 66 6f | 72 6d 29 06 28 54 72 61 |, Pisifo|rm).(Tra|
|00001df0| 70 65 7a 69 75 6d 2c 20 | 54 72 61 70 65 7a 6f 69 |pezium, |Trapezoi|
|00001e00| 64 2c 20 43 61 70 69 74 | 61 74 65 2c 20 48 61 6d |d, Capit|ate, Ham|
|00001e10| 61 74 65 29 06 06 48 61 | 6d 6c 65 74 20 43 61 6d |ate)..Ha|mlet Cam|
|00001e20| 65 20 54 6f 20 54 6f 77 | 6e 20 53 68 6f 75 74 69 |e To Tow|n Shouti|
|00001e30| 6e 67 20 4c 6f 75 64 6c | 79 20 74 6f 20 50 6f 6c |ng Loudl|y to Pol|
|00001e40| 6f 6e 69 75 73 2e 06 53 | 75 65 20 4c 69 63 6b 73 |onius..S|ue Licks|
|00001e50| 20 54 69 6d 73 20 50 72 | 69 63 6b 2c 20 48 65 72 | Tims Pr|ick, Her|
|00001e60| 20 43 75 6e 74 27 73 20 | 54 6f 6f 20 54 69 67 68 | Cunt's |Too Tigh|
|00001e70| 74 2e 06 ed 43 43 68 6c | 6f 72 6d 65 74 68 69 61 |t...CChl|ormethia|
|00001e80| 7a 6f 6c 65 20 28 48 65 | 6d 69 6e 65 76 72 69 6e |zole (He|minevrin|
|00001e90| 29 06 06 46 6f 72 20 41 | 6c 63 6f 68 6f 6c 20 57 |)..For A|lcohol W|
|00001ea0| 69 74 68 64 72 61 77 61 | 6c 3a 06 39 20 2d 20 31 |ithdrawa|l:.9 - 1|
|00001eb0| 32 20 43 61 70 73 75 6c | 65 73 20 69 6e 69 74 69 |2 Capsul|es initi|
|00001ec0| 61 6c 6c 79 06 47 69 76 | 65 20 74 64 73 20 26 20 |ally.Giv|e tds & |
|00001ed0| 72 65 64 75 63 65 20 62 | 79 20 6f 6e 65 20 63 61 |reduce b|y one ca|
|00001ee0| 70 73 75 6c 65 20 65 76 | 65 72 79 20 64 6f 73 65 |psule ev|ery dose|
|00001ef0| 2c 20 75 6e 74 69 6c 20 | 61 74 20 34 20 2d 20 36 |, until |at 4 - 6|
|00001f00| 20 63 61 70 73 75 6c 65 | 73 2c 20 06 77 68 65 6e | capsule|s, .when|
|00001f10| 20 74 68 65 20 64 72 75 | 67 20 73 68 6f 75 6c 64 | the dru|g should|
|00001f20| 20 62 65 20 74 61 69 6c | 65 64 20 6f 66 66 20 6d | be tail|ed off m|
|00001f30| 6f 72 65 20 73 6c 6f 77 | 6c 79 20 6f 76 65 72 20 |ore slow|ly over |
|00001f40| 34 20 2d 20 36 20 64 61 | 79 73 2e 06 06 45 67 2e |4 - 6 da|ys...Eg.|
|00001f50| 06 44 61 79 20 31 20 3a | 09 34 2c 20 34 2c 20 34 |.Day 1 :|.4, 4, 4|
|00001f60| 20 43 61 70 73 75 6c 65 | 73 06 44 61 79 20 32 20 | Capsule|s.Day 2 |
|00001f70| 3a 09 33 2c 20 33 2c 20 | 32 20 43 61 70 73 75 6c |:.3, 3, |2 Capsul|
|00001f80| 65 73 06 44 61 79 20 33 | 20 3a 09 32 2c 20 32 2c |es.Day 3| :.2, 2,|
|00001f90| 20 32 20 43 61 70 73 75 | 6c 65 73 06 44 61 79 20 | 2 Capsu|les.Day |
|00001fa0| 34 20 3a 09 32 2c 20 32 | 2c 20 31 20 43 61 70 73 |4 :.2, 2|, 1 Caps|
|00001fb0| 75 6c 65 73 06 44 61 79 | 20 35 20 3a 09 32 2c 20 |ules.Day| 5 :.2, |
|00001fc0| 32 2c 20 31 20 43 61 70 | 73 75 6c 65 73 06 44 61 |2, 1 Cap|sules.Da|
|00001fd0| 79 20 36 20 3a 09 32 2c | 20 31 2c 20 31 43 61 70 |y 6 :.2,| 1, 1Cap|
|00001fe0| 73 75 6c 65 73 06 44 61 | 79 20 37 20 3a 09 31 2c |sules.Da|y 7 :.1,|
|00001ff0| 20 31 2c 20 31 20 43 61 | 70 73 75 6c 65 73 06 44 | 1, 1 Ca|psules.D|
|00002000| 61 79 20 38 20 3a 09 31 | 2c 20 31 2c 20 30 20 43 |ay 8 :.1|, 1, 0 C|
|00002010| 61 70 73 75 6c 65 73 06 | 44 61 79 20 39 20 3a 09 |apsules.|Day 9 :.|
|00002020| 31 2c 20 30 2c 20 30 20 | 43 61 70 73 75 6c 65 73 |1, 0, 0 |Capsules|
|00002030| 06 53 54 4f 50 06 06 49 | 6e 74 72 61 2d 56 65 6e |.STOP..I|ntra-Ven|
|00002040| 6f 75 73 06 06 43 6f 6d | 65 73 20 61 73 20 61 20 |ous..Com|es as a |
|00002050| 30 2e 38 25 20 53 6f 6c | 75 74 69 6f 6e 20 28 3d |0.8% Sol|ution (=|
|00002060| 20 38 6d 67 2f 6d 6c 29 | 06 49 6e 69 74 69 61 6c | 8mg/ml)|.Initial|
|00002070| 6c 79 20 33 20 2d 20 37 | 2e 35 20 6d 6c 73 2f 6d |ly 3 - 7|.5 mls/m|
|00002080| 69 6e 20 20 28 32 34 20 | 2d 20 36 30 6d 67 2f 6d |in (24 |- 60mg/m|
|00002090| 69 6e 29 20 75 6e 74 69 | 6c 20 61 20 53 68 61 6c |in) unti|l a Shal|
|000020a0| 6c 6f 77 20 73 6c 65 65 | 70 06 69 73 20 69 6e 64 |low slee|p.is ind|
|000020b0| 75 63 65 64 20 66 72 6f | 6d 20 77 68 69 63 68 20 |uced fro|m which |
|000020c0| 74 68 65 20 70 61 74 69 | 65 6e 74 20 63 61 6e 20 |the pati|ent can |
|000020d0| 65 61 73 69 6c 79 20 62 | 65 20 72 6f 75 73 65 64 |easily b|e roused|
|000020e0| 2e 06 54 68 65 6e 20 72 | 65 64 75 63 65 20 69 6e |..Then r|educe in|
|000020f0| 66 75 73 69 6f 6e 20 74 | 6f 20 30 2e 35 20 2d 20 |fusion t|o 0.5 - |
|00002100| 31 20 6d 6c 2f 6d 69 6e | 20 20 28 34 20 2d 20 38 |1 ml/min| (4 - 8|
|00002110| 6d 67 2f 6d 69 6e 29 06 | 61 74 20 74 68 65 20 6c |mg/min).|at the l|
|00002120| 6f 77 65 73 74 20 70 6f | 73 73 69 62 6c 65 20 72 |owest po|ssible r|
|00002130| 61 74 65 20 74 6f 20 6d | 61 69 6e 74 61 69 6e 20 |ate to m|aintain |
|00002140| 73 68 61 6c 6c 6f 77 20 | 73 6c 65 65 70 06 61 6e |shallow |sleep.an|
|00002150| 64 20 61 64 65 71 75 61 | 74 65 20 73 70 6f 6e 74 |d adequa|te spont|
|00002160| 61 6e 65 6f 75 73 20 72 | 65 73 70 69 72 61 74 69 |aneous r|espirati|
|00002170| 6f 6e 2e 06 06 46 6f 72 | 20 53 74 61 74 75 73 20 |on...For| Status |
|00002180| 45 70 69 6c 65 70 74 69 | 63 75 73 3a 06 43 6f 6d |Epilepti|cus:.Com|
|00002190| 65 73 20 61 73 20 61 20 | 30 2e 38 25 20 53 6f 6c |es as a |0.8% Sol|
|000021a0| 75 74 69 6f 6e 20 28 3d | 20 38 6d 67 2f 6d 6c 29 |ution (=| 8mg/ml)|
|000021b0| 06 49 6e 69 74 69 61 6c | 6c 79 20 35 20 2d 20 31 |.Initial|ly 5 - 1|
|000021c0| 35 20 6d 6c 73 2f 6d 69 | 6e 20 20 28 34 30 20 2d |5 mls/mi|n (40 -|
|000021d0| 20 31 32 30 20 6d 67 2f | 6d 69 6e 29 20 75 70 20 | 120 mg/|min) up |
|000021e0| 74 6f 20 61 20 74 6f 74 | 61 6c 20 6f 66 06 34 30 |to a tot|al of.40|
|000021f0| 20 2d 20 31 32 30 20 6d | 6c 73 20 28 33 32 30 20 | - 120 m|ls (320 |
|00002200| 2d 20 38 30 30 20 6d 67 | 29 2e 06 54 68 65 6e 20 |- 800 mg|)..Then |
|00002210| 63 6f 6e 74 69 6e 75 65 | 20 61 74 20 30 2e 35 20 |continue| at 0.5 |
|00002220| 74 6f 20 31 20 6d 6c 2f | 6d 69 6e 20 28 34 20 2d |to 1 ml/|min (4 -|
|00002230| 20 38 20 6d 67 2f 6d 69 | 6e 29 20 61 6e 64 20 61 | 8 mg/mi|n) and a|
|00002240| 64 6a 75 73 74 20 72 61 | 74 65 06 61 63 63 6f 72 |djust ra|te.accor|
|00002250| 64 69 6e 67 20 74 6f 20 | 72 65 73 70 6f 6e 73 65 |ding to |response|
|00002260| 2e 06 17 43 43 6f 6e 73 | 74 61 6e 74 73 20 26 20 |...CCons|tants & |
|00002270| 50 68 79 73 69 63 61 6c | 20 4d 65 61 73 75 72 65 |Physical| Measure|
|00002280| 73 3a 06 06 53 70 65 65 | 64 20 6f 66 20 4c 69 67 |s:..Spee|d of Lig|
|00002290| 68 74 20 28 63 29 20 3d | 20 32 39 39 37 39 32 34 |ht (c) =| 2997924|
|000022a0| 35 38 20 6d 2f 73 65 63 | 20 20 28 20 3d 20 31 38 |58 m/sec| ( = 18|
|000022b0| 36 2c 30 30 30 20 6d 69 | 6c 65 73 2f 73 65 63 29 |6,000 mi|les/sec)|
|000022c0| 06 42 6f 6c 74 7a 6d 61 | 6e 6e 20 63 6f 6e 73 74 |.Boltzma|nn const|
|000022d0| 61 6e 74 20 28 6b 29 20 | 3d 20 31 2e 33 38 30 36 |ant (k) |= 1.3806|
|000022e0| 36 32 2a 31 30 45 2d 32 | 33 20 4a 2f 4b 06 50 6c |62*10E-2|3 J/K.Pl|
|000022f0| 61 6e 6b 20 63 6f 6e 73 | 74 61 6e 74 20 28 68 29 |ank cons|tant (h)|
|00002300| 20 3d 20 36 2e 36 32 36 | 31 37 36 2a 31 30 45 2d | = 6.626|176*10E-|
|00002310| 33 34 20 4a 20 53 65 63 | 06 52 79 64 62 65 72 67 |34 J Sec|.Rydberg|
|00002320| 20 63 6f 6e 73 74 61 6e | 74 20 28 52 48 29 20 3d | constan|t (RH) =|
|00002330| 20 31 2e 30 39 37 33 37 | 33 2a 31 30 45 37 20 2f | 1.09737|3*10E7 /|
|00002340| 6d 06 41 76 6f 67 61 64 | 72 6f 20 63 6f 6e 73 74 |m.Avogad|ro const|
|00002350| 61 6e 74 20 28 4c 29 20 | 3d 20 36 2e 30 32 32 30 |ant (L) |= 6.0220|
