DCR

DCR = cardioversion (direct current reversion)

References

• Monash Heart, http://www.monashheart.org.au/content/Document/MonashHeart_DCR.pdf
• http://www.racgp.org.au/afp/200707/200707kistler2.pdf

Pantoprazole infusion

For actively bleeding ulcers give pantoprazole bolus followed by infusion.

• LOading dose: Pantoprazole 80mg IV in 100ml of NaCl 0.9% or 5% glucose over 20 - 30 minutes
  
• Infusion:
  
• Pantoprazole 200mg in Dextrose 5% 500mL at 20mL/hr (each mL is 0.4mg , 20mL/hr = 8mg/hr, 1mg =2.5mL)
• Pantoprazole 80mg in N/Saline 100mL at 10mL/hr (each mL is 0.8mg , 10mL/hr = 8mg/hr,1mg=1.25mL)

References

• Pantoprazole infusion guidelines, http://www.philippelefevre.com/JHH-ICU-guidelines/adult-drug-infussions/pantoprazole-infusion.pdf
  
• Pantoprazole Infusion as Adjuvant Therapy to Endoscopic Treatment in Patients With Peptic Ulcer Bleeding: Prospective Randomized Controlled Trial, medscape.com
  

Blood Gas normal values

 

	Arterial	Venous
pH	7.35-7.45	7.3-7.35
pCO2	35-45	45-46 (good representation of ventilation)
pO2	80-100	20-80 (uninterprable)
SaO2	95-100
HCO3-	22-28
BE	+/- 3