\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{doramarin} \pdfinfo{ /Title (hjukrun-hjartasjuklinga.pdf) /Creator (Cheatography) /Author (doramarin) /Subject (Hjúkrun hjartasjúklinga Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{8C0303} \definecolor{LightBackground}{HTML}{FBF7F7} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hjúkrun hjartasjúklinga Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{doramarin} via \textcolor{DarkBackground}{\uline{cheatography.com/162386/cs/34179/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}doramarin \\ \uline{cheatography.com/doramarin} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 15th September, 2022.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{3} \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Algengi}} & Algengasti sjúkdómurinn af hjartasjúkdómum \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} {\bf{Dánartíðni}} & Algengasta dánarors{\"o}k á heimsvísu \tn % Row Count 5 (+ 2) % Row 2 \SetRowColor{LightBackground} {\bf{Árleg dánartíðni í evrópu}} & Ors{\"o}k 20\% allra dauðsfalla í Evrópu. \tn % Row Count 7 (+ 2) % Row 3 \SetRowColor{white} {\bf{Árs dánartíðni STEMI}} & 10\% \tn % Row Count 9 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\emph{Í Evrópu hefur dánartíðni farið lækkandi s.l þrjá áratugi}}} \tn % Row Count 11 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Áhættuþættir}}} \tn % Row Count 12 (+ 1) % Row 6 \SetRowColor{LightBackground} Óbreytanlegir & Kyn, aldur og ættarsaga \tn % Row Count 14 (+ 2) % Row 7 \SetRowColor{white} Tengdir {\"o}ðrum sjúkdómum & DM, PAD, carotid AD \tn % Row Count 16 (+ 2) % Row 8 \SetRowColor{LightBackground} Breytanlegir áhættuþættir & Kólesteról, reykingar, háþrýstingur, DM \tn % Row Count 19 (+ 3) % Row 9 \SetRowColor{white} {\bf{Tegundir myocardial infarction}} & 5 tegundir \tn % Row Count 21 (+ 2) % Row 10 \SetRowColor{LightBackground} Týpa 1 & Hefðbundin flæðishindrandi \seqsplit{kransæðasjúkdómur}. {\emph{Atherosclerotic plaque rupture and thrombosis}} \tn % Row Count 26 (+ 5) % Row 11 \SetRowColor{white} Týpa 2 & Ójafnvægi í framboði og eftirspurn á súrefni í hjartav{\"o}ðvanum og getur komið til í eðlilegum kransæðum. * \tn % Row Count 32 (+ 6) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur (cont)}} \tn % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Flokkun kransæðasjúkdóma}}} \tn % Row Count 1 (+ 1) % Row 13 \SetRowColor{white} St{\"o}ðug hjarta{\"o}ng (SAP) & {\emph{Einkenna verður fyrst og fremst vart við áreynslu. Svarar Nitroglycerini (NG) og hvíld.}} \tn % Row Count 6 (+ 5) % Row 14 \SetRowColor{LightBackground} Bráðir \seqsplit{kransæðasjúkdómar} (ACS): & {\emph{Óst{\"o}ðug hjarta{\"o}ng (ÓAP): Getur komið í hvíld og breytingar sjást á hjartalínuriti.}} \tn % Row Count 11 (+ 5) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Breytingar á hjartalínuriti í bráðum kransæðasjúkdóm. }}} \tn % Row Count 13 (+ 2) % Row 16 \SetRowColor{LightBackground} NSTEMI & Kransæðastífla án ST hækkana á hjartalínuriti. \tn % Row Count 16 (+ 3) % Row 17 \SetRowColor{white} STEMI & Kransæðastífla með ST hækkunum á hjartalínuriti \tn % Row Count 19 (+ 3) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Skilgreiningar}}} \tn % Row Count 20 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{St{\"o}ðug hjarta{\"o}ng} \tn % Row Count 21 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Óst{\"o}ðug hjarta{\"o}ng} \tn % Row Count 22 (+ 1) % Row 21 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Einkenni blóðþurrðar í hjartav{\"o}ðva}}} \tn % Row Count 23 (+ 1) % Row 22 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Brjóstverkur, óþægindi, þrýstingur, seyðingur, {\"o}ndunareinkenni, meltingareinkenni, sviti, ótti kvíði, svimi, hjartsláttaróþægindi} \tn % Row Count 26 (+ 3) % Row 23 \SetRowColor{white} \{\{nobreak\}\}{\bf{Einkenni kransæðarstíflu}} & {\emph{Viðvarandi lokun}} \tn % Row Count 29 (+ 3) % Row 24 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Verkir þrátt fyrir NG og hvíld} \tn % Row Count 30 (+ 1) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur (cont)}} \tn % Row 25 \SetRowColor{LightBackground} Mæði, svimi, ógleði, þreyta, hjartsláttarónot, kvíði & {\emph{Andþygsli, uppk{\"o}st, ótti, f{\"o}lvi, sviti}} \tn % Row Count 4 (+ 4) % Row 26 \SetRowColor{white} Sumir fá vægari og ódæmigerð einkenni! & Konur, aldraðir, sykursýki \tn % Row Count 7 (+ 3) % Row 27 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Merki kransæðarstíflu}}} \tn % Row Count 8 (+ 1) % Row 28 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Breytingar á EKG} \tn % Row Count 9 (+ 1) % Row 29 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hækkuð hjartaensím (hs-TnT)} \tn % Row Count 10 (+ 1) % Row 30 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Breyting á meðvitund} \tn % Row Count 11 (+ 1) % Row 31 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Óeðlileg hjarta- og lungahlustun} \tn % Row Count 12 (+ 1) % Row 32 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Veikir púlsar} \tn % Row Count 13 (+ 1) % Row 33 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Dánarlíkur mestar fyrstu 24 – 48 klst} \tn % Row Count 