|00002360| 34 35 2a 31 30 45 32 33 | 20 2f 20 6d 6f 6c 06 46 |45*10E23| / mol.F|
|00002370| 61 72 61 64 61 79 20 63 | 6f 6e 73 74 61 6e 74 20 |araday c|onstant |
|00002380| 28 46 29 20 3d 20 39 2e | 36 34 38 34 35 36 45 31 |(F) = 9.|648456E1|
|00002390| 30 45 34 20 43 20 2f 20 | 6d 6f 6c 06 47 61 73 20 |0E4 C / |mol.Gas |
|000023a0| 63 6f 6e 73 74 61 6e 74 | 20 28 52 29 20 3d 20 38 |constant| (R) = 8|
|000023b0| 2e 33 31 34 34 31 20 4a | 20 2f 20 4b 65 6c 76 69 |.31441 J| / Kelvi|
|000023c0| 6e 20 2f 20 6d 6f 6c 06 | 47 72 61 76 69 74 61 74 |n / mol.|Gravitat|
|000023d0| 69 6f 6e 61 6c 20 63 6f | 6e 73 74 61 6e 74 20 28 |ional co|nstant (|
|000023e0| 47 29 20 3d 20 36 2e 36 | 37 32 2a 31 30 45 2d 31 |G) = 6.6|72*10E-1|
|000023f0| 31 06 53 74 65 66 61 6e | 2d 42 6f 6c 74 7a 6d 61 |1.Stefan|-Boltzma|
|00002400| 6e 6e 20 63 6f 6e 73 74 | 61 6e 74 20 28 73 69 67 |nn const|ant (sig|
|00002410| 6d 61 29 20 3d 20 35 2e | 36 37 30 2a 31 30 45 2d |ma) = 5.|670*10E-|
|00002420| 38 20 57 20 2f 20 6d 32 | 20 2f 20 4b 2d 34 06 4d |8 W / m2| / K-4.M|
|00002430| 61 73 73 20 6f 66 20 50 | 72 6f 74 6f 6e 20 28 70 |ass of P|roton (p|
|00002440| 29 20 3d 20 31 2e 36 37 | 32 36 34 38 2a 31 30 45 |) = 1.67|2648*10E|
|00002450| 2d 32 37 20 20 20 20 20 | 28 31 38 33 36 2a 65 29 |-27 |(1836*e)|
|00002460| 06 4d 61 73 73 20 6f 66 | 20 4e 65 75 74 72 6f 6e |.Mass of| Neutron|
|00002470| 20 28 6e 29 20 3d 20 31 | 2e 36 37 34 39 35 34 2a | (n) = 1|.674954*|
|00002480| 31 30 45 2d 32 37 20 20 | 28 31 38 33 39 2a 65 29 |10E-27 |(1839*e)|
|00002490| 06 4d 61 73 73 20 6f 66 | 20 45 6c 65 63 74 72 6f |.Mass of| Electro|
|000024a0| 6e 20 28 65 29 20 3d 20 | 39 2e 31 30 39 35 33 34 |n (e) = |9.109534|
|000024b0| 2a 31 30 45 2d 33 31 20 | 20 28 31 2a 65 29 06 43 |*10E-31 | (1*e).C|
|000024c0| 68 61 72 67 65 20 6f 66 | 20 45 6c 65 63 74 72 6f |harge of| Electro|
|000024d0| 6e 20 5c 20 50 72 6f 74 | 6f 6e 20 3d 20 31 2e 36 |n \ Prot|on = 1.6|
|000024e0| 30 32 31 38 39 2a 31 30 | 45 2d 31 39 20 43 06 52 |02189*10|E-19 C.R|
|000024f0| 61 64 69 75 73 20 6f 66 | 20 45 61 72 74 68 20 3d |adius of| Earth =|
|00002500| 20 33 39 36 30 20 6d 69 | 6c 65 73 20 20 28 20 3d | 3960 mi|les ( =|
|00002510| 20 36 33 37 31 20 6b 6d | 29 06 70 69 20 3d 20 33 | 6371 km|).pi = 3|
|00002520| 2e 31 34 31 35 39 32 36 | 35 33 35 39 20 20 28 32 |.1415926|5359 (2|
|00002530| 32 2f 37 20 20 6f 72 20 | 33 35 35 2f 31 31 33 29 |2/7 or |355/113)|
|00002540| 06 65 20 3d 20 32 2e 37 | 31 38 33 06 31 20 72 61 |.e = 2.7|183.1 ra|
|00002550| 64 69 61 6e 20 3d 20 35 | 37 2e 32 39 36 20 64 65 |dian = 5|7.296 de|
|00002560| 67 72 65 65 73 06 6c 6e | 20 78 20 3d 20 32 2e 33 |grees.ln| x = 2.3|
|00002570| 30 33 20 6c 6f 67 31 30 | 20 78 06 0b 44 10 00 00 |03 log10| x..D...|
|00002580| 00 ff ff 2d 02 bd 03 9e | 12 12 12 12 12 12 12 12 |...-....|........|
|00002590| 12 f9 03 12 12 1d 03 03 | 89 41 72 74 65 72 69 61 |........|.Arteria|
|000025a0| 6c 20 42 6c 6f 6f 64 20 | 47 61 73 65 73 20 28 41 |l Blood |Gases (A|
|000025b0| 42 47 27 73 29 3a 06 06 | 70 48 09 09 37 2e 33 35 |BG's):..|pH..7.35|
|000025c0| 20 2d 20 37 2e 34 35 06 | 70 43 4f 32 09 09 34 2e | - 7.45.|pCO2..4.|
|000025d0| 37 20 2d 20 36 2e 30 20 | 6b 50 61 06 70 4f 32 09 |7 - 6.0 |kPa.pO2.|
|000025e0| 09 3e 31 30 2e 36 20 6b | 50 61 06 48 43 4f 33 09 |.>10.6 k|Pa.HCO3.|
|000025f0| 09 32 33 20 2d 20 33 30 | 20 6d 6d 6f 6c 2f 6c 06 |.23 - 30| mmol/l.|
|00002600| 4f 32 20 53 61 74 09 39 | 34 2d 31 30 30 20 25 06 |O2 Sat.9|4-100 %.|
|00002610| 42 45 09 09 09 2b 2f 2d | 20 33 20 6d 6d 6f 6c 2f |BE...+/-| 3 mmol/|
|00002620| 6c 06 03 ed 41 53 41 20 | 43 6c 61 73 73 69 66 69 |l...ASA |Classifi|
|00002630| 63 61 74 69 6f 6e 20 20 | 28 41 6d 65 72 69 63 61 |cation |(America|
|00002640| 6e 20 53 6f 63 69 65 74 | 79 20 6f 66 20 41 6e 61 |n Societ|y of Ana|
|00002650| 65 73 74 68 65 73 69 6f | 6c 6f 67 69 73 74 73 29 |esthesio|logists)|
|00002660| 06 06 41 53 41 20 31 20 | 2d 20 48 65 61 6c 74 68 |..ASA 1 |- Health|
|00002670| 79 06 41 53 41 20 32 20 | 2d 20 4d 69 6c 64 20 73 |y.ASA 2 |- Mild s|
|00002680| 79 73 74 65 6d 69 63 20 | 64 69 73 65 61 73 65 06 |ystemic |disease.|
|00002690| 41 53 41 20 33 20 2d 20 | 53 65 76 65 72 65 20 73 |ASA 3 - |Severe s|
|000026a0| 79 73 74 65 6d 69 63 20 | 64 69 73 65 61 73 65 2c |ystemic |disease,|
|000026b0| 20 6e 6f 74 20 69 6e 63 | 61 70 61 63 69 74 61 74 | not inc|apacitat|
|000026c0| 69 6e 67 06 41 53 41 20 | 34 20 2d 20 49 6e 63 61 |ing.ASA |4 - Inca|
|000026d0| 70 61 63 69 74 61 74 69 | 6e 67 20 64 69 73 65 61 |pacitati|ng disea|
|000026e0| 73 65 06 41 53 41 20 35 | 20 2d 20 4d 6f 72 69 62 |se.ASA 5| - Morib|
|000026f0| 75 6e 64 2c 20 6e 6f 74 | 20 65 78 70 65 63 74 65 |und, not| expecte|
|00002700| 64 20 74 6f 20 6c 69 76 | 65 20 3e 32 34 68 72 73 |d to liv|e >24hrs|
|00002710| 06 03 4d 41 54 4c 53 20 | 41 56 50 55 20 53 63 61 |..MATLS |AVPU Sca|
|00002720| 6c 65 3a 06 06 41 6c 65 | 72 74 06 52 65 73 70 6f |le:..Ale|rt.Respo|
|00002730| 6e 64 69 6e 67 20 74 6f | 20 56 6f 69 63 65 06 52 |nding to| Voice.R|
|00002740| 65 73 70 6f 6e 64 69 6e | 67 20 74 6f 20 50 61 69 |espondin|g to Pai|
|00002750| 6e 06 55 6e 72 65 73 70 | 6f 6e 73 69 76 65 2e 06 |n.Unresp|onsive..|
|00002760| 01 05 00 00 00 1d 01 00 | 00 01 06 00 00 00 0e 02 |........|........|
|00002770| 00 00 01 07 00 00 00 08 | 0a 00 00 01 08 00 00 00 |........|........|
|00002780| bf 01 00 00 01 09 00 00 | 00 4f 04 00 00 01 0a 00 |........|.O......|
|00002790| 00 00 62 01 00 00 01 0b | 00 00 00 75 01 00 00 01 |..b.....|...u....|
|000027a0| 0c 00 00 00 99 05 00 00 | 01 0d 00 00 00 28 01 00 |........|.....(..|
|000027b0| 00 03 fc 43 65 72 65 62 | 72 6f 2d 53 70 69 6e 61 |...Cereb|ro-Spina|
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|000027d0| 4c 75 6d 62 61 72 20 50 | 75 6e 63 74 75 72 65 2e |Lumbar P|uncture.|
|000027e0| 06 06 4c 79 6d 70 68 6f | 63 79 74 65 73 09 09 09 |..Lympho|cytes...|
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|00002820| 20 67 2f 6c 06 47 6c 75 | 63 6f 73 65 20 09 09 09 | g/l.Glu|cose ...|
|00002830| 09 33 2e 33 20 2d 20 34 | 2e 34 20 28 3e 32 2e 32 |.3.3 - 4|.4 (>2.2|
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|00002890| 20 6d 6d 6f 6c 2f 6c 06 | 4c 61 63 74 61 74 65 09 | mmol/l.|Lactate.|
|000028a0| 09 09 09 3c 32 2e 38 20 | 6d 6d 6f 6c 2f 6c 06 01 |...<2.8 |mmol/l..|
|000028b0| 0e 00 00 00 ed 03 00 00 | 01 0f 00 00 00 17 03 00 |........|........|
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|00002960| 20 41 72 61 63 68 69 73 | 20 6f 69 6c 20 65 6e 65 | Arachis| oil ene|
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|000042b0| 73 06 54 68 72 6f 6d 62 | 69 6e 20 54 69 6d 65 20 |s.Thromb|in Time |
|000042c0| 28 54 54 29 09 09 09 31 | 35 2d 31 39 20 73 65 63 |(TT)...1|5-19 sec|
|000042d0| 73 06 41 50 54 54 09 09 | 09 09 09 09 09 32 37 20 |s.APTT..|.....27 |
|000042e0| 2d 20 33 39 20 73 65 63 | 73 06 46 69 62 72 69 6e |- 39 sec|s.Fibrin|
|000042f0| 6f 67 65 6e 09 09 09 09 | 09 32 20 2d 20 35 06 df |ogen....|.2 - 5..|
|00004300| 45 49 6e 64 69 63 61 74 | 69 6f 6e 73 20 66 6f 72 |EIndicat|ions for|
|00004310| 20 53 6b 75 6c 6c 20 58 | 2d 52 61 79 20 50 6f 73 | Skull X|-Ray Pos|
