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% Document Info
\author{doramarin}
\pdfinfo{
  /Title (krabbameinsverkir.pdf)
  /Creator (Cheatography)
  /Author (doramarin)
  /Subject (Krabbameinsverkir Cheat Sheet)
}

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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Krabbameinsverkir Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{doramarin} via \textcolor{DarkBackground}{\uline{cheatography.com/162386/cs/34237/}}}
\end{tabulary}
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\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 18th September, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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\begin{tabulary}{5.8cm}{L}
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




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% Set font size to small. Switch to any value
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\begin{multicols*}{3}

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\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Krabbameinsverkir}}  \tn
% Row 0
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\mymulticolumn{3}{x{5.377cm}}{{\bf{Tíðni verkja hjá krabbameinssjúkum}}} \tn 
% Row 1
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Sjúklingar með langt genginn sjúkdóm & \hspace*{0.02 cm}\rule{1.48cm}{6px} & 66 \tn 
% Row 2
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Sjúklingar í \seqsplit{krabbameinsmeðferð} & \hspace*{0.02 cm}\rule{1.22cm}{6px} & 55 \tn 
% Row 3
\SetRowColor{white}
Í kj{\"o}lfar læknandi meðferðar & \hspace*{0.02 cm}\rule{0.88cm}{6px} & 39 \tn 
% Row 4
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Blandaðir hópar á {\"o}llum stigum & \hspace*{0.02 cm}\rule{1.14cm}{6px} & 51 \tn 
% Row 5
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Fj{\"o}ldi sjúklinga með meðal-mikla verki & \hspace*{0.02 cm}\rule{0.86cm}{6px} & 38 \tn 
% Row 6
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Fj{\"o}ldi sjúklinga í líknarþjónustu LSH sl 3 sól & \hspace*{0.02 cm}\rule{1.56cm}{6px} & 70 \tn 
% Row 7
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\mymulticolumn{3}{x{5.377cm}}{{\bf{Rannsókn á 150 krbsj á ópíóíðum}}} \tn 
% Row 8
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Sjúklingar með verki & \hspace*{0.02 cm}\rule{2cm}{6px} & 90 \tn 
% Row 9
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{{\bf{Rannsókn á 23 deildum á LSH 2011}}} \tn 
% Row 10
\SetRowColor{LightBackground}
Tíðni á krabbameins- og líknardeildum & \hspace*{0.02 cm}\rule{2.02cm}{6px} & 91 \tn 
% Row 11
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verki ≥7 síðasta sólarhring & \hspace*{0.02 cm}\rule{0.76cm}{6px} & 34 \tn 
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% Row 0
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% Row Count 1 (+ 1)
% Row 1
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% Row Count 2 (+ 1)
% Row 2
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% Row Count 3 (+ 1)
% Row 3
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% Row Count 4 (+ 1)
% Row 4
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% Row Count 5 (+ 1)
% Row 5
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% Row Count 6 (+ 1)
% Row 6
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% Row Count 7 (+ 1)
% Row 7
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Markmið verkjameðferðar hjá  krabbameinssjúklingum}}} \tn 
% Row Count 9 (+ 2)
% Row 8
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% Row Count 10 (+ 1)
% Row 9
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% Row Count 11 (+ 1)
% Row 10
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% Row Count 12 (+ 1)
% Row 11
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% Row Count 14 (+ 2)
% Row 12
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% Row Count 15 (+ 1)
% Row 13
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% Row Count 16 (+ 1)
% Row 14
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% Row Count 17 (+ 1)
% Row 15