14 (+ 1) % Row 34 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Meðferð}}} \tn % Row Count 15 (+ 1) % Row 35 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Kransæðaþræðing og víkkun} \tn % Row Count 16 (+ 1) % Row 36 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Fylgikvillar}}} \tn % Row Count 17 (+ 1) % Row 37 \SetRowColor{LightBackground} \seqsplit{Hjartsláttatruflanir} & {\emph{90\%}} \tn % Row Count 19 (+ 2) % Row 38 \SetRowColor{white} Hjartastopp & {\emph{Mesta hættan fyrstu klst}} \tn % Row Count 21 (+ 2) % Row 39 \SetRowColor{LightBackground} Hjartabilun & {\emph{Væg og bráð}} \tn % Row Count 22 (+ 1) % Row 40 \SetRowColor{white} Hjartalost & {\emph{Alvarlegt, ekki algengt, sleglar dragast ekki saman}} \tn % Row Count 25 (+ 3) % Row 41 \SetRowColor{LightBackground} Gollurhúsbólga & {\emph{V{\"o}kvi/bólga í pokan, ekki það algengt. Getur komið seinna. Dressler syndrome}} \tn % Row Count 30 (+ 5) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur (cont)}} \tn % Row 42 \SetRowColor{LightBackground} Þunglyndi og kvíði & {\emph{Alvarlegir, algeng, áhrif á horfur, 6x líklegir til að deyja fyrsta árið}} \tn % Row Count 4 (+ 4) % Row 43 \SetRowColor{white} {\bf{Horfur}} & Alvarleiki lokun og skaði á hjarta \tn % Row Count 6 (+ 2) % Row 44 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Greining og uppvinnsla}}} \tn % Row Count 7 (+ 1) % Row 45 \SetRowColor{white} Upplýsingas{\"o}fnun & áhersla á einkenni og áhættuþætti \tn % Row Count 9 (+ 2) % Row 46 \SetRowColor{LightBackground} Hjartalínurit & Taka strax! {\emph{Innan 10 mín}} \tn % Row Count 11 (+ 2) % Row 47 \SetRowColor{white} Líkamsmat & Almennt útlit, hjarta og lungnahlustun, mat á blóðrás og taka lífsm{\"o}rk \tn % Row Count 15 (+ 4) % Row 48 \SetRowColor{LightBackground} Blóðprufur & Hjartaensím \tn % Row Count 16 (+ 1) % Row 49 \SetRowColor{white} Áreynslupróf & {\emph{Ef fólk kemur og er ekki lengur með verk}} \tn % Row Count 19 (+ 3) % Row 50 \SetRowColor{LightBackground} Kransæðamyndataka & {\emph{Best greiningartækið}} \tn % Row Count 21 (+ 2) % Row 51 \SetRowColor{white} Lungnamynd & {\emph{Til mismunargreiningar}} \tn % Row Count 23 (+ 2) % Row 52 \SetRowColor{LightBackground} Hjartaómun & {\emph{Frekar í legu}} \tn % Row Count 24 (+ 1) % Row 53 \SetRowColor{white} CT/MRI & {\emph{Frekar í legu}} \tn % Row Count 25 (+ 1) % Row 54 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Upplýsingas{\"o}fnun}}\{\{ac\}\}} \tn % Row Count 26 (+ 1) % Row 55 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{\seqsplit{Einkenni/brjóstverkir-OLD} CARTS \{\{ac\}\}} \tn % Row Count 27 (+ 1) % Row 56 \SetRowColor{LightBackground} O (Onset) & Hvenær hófust einkenni \tn % Row Count 29 (+ 2) % Row 57 \SetRowColor{white} L (Location) & Staðsetning verkja \tn % Row Count 30 (+ 1) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur (cont)}} \tn % Row 58 \SetRowColor{LightBackground} D (Duration) & Hve lengi hafa þeir staðið yfir \tn % Row Count 2 (+ 2) % Row 59 \SetRowColor{white} C (Characteristics) & Hvernig lýsir verkurinn sér? \tn % Row Count 4 (+ 2) % Row 60 \SetRowColor{LightBackground} A (Aggravates) & Hvað ýtir undir/eykur einkenni \tn % Row Count 6 (+ 2) % Row 61 \SetRowColor{white} R (Radiation) & Leiðni einkenna \tn % Row Count 7 (+ 1) % Row 62 \SetRowColor{LightBackground} T (Treatment) & Viðbr{\"o}gð við einkennum \tn % Row Count 9 (+ 2) % Row 63 \SetRowColor{white} S (Severity) & NRS 1-10/VAS \tn % Row Count 10 (+ 1) % Row 64 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Hjartalínurit}}\{\{ac\}\}} \tn % Row Count 11 (+ 1) % Row 65 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Við blóðþurrð/NSTEMI:\{\{ac\}\}} \tn % Row Count 12 (+ 1) % Row 66 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{ST-bilið lækkar um amk 0.5 mm í ≥ 2 samliggjandi leiðslum.} \tn % Row Count 14 (+ 2) % Row 67 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Viðsnúinn T-takki/Neikvæð T-bylgja í {\"o}llum leiðslum} \tn % Row Count 16 (+ 2) % Row 68 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Kransæðastífla/STEMI:\{\{ac\}\}} \tn % Row Count 17 (+ 1) % Row 69 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{ST bilið hækkar um 1 mm eða meira} \tn % Row Count 18 (+ 1) % Row 70 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{ST bil verða fl{\"o}t, T bylgjan er viðsnúin} \tn % Row Count 19 (+ 1) % Row 71 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hjartadrep kemur fram sem Q bylgja sem hverfur ekki} \tn % Row Count 21 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{EKG}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/doramarin_1663149668_Screenshot 2022-09-14 at 10.00.23.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur 2}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{\{\{ac\}\}{\bf{Blóðprufur}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Almennar blóðprufur (SNAKK)}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{hs-TnT (Trópónín)}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Finnst í hjarta og rákóttum v{\"o}ðvum. Hækkar á 3-4 klst. eftir kransæðastíflu, nær hámarki á 14-18 klst. Helst hækkað í 5-7 daga.