|00004320| 74 20 48 65 61 64 20 49 | 6e 6a 75 72 79 3a 06 06 |t Head I|njury:..|
|00004330| 31 2e 09 4c 6f 73 73 20 | 6f 66 20 43 6f 6e 73 63 |1..Loss |of Consc|
|00004340| 69 6f 75 73 6e 65 73 73 | 20 6f 72 20 41 6d 6e 65 |iousness| or Amne|
|00004350| 73 69 61 20 61 74 20 61 | 6e 79 20 74 69 6d 65 2e |sia at a|ny time.|
|00004360| 06 32 2e 09 4e 65 75 72 | 6f 6c 6f 67 69 63 61 6c |.2..Neur|ological|
|00004370| 20 53 79 6d 70 74 6f 6d | 73 20 6f 72 20 53 69 67 | Symptom|s or Sig|
|00004380| 6e 73 06 33 2e 09 43 53 | 46 20 4c 65 61 6b 20 2f |ns.3..CS|F Leak /|
|00004390| 20 42 6c 6f 6f 64 20 6c | 6f 73 73 20 66 72 6f 6d | Blood l|oss from|
|000043a0| 20 6e 6f 73 65 20 6f 72 | 20 65 61 72 06 34 2e 09 | nose or| ear.4..|
|000043b0| 53 75 73 70 65 63 74 65 | 64 20 70 65 6e 65 74 72 |Suspecte|d penetr|
|000043c0| 61 74 69 6e 67 20 69 6e | 6a 75 72 79 2e 06 35 2e |ating in|jury..5.|
|000043d0| 09 41 6c 63 6f 68 6f 6c | 20 49 6e 74 6f 78 69 63 |.Alcohol| Intoxic|
|000043e0| 61 74 69 6f 6e 20 2d 20 | 49 6e 64 69 63 20 66 6f |ation - |Indic fo|
|000043f0| 72 20 41 64 6d 69 73 73 | 20 61 6c 6f 6e 65 2e 06 |r Admiss| alone..|
|00004400| 36 2e 09 44 69 66 66 69 | 63 75 6c 74 79 20 69 6e |6..Diffi|culty in|
|00004410| 20 61 73 73 65 73 73 69 | 6e 67 20 74 68 65 20 70 | assessi|ng the p|
|00004420| 61 74 69 65 6e 74 20 28 | 59 6f 75 6e 67 20 2f 20 |atient (|Young / |
|00004430| 45 70 69 6c 65 70 73 79 | 29 06 06 5b 53 63 61 6c |Epilepsy|)..[Scal|
|00004440| 70 20 6c 61 63 65 72 61 | 74 69 6f 6e 20 61 6c 6f |p lacera|tion alo|
|00004450| 6e 65 20 69 73 20 6e 6f | 74 20 61 6e 20 69 6e 64 |ne is no|t an ind|
|00004460| 69 63 61 74 69 6f 6e 20 | 66 6f 72 20 53 58 52 5d |ication |for SXR]|
|00004470| 06 06 43 72 69 74 65 72 | 69 61 20 66 6f 72 20 48 |..Criter|ia for H|
|00004480| 6f 73 70 69 74 61 6c 20 | 41 64 6d 69 73 73 69 6f |ospital |Admissio|
|00004490| 6e 20 61 66 74 65 72 20 | 52 65 63 65 6e 74 20 48 |n after |Recent H|
|000044a0| 65 61 64 20 49 6e 6a 75 | 72 79 3a 06 31 2e 09 43 |ead Inju|ry:.1..C|
|000044b0| 6f 6e 66 75 73 69 6f 6e | 20 6f 72 20 44 65 70 72 |onfusion| or Depr|
|000044c0| 65 73 73 69 6f 6e 20 6f | 66 20 6c 65 76 65 6c 20 |ession o|f level |
|000044d0| 6f 66 20 63 6f 6e 73 63 | 69 6f 75 73 6e 65 73 73 |of consc|iousness|
|000044e0| 20 61 74 20 74 68 65 20 | 74 69 6d 65 20 6f 66 20 | at the |time of |
|000044f0| 06 09 65 78 61 6d 69 6e | 61 74 69 6f 6e 2e 06 32 |..examin|ation..2|
|00004500| 2e 09 53 6b 75 6c 6c 20 | 46 72 61 63 74 75 72 65 |..Skull |Fracture|
|00004510| 06 33 2e 09 4e 65 75 72 | 6f 6c 6f 67 69 63 61 6c |.3..Neur|ological|
|00004520| 20 53 69 67 6e 73 20 20 | 6f 72 20 20 50 72 6f 67 | Signs |or Prog|
|00004530| 72 65 73 73 69 76 65 20 | 48 65 61 64 61 63 68 65 |ressive |Headache|
|00004540| 20 20 6f 72 20 56 6f 6d | 69 74 69 6e 67 06 34 2e | or Vom|iting.4.|
|00004550| 09 44 69 66 66 69 63 75 | 6c 74 79 20 69 6e 20 61 |.Difficu|lty in a|
|00004560| 73 73 65 73 73 69 6e 67 | 20 74 68 65 20 70 61 74 |ssessing| the pat|
|00004570| 69 65 6e 74 20 20 28 41 | 6c 63 6f 68 6f 6c 20 2f |ient (A|lcohol /|
|00004580| 20 59 6f 75 6e 67 20 2f | 20 45 70 69 6c 65 70 73 | Young /| Epileps|
|00004590| 79 29 06 35 2e 09 4f 74 | 68 65 72 20 4d 65 64 69 |y).5..Ot|her Medi|
|000045a0| 63 61 6c 20 43 6f 6e 64 | 69 74 69 6f 6e 73 20 20 |cal Cond|itions |
|000045b0| 28 45 67 2e 20 48 61 65 | 6d 6f 70 68 69 6c 69 61 |(Eg. Hae|mophilia|
|000045c0| 29 06 36 2e 09 54 68 65 | 20 70 61 74 69 65 6e 74 |).6..The| patient|
|000045d0| 27 73 20 73 6f 63 69 61 | 6c 20 63 69 72 63 75 6d |'s socia|l circum|
|000045e0| 73 74 61 6e 63 65 73 20 | 6f 72 20 74 68 65 20 6c |stances |or the l|
|000045f0| 61 63 6b 20 6f 66 20 72 | 65 73 70 6f 6e 73 69 62 |ack of r|esponsib|
|00004600| 6c 65 20 06 09 61 64 75 | 6c 74 20 2f 20 72 65 6c |le ..adu|lt / rel|
|00004610| 61 74 69 76 65 20 73 75 | 70 65 72 76 69 73 69 6f |ative su|pervisio|
|00004620| 6e 2e 06 06 49 6e 64 69 | 63 61 74 69 6f 6e 73 20 |n...Indi|cations |
|00004630| 66 6f 72 20 43 6f 6e 73 | 75 6c 74 61 74 69 6f 6e |for Cons|ultation|
|00004640| 20 77 69 74 68 20 61 20 | 4e 65 75 72 6f 73 75 72 | with a |Neurosur|
|00004650| 67 69 63 61 6c 20 55 6e | 69 74 3a 06 06 31 2e 09 |gical Un|it:..1..|
|00004660| 46 72 61 63 74 75 72 65 | 64 20 73 6b 75 6c 6c 20 |Fracture|d skull |
|00004670| 69 6e 20 63 6f 6d 62 69 | 6e 61 74 69 6f 6e 20 77 |in combi|nation w|
|00004680| 69 74 68 20 06 45 69 74 | 68 65 72 20 2d 09 43 6f |ith .Eit|her -.Co|
|00004690| 6e 66 75 73 69 6f 6e 20 | 6f 72 20 6f 74 68 65 72 |nfusion |or other|
|000046a0| 20 64 65 70 72 65 73 73 | 69 6f 6e 20 69 6e 20 6c | depress|ion in l|
|000046b0| 65 76 65 6c 20 6f 66 20 | 63 6f 6e 73 63 69 6f 75 |evel of |consciou|
|000046c0| 73 6e 65 73 73 06 4f 72 | 20 2d 20 09 09 46 6f 63 |sness.Or| - ..Foc|
|000046d0| 61 6c 20 4e 65 75 72 6f | 6c 6f 67 69 63 61 6c 20 |al Neuro|logical |
|000046e0| 53 69 67 6e 73 06 4f 72 | 20 2d 20 09 09 46 69 74 |Signs.Or| - ..Fit|
|000046f0| 73 06 32 2e 09 43 6f 6e | 66 75 73 69 6f 6e 20 6f |s.2..Con|fusion o|
|00004700| 72 20 6f 74 68 65 72 20 | 6e 65 75 72 6f 6c 6f 67 |r other |neurolog|
|00004710| 69 63 61 6c 20 64 69 73 | 74 75 72 62 61 6e 63 65 |ical dis|turbance|
|00004720| 20 70 65 72 73 69 73 74 | 69 6e 67 20 66 6f 72 20 | persist|ing for |
|00004730| 06 09 6d 6f 72 65 20 74 | 68 61 6e 20 34 20 68 6f |..more t|han 4 ho|
|00004740| 75 72 73 2e 20 20 28 45 | 76 65 6e 20 69 66 20 74 |urs. (E|ven if t|
|00004750| 68 65 72 65 20 69 73 20 | 6e 6f 74 20 73 6b 75 6c |here is |not skul|
|00004760| 6c 20 66 72 61 63 74 75 | 72 65 29 06 33 2e 09 43 |l fractu|re).3..C|
|00004770| 6f 6d 61 20 63 6f 6e 74 | 69 6e 75 69 6e 67 20 61 |oma cont|inuing a|
|00004780| 66 74 65 72 20 72 65 73 | 75 73 63 69 74 61 74 69 |fter res|uscitati|
|00004790| 6f 6e 06 34 2e 09 53 75 | 73 70 65 63 74 65 64 20 |on.4..Su|spected |
|000047a0| 6f 70 65 6e 20 69 6e 6a | 75 72 79 20 6f 66 20 74 |open inj|ury of t|
|000047b0| 68 65 20 76 61 75 6c 74 | 20 6f 72 20 62 61 73 65 |he vault| or base|
|000047c0| 20 6f 66 20 74 68 65 20 | 73 6b 75 6c 6c 2e 06 35 | of the |skull..5|
|000047d0| 2e 09 44 65 70 72 65 73 | 73 65 64 20 66 72 61 63 |..Depres|sed frac|
|000047e0| 74 75 72 65 20 6f 66 20 | 74 68 65 20 73 6b 75 6c |ture of |the skul|
|000047f0| 6c 06 36 2e 09 44 65 74 | 65 72 69 6f 72 61 74 69 |l.6..Det|eriorati|
|00004800| 6f 6e 20 6f 66 20 6e 65 | 75 72 6f 6c 6f 67 69 63 |on of ne|urologic|
|00004810| 61 6c 20 63 6f 6e 64 69 | 74 69 6f 6e 2e 20 28 66 |al condi|tion. (f|
|00004820| 61 6c 6c 20 6f 66 20 47 | 43 53 20 32 20 70 6f 69 |all of G|CS 2 poi|
|00004830| 6e 74 73 29 06 06 57 72 | 69 74 65 20 69 6e 20 4e |nts)..Wr|ite in N|
|00004840| 6f 74 65 73 3a 06 4e 6f | 20 4c 4f 43 20 2f 20 46 |otes:.No| LOC / F|
|00004850| 20 2f 20 46 20 2f 20 44 | 20 2f 20 4e 20 2f 20 57 | / F / D| / N / W|
|00004860| 20 2f 20 50 20 2f 20 52 | 20 2f 20 4f 20 2f 20 41 | / P / R| / O / A|
|00004870| 6d 6e 06 4e 6f 20 4c 4f | 43 20 2f 20 46 61 69 6e |mn.No LO|C / Fain|
|00004880| 74 73 20 2f 20 46 69 74 | 73 20 2f 20 44 69 7a 7a |ts / Fit|s / Dizz|