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% Row Count 18 (+ 1)
% Row 16
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% Row Count 19 (+ 1)
% Row 17
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Skurðaðgerð & (t.d. til að losa um stíflur) \tn 
% Row Count 21 (+ 2)
% Row 18
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Lyfjameðferð & (til að minnka æxli o.fl.) \tn 
% Row Count 23 (+ 2)
% Row 19
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% Row Count 25 (+ 2)
% Row 20
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Sjúkraþjálfun og endurhæfing & Auka færni, TENS, nálastungur o.fl. \tn 
% Row Count 27 (+ 2)
% Row 21
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Aðrar aðferðir en lyf & Sl{\"o}kun, tónlist o.fl. \tn 
% Row Count 29 (+ 2)
% Row 22
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% Row 23
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Grunnþættir í meðferð  krabbameinsverkja}}} \tn 
% Row Count 1 (+ 1)
% Row 24
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\mymulticolumn{2}{x{5.377cm}}{By the mouth} \tn 
% Row Count 2 (+ 1)
% Row 25
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\mymulticolumn{2}{x{5.377cm}}{By the ladder} \tn 
% Row Count 3 (+ 1)
% Row 26
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% Row Count 4 (+ 1)
% Row 27
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\mymulticolumn{2}{x{5.377cm}}{For the indicidual with attention to detail} \tn 
% Row Count 5 (+ 1)
% Row 28
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Grundvallaratriði í verkjameðferð I}}} \tn 
% Row Count 6 (+ 1)
% Row 29
\SetRowColor{LightBackground}
Metið árangur verkjameðferðar reglulega & Viðurkenndir kvarðar, amk daglega á legudeildum, sjúklingur meta sjálfur \tn 
% Row Count 10 (+ 4)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Krabbameinsverkir}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Bráðir verkir}}} \tn 
% Row Count 1 (+ 1)
% Row 1
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Procedural pain & Tengt rannsóknum og meðferð \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Fylgikvillar & Sýkingar og blóptappar \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Langvinnir verkir}}} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Framgangur sjúkdóms & Meinv{\"o}rp, æxli þrýstur á vefi, lokun á líffærum t.d. g{\"o}rm, þvagleiðarar \tn 
% Row Count 9 (+ 4)
% Row 5
\SetRowColor{white}
\seqsplit{Krabbameinsmeðferð} & Skurðaðgerð, lyfjameðferð, geislar \tn 
% Row Count 11 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Aðrir langvinnir verkir} \tn 
% Row Count 12 (+ 1)
% Row 7
\SetRowColor{white}
{\bf{Taugaverkir}} & v/krb.meins, í kj{\"o}lfar aðgerðar, lyfjameðferðar, geisla \tn 
% Row Count 15 (+ 3)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}{\bf{Verkur}}} \tn 
% Row Count 16 (+ 1)
% Row 9
\SetRowColor{white}
Vefjaverkur & Bein, mjúkvefir, líffæri \tn 
% Row Count 18 (+ 2)
% Row 10
\SetRowColor{LightBackground}
Taugaverkur & Þrýstingur á taugar, innv{\"o}xtur í taugar \tn 
% Row Count 20 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{Gegnumbrotsverkir  (breakthrough pain)}}  \tn
% Row 0
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\mymulticolumn{3}{x{5.377cm}}{{\bf{Skilgreining}} \{\{ac\}\}} \tn 
% Row 1
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\mymulticolumn{3}{x{5.377cm}}{Skammvinn versnun á verkjum sem kemur fram fyrirvaralaust eða í  tengslum við ákveðið áreiti (trigger) hjá sjúklingum sem eru á  st{\"o}ðugri verkjameðferð fyrir} \tn 
% Row 2
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\mymulticolumn{3}{x{5.377cm}}{{\bf{Stutt verkjak{\"o}st sem koma við og við}}} \tn 
% Row 3
\SetRowColor{LightBackground}
Heildarsjúklinga hópur: & \hspace*{0.02 cm}\rule{1.48cm}{6px} & 59 \tn 
% Row 4
\SetRowColor{white}
G{\"o}ngudeildir: & \hspace*{0.02 cm}\rule{1cm}{6px} & 40 \tn 
% Row 5
\SetRowColor{LightBackground}
Líknarmeðferð & \hspace*{0.02 cm}\rule{2.02cm}{6px} & 81 \tn 
% Row 6
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{\{\{ac\}\}{\emph{þeir sem fá oftar gegnumbrotsverki eru gjarnan með aukna verki í  grunninn}}} \tn 