} \tn % Row Count 7 (+ 5) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Trópínín hækkun við annað} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}V{\"o}ðvaskemmdir, nýrnabilun} \tn % Row Count 9 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Viðmiðunarm{\"o}rk} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}\textgreater{}15 ng/L} \tn % Row Count 11 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{» Útilokun kransæðastíflu á ca 6 klst} \tn % Row Count 12 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{\{\{ac\}\}{\bf{Birtingamynd bráðs kransæðarsjúkdóms}}} \tn % Row Count 14 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{\{\{ac\}\}Birtingamynd 1:} \tn % Row Count 15 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Klínísk einkenni}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Langvinn st{\"o}ðug hjarta{\"o}ng} \tn % Row Count 17 (+ 2) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ensím}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Trópónín -} \tn % Row Count 19 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{EKG}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Eðlilegt, óbreytt frá fyrra riti} \tn % Row Count 21 (+ 2) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Meðferð =}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Lyf við hjarta{\"o}ng; statín og magnýl} \tn % Row Count 23 (+ 2) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{\{\{ac\}\}Birtingamynd 2:} \tn % Row Count 24 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Klínísk einkenni}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Óst{\"o}ðug hjarta{\"o}ng} \tn % Row Count 26 (+ 2) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ensím}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Trópínín -} \tn % Row Count 28 (+ 2) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{EKG}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ST-lækkun. T-breytingar. Eðlilegt} \tn % Row Count 30 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur 2 (cont)}} \tn % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Meðferð =}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Lyf við hjarta{\"o}ng; magnýl, enoxaparín, klópidógrel, statín} \tn % Row Count 3 (+ 3) % Row 17 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{\{\{ac\}\}Birtingamynd 3:} \tn % Row Count 4 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Klínísk einkenni}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Brjóstverkur vegna hjartadreps án ST hækkunar} \tn % Row Count 7 (+ 3) % Row 19 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ensím}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Trópónín +} \tn % Row Count 9 (+ 2) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{EKG}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ST-lækkun. T-breytingar. Eðlilegt} \tn % Row Count 11 (+ 2) % Row 21 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Meðferð =}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Lyf við hjarta{\"o}ng; magnýl, enoxaparín, klópidógrel, statín. Hugleiða GPllb/IIIa-hemil} \tn % Row Count 14 (+ 3) % Row 22 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{\{\{ac\}\}Birtingamynd 4:} \tn % Row Count 15 (+ 1) % Row 23 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Klínísk einkenni}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Brjóstverkur vegna hjartadreps með ST-hækkun} \tn % Row Count 17 (+ 2) % Row 24 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ensím}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Trópónín +} \tn % Row Count 19 (+ 2) % Row 25 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{EKG}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ST-hækkun} \tn % Row Count 21 (+ 2) % Row 26 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Meðferð =}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Magnýl, bráð kransæðavíkkun eða segaleysandi lyfjameðferð, statín og klópidogrel} \tn % Row Count 24 (+ 3) % Row 27 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Markmið meðferðar}}} \tn % Row Count 25 (+ 1) % Row 28 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{\{\{nobreak\}\}1. Endurheimta + bæta blóðflæði} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Kransæðavíkkun (CABG) og segaleysandi lyf} \tn % Row Count 27 (+ 2) % Row 29 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{2. Meðh{\"o}ndla einkenni, draga úr skaða á hjartav{\"o}ðva og fylgikvillum} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Lyfjameðferð og stjórnun \seqsplit{áhættuþátta/lífstílsbreytingar}} \tn % Row Count 31 (+ 4) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Kransæðasjúkdómur 2 (cont)}} \tn % Row 30 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{3. Hefta framgang sjúkdóms} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Fræðsla, ráðgj{\"o}f og stuðningur} \tn % Row Count 2 (+ 2) % Row 31 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Lyfjameðferð í meðh{\"o}ndlun einkenna (2)}}} \tn % Row Count 3 (+ 1) % Row 32 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Blóðfl{\"o}guhemjandi lyf} \tn % Row Count 4 (+ 1) % Row 33 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Blóðþynningarlyf} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}{\emph{Segaleysandi