|00004890| 69 6e 65 73 73 20 2f 20 | 4e 75 6d 62 6e 65 73 73 |iness / |Numbness|
|000048a0| 20 2f 20 57 65 61 6b 6e | 65 73 73 20 2f 20 06 50 | / Weakn|ess / .P|
|000048b0| 61 72 61 65 73 74 68 65 | 73 69 61 20 2f 20 52 68 |araesthe|sia / Rh|
|000048c0| 69 6e 6f 72 68 6f 65 61 | 20 2f 20 4f 74 6f 72 72 |inorhoea| / Otorr|
|000048d0| 68 6f 65 61 20 2f 20 41 | 6d 6e 65 73 69 61 2e 06 |hoea / A|mnesia..|
|000048e0| af 42 49 6e 64 69 63 61 | 74 69 6f 6e 73 20 74 6f |.BIndica|tions to|
|000048f0| 20 54 68 72 6f 6d 62 6f | 6c 79 73 69 73 3a 06 06 | Thrombo|lysis:..|
|00004900| 31 2e 09 52 65 67 69 6f | 6e 61 6c 20 53 54 20 73 |1..Regio|nal ST s|
|00004910| 65 67 6d 6e 74 20 45 6c | 65 76 61 74 69 6f 6e 2e |egmnt El|evation.|
|00004920| 06 32 2e 09 41 70 70 72 | 6f 70 72 69 61 74 65 20 |.2..Appr|opriate |
|00004930| 48 78 20 6f 66 20 43 68 | 65 73 74 20 50 61 69 6e |Hx of Ch|est Pain|
|00004940| 20 77 69 74 68 20 4c 42 | 42 42 06 06 43 6f 6e 74 | with LB|BB..Cont|
|00004950| 72 61 69 6e 64 69 63 61 | 74 69 6f 6e 73 20 74 6f |raindica|tions to|
|00004960| 20 54 68 72 6f 6d 62 6f | 6c 79 73 69 73 3a 06 06 | Thrombo|lysis:..|
|00004970| 31 2e 09 52 65 63 65 6e | 74 20 48 78 20 6f 66 20 |1..Recen|t Hx of |
|00004980| 42 6c 65 65 64 69 6e 67 | 20 6f 72 20 50 65 70 74 |Bleeding| or Pept|
|00004990| 69 63 20 55 6c 63 65 72 | 06 32 2e 09 48 78 20 6f |ic Ulcer|.2..Hx o|
|000049a0| 66 20 43 6f 61 67 75 6c | 6f 70 61 74 68 79 20 6f |f Coagul|opathy o|
|000049b0| 72 20 41 6e 74 69 63 6f | 61 67 75 6c 61 74 69 6f |r Antico|agulatio|
|000049c0| 6e 2e 06 33 2e 09 52 65 | 63 65 6e 74 20 48 65 61 |n..3..Re|cent Hea|
|000049d0| 64 20 49 6e 6a 75 72 79 | 2c 20 6f 72 20 43 65 72 |d Injury|, or Cer|
|000049e0| 65 62 72 6f 76 61 73 63 | 75 6c 61 72 20 44 69 73 |ebrovasc|ular Dis|
|000049f0| 65 61 73 65 06 34 2e 09 | 53 65 76 65 72 65 20 52 |ease.4..|Severe R|
|00004a00| 65 6e 61 6c 20 6f 72 20 | 4c 69 76 65 72 20 46 61 |enal or |Liver Fa|
|00004a10| 69 6c 75 72 65 06 34 2e | 09 53 75 73 70 65 63 74 |ilure.4.|.Suspect|
|00004a20| 65 64 20 44 69 73 73 65 | 63 74 69 6e 67 20 41 6f |ed Disse|cting Ao|
|00004a30| 72 74 69 63 20 41 6e 65 | 75 72 69 73 6d 06 35 2e |rtic Ane|urism.5.|
|00004a40| 09 42 50 20 3e 20 31 38 | 30 20 53 79 73 74 6f 6c |.BP > 18|0 Systol|
|00004a50| 69 63 20 6f 72 20 31 30 | 35 20 3e 44 69 61 73 74 |ic or 10|5 >Diast|
|00004a60| 6f 6c 69 63 06 36 2e 09 | 46 6f 6c 6c 6f 77 69 6e |olic.6..|Followin|
|00004a70| 67 20 43 50 52 06 37 2e | 09 50 72 6f 6c 69 66 65 |g CPR.7.|.Prolife|
|00004a80| 72 61 74 69 76 65 20 44 | 69 61 62 65 74 69 63 20 |rative D|iabetic |
|00004a90| 52 65 74 69 6e 6f 70 61 | 74 68 79 06 38 2e 09 50 |Retinopa|thy.8..P|
|00004aa0| 72 65 67 6e 61 6e 63 79 | 06 39 2e 09 50 75 6c 6d |regnancy|.9..Pulm|
|00004ab0| 6f 6e 61 72 79 20 63 61 | 76 69 74 61 74 69 6f 6e |onary ca|vitation|
|00004ac0| 06 31 30 2e 20 41 63 75 | 74 65 20 50 61 6e 63 72 |.10. Acu|te Pancr|
|00004ad0| 65 61 74 69 74 69 73 20 | 26 20 53 65 76 65 72 65 |eatitis |& Severe|
|00004ae0| 20 44 69 61 62 65 74 65 | 73 20 4d 65 6c 6c 69 74 | Diabete|s Mellit|
|00004af0| 75 73 06 31 31 2e 20 52 | 65 63 65 6e 74 20 53 75 |us.11. R|ecent Su|
|00004b00| 72 67 65 72 79 20 6f 72 | 20 54 72 61 75 6d 61 2e |rgery or| Trauma.|
|00004b10| 20 20 28 31 20 57 65 65 | 6b 29 06 31 32 2e 20 53 | (1 Wee|k).12. S|
|00004b20| 79 73 74 6f 6c 69 63 20 | 42 50 20 3c 20 39 35 20 |ystolic |BP < 95 |
|00004b30| 20 28 53 74 72 65 70 29 | 06 31 33 2e 20 50 72 65 | (Strep)|.13. Pre|
|00004b40| 76 69 6f 75 73 20 41 64 | 6d 69 6e 69 73 74 72 61 |vious Ad|ministra|
|00004b50| 74 69 6f 6e 20 6f 66 20 | 53 74 72 65 70 20 3e 20 |tion of |Strep > |
|00004b60| 35 20 64 61 79 73 20 6f | 72 20 3c 20 31 20 79 65 |5 days o|r < 1 ye|
|00004b70| 61 72 2e 06 31 34 2e 20 | 4b 6e 6f 77 6e 20 72 65 |ar..14. |Known re|
|00004b80| 61 63 74 69 6f 6e 20 74 | 6f 20 53 74 72 65 70 2e |action t|o Strep.|
|00004b90| 06 22 43 1d 00 00 00 ff | ff c4 12 12 12 12 12 12 |."C.....|........|
|00004ba0| 12 d5 03 12 12 12 12 12 | d5 03 a4 03 60 43 56 50 |........|....`CVP|
|00004bb0| 20 4e 6f 72 6d 61 6c 20 | 52 61 6e 67 65 3a 06 06 | Normal |Range:..|
|00004bc0| 30 20 2d 20 38 20 28 4d | 65 61 73 75 72 65 64 20 |0 - 8 (M|easured |
|00004bd0| 66 72 6f 6d 20 73 74 65 | 72 6e 61 6c 20 61 6e 67 |from ste|rnal ang|
|00004be0| 6c 65 29 06 34 20 2d 20 | 31 32 20 28 4d 65 61 73 |le).4 - |12 (Meas|
|00004bf0| 75 72 65 64 20 66 72 6f | 6d 20 6d 69 64 2d 61 78 |ured fro|m mid-ax|
|00004c00| 69 6c 6c 61 72 79 20 6c | 69 6e 65 29 06 01 11 00 |illary l|ine)....|
|00004c10| 00 00 7b 01 00 00 01 12 | 00 00 00 19 02 00 00 01 |..{.....|........|
|00004c20| 13 00 00 00 7e 05 00 00 | 01 14 00 00 00 b7 03 00 |....~...|........|
|00004c30| 00 01 15 00 00 00 35 01 | 00 00 01 16 00 00 00 49 |......5.|.......I|
|00004c40| 01 00 00 01 17 00 00 00 | 03 01 00 00 03 f3 45 43 |........|......EC|
|00004c50| 47 20 4e 6f 74 65 73 3a | 06 06 4e 65 74 20 75 70 |G Notes:|..Net up|
|00004c60| 77 61 72 64 20 64 65 76 | 69 61 74 69 6f 6e 20 6f |ward dev|iation o|
|00004c70| 66 20 51 52 53 20 6f 6e | 20 45 43 47 20 67 6f 65 |f QRS on| ECG goe|
|00004c80| 73 20 61 6c 6f 6e 67 20 | 61 78 69 73 20 76 65 63 |s along |axis vec|
|00004c90| 74 6f 72 2e 06 4e 65 74 | 20 64 6f 77 6e 77 61 72 |tor..Net| downwar|
|00004ca0| 64 20 64 65 76 69 61 74 | 69 6f 6e 20 6f 66 20 51 |d deviat|ion of Q|
|00004cb0| 52 53 20 6f 6e 20 45 43 | 47 20 67 6f 65 73 20 62 |RS on EC|G goes b|
|00004cc0| 61 63 6b 20 61 6c 6f 6e | 67 20 61 78 69 73 20 76 |ack alon|g axis v|
|00004cd0| 65 63 74 6f 72 2e 06 06 | 4c 41 44 20 3a 20 2b 76 |ector...|LAD : +v|
|00004ce0| 65 20 64 65 76 69 61 74 | 69 6f 6e 20 69 6e 20 49 |e deviat|ion in I|
|00004cf0| 2c 20 26 20 2d 76 65 20 | 64 65 76 69 61 74 69 6f |, & -ve |deviatio|
|00004d00| 6e 73 20 69 6e 20 49 49 | 20 26 20 49 49 49 06 52 |ns in II| & III.R|
|00004d10| 41 44 20 3a 20 2b 76 65 | 20 64 65 76 69 61 74 69 |AD : +ve| deviati|
|00004d20| 6f 6e 20 69 6e 20 49 49 | 49 2c 20 26 20 2d 76 65 |on in II|I, & -ve|
|00004d30| 20 64 65 76 69 61 74 69 | 6f 6e 20 69 6e 20 49 2e | deviati|on in I.|
|00004d40| 06 01 18 00 00 00 e8 03 | 00 00 01 19 00 00 00 cd |........|........|
|00004d50| 01 00 00 01 1a 00 00 00 | 62 03 00 00 01 1b 00 00 |........|b.......|
|00004d60| 00 df 05 00 00 01 1c 00 | 00 00 af 02 00 00 03 f3 |........|........|
|00004d70| 49 6e 66 75 73 69 6f 6e | 20 50 75 6d 70 20 54 79 |Infusion| Pump Ty|
|00004d80| 70 65 73 3a 06 06 42 61 | 78 74 65 72 20 09 09 09 |pes:..Ba|xter ...|
|00004d90| 2d 20 46 6f 72 20 69 6e | 66 75 73 69 6f 6e 73 20 |- For in|fusions |
|00004da0| 66 72 6f 6d 20 61 20 42 | 61 67 20 28 56 6f 6c 75 |from a B|ag (Volu|
|00004db0| 6d 65 74 72 69 63 20 50 | 75 6d 70 29 06 49 6d 65 |metric P|ump).Ime|
|00004dc0| 64 09 09 09 09 2d 20 46 | 6f 72 20 69 6e 66 75 73 |d....- F|or infus|
|00004dd0| 69 6f 6e 73 20 61 6e 64 | 20 54 50 4e 20 28 56 6f |ions and| TPN (Vo|
|00004de0| 6c 75 6d 65 74 72 69 63 | 20 50 75 6d 70 29 06 42 |lumetric| Pump).B|
|00004df0| 65 63 74 6f 6e 20 44 69 | 63 6b 69 6e 73 6f 6e 09 |ecton Di|ckinson.|
|00004e00| 2d 20 35 30 6d 6c 73 20 | 28 53 79 72 69 6e 67 65 |- 50mls |(Syringe|
