Adenosine 6 mg by rapid bolus injection; if unsuccessful, follow, if necessary, with up to 3 doses each of 12 mg every 1-min* Caution with adenosine in known Wolff-Parkinson-White syndrome

■ Seek expert help

Adverse signs?

■ Systolic BP < 90 mmHg 1 Chest pain 1 Heart failure

1 Heart rate > 200 beats min-1

Choose from:

Synchronised DC shock t 100 J :200 J : 360 J or equivalent biphasic energy

If necessary, amiodarone 150 mg i.v. over 10 min, then 300 mg over 1 h and repeat shock

■ Esmolol: 40 mg over 1 min + infusion 4 mg min-1

(i.v. injection can be repeated and infusion increased incrementally to 12 mg min-1) OR

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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