lyf; landsbyggðin}}} \tn % Row Count 6 (+ 2) % Row 34 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Lyf til að meðh{\"o}ndla brjóstverki} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Nitroglycerin} \tn % Row Count 8 (+ 2) % Row 35 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Blóðfitulækkandi lyf} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Statin; allir fá þau (æðaskellan)} \tn % Row Count 10 (+ 2) % Row 36 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{\seqsplit{Blóðþrýstingslækkandi} lyf} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Ef áverki á hjartav{\"o}ðva} \tn % Row Count 12 (+ 2) % Row 37 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Lyf sem hafa áhrif á hjartsláttartíðni og takt} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Truflanir mj{\"o}g algengar; beta blokkar} \tn % Row Count 15 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.04057 cm} x{2.93643 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun brjóstverki og kransæðastíflu}} \tn % Row 0 \SetRowColor{LightBackground} Mat og meðh{\"o}ndlun einkenna & {\emph{Morfín v. bráðum brjóstverkjum. Líkamsmat}} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \seqsplit{Monitoreftirlit/EKG} & -{}-{}- \tn % Row Count 5 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Eftirlit með líðan og lífsm{\"o}rkum} \tn % Row Count 6 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Bregðast við breytingum á ástandi} \tn % Row Count 7 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Tryggja æðaaðgengi og taka blóðprufur} \tn % Row Count 8 (+ 1) % Row 5 \SetRowColor{white} Lyfjagjafir & Meta þ{\"o}rf fyrir súrefni, NG, Morfín \tn % Row Count 10 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Rúmlega eða takm{\"o}rkuð fótaferð} \tn % Row Count 11 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Veita upplýsingar, fræða og kvíðastilla} \tn % Row Count 12 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Fræðsla og ráðgj{\"o}f}}} \tn % Row Count 13 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}Sjúklingar og aðstandendur þurfa fræðslu um:} \tn % Row Count 15 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hvað gerðist} \tn % Row Count 16 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Um hjartað, um sjúkdóminn, meðferð og lyfjat{\"o}ku} \tn % Row Count 18 (+ 2) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Æskilega lífshætti, eftirlit} \tn % Row Count 19 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Einkenni, viðbr{\"o}gð við brjóstverk, hættumerki og hvenær þarf sérhæfða hjálp} \tn % Row Count 21 (+ 2) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Æskilegir lífshættir}}} \tn % Row Count 22 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Reyk og tóbaksleysi, hjartavænn matur, innan klínískra leiðbeininga, regluleg hreyfing} \tn % Row Count 24 (+ 2) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Hjúkrunargreiningar}}} \tn % Row Count 25 (+ 1) % Row 17 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Ófullnægjandi flæði til vefja - hjarta} \tn % Row Count 26 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Brjóstverkur} \tn % Row Count 27 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Kvíði} \tn % Row Count 28 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Ónóg þekking} \tn % Row Count 29 (+ 1) % Row 21 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Minnkað útfall hjarta} \tn % Row Count 30 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Staðreyndir og t{\"o}lfræði}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{T{\"o}lfræði um hjartabilun}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} Tíðni á Íslandi & 3-4\% \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} Tíðni hjá 70-80 ára & 10 -20\% \tn % Row Count 4 (+ 2) % Row 3 \SetRowColor{white} Tíðni bráðainnlagna & 5\% eru hjartabilun \tn % Row Count 6 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Staðreyndir um hjartabilun}}} \tn % Row Count 7 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Algengasta innlangarástæða aldraðra} \tn % Row Count 8 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Aldraðir með hjartabilun hafa hæðstu tíðni endurinnlagna} \tn % Row Count 10 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Verstur horfur allra aldraðra} \tn % Row Count 11 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Verulega skert lífsgæði} \tn % Row Count 12 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Sjálfsum{\"o}nnun og meðferðarheldni ábótavant} \tn % Row Count 13 (+ 1) % Row 10 \SetRowColor{LightBackground} Eftirlit með sjúklingum og þverfagleg vinna; & Fækkar versnunum, dregur úr innl{\"o}gnum, kostnaði og eykur lífsgæði \tn % Row Count 17 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hvað er hjartabilun?}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Skilgreining á hjartabilun} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\emph{Sjúkdómsmynd sem verður vegna ófullnægjandi getu hjartav{\"o}ðvans til að taka við eða dæla blóði og mæta súrefnisþ{\"o}rf líffæra og vefja líkamans.