|00004e10| 20 44 72 69 76 65 72 29 | 06 56 69 63 6b 65 72 73 | Driver)|.Vickers|
|00004e20| 09 09 09 2d 20 35 30 6d | 6c 73 20 28 53 79 72 69 |...- 50m|ls (Syri|
|00004e30| 6e 67 65 20 20 44 72 69 | 76 65 72 29 06 47 72 61 |nge Dri|ver).Gra|
|00004e40| 73 65 62 79 20 09 09 09 | 2d 20 31 30 6d 6c 73 20 |seby ...|- 10mls |
|00004e50| 28 53 79 72 69 6e 67 65 | 72 20 44 72 69 76 65 72 |(Syringe|r Driver|
|00004e60| 29 06 06 03 50 49 6e 66 | 75 73 69 6f 6e 73 20 2d |)...PInf|usions -|
|00004e70| 20 41 64 72 65 6e 61 6c | 69 6e 65 20 49 6e 66 75 | Adrenal|ine Infu|
|00004e80| 73 69 6f 6e 3a 06 06 32 | 6d 67 20 69 6e 20 31 30 |sion:..2|mg in 10|
|00004e90| 30 6d 6c 73 20 35 25 20 | 44 65 78 74 72 6f 73 65 |0mls 5% |Dextrose|
|00004ea0| 20 74 6f 20 72 75 6e 20 | 61 74 20 31 30 6d 6c 73 | to run |at 10mls|
|00004eb0| 2f 68 72 2e 06 59 41 49 | 6e 66 75 73 69 6f 6e 73 |/hr..YAI|nfusions|
|00004ec0| 20 2d 20 44 69 61 6d 6f | 72 70 68 69 6e 65 20 49 | - Diamo|rphine I|
|00004ed0| 6e 66 75 73 69 6f 6e 20 | 50 75 6d 70 3a 06 06 34 |nfusion |Pump:..4|
|00004ee0| 30 2d 31 32 30 6d 67 20 | 44 69 61 6d 6f 72 70 68 |0-120mg |Diamorph|
|00004ef0| 69 6e 65 20 2b 20 35 30 | 2d 31 30 30 6d 67 20 43 |ine + 50|-100mg C|
|00004f00| 79 63 6c 69 7a 69 6e 65 | 20 2b 2f 2d 20 35 6d 67 |yclizine| +/- 5mg|
|00004f10| 20 48 61 6c 6f 70 65 72 | 69 64 6f 6c 06 69 6e 20 | Haloper|idol.in |
|00004f20| 38 6d 6c 73 20 77 61 74 | 65 72 20 66 6f 72 20 69 |8mls wat|er for i|
|00004f30| 6e 6a 65 63 74 69 6f 6e | 20 74 6f 20 72 75 6e 20 |njection| to run |
|00004f40| 61 74 20 31 2d 34 6d 6d | 2f 68 72 20 69 6e 20 61 |at 1-4mm|/hr in a|
|00004f50| 20 47 72 61 73 65 62 79 | 20 50 75 6d 70 2e 06 06 | Graseby| Pump...|
|00004f60| 34 38 6d 6d 20 70 65 72 | 20 73 79 72 69 6e 67 65 |48mm per| syringe|
|00004f70| 06 38 6d 6c 73 20 70 65 | 72 20 73 79 72 69 6e 67 |.8mls pe|r syring|
|00004f80| 65 06 34 38 6d 6d 20 3d | 20 36 30 6d 67 06 31 6d |e.48mm =| 60mg.1m|
|00004f90| 6d 20 3d 20 31 2e 32 35 | 6d 67 06 06 4d 61 78 20 |m = 1.25|mg..Max |
|00004fa0| 44 6f 73 65 20 31 30 6d | 67 20 69 6e 20 34 20 68 |Dose 10m|g in 4 h|
|00004fb0| 6f 75 72 73 20 20 2f 20 | 20 36 30 6d 67 20 69 6e |ours / | 60mg in|
|00004fc0| 20 32 34 20 68 6f 75 72 | 73 2e 06 06 43 61 6e 20 | 24 hour|s...Can |
|00004fd0| 53 75 62 73 74 69 74 75 | 74 65 20 36 2e 32 35 2d |Substitu|te 6.25-|
|00004fe0| 31 35 6d 67 20 4d 65 74 | 68 6f 74 72 69 6d 65 70 |15mg Met|hotrimep|
|00004ff0| 72 61 7a 69 6e 65 20 28 | 4e 6f 7a 69 6e 61 6e 29 |razine (|Nozinan)|
|00005000| 20 66 6f 72 20 43 79 63 | 6c 69 7a 69 6e 65 2e 06 | for Cyc|lizine..|
|00005010| 24 41 49 6e 66 75 73 69 | 6f 6e 73 20 2d 20 44 6f |$AInfusi|ons - Do|
|00005020| 62 75 74 61 6d 69 6e 65 | 20 49 6e 66 75 73 69 6f |butamine| Infusio|
|00005030| 6e 3a 06 06 43 6f 6d 65 | 73 20 61 73 20 32 35 30 |n:..Come|s as 250|
|00005040| 6d 67 20 69 6e 20 61 20 | 32 30 6d 6c 20 76 69 61 |mg in a |20ml via|
|00005050| 6c 06 32 35 30 6d 67 20 | 44 6f 62 75 74 61 6d 69 |l.250mg |Dobutami|
|00005060| 6e 65 20 6d 61 64 65 20 | 75 70 20 74 6f 20 35 30 |ne made |up to 50|
|00005070| 20 6d 6c 73 20 77 69 74 | 68 20 4e 2f 53 61 6c 69 | mls wit|h N/Sali|
|00005080| 6e 65 20 28 3d 35 6d 67 | 2f 6d 6c 29 06 54 6f 20 |ne (=5mg|/ml).To |
|00005090| 72 75 6e 20 61 74 20 32 | 2e 35 20 2d 20 31 30 20 |run at 2|.5 - 10 |
|000050a0| 6d 63 67 2f 6b 67 2f 6d | 69 6e 20 74 68 72 6f 75 |mcg/kg/m|in throu|
|000050b0| 67 68 20 61 20 63 65 6e | 74 72 61 6c 20 6c 69 6e |gh a cen|tral lin|
|000050c0| 65 2e 06 06 6f 72 06 06 | 32 35 30 6d 67 20 44 6f |e...or..|250mg Do|
|000050d0| 62 75 74 61 6d 69 6e 65 | 20 69 6e 20 32 35 30 6d |butamine| in 250m|
|000050e0| 6c 73 20 35 25 20 47 6c | 75 63 6f 73 65 20 6f 72 |ls 5% Gl|ucose or|
|000050f0| 20 4e 2f 53 61 6c 69 6e | 65 06 28 3d 31 6d 67 2f | N/Salin|e.(=1mg/|
|00005100| 6d 6c 29 20 74 6f 20 72 | 75 6e 20 61 74 20 78 20 |ml) to r|un at x |
|00005110| 6d 6c 73 2f 68 72 2e 20 | 20 28 41 76 20 52 61 6e |mls/hr. | (Av Ran|
|00005120| 67 65 20 36 20 2d 20 33 | 35 20 6d 6c 73 20 2f 20 |ge 6 - 3|5 mls / |
|00005130| 68 6f 75 72 29 06 38 41 | 49 6e 66 75 73 69 6f 6e |hour).8A|Infusion|
|00005140| 73 20 2d 20 44 6f 70 61 | 6d 69 6e 65 20 49 6e 66 |s - Dopa|mine Inf|
|00005150| 75 73 69 6f 6e 3a 06 06 | 61 29 09 43 6f 6d 65 73 |usion:..|a).Comes|
|00005160| 20 61 73 20 32 30 30 6d | 67 20 69 6e 20 61 20 35 | as 200m|g in a 5|
|00005170| 6d 6c 20 76 69 61 6c 06 | 62 29 09 44 69 6c 75 74 |ml vial.|b).Dilut|
|00005180| 65 20 32 30 30 6d 67 20 | 44 6f 70 61 6d 69 6e 65 |e 200mg |Dopamine|
|00005190| 20 69 6e 20 35 30 6d 6c | 73 20 6f 66 06 09 4e 2f | in 50ml|s of..N/|
|000051a0| 53 61 6c 69 6e 65 20 28 | 34 6d 67 2f 6d 6c 20 3d |Saline (|4mg/ml =|
|000051b0| 20 34 30 30 30 6d 63 67 | 2f 6d 6c 29 06 63 29 09 | 4000mcg|/ml).c).|
|000051c0| 52 65 6e 61 6c 20 44 6f | 73 65 20 3d 20 32 2e 35 |Renal Do|se = 2.5|
|000051d0| 20 2d 20 35 2e 30 6d 63 | 67 2f 6b 67 2f 6d 69 6e | - 5.0mc|g/kg/min|
|000051e0| 06 64 29 09 54 68 65 72 | 65 66 6f 72 65 20 49 6e |.d).Ther|efore In|
|000051f0| 66 75 73 69 6f 6e 20 72 | 61 74 65 20 3d 06 09 32 |fusion r|ate =..2|
|00005200| 2e 35 20 20 20 2a 20 37 | 32 20 2a 20 36 30 20 20 |.5 * 7|2 * 60 |
|00005210| 3d 20 20 32 2e 37 6d 6c | 73 2f 68 72 06 09 34 30 |= 2.7ml|s/hr..40|
|00005220| 30 30 06 09 28 32 2e 35 | 20 3d 20 44 6f 73 65 2c |00..(2.5| = Dose,|
|00005230| 20 37 32 20 3d 20 77 65 | 69 67 68 74 2c 20 36 30 | 72 = we|ight, 60|
|00005240| 20 3d 20 4d 69 6e 75 74 | 65 73 2e 29 06 09 28 4d | = Minut|es.)..(M|
|00005250| 75 73 74 20 62 65 20 67 | 69 76 65 6e 20 62 79 20 |ust be g|iven by |
|00005260| 61 20 63 65 6e 74 72 61 | 6c 20 6c 69 6e 65 29 06 |a centra|l line).|
|00005270| 9d 41 49 6e 66 75 73 69 | 6f 6e 73 20 2d 20 48 65 |.AInfusi|ons - He|
|00005280| 70 61 72 69 6e 20 49 6e | 66 75 73 69 6f 6e 3a 06 |parin In|fusion:.|
|00005290| 06 78 20 75 6e 69 74 73 | 20 6f 66 20 48 65 70 61 |.x units| of Hepa|
|000052a0| 72 69 6e 20 69 6e 20 34 | 38 6d 6c 73 20 4e 2f 53 |rin in 4|8mls N/S|
|000052b0| 61 6c 69 6e 65 20 74 6f | 20 72 75 6e 06 61 74 20 |aline to| run.at |
|000052c0| 32 6d 6c 73 2f 68 72 2e | 06 28 44 6f 20 4b 50 50 |2mls/hr.|.(Do KPP|
|000052d0| 54 20 61 20 66 65 77 20 | 68 6f 75 72 73 20 61 66 |T a few |hours af|
|000052e0| 74 65 72 20 73 74 61 72 | 74 69 6e 67 29 06 28 78 |ter star|ting).(x|
|000052f0| 20 3d 20 55 70 20 74 6f | 20 34 38 30 30 30 20 55 | = Up to| 48000 U|
|00005300| 6e 69 74 73 20 2f 20 64 | 61 79 29 06 06 43 6f 6d |nits / d|ay)..Com|
|00005310| 65 73 20 61 73 20 2d 06 | 31 30 30 30 55 20 69 6e |es as -.|1000U in|
|00005320| 20 31 6d 6c 20 56 69 61 | 6c 06 35 30 30 30 55 20 | 1ml Via|l.5000U |
|00005330| 69 6e 20 31 6d 6c 20 56 | 69 61 6c 06 32 35 30 30 |in 1ml V|ial.2500|
|00005340| 30 55 20 69 6e 20 31 6d | 6c 20 56 69 61 6c 06 50 |0U in 1m|l Vial.P|
|00005350| 75 6d 70 20 48 65 70 20 | 3d 20 31 30 30 30 55 2f |ump Hep |= 1000U/|
|00005360| 6d 6c 06 31 30 30 30 30 | 55 20 20 2d 20 20 30 2e |ml.10000|U - 0.|
|00005370| 34 6d 6c 73 2f 68 72 06 | 31 32 30 30 30 55 20 20 |4mls/hr.|12000U |
|00005380| 2d 20 20 30 2e 35 6d 6c | 73 2f 68 72 06 31 35 30 |- 0.5ml|s/hr.150|