% Row 7
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\mymulticolumn{3}{x{5.377cm}}{{\bf{Undanfari gegnumbrotsverkja hjá krbsj}}} \tn 
% Row 8
\SetRowColor{white}
Hreyfing & \hspace*{0.02 cm}\rule{0.52cm}{6px} & 20 \tn 
% Row 9
\SetRowColor{LightBackground}
Verkjalyf fjara út (end of dose failure) & \hspace*{0.02 cm}\rule{0.34cm}{6px} & 13 \tn 
% Row 10
\SetRowColor{white}
Tilvik sem ekki er hægt að spá fyrir & \hspace*{0.02 cm}\rule{1.94cm}{6px} & 78 \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}---}
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Verkjamat}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Verkjamat}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Byrjun & {\emph{Hvenær og við hvaða aðstæður?}} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Staðsetning og dreifing} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Lengd & {\emph{Hversu lengi hafa þeir verið}} \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Eiginleikar & {\emph{Hvernig lýsir verkurinn sér}} \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Styrkur} \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
Versnar-batnar & {\emph{Hvaða þættir gera verkinn betri eða verri}} \tn 
% Row Count 12 (+ 3)
% Row 7
\SetRowColor{white}
Lyf & {\emph{Skammtar og hvernig sjúkl tekur lyfið}} \tn 
% Row Count 15 (+ 3)
% Row 8
\SetRowColor{LightBackground}
{\bf{Verkjamat}} & Considerations \tn 
% Row Count 16 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Fyrri meðferð og árangur af henni} \tn 
% Row Count 17 (+ 1)
% Row 10
\SetRowColor{LightBackground}
Áhrif verkja á einstaklingin, virkni og lífsgæði & – Ath einkenni um alvarleg sálræn einkenni s.s. þunglyndi \tn 
% Row Count 21 (+ 4)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Andlegir og trúarlegir þættir} \tn 
% Row Count 22 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Ahyggjur sjúklings} \tn 
% Row Count 23 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{þættir sem hafa áhrif á verkjaþol} \tn 
% Row Count 24 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Þættir sem hafa áhrif á verkjaþol}}} \tn 
% Row Count 25 (+ 1)
% Row 15
\SetRowColor{white}
Minnka verkjaþol & Vanlíðan, svefnleysi, þreyta, kvíði, ótti, reiði, leiði, félagsleg einangrun og einmannaleiki \tn 
% Row Count 31 (+ 6)
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\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Verkjamat (cont)}}  \tn
% Row 16
\SetRowColor{LightBackground}
Auka verkjaþol & Góð einkennameðferð, góður svefn, hvíld, sjúkraþjálfun, sl{\"o}kun, stuðningur, skilningur, afþreying, félagskapur, andleg vellíðan, skilningur og hlustun \tn 
% Row Count 9 (+ 9)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Tegundir verkjamata}}\{\{ac\}\}} \tn 
% Row Count 10 (+ 1)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Stutt verkjaskrá (Brief Pain Inventory, BPI)}}} \tn 
% Row Count 11 (+ 1)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Mælitæki sem metur fj{\"o}lþætt áhrif verkja} \tn 
% Row Count 12 (+ 1)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{ESAS}}} \tn 
% Row Count 13 (+ 1)
% Row 21
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Metur verki og {\"o}nnur algeng einkenni} \tn 
% Row Count 14 (+ 1)
% Row 22
\SetRowColor{LightBackground}
{\bf{Líkamsmat}} & Hreyfigeta, bólga/bjúgur, roði/f{\"o}lvi \tn 
% Row Count 16 (+ 2)
% Row 23
\SetRowColor{white}
{\bf{Rannsóknir}} & Rannsóknir og myndgreining eftir því sem við á \tn 
% Row Count 19 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{x{2.23965 cm} x{2.73735 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Grundvallaratriði í verkjameðferð II}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Fræðsla um verkjameðferð}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Hvatning að taka þátt} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Ath hindrandi viðhorf} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Virkja aðstandendur} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Verkjadagbók} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Útskriftarfræðsla} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\emph{Fræða sjúkling um verki og verkjameðferð. Hvetja til að taka þátt í eigin meðferð. Ath hindrandi viðhorf. Hafa aðstandendur með ef m{\"o}gulegt. Verkjadagbók. Ath sérstaklega fræðslu fyrir útskrift!}}} \tn 