}}} \tn % Row Count 5 (+ 4) % Row 2 \SetRowColor{LightBackground} Skerðing á blóðflæði & Einkenni: minnkað úthald, þreyta og andþyngsli \tn % Row Count 8 (+ 3) % Row 3 \SetRowColor{white} Vanstarfsemi í líffærum & Nýrnabilun \tn % Row Count 10 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Tegundir hjartabilunar}}\{\{ac\}\}} \tn % Row Count 11 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Vinstri og hægri} \tn % Row Count 12 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Systólísk og diastólísk} \tn % Row Count 13 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Bráð og langvinn} \tn % Row Count 14 (+ 1) % Row 8 \SetRowColor{LightBackground} {\bf{Systólísk hjartabilun}} & Skertur samdráttur hægri eða vinstri slegil. \tn % Row Count 17 (+ 3) % Row 9 \SetRowColor{white} {\bf{Díastólísk hjartabilun}} & Stíft hjarta, skert fylligeta, aukin díastól þrýstingur í vinstri slegil. Aukin bakþrýstingur í vinstri gátt og lungnabjúgur. \tn % Row Count 24 (+ 7) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Skilgreining hjartabilunar}}} \tn % Row Count 25 (+ 1) % Row 11 \SetRowColor{white} HFrEF & Hjartabilun með skertu útstreymi = LVEF \textless{}40\% \tn % Row Count 28 (+ 3) % Row 12 \SetRowColor{LightBackground} HFmrEF & Hjartabilun með meðal skertu útstreymi = LVEF 40 - 49\% \tn % Row Count 31 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hvað er hjartabilun? (cont)}} \tn % Row 13 \SetRowColor{LightBackground} HFmrEF: díastólísk vanstarfsemi & Hækkað BNP og amk eitt af eftirt{\"o}ldu: LVH/LAE \tn % Row Count 3 (+ 3) % Row 14 \SetRowColor{white} HFpEF & Hjartabilun með varðveittu útstreymi = LVEF ≥50\% \tn % Row Count 6 (+ 3) % Row 15 \SetRowColor{LightBackground} HFpEF: díastólísk vanstarfsemi & Hækkað BNP og amk eitt af eftirt{\"o}ldu: LVH/LAE \tn % Row Count 9 (+ 3) % Row 16 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Þættir sem orsaka eða valda versnun á hjartabilun}}} \tn % Row Count 11 (+ 2) % Row 17 \SetRowColor{LightBackground} Acute coronary syndrome (ACS) & Aðrir hjartasjúkdómar. Oft lokastig annara sjúkdóma. \tn % Row Count 14 (+ 3) % Row 18 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hraðtaktar} \tn % Row Count 15 (+ 1) % Row 19 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hægtaktar} \tn % Row Count 16 (+ 1) % Row 20 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Bráð blóðþrýstings hækkun} \tn % Row Count 17 (+ 1) % Row 21 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Heilaáf{\"o}ll} \tn % Row Count 18 (+ 1) % Row 22 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Aukin sympatísk {\"o}rvun} \tn % Row Count 19 (+ 1) % Row 23 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Efnaskipta/hormóna truflanir} \tn % Row Count 20 (+ 1) % Row 24 \SetRowColor{white} Sýkingar & Veirusýkingar í hjarta \tn % Row Count 22 (+ 2) % Row 25 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Versnun á COPD} \tn % Row Count 23 (+ 1) % Row 26 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lungnaembolía} \tn % Row Count 24 (+ 1) % Row 27 \SetRowColor{LightBackground} Lyf & NSAID \tn % Row Count 25 (+ 1) % Row 28 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Eitranir} \tn % Row Count 26 (+ 1) % Row 29 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Skortur á meðferðaheldni} \tn % Row Count 27 (+ 1) % Row 30 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Skurðaðgerðir og fygikvillar} \tn % Row Count 28 (+ 1) % Row 31 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Rof á hjartav{\"o}ðva, brjóstholsáverkar, hjartaaðgerðir, lokusjúkdómar.} \tn % Row Count 30 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hvað er hjartabilun? (cont)}} \tn % Row 32 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Greining og mat}}} \tn % Row Count 1 (+ 1) % Row 33 \SetRowColor{white} Upplýsingas{\"o}fnun: & Einkenni og orsakir \tn % Row Count 2 (+ 1) % Row 34 \SetRowColor{LightBackground} Líkamsmat: & Meta ástand, versnanir og árangur meðferðar \tn % Row Count 5 (+ 3) % Row 35 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Blóðprufur:} \tn % Row Count 6 (+ 1) % Row 36 \SetRowColor{LightBackground} BNP & {\emph{Peptíð seytt af sleglum þegar er álag á þeim}} \tn % Row Count 9 (+ 3) % Row 37 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Status} \tn % Row Count 10 (+ 1) % Row 38 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Na, K, Krea, Urea} \tn % Row Count 11 (+ 1) % Row 39 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Blóðsykur} \tn % Row Count 12 (+ 1) % Row 40 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hjartaensím} \tn % Row Count 13 (+ 1) % Row 41 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Skjaldkirtilspróf} \tn % Row Count 14 (+ 1) % Row 42 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Járnparametrar} \tn % Row Count 15 (+ 1) % Row 43 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{CRP} \tn % Row Count 16 (+ 1) % Row 44 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{D-dimer} \tn % Row Count 17 (+ 1) % Row 45 \SetRowColor{white} {\bf{Lungnamynd: }} & Hjartastærð, v{\"o}kvas{\"o}fnun, íferðir. \tn % Row Count 19 (+ 2) % Row 46 \SetRowColor{LightBackground} {\bf{Hjartalínurit}} & Óeðlilegt hjá hjartabiluðum.. Taktur, hraði, merki