|00005390| 30 30 55 20 20 2d 20 20 | 30 2e 36 35 6d 6c 73 2f |00U - |0.65mls/|
|000053a0| 68 72 06 32 30 30 30 30 | 55 20 20 2d 20 20 30 2e |hr.20000|U - 0.|
|000053b0| 38 35 6d 6c 73 2f 68 72 | 06 32 34 30 30 30 55 20 |85mls/hr|.24000U |
|000053c0| 20 2d 20 20 31 2e 30 6d | 6c 73 2f 68 72 06 33 30 | - 1.0m|ls/hr.30|
|000053d0| 30 30 30 55 20 20 2d 20 | 20 31 2e 32 35 6d 6c 73 |000U - | 1.25mls|
|000053e0| 2f 68 72 06 34 30 30 30 | 30 55 20 20 2d 20 20 31 |/hr.4000|0U - 1|
|000053f0| 2e 36 35 6d 6c 73 2f 68 | 72 06 34 38 30 30 30 55 |.65mls/h|r.48000U|
|00005400| 20 20 2d 20 20 32 2e 30 | 6d 6c 73 2f 68 72 06 f4 | - 2.0|mls/hr..|
|00005410| 41 49 4e 52 20 52 61 6e | 67 65 73 06 06 32 20 2d |AINR Ran|ges..2 -|
|00005420| 20 32 2e 35 20 20 3a 09 | 50 72 78 20 6f 66 20 44 | 2.5 :.|Prx of D|
|00005430| 56 54 20 61 6e 64 20 50 | 45 20 69 6e 20 74 68 6f |VT and P|E in tho|
|00005440| 73 65 20 61 74 20 72 69 | 73 6b 20 28 4c 6f 6e 67 |se at ri|sk (Long|
|00005450| 20 54 65 72 6d 29 06 32 | 20 2d 20 33 20 20 20 20 | Term).2| - 3 |
|00005460| 20 20 3a 09 50 72 78 20 | 69 6e 20 53 75 72 67 65 | :.Prx |in Surge|
|00005470| 72 79 20 28 4c 6f 77 65 | 72 20 6c 69 6d 62 2c 20 |ry (Lowe|r limb, |
|00005480| 41 62 64 6f 29 2c 06 09 | 09 09 52 78 20 6f 66 20 |Abdo),..|..Rx of |
|00005490| 44 56 54 27 73 20 61 6e | 64 20 50 45 27 73 20 20 |DVT's an|d PE's |
|000054a0| 28 33 2d 36 20 4d 6f 6e | 74 68 73 29 06 09 09 09 |(3-6 Mon|ths)....|
|000054b0| 50 72 78 20 6f 66 20 74 | 68 72 6f 6d 62 6f 65 6d |Prx of t|hromboem|
|000054c0| 62 6f 6c 69 73 6d 20 61 | 66 74 65 72 20 4d 49 27 |bolism a|fter MI'|
|000054d0| 73 20 28 33 2d 36 20 4d | 6f 6e 74 68 73 29 06 09 |s (3-6 M|onths)..|
|000054e0| 09 09 54 49 41 27 73 20 | 20 28 4c 6f 6e 67 20 54 |..TIA's | (Long T|
|000054f0| 65 72 6d 29 2c 06 09 09 | 09 41 74 72 69 61 6c 20 |erm),...|.Atrial |
|00005500| 66 69 62 72 69 6c 6c 61 | 74 69 6f 6e 20 20 28 4c |fibrilla|tion (L|
|00005510| 6f 6e 67 20 54 65 72 6d | 29 06 09 09 09 4d 69 74 |ong Term|)....Mit|
|00005520| 72 61 6c 20 53 74 65 6e | 6f 73 69 73 20 77 69 74 |ral Sten|osis wit|
|00005530| 68 20 45 6d 62 6f 6c 69 | 73 6d 20 20 28 4c 6f 6e |h Emboli|sm (Lon|
|00005540| 67 20 54 65 72 6d 29 06 | 09 09 09 54 69 73 73 75 |g Term).|...Tissu|
|00005550| 65 20 56 61 6c 76 65 73 | 20 20 28 33 20 4d 6f 6e |e Valves| (3 Mon|
|00005560| 74 68 73 29 06 33 20 2d | 20 34 2e 35 20 20 3a 09 |ths).3 -| 4.5 :.|
|00005570| 52 78 20 6f 66 20 72 65 | 63 75 72 72 65 6e 74 20 |Rx of re|current |
|00005580| 44 56 54 27 73 2c 20 50 | 45 27 73 20 20 28 4c 6f |DVT's, P|E's (Lo|
|00005590| 6e 67 20 54 65 72 6d 29 | 06 09 09 09 4d 49 27 73 |ng Term)|....MI's|
|000055a0| 20 26 20 6f 74 68 65 72 | 20 41 72 74 65 72 69 61 | & other| Arteria|
|000055b0| 6c 20 44 69 73 65 61 73 | 65 20 20 28 4c 6f 6e 67 |l Diseas|e (Long|
|000055c0| 20 54 65 72 6d 29 06 09 | 09 09 4d 65 63 68 61 6e | Term)..|..Mechan|
|000055d0| 69 63 61 6c 20 56 61 6c | 76 65 73 20 20 28 4c 69 |ical Val|ves (Li|
|000055e0| 66 65 20 4c 6f 6e 67 29 | 06 09 09 09 43 41 42 47 |fe Long)|....CABG|
|000055f0| 27 73 20 20 28 55 70 20 | 74 6f 20 32 20 4d 6f 6e |'s (Up |to 2 Mon|
|00005600| 74 68 73 29 06 f6 41 49 | 6e 73 75 6c 69 6e 20 53 |ths)..AI|nsulin S|
|00005610| 6c 69 64 69 6e 67 20 53 | 63 61 6c 65 3a 06 06 54 |liding S|cale:..T|
|00005620| 72 65 61 74 6d 65 6e 74 | 20 6f 66 20 44 69 61 62 |reatment| of Diab|
|00005630| 65 74 65 73 20 2d 06 49 | 2f 56 20 49 6e 73 75 6c |etes -.I|/V Insul|
|00005640| 69 6e 20 53 6c 69 64 69 | 6e 67 20 53 63 61 6c 65 |in Slidi|ng Scale|
|00005650| 06 35 30 75 6e 69 74 73 | 20 48 75 6d 61 6e 20 41 |.50units| Human A|
|00005660| 63 74 72 61 70 69 64 20 | 69 6e 20 35 30 6d 6c 73 |ctrapid |in 50mls|
|00005670| 20 4e 2f 53 61 6c 69 6e | 65 20 54 69 74 72 61 74 | N/Salin|e Titrat|
|00005680| 65 64 20 61 67 61 69 6e | 73 74 06 42 4d 20 53 74 |ed again|st.BM St|
|00005690| 69 78 20 6c 65 76 65 6c | 2e 06 42 4d 20 53 74 69 |ix level|..BM Sti|
|000056a0| 78 09 09 09 52 61 74 65 | 20 28 55 6e 69 74 73 2f |x...Rate| (Units/|
|000056b0| 68 72 20 3d 20 6d 6c 73 | 2f 68 72 29 06 30 2e 30 |hr = mls|/hr).0.0|
|000056c0| 20 2d 20 34 2e 30 09 09 | 09 30 2e 35 06 34 2e 31 | - 4.0..|.0.5.4.1|
|000056d0| 20 2d 20 37 2e 30 09 09 | 09 31 2e 30 06 37 2e 31 | - 7.0..|.1.0.7.1|
|000056e0| 20 2d 20 31 31 2e 30 09 | 09 09 32 2e 30 06 31 31 | - 11.0.|..2.0.11|
|000056f0| 2e 31 20 2d 20 31 37 2e | 30 09 09 34 2e 30 06 31 |.1 - 17.|0..4.0.1|
|00005700| 37 2e 31 20 2d 20 32 37 | 2e 30 09 09 37 2e 30 06 |7.1 - 27|.0..7.0.|
|00005710| 3e 32 37 2e 30 09 09 09 | 09 31 30 2e 30 06 49 6e |>27.0...|.10.0.In|
|00005720| 66 75 73 65 20 35 30 30 | 6d 6c 73 20 6f 66 20 35 |fuse 500|mls of 5|
|00005730| 25 20 44 65 78 74 72 6f | 73 65 20 6f 76 65 72 20 |% Dextro|se over |
|00005740| 38 20 68 72 73 20 69 66 | 20 5b 47 6c 75 63 6f 73 |8 hrs if| [Glucos|
|00005750| 65 5d 20 67 6f 65 73 20 | 3c 34 2e 30 20 6d 6d 6f |e] goes |<4.0 mmo|
|00005760| 6c 2f 6c 2e 06 06 52 78 | 20 6f 66 20 48 79 70 65 |l/l...Rx| of Hype|
|00005770| 72 6b 61 6c 61 65 6d 69 | 61 20 2d 06 31 30 55 20 |rkalaemi|a -.10U |
|00005780| 6f 66 20 49 6e 73 75 6c | 69 6e 20 69 6e 20 35 30 |of Insul|in in 50|
|00005790| 6d 6c 73 20 6f 66 20 35 | 30 25 20 47 6c 75 63 6f |mls of 5|0% Gluco|
|000057a0| 73 65 20 74 6f 20 62 65 | 20 67 69 76 65 6e 20 6f |se to be| given o|
|000057b0| 76 65 72 20 31 35 20 6d | 69 6e 73 2e 06 49 6e 73 |ver 15 m|ins..Ins|
|000057c0| 75 6c 69 6e 20 63 6f 6d | 65 73 20 69 6e 20 31 30 |ulin com|es in 10|
|000057d0| 6d 6c 20 56 69 61 6c 73 | 20 77 68 65 72 65 20 31 |ml Vials| where 1|
|000057e0| 6d 6c 20 63 6f 6e 74 61 | 69 6e 73 20 31 30 30 55 |ml conta|ins 100U|
|000057f0| 20 6f 66 20 49 6e 73 75 | 6c 69 6e 2e 06 59 41 4c | of Insu|lin..YAL|
|00005800| 75 6e 67 20 46 75 6e 63 | 74 69 6f 6e 20 54 65 73 |ung Func|tion Tes|
|00005810| 74 73 3a 06 06 46 45 56 | 31 20 2d 20 46 6f 72 63 |ts:..FEV|1 - Forc|
|00005820| 65 64 20 45 78 70 69 72 | 61 74 6f 72 79 20 56 6f |ed Expir|atory Vo|
|00005830| 6c 75 6d 65 20 69 6e 20 | 31 20 73 65 63 6f 6e 64 |lume in |1 second|
|00005840| 06 56 43 20 2d 20 56 69 | 74 61 6c 20 43 61 70 61 |.VC - Vi|tal Capa|
|00005850| 63 69 74 79 06 46 45 56 | 31 2f 56 43 20 2d 20 41 |city.FEV|1/VC - A|
|00005860| 20 6d 65 61 73 75 72 65 | 20 6f 66 20 41 69 72 77 | measure| of Airw|
|00005870| 61 79 20 4f 62 73 74 72 | 75 63 74 69 6f 6e 06 50 |ay Obstr|uction.P|
|00005880| 65 61 6b 20 46 6c 6f 77 | 20 2d 20 4d 61 78 69 6d |eak Flow| - Maxim|
|00005890| 75 6d 20 72 61 74 65 20 | 6f 66 20 65 78 70 75 6c |um rate |of expul|
|000058a0| 73 69 6f 6e 20 6f 66 20 | 61 69 72 06 06 54 4c 43 |sion of |air..TLC|
|000058b0| 20 2d 20 54 6f 74 61 6c | 20 4c 75 6e 67 20 43 61 | - Total| Lung Ca|
|000058c0| 70 61 63 69 74 79 06 52 | 56 20 2d 20 52 72 65 73 |pacity.R|V - Rres|
|000058d0| 69 64 75 61 6c 20 56 6f | 6c 75 6d 65 06 06 44 69 |idual Vo|lume..Di|
|000058e0| 66 66 75 73 69 6f 6e 3a | 06 54 4c 43 4f 20 3d 20 |ffusion:|.TLCO = |
|000058f0| 4b 43 4f 20 2a 20 56 41 | 20 20 28 54 72 61 6e 73 |KCO * VA| (Trans|
|00005900| 66 65 72 20 46 61 63 74 | 6f 72 20 3d 20 48 6f 77 |fer Fact|or = How|