% Row Count 11 (+ 5)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Leiðbeingar WHO um meðferð við krabbameinsverkjum}}} \tn 
% Row Count 13 (+ 2)
% Row 8
\SetRowColor{LightBackground}
Miða meðferð við styrk verkja & Hér er ekki átt við um skammtastærð \tn 
% Row Count 15 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Auka skammta við styrk verkja} \tn 
% Row Count 16 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Nota eina tegund lyfs í sama flokki} \tn 
% Row Count 17 (+ 1)
% Row 11
\SetRowColor{white}
Gefa lyf reglulega & Ekki para PN \tn 
% Row Count 18 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Gefa PN við gegnumbrotsverkjum} \tn 
% Row Count 19 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{Styðjist við leiðbeiningar WHO um meðferð  við krabbameinsverkjum (verkjastigi). Miðið meðferð við styrk verkja; Ath að hér er ekki átt við skammtastærð lyfja. Aukið skammta í samræmi við styrk verkja. Notið alla jafna einungis eina tegund lyfs í sama  flokki. Gefið lyfin reglulega, ekki bara eftir þ{\"o}rfum. Gefið lyf eftir þ{\"o}rfum við gegnumbrotsverkjum}}} \tn 
% Row Count 27 (+ 8)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Verkjastig WHO}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}	{\bf{1. þrep (verkir 1-2)}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Parasetamól og/eða NSAID} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{+/- stoðlyf} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}	{\bf{2. þrep (verkir 3-6)}}} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Parasetamól og/eða NSAID} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{+ veikir ópíóíðar} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{+/- stoðlyf} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{\{\{ac\}\}	{\bf{3. þrep (verkir 7-10)}}} \tn 
% Row Count 8 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Parasetamól og/eða NSAID} \tn 
% Row Count 9 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{+ sterkir ópíóíðar} \tn 
% Row Count 10 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{+/- stoðlyf} \tn 
% Row Count 11 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.59264 cm} x{3.38436 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Væg og bólgueyðandi verkjalyf}}  \tn
% Row 0
\SetRowColor{LightBackground}
Notkun & Notuð við meinv{\"o}rpum í beinum. \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Mismunandi tegundir & Ekkert NSAID lyf er {\"o}ðru fremra sem verkja- eða  bólgueyðandi lyf \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Kostir & Minnka þ{\"o}rf fyrir ópíóíða ef þau eru gefin samhliða \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\seqsplit{Áhættuhópar} & Blóðfl{\"o}gufæð + skert nýrnastarfsemi \tn 
% Row Count 10 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Varúð & Parasetamól; ofsk{\"o}mmtun \tn 
% Row Count 11 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{Ef ákveðið lyf dugar ekki, prófið þá annað}}} \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.14011 cm} x{2.83689 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Ópíóðar}}  \tn
% Row 0
\SetRowColor{LightBackground}
Notkun í \seqsplit{krabbameinsmeðferð} & Mikilvæg lyf í meðh{\"o}ndlun krabbameinsverkja. Einstaklingshæfð meðferð \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Kostir & Auðvelt að títra og til í m{\"o}rgum lyfjaformum \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Nursing considerations & Þekkja verkunartíma + meðh{\"o}ndla aukaverkanir \tn 
% Row Count 10 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Gjafaleiðir ópíóíða}}} \tn 
% Row Count 11 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Um munn ef hægt er & Langverkandi t{\"o}flur ef sjúklingur er vel  verkjastilltur \tn 
% Row Count 14 (+ 3)
% Row 5
\SetRowColor{white}