um blóðþurrð, fyrri kransæðastíflu ofl. \tn % Row Count 25 (+ 6) % Row 47 \SetRowColor{white} {\bf{Hjartaómun}} & Besta greiningartæki hjartabilunnar. Meta hjartav{\"o}ðvann, hjartalokur, dælugetu. \tn % Row Count 30 (+ 5) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hvað er hjartabilun? (cont)}} \tn % Row 48 \SetRowColor{LightBackground} Dælugetan (EF\%) & Metur hlutfalls blóðs sem er dælt úr hjartanu með hverjum hjartslætti. Hjartað dælir ekki {\"o}llu blóðinu sem sem m{\"o}gulegt er við hvern hjartslátt \tn % Row Count 8 (+ 8) % Row 49 \SetRowColor{white} Útstreymisbrot (EF): Eðlilegt & 55-65\% \tn % Row Count 10 (+ 2) % Row 50 \SetRowColor{LightBackground} Útstreymisbrot (EF): Alvarleg skerðing & ≤ 35\% \tn % Row Count 12 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.9908 cm} x{2.9862 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Birtingamynd í bráðri hjartabilun:}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Einkenni: }} & Andþyngsli, hósti, þyngsli, brjóstverkir, óróleiki, kvíði \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Merki:}}} \tn % Row Count 4 (+ 1) % Row 2 \SetRowColor{LightBackground} Hækkuð ÖT, lækkuð SaO2 & {\emph{Compensering}} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} Aukinn \seqsplit{hartsláttahraði} & {\emph{Compensering minnkað o2 uppt{\"o}ku}} \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} Hækkun/lækkun Blþr. & {\emph{Langvinn hjartabilun með skertu slegil sýnir lækkun en almennt sést hækkun}} \tn % Row Count 12 (+ 4) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{F{\"o}lvi, blámi, k{\"o}ld, þv{\"o}l húð} \tn % Row Count 13 (+ 1) % Row 6 \SetRowColor{LightBackground} V{\"o}kvas{\"o}fnun /bjúgur & {\emph{Líka peripher v{\"o}kas{\"o}fnun}} \tn % Row Count 15 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Minnkaður þvagútskilnaður} \tn % Row Count 16 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Brak við hlustun og auka hjartahljóð} \tn % Row Count 17 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Aukin bláæðafylling á hálsi} \tn % Row Count 18 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Samhliða vandamál og fylgikvillar}}} \tn % Row Count 19 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lágþrýstingur} \tn % Row Count 20 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hjartalost} \tn % Row Count 21 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hjartsláttatruflanir} \tn % Row Count 22 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Cardiac Tamponade} \tn % Row Count 23 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Blóðtappar} \tn % Row Count 24 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Þurrkur} \tn % Row Count 25 (+ 1) % Row 17 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Nýrnabilun} \tn % Row Count 26 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Kalíum skortur og aðrar salttruflanir} \tn % Row Count 27 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Meðferð í bráðri hjartabilun}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Markmið}} & Meðh{\"o}ndla einkenni, stabílisera sjúkling og greina og meðh{\"o}ndla m{\"o}gulegar orsakir \tn % Row Count 5 (+ 5) % Row 1 \SetRowColor{white} \{\{nobreak\}\}{\bf{Ors{\"o}k bráðrar versnunnar}} & Oft aukin v{\"o}kvas{\"o}fnun \tn % Row Count 8 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}{\bf{Lyfjameðferð}}} \tn % Row Count 9 (+ 1) % Row 3 \SetRowColor{white} Þvagræsilyf & Draga v{\"o}kva af sjúkling – furix \tn % Row Count 11 (+ 2) % Row 4 \SetRowColor{LightBackground} Nitroglycerin & Ef fólk er mj{\"o}g háþrýst \tn % Row Count 13 (+ 2) % Row 5 \SetRowColor{white} Súrefnisgj{\"o}f & Eftir þ{\"o}rfum \tn % Row Count 14 (+ 1) % Row 6 \SetRowColor{LightBackground} Morfín & Í litlum sk{\"o}mmum 2-5mg. \tn % Row Count 16 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.09034 cm} x{2.88666 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun hjartabilunar og lungnabjúgs}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Mat og meðh{\"o}ndlun einkenna} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} Bregðast við breytingum & Ástand og lífsm{\"o}rk \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Monitoreftirlit EKG} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lyf og súrefni} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{V{\"o}kvajafnvægi} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} Ytri {\"o}ndunarvélastuðningur & Hjálpar líka þrýsta v{\"o}kva úr lungnavef \tn % Row Count 8 (+ 2) % Row 6 \SetRowColor{LightBackground} Hagræðing & Auðvelda {\"o}ndun \tn % Row Count 9 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hvíld, kvíðastilling} \tn % Row Count 10 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Tryggja \seqsplit{æðaaðgang/blóðprufur}} \tn % Row Count 11 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Fræðsla} \tn % Row Count 12 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Langvinn hjartabilun}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\emph{Langvinn hjartabilun einkennist af tíðum versnunum. Fólk nær sér ekki alveg aftur eftir versnun, og smám saman versnar}}} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} Flokkun