|00005910| 20 67 6f 6f 64 20 61 74 | 20 47 61 73 20 65 78 63 | good at| Gas exc|
|00005920| 68 61 6e 67 65 29 06 4b | 43 4f 20 2d 20 52 61 74 |hange).K|CO - Rat|
|00005930| 65 20 6f 66 20 75 70 74 | 61 6b 65 20 6f 66 20 43 |e of upt|ake of C|
|00005940| 4f 2e 06 56 41 20 2d 20 | 41 6c 76 65 6f 6c 61 72 |O..VA - |Alveolar|
|00005950| 20 56 6f 6c 75 6d 65 06 | bd 45 25 00 00 00 ff ff | Volume.|.E%.....|
|00005960| 12 12 12 ad 03 12 a0 8d | 03 49 03 c8 dd 02 5d 02 |........|.I....].|
|00005970| d0 b2 12 12 12 01 1e 00 | 00 00 59 01 00 00 01 1f |........|..Y.....|
|00005980| 00 00 00 24 01 00 00 01 | 20 00 00 00 38 01 00 00 |...$....| ...8...|
|00005990| 03 e9 49 6e 66 75 73 69 | 6f 6e 73 20 2d 20 47 54 |..Infusi|ons - GT|
|000059a0| 4e 20 2f 20 4e 69 74 72 | 6f 6e 6f 6c 20 49 6e 66 |N / Nitr|onol Inf|
|000059b0| 75 73 69 6f 6e 3a 06 06 | 35 30 6d 67 20 6f 66 20 |usion:..|50mg of |
|000059c0| 47 54 4e 20 69 6e 20 35 | 30 6d 6c 73 20 4e 2f 53 |GTN in 5|0mls N/S|
|000059d0| 61 6c 69 6e 65 20 74 6f | 20 72 75 6e 20 61 74 06 |aline to| run at.|
|000059e0| 30 20 2d 20 35 6d 6c 73 | 2f 68 72 20 74 69 74 72 |0 - 5mls|/hr titr|
|000059f0| 61 74 69 6e 67 20 74 6f | 20 61 6e 67 69 6e 61 20 |ating to| angina |
|00005a00| 70 61 69 6e 20 61 6e 64 | 20 72 65 73 70 69 72 61 |pain and| respira|
|00005a10| 74 69 6f 6e 2e 06 06 6f | 72 06 06 35 30 6d 67 20 |tion...o|r..50mg |
|00005a20| 6f 66 20 47 54 4e 20 69 | 6e 20 31 30 30 6d 6c 73 |of GTN i|n 100mls|
|00005a30| 20 4e 2f 53 61 6c 69 6e | 65 20 74 6f 20 72 75 6e | N/Salin|e to run|
|00005a40| 20 61 74 06 30 20 2d 20 | 31 30 6d 6c 73 2f 68 72 | at.0 - |10mls/hr|
|00005a50| 20 74 69 74 72 61 74 69 | 6e 67 20 74 6f 20 61 6e | titrati|ng to an|
|00005a60| 67 69 6e 61 20 70 61 69 | 6e 20 61 6e 64 20 72 65 |gina pai|n and re|
|00005a70| 73 70 69 72 61 74 69 6f | 6e 2e 06 01 21 00 00 00 |spiratio|n...!...|
|00005a80| 9d 01 00 00 03 4e 49 6e | 66 75 73 69 6f 6e 73 20 |.....NIn|fusions |
|00005a90| 2d 20 49 73 6f 70 72 65 | 6e 61 6c 69 6e 65 20 49 |- Isopre|naline I|
|00005aa0| 6e 66 75 73 69 6f 6e 3a | 06 06 31 6d 67 20 69 6e |nfusion:|..1mg in|
|00005ab0| 20 35 30 6d 6c 73 20 4e | 2f 53 61 6c 69 6e 65 20 | 50mls N|/Saline |
|00005ac0| 74 6f 20 72 75 6e 20 61 | 74 20 30 2d 38 6d 6c 73 |to run a|t 0-8mls|
|00005ad0| 2f 68 72 06 03 e1 49 6e | 66 75 73 69 6f 6e 73 20 |/hr...In|fusions |
|00005ae0| 2d 20 4c 69 67 6e 6f 63 | 61 69 6e 65 20 69 6e 66 |- Lignoc|aine inf|
|00005af0| 75 73 69 6f 6e 3a 06 06 | 49 6e 69 74 69 61 6c 6c |usion:..|Initiall|
|00005b00| 79 20 67 69 76 65 20 31 | 30 30 6d 67 20 69 76 20 |y give 1|00mg iv |
|00005b10| 61 73 20 62 6f 6c 75 73 | 20 6f 76 65 72 20 32 6d |as bolus| over 2m|
|00005b20| 69 6e 73 06 54 68 65 6e | 20 6d 61 6b 65 20 75 70 |ins.Then| make up|
|00005b30| 20 69 6e 66 75 73 69 6f | 6e 20 6f 66 20 31 67 20 | infusio|n of 1g |
|00005b40| 69 6e 20 35 30 30 6d 6c | 73 20 4e 2f 73 61 6c 69 |in 500ml|s N/sali|
|00005b50| 6e 65 20 28 3d 32 6d 67 | 2f 6d 6c 20 6f 72 20 30 |ne (=2mg|/ml or 0|
|00005b60| 2e 32 25 29 06 52 75 6e | 20 61 74 20 3a 2d 06 2d |.2%).Run| at :-.-|
|00005b70| 20 31 32 30 6d 6c 73 2f | 68 72 20 66 6f 72 20 33 | 120mls/|hr for 3|
|00005b80| 30 20 6d 69 6e 73 06 2d | 20 36 30 6d 6c 73 2f 68 |0 mins.-| 60mls/h|
|00005b90| 72 20 66 6f 72 20 32 20 | 68 6f 75 72 73 06 2d 20 |r for 2 |hours.- |
|00005ba0| 33 30 6d 6c 73 2f 68 72 | 20 66 72 6f 6d 20 74 68 |30mls/hr| from th|
|00005bb0| 65 6e 20 6f 6e 2e 06 03 | d0 49 6e 66 75 73 69 6f |en on...|.Infusio|
|00005bc0| 6e 73 20 2d 20 4d 61 6e | 6e 69 74 6f 6c 20 49 6e |ns - Man|nitol In|
|00005bd0| 66 75 73 69 6f 6e 3a 06 | 06 41 76 61 69 6c 61 62 |fusion:.|.Availab|
|00005be0| 6c 65 20 61 73 20 35 30 | 67 20 69 6e 20 32 35 30 |le as 50|g in 250|
|00005bf0| 6d 6c 73 20 6f 66 20 49 | 6e 66 75 73 69 6f 6e 20 |mls of I|nfusion |
|00005c00| 66 6c 75 69 64 20 20 28 | 3d 32 35 30 6d 67 2f 6d |fluid (|=250mg/m|
|00005c10| 6c 20 6f 72 20 32 30 25 | 29 06 41 76 61 69 6c 61 |l or 20%|).Availa|
|00005c20| 62 6c 65 20 61 73 20 35 | 30 67 20 69 6e 20 35 30 |ble as 5|0g in 50|
|00005c30| 30 6d 6c 73 20 6f 66 20 | 49 6e 66 75 73 69 6f 6e |0mls of |Infusion|
|00005c40| 20 46 6c 75 69 64 20 20 | 28 3d 31 30 30 6d 67 2f | Fluid |(=100mg/|
|00005c50| 6d 6c 20 6f 72 20 31 30 | 25 29 06 06 44 6f 73 65 |ml or 10|%)..Dose|
|00005c60| 20 69 73 20 31 67 2f 6b | 67 20 28 4f 66 74 65 6e | is 1g/k|g (Often|
|00005c70| 20 35 30 67 29 20 67 69 | 76 65 6e 20 6f 76 65 72 | 50g) gi|ven over|
|00005c80| 20 32 30 20 6d 69 6e 73 | 06 03 62 49 6e 66 75 73 | 20 mins|..bInfus|
|00005c90| 69 6f 6e 73 20 2d 20 4d | 6f 72 70 68 69 6e 65 20 |ions - M|orphine |
|00005ca0| 53 75 6c 70 68 61 74 65 | 20 49 6e 66 75 73 69 6f |Sulphate| Infusio|
|00005cb0| 6e 3a 06 06 35 30 6d 67 | 20 4d 6f 72 70 68 69 6e |n:..50mg| Morphin|
|00005cc0| 65 20 69 6e 20 35 30 6d | 6c 73 20 4e 2f 53 61 6c |e in 50m|ls N/Sal|
|00005cd0| 69 6e 65 20 74 6f 20 72 | 75 6e 20 61 74 20 31 20 |ine to r|un at 1 |
|00005ce0| 74 6f 20 31 30 20 6d 6c | 73 2f 68 72 06 03 b5 49 |to 10 ml|s/hr...I|
|00005cf0| 6e 66 75 73 69 6f 6e 73 | 20 2d 20 4f 6d 6e 6f 70 |nfusions| - Omnop|
|00005d00| 6f 6e 20 49 6e 66 75 73 | 69 6f 6e 3a 06 06 41 76 |on Infus|ion:..Av|
|00005d10| 61 69 6c 61 62 6c 65 20 | 61 73 20 2d 06 4f 6d 6e |ailable |as -.Omn|
|00005d20| 6f 70 6f 6e 20 32 30 20 | 3d 20 32 30 6d 67 20 69 |opon 20 |= 20mg i|
|00005d30| 6e 20 31 6d 6c 06 4f 6d | 6e 6f 70 6f 6e 20 31 30 |n 1ml.Om|nopon 10|
|00005d40| 20 3d 20 31 30 6d 67 20 | 69 6e 20 31 6d 6c 06 06 | = 10mg |in 1ml..|
|00005d50| 34 30 6d 67 20 4f 6d 6e | 6f 70 6f 6e 20 69 6e 20 |40mg Omn|opon in |
|00005d60| 34 30 6d 6c 73 20 4e 2f | 53 61 6c 69 6e 65 20 74 |40mls N/|Saline t|
|00005d70| 6f 20 72 75 6e 20 61 74 | 20 30 2d 31 30 6d 6c 73 |o run at| 0-10mls|
|00005d80| 2f 68 72 06 54 69 74 72 | 61 74 65 20 74 6f 20 70 |/hr.Titr|ate to p|
|00005d90| 61 69 6e 20 61 6e 64 20 | 72 65 73 70 69 72 61 74 |ain and |respirat|
|00005da0| 69 6f 6e 06 03 95 49 6e | 66 75 73 69 6f 6e 73 20 |ion...In|fusions |
|00005db0| 2d 20 50 65 74 68 69 64 | 69 6e 65 20 49 6e 66 75 |- Pethid|ine Infu|
|00005dc0| 73 69 6f 6e 3a 06 06 32 | 30 30 20 2d 20 35 30 30 |sion:..2|00 - 500|
|00005dd0| 6d 67 20 50 65 74 68 69 | 64 69 6e 65 20 69 6e 20 |mg Pethi|dine in |
|00005de0| 35 30 6d 6c 73 20 4e 2f | 53 61 6c 69 6e 65 06 28 |50mls N/|Saline.(|
|00005df0| 3d 34 20 2d 20 31 30 6d | 67 2f 6d 6c 29 20 74 6f |=4 - 10m|g/ml) to|
|00005e00| 20 72 75 6e 20 66 72 6f | 6d 20 31 20 2d 20 31 30 | run fro|m 1 - 10|
|00005e10| 20 6d 6c 73 2f 68 72 06 | 64 65 70 65 6e 64 69 6e | mls/hr.|dependin|
|00005e20| 67 20 6f 6e 20 70 61 74 | 69 65 6e 74 20 72 65 71 |g on pat|ient req|
|00005e30| 75 69 72 65 6d 65 6e 74 | 73 2e 06 03 66 49 6e 66 |uirement|s...fInf|
|00005e40| 75 73 69 6f 6e 73 20 2d | 20 53 61 6c 62 75 74 61 |usions -| Salbuta|
|00005e50| 6d 6f 6c 20 49 6e 66 75 | 73 69 6f 6e 3a 06 06 35 |mol Infu|sion:..5|
|00005e60| 6d 67 20 69 6e 20 35 30 | 30 6d 6c 73 20 35 25 20 |mg in 50|0mls 5% |
|00005e70| 47 6c 75 63 6f 73 65 20 | 74 6f 20 72 75 6e 20 61 |Glucose |to run a|