á alvarleika og einkenni hjartabilunar & NYHA flokkun \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{NYHA flokkun}}} \tn % Row Count 7 (+ 1) % Row 3 \SetRowColor{white} Stig 1 & Engar takmarkanir á ADL. Venjuleg áreynsla veldur ekki óeðlilegri þreytu, mæði eða \seqsplit{hjartsláttarónotum}. \tn % Row Count 13 (+ 6) % Row 4 \SetRowColor{LightBackground} Stig 2 & Væg takm{\"o}rkun á líkamlegri áreynslu en ekki óþægindi í hvíld. Venjuleg líkamleg áreynsla veldur einkennum. \tn % Row Count 19 (+ 6) % Row 5 \SetRowColor{white} Stig 3 & Veruleg takm{\"o}rkun á líkamlegri áreynslu. Engin óþægindi í hvíld en minnsta áreynsla veldur einkennum. \tn % Row Count 25 (+ 6) % Row 6 \SetRowColor{LightBackground} Stig 4 & Einkenni hjartabilunar eru til staðar í hvíld. Öll líkamleg áreynsla veldur stigvaxandi óþægindum og einkennum. \tn % Row Count 32 (+ 7) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Langvinn hjartabilun (cont)}} \tn % Row 7 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Einkenni og merki í langvinnri hjartabilun}}} \tn % Row Count 1 (+ 1) % Row 8 \SetRowColor{white} Almenn einkenni & Þreyta, syfja, svefn{\"o}rðuleikar, \tn % Row Count 3 (+ 2) % Row 9 \SetRowColor{LightBackground} Öndun & Mæði, úthaldsleysi, andþyngsli, hósti \tn % Row Count 6 (+ 3) % Row 10 \SetRowColor{white} Hjarta og blóðrás & Hraður hjartsláttur, óregluelgan, v{\"o}kvas{\"o}fnun, \tn % Row Count 9 (+ 3) % Row 11 \SetRowColor{LightBackground} Melting & V{\"o}kvi í kvið, erfitt með að nærast, uppþemba \tn % Row Count 12 (+ 3) % Row 12 \SetRowColor{white} Andlegt ástand & Þunglyndi, kvíði, vonleysi \tn % Row Count 14 (+ 2) % Row 13 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Sértæk einkenni}}} \tn % Row Count 15 (+ 1) % Row 14 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Mæði} \tn % Row Count 16 (+ 1) % Row 15 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Orthopnea} \tn % Row Count 17 (+ 1) % Row 16 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Næturmæði} \tn % Row Count 18 (+ 1) % Row 17 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Skert úthald} \tn % Row Count 19 (+ 1) % Row 18 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Þreyta} \tn % Row Count 20 (+ 1) % Row 19 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Ökklabjúgur} \tn % Row Count 21 (+ 1) % Row 20 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Ósértækari einkenni}}} \tn % Row Count 22 (+ 1) % Row 21 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Næturhósti} \tn % Row Count 23 (+ 1) % Row 22 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Wheezing} \tn % Row Count 24 (+ 1) % Row 23 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Uppþemba} \tn % Row Count 25 (+ 1) % Row 24 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lystarleysi} \tn % Row Count 26 (+ 1) % Row 25 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Rugl} \tn % Row Count 27 (+ 1) % Row 26 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Þunglyndi} \tn % Row Count 28 (+ 1) % Row 27 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hjartsláttarónot} \tn % Row Count 29 (+ 1) % Row 28 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Svimi, yfirlið} \tn % Row Count 30 (+ 1) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Langvinn hjartabilun (cont)}} \tn % Row 29 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Bendopnea} \tn % Row Count 1 (+ 1) % Row 30 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Sértæk merki}}} \tn % Row Count 2 (+ 1) % Row 31 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Aukning á JVP} \tn % Row Count 3 (+ 1) % Row 32 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hepatojugular reflux} \tn % Row Count 4 (+ 1) % Row 33 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Þriðji hjartatónn} \tn % Row Count 5 (+ 1) % Row 34 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hliðrun á apical impulse} \tn % Row Count 6 (+ 1) % Row 35 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Ósértækari einkenni}}} \tn % Row Count 7 (+ 1) % Row 36 \SetRowColor{white} Þyngdaraukning & \textgreater{} 2 kg/viku \tn % Row Count 8 (+ 1) % Row 37 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Þyngdartap, Chachexia} \tn % Row Count 9 (+ 1) % Row 38 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hjartaóhljóð} \tn % Row Count 10 (+ 1) % Row 39 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Pherifer bjúgur, ascites} \tn % Row Count 11 (+ 1) % Row 40 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Brak við lungnahlustun} \tn % Row Count 12 (+ 1) % Row 41 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Minnkuð {\"o}ndunarhljóð og deyfa við hlustun} \tn % Row Count 13 (+ 1) % Row 42 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hraðtaktur, óreglulegur hjartsláttur} \tn % Row Count 14 (+ 1) % Row 43 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hr{\"o}ð {\"o}ndun, Cheyne Stokes {\"o}ndun} \tn % Row Count 15 (+ 1) % Row 44 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lifrastækkun} \tn % Row Count 16 (+ 1) % Row 45 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Oliguria} \tn % Row Count 17 (+ 1) % Row 46 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Kaldir útlimir} \tn % Row Count 18 (+ 1) % Row 47 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Narrow pulse pressure} \tn % Row Count 19 (+ 1) % Row 48 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Meðferð í langvinni hjartabilun}}} \tn % Row Count 20 (+ 1) % Row 49 \SetRowColor{LightBackground} Markmið & Hægja á framgangi sjúkdóms, draga úr einkennum, bæta starfsgetu og lífsgæði. \tn % Row Count 25 (+ 5) % Row 50 \SetRowColor{white} Hvernig? & Meðh{\"o}ndla/uppræta undirliggjandi ors{\"o}k, hámarka alla þætti meðferðar og fyrirbyggja versnanir \tn % Row Count 31 (+ 6) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Langvinn hjartabilun (cont)}} \tn % Row 51 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Innihald meðferðar}}} \tn % Row Count 1 (+ 1) % Row 52 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lyfjameðferð} \tn % Row Count 2 (+ 1) % Row 53 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Súrefnisgj{\"o}f} \tn % Row Count 3 (+ 1) % Row 54 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Takmarka v{\"o}kva og salt} \tn % Row Count 4 (+ 1) % Row 55 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Fræðsla og ráðgj{\"o}f} \tn % Row Count 5 (+ 1) % Row 56 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Endurhæfing} \tn % Row Count 6 (+ 1) % Row 57 \SetRowColor{LightBackground} Aðrar meðferðir: & \seqsplit{Gangráðsígræðsla} og hjartaskipti. \tn % Row Count 8 (+ 2) % Row 58 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Lyfjameðferð}}} \tn % Row Count 9 (+ 1) % Row 59 \SetRowColor{LightBackground} ARNI (enresto) eða ACE blokkerar & ACE: capoten, daren, ramece, enalpril \tn % Row Count 11 (+ 2) % Row 60 \SetRowColor{white} Beta blokkar & Sympatísk {\"o}rvun; , carvedilol \tn % Row Count 13 (+ 2) % Row 61 \SetRowColor{LightBackground} MRA & Spirix og inspra \tn % Row Count 14 (+ 1) % Row 62 \SetRowColor{white} SGLR2i & Sykursýkislyf, áhrif á hjartabilun \tn % Row Count 16 (+ 2) % Row 63 \SetRowColor{LightBackground} Þvagræsilyf & Hafa ekki áhrif á horfur heldur líðan \tn % Row Count 19 (+ 3) % Row 64 \SetRowColor{white} Önnur algeng lyf & Nítr{\"o}t, blóðþynning og lyf við \seqsplit{hjartsláttaróreglu} \tn % Row Count 22 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun sjúklinga með langvinna hjartabilun}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Upplýsingas{\"o}fnun og líkamsskoðun} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \{\{nobreak\}\}Einkennamat & Mæði, þreyta, svefntruflanir, svimi, Þunglyndi, matarlyst, ógleði, verkir, hægðir \tn % Row Count 6 (+ 5) % Row 2 \SetRowColor{LightBackground} Eftirlit með lífsm{\"o}rkum & Lyfjameðferð hafa áhrif á LM \tn % Row Count 8 (+ 2) % Row 3 \SetRowColor{white} Bjúgur & meta +1- 4 \tn % Row Count 9 (+ 1) % Row 4 \SetRowColor{LightBackground} V{\"o}kvagjafnvægi & Mat og eftirlit á v{\"o}kva, elektrólýta og bjúg. Takmarka salt og v{\"o}kva \tn % Row Count 13 (+ 4) % Row 5 \SetRowColor{white} Lyf og súrefni & Gefa lyf og súrefni og fylgja eftir lyfjameðferð og lyfjat{\"o}ku \tn % Row Count 17 (+ 4) % Row 6 \SetRowColor{LightBackground} Hreyfing & Skapa jafnvægi milli hvíldar og hreyfingar \tn % Row Count 20 (+ 3) % Row 7 \SetRowColor{white} \seqsplit{Endurhæfing/þjálfun/stuðningur} & Hvatning, virk hlustun, fræðsla, efling sjálfsum0nnunar, ráðgj{\"o}f um breytta lífshætti \tn % Row Count 25 (+ 5) % Row 8 \SetRowColor{LightBackground} Melting & Viðbr{\"o}gð við ógleði, \seqsplit{meltingaróþægindum} \tn % Row Count 28 (+ 3) % Row 9 \SetRowColor{white} Næring & Næringaeftirlit og ráðgj{\"o}f. \tn % Row Count 30 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun sjúklinga með langvinna hjartabilun (cont)}} \tn % Row 10 \SetRowColor{LightBackground} Útskilnaður & Fyrirbygging hægðatregðu \tn % Row Count 2 (+ 2) % Row 11 \SetRowColor{white} Húð & Fylgjast með ástandi húðar. Skert blóðflæði. \tn % Row Count 5 (+ 3) % Row 12 \SetRowColor{LightBackground} Öndun & Öndunarævingar \tn % Row Count 6 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Lífslokameðferð} \tn % Row Count 7 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Ráðlagðar breytingar á lífsháttum}}} \tn % Row Count 8 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Taka lyf samkvæmt fyrirmælum} \tn % Row Count 9 (+ 1) % Row 16 \SetRowColor{LightBackground} Dagleg/regluleg vigtun & skilja þýðingu þyngdarbreytinga \tn % Row Count 11 (+ 2) % Row 17 \SetRowColor{white} Eftirlit með einkennum & – viðbr{\"o}gð við versnunum \tn % Row Count 13 (+ 2) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{V{\"o}kvatakm{\"o}rkun} \tn % Row Count 14 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Saltskert mataræði} \tn % Row Count 15 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Regluleg þjálfun/hreyfing} \tn % Row Count 16 (+ 1) % Row 21 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Reykleysi} \tn % Row Count 17 (+ 1) % Row 22 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Kj{\"o}rþyngd} \tn % Row Count 18 (+ 1) % Row 23 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Bólusetningar} \tn % Row Count 19 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}