|00005e80| 74 20 33 20 2d 20 32 30 | 6d 63 67 2f 6d 69 6e 06 |t 3 - 20|mcg/min.|
|00005e90| 4d 6f 72 65 20 69 66 20 | 6e 65 63 65 73 73 61 72 |More if |necessar|
|00005ea0| 79 2e 06 03 57 49 6e 66 | 75 73 69 6f 6e 73 20 2d |y...WInf|usions -|
|00005eb0| 20 53 74 72 65 70 74 6f | 6b 69 6e 61 73 65 20 49 | Strepto|kinase I|
|00005ec0| 6e 66 75 73 69 6f 6e 3a | 06 06 31 2e 35 6d 20 75 |nfusion:|..1.5m u|
|00005ed0| 6e 69 74 73 20 69 6e 20 | 31 30 30 6d 6c 73 20 4e |nits in |100mls N|
|00005ee0| 2f 53 61 6c 69 6e 65 20 | 74 6f 20 72 75 6e 20 61 |/Saline |to run a|
|00005ef0| 74 20 31 30 30 6d 6c 73 | 2f 68 72 06 01 22 00 00 |t 100mls|/hr.."..|
|00005f00| 00 f4 01 00 00 01 23 00 | 00 00 f6 01 00 00 01 24 |......#.|.......$|
|00005f10| 00 00 00 59 01 00 00 c5 | 43 4d 61 6e 61 67 65 6d |...Y....|CManagem|
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|00005f30| 73 3a 06 06 45 63 74 6f | 70 69 63 20 42 65 61 74 |s:..Ecto|pic Beat|
|00005f40| 73 20 2d 06 09 52 61 72 | 65 6c 79 20 72 65 71 75 |s -..Rar|ely requ|
|00005f50| 69 72 65 20 54 72 65 61 | 74 6d 65 6e 74 2e 20 20 |ire Trea|tment. |
|00005f60| 52 65 61 73 73 75 72 65 | 2e 06 09 49 66 20 74 72 |Reassure|...If tr|
|00005f70| 6f 75 62 6c 65 73 6f 6d | 65 2c 20 74 72 79 20 42 |oublesom|e, try B|
|00005f80| 65 74 61 2d 62 6c 6f 63 | 6b 65 72 73 2e 06 41 74 |eta-bloc|kers..At|
|00005f90| 72 69 61 6c 20 46 69 62 | 72 69 6c 6c 61 74 69 6f |rial Fib|rillatio|
|00005fa0| 6e 20 2d 06 09 49 66 20 | 76 65 6e 74 72 69 63 75 |n -..If |ventricu|
|00005fb0| 6c 61 72 20 72 61 74 65 | 20 69 73 20 74 6f 6f 20 |lar rate| is too |
|00005fc0| 68 69 67 68 2c 20 63 6f | 6e 74 72 6f 6c 20 63 20 |high, co|ntrol c |
|00005fd0| 44 69 67 6f 78 69 6e 2e | 06 09 49 66 20 64 6f 65 |Digoxin.|..If doe|
|00005fe0| 73 6e 27 74 20 77 6f 72 | 6b 2c 20 61 64 64 20 61 |sn't wor|k, add a|
|00005ff0| 20 42 65 74 61 2d 62 6c | 6f 63 6b 65 72 20 6f 72 | Beta-bl|ocker or|
|00006000| 20 56 65 72 61 70 61 6d | 69 6c 2e 06 09 43 6f 6e | Verapam|il...Con|
|00006010| 73 69 64 65 72 20 73 79 | 6e 63 68 72 6f 6e 69 73 |sider sy|nchronis|
|00006020| 65 64 20 64 2e 63 2e 20 | 73 68 6f 63 6b 2e 06 09 |ed d.c. |shock...|
|00006030| 43 6f 6e 73 69 64 65 72 | 20 61 6e 74 69 63 6f 61 |Consider| anticoa|
|00006040| 67 75 6c 61 74 69 6f 6e | 20 69 6e 20 76 61 6c 76 |gulation| in valv|
|00006050| 75 6c 61 72 20 6f 72 20 | 6d 79 6f 63 61 72 64 69 |ular or |myocardi|
|00006060| 61 6c 20 64 69 73 65 61 | 73 65 2e 06 41 74 72 69 |al disea|se..Atri|
|00006070| 61 6c 20 46 6c 75 74 74 | 65 72 20 2d 06 09 53 79 |al Flutt|er -..Sy|
|00006080| 6e 63 68 72 6f 6e 69 73 | 65 64 20 64 2e 63 2e 20 |nchronis|ed d.c. |
|00006090| 73 68 6f 63 6b 2e 20 20 | 44 69 67 6f 78 69 6e 2e |shock. |Digoxin.|
|000060a0| 06 50 61 72 6f 78 79 73 | 6d 61 6c 20 53 56 54 20 |.Paroxys|mal SVT |
|000060b0| 2d 06 09 56 61 67 61 6c | 20 53 74 69 6d 75 6c 61 |-..Vagal| Stimula|
|000060c0| 74 69 6f 6e 20 2d 20 43 | 61 72 6f 74 69 64 20 53 |tion - C|arotid S|
|000060d0| 69 6e 75 73 20 6d 61 73 | 73 61 67 65 2c 20 53 71 |inus mas|sage, Sq|
|000060e0| 75 61 74 74 69 6e 67 2c | 06 09 4a 65 6e 64 72 61 |uatting,|..Jendra|
|000060f0| 73 73 69 63 20 6d 61 6e | 6f 75 65 76 72 65 2e 06 |ssic man|ouevre..|
|00006100| 09 49 66 20 61 62 6f 76 | 65 20 66 61 69 6c 73 2c |.If abov|e fails,|
|00006110| 20 67 69 76 65 20 41 64 | 65 6e 6f 73 69 6e 65 2e | give Ad|enosine.|
|00006120| 06 09 43 6f 6e 73 69 64 | 65 72 20 44 69 67 69 74 |..Consid|er Digit|
|00006130| 61 6c 69 73 61 74 69 6f | 6e 20 6f 72 20 61 20 42 |alisatio|n or a B|
|00006140| 65 74 61 2d 62 6c 6f 63 | 6b 65 72 2c 20 6f 72 20 |eta-bloc|ker, or |
|00006150| 56 65 72 61 70 61 6d 69 | 6c 2e 06 41 63 75 74 65 |Verapami|l..Acute|
|00006160| 20 41 72 72 68 79 74 68 | 6d 69 61 73 20 61 73 73 | Arrhyth|mias ass|
|00006170| 6f 63 20 63 20 4d 49 20 | 2d 06 09 4c 69 67 6e 6f |oc c MI |-..Ligno|
|00006180| 63 61 69 6e 65 20 31 30 | 30 6d 67 20 69 2f 76 06 |caine 10|0mg i/v.|
|00006190| 09 49 66 20 62 72 61 64 | 79 63 61 72 64 69 61 20 |.If brad|ycardia |
|000061a0| 26 20 68 79 70 6f 74 65 | 6e 73 69 6f 6e 20 2d 20 |& hypote|nsion - |
|000061b0| 41 74 72 6f 70 69 6e 65 | 20 28 30 2e 33 20 2d 20 |Atropine| (0.3 - |
|000061c0| 31 6d 67 29 06 56 65 6e | 74 72 69 63 75 6c 61 72 |1mg).Ven|tricular|
|000061d0| 20 54 61 63 68 79 63 61 | 72 64 69 61 20 2d 06 09 | Tachyca|rdia -..|
|000061e0| 49 66 20 76 65 72 79 20 | 72 61 70 69 64 20 63 20 |If very |rapid c |
|000061f0| 63 69 72 63 75 6c 61 74 | 6f 72 79 20 63 6f 6c 6c |circulat|ory coll|
|00006200| 61 70 73 65 20 2d 20 64 | 2e 63 2e 20 73 68 6f 63 |apse - d|.c. shoc|
|00006210| 6b 2e 06 09 49 66 20 61 | 62 6f 76 65 20 6e 6f 74 |k...If a|bove not|
|00006220| 20 65 66 66 65 63 74 69 | 76 65 20 2d 20 67 69 76 | effecti|ve - giv|
|00006230| 65 20 4c 69 67 6e 6f 63 | 61 69 6e 65 2e 06 54 6f |e Lignoc|aine..To|
|00006240| 72 73 61 64 65 20 64 65 | 20 50 6f 69 6e 74 65 73 |rsade de| Pointes|
|00006250| 20 2d 20 47 69 76 65 20 | 69 2f 76 20 4d 61 67 6e | - Give |i/v Magn|
|00006260| 65 73 69 75 6d 20 53 75 | 6c 70 68 61 74 65 2e 06 |esium Su|lphate..|
|00006270| 09 28 52 69 73 6b 20 66 | 61 63 74 6f 72 73 3a 20 |.(Risk f|actors: |
|00006280| 4c 6f 6e 67 20 51 54 20 | 69 6e 74 65 72 76 61 6c |Long QT |interval|
|00006290| 2c 20 44 72 75 67 20 69 | 6e 64 75 63 65 64 2c 20 |, Drug i|nduced, |
|000062a0| 48 79 70 6f 6b 61 6c 61 | 65 6d 69 61 06 09 20 20 |Hypokala|emia.. |
|000062b0| 73 65 76 65 72 65 20 62 | 72 61 64 79 63 61 72 64 |severe b|radycard|
|000062c0| 69 61 2c 20 26 20 67 65 | 6e 65 74 69 63 20 70 72 |ia, & ge|netic pr|
|000062d0| 65 64 69 73 70 6f 73 69 | 74 69 6f 6e 29 06 53 41 |edisposi|tion).SA|
|000062e0| 4d 69 6e 69 20 4d 65 6e | 74 61 6c 20 54 65 73 74 |Mini Men|tal Test|
|000062f0| 20 53 63 6f 72 65 20 20 | 28 4d 54 53 29 3a 06 06 | Score |(MTS):..|
|00006300| 31 2e 09 4e 61 6d 65 06 | 32 2e 09 41 67 65 06 33 |1..Name.|2..Age.3|
|00006310| 2e 09 44 4f 42 06 34 2e | 09 41 64 64 72 65 73 73 |..DOB.4.|.Address|
|00006320| 06 35 2e 09 54 69 6d 65 | 20 20 2d 20 20 43 75 72 |.5..Time| - Cur|
|00006330| 72 65 6e 74 20 59 65 61 | 72 20 2f 20 44 61 79 20 |rent Yea|r / Day |
|00006340| 6f 66 20 57 65 65 6b 20 | 2f 20 54 69 6d 65 20 6f |of Week |/ Time o|
|00006350| 66 20 44 61 79 06 36 2e | 09 50 6c 61 63 65 20 20 |f Day.6.|.Place |
|00006360| 2d 20 20 57 68 65 72 65 | 20 61 72 65 20 77 65 3f |- Where| are we?|
|00006370| 06 37 2e 09 50 65 72 73 | 6f 6e 20 20 2d 20 20 57 |.7..Pers|on - W|
|00006380| 68 61 74 20 49 20 61 6d | 20 3f 20 20 2f 20 20 57 |hat I am| ? / W|
|00006390| 68 61 74 20 69 73 20 73 | 68 65 20 3f 06 38 2e 09 |hat is s|he ?.8..|
|000063a0| 4c 6f 6e 67 20 54 65 72 | 6d 20 4d 65 6d 6f 72 79 |Long Ter|m Memory|
|000063b0| 20 20 2d 20 20 57 68 65 | 6e 20 77 61 73 20 32 6e | - Whe|n was 2n|
|000063c0| 64 20 77 6f 72 6c 64 20 | 77 61 72 20 3f 06 39 2e |d world |war ?.9.|
|000063d0| 09 53 68 6f 72 74 20 54 | 65 72 6d 20 4d 65 6d 6f |.Short T|erm Memo|
|000063e0| 72 79 20 20 2d 20 20 57 | 68 6f 20 69 73 20 74 68 |ry - W|ho is th|
|000063f0| 65 20 4d 6f 6e 61 72 63 | 68 20 20 2f 20 20 50 72 |e Monarc|h / Pr|
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