Undir húð með lyfjadælu & Sjúklingur getur ekki  PO \tn 
% Row Count 16 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Verkjaplástur & Fyrir þá sem geta ekki PO og eru vel verkjastilltir. Ekki upphafslyf eða við bráðaverkjum \tn 
% Row Count 21 (+ 5)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Fentanýl plástur}}} \tn 
% Row Count 22 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Ábendingar & 1. Getur ekki kyngt. 2. illvíg hægðatregða. \tn 
% Row Count 25 (+ 3)
% Row 9
\SetRowColor{white}
Sjúklingahópur & Vanir ópíóðum og yfirleitt ekki fyrsta lyf \tn 
% Row Count 28 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.96071 cm} x{1.12779 cm} x{1.2531 cm} x{0.8354 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{Verkunartími ópíóða}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Gjafaleið}} & {\bf{Verkar eftir}} & {\bf{Hámarksverkun}} & {\bf{Varir í}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
PO & 30-60 mín & 60-90 mín & 3-6 klst \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
SC & 10-20 mín & 30-60 mín & 3-4 klst \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
IV & 5-10 mín & 15-30 mín & 1-2 klst \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Langverkandi} & 30-60 mín & 90-180 mín & 8-12 klst \tn 
% Row Count 7 (+ 2)
\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}{Öndunarslæving af v{\"o}ldum ópíóíða}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Algengi}} & Sjaldgæft \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Áhættuhópar}}} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{1. Sjúklingar óvanir ópíóðum} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{2. Aldraðir} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{3. Lungnasjúklingar og kæfisvefn} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{4. Fólk á slævandi lyfjum} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Orsakir {\"o}ndunarslævingar hjá sjúklingum með  langvinna krabbameinsverki}}} \tn 
% Row Count 8 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{1. Of hr{\"o}ð hækkun ópíóða} \tn 
% Row Count 9 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{2. Skert nýrnastarfsemi og lyfin hlaðast upp} \tn 
% Row Count 10 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{3. Óvissa um jafngildisskammta} \tn 
% Row Count 11 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{4. Of stór skammtur af ópíóíðum} \tn 
% Row Count 12 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Eftirlit með sjúklingum sem fá ópíóíða}}} \tn 
% Row Count 13 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Meta meðvitundarástand (POSS kvarði)} \tn 
% Row Count 14 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{0 = vakandi/skýr} \tn 
% Row Count 15 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{1 = syfjaður/auðvelt að vekja} \tn 
% Row Count 16 (+ 1)
% Row 15
\SetRowColor{white}
2 = sljór/auðvelt að vekja & Ath {\"o}ndun, súrefnismettun, klínískt ástand \tn 
% Row Count 19 (+ 3)
% Row 16
\SetRowColor{LightBackground}
3 = erfitt að vekja & Grípið strax til aðgerða! \tn 
% Row Count 21 (+ 2)
% Row 17
\SetRowColor{white}
S = sofandi & Eftirlit með {\"o}ndun, súrefnismettun og klínísku ástandi \tn 
% Row Count 24 (+ 3)
% Row 18
\SetRowColor{LightBackground}
{\bf{Meta {\"o}ndunartíðni og dýpt}} & mælingar á súrefnismettun einar og sér nægja EKKI \tn 
% Row Count 27 (+ 3)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Öndunarslæving - meðferð}}\{\{ac\}\}} \tn 
% Row Count 28 (+ 1)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Einkenni:}}} \tn 
% Row Count 29 (+ 1)
% Row 21
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Skert meðvitund} \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}{Öndunarslæving af v{\"o}ldum ópíóíða (cont)}}  \tn
% Row 22
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Öndun \textless{}8/mín} \tn 
% Row Count 1 (+ 1)
% Row 23
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Meðferð}}} \tn 
% Row Count 2 (+ 1)
% Row 24
\SetRowColor{LightBackground}
Blanda & 0.4 mg (ein lykja) af naloxóni með 9 ml af saltvatni í sprautu \tn 
% Row Count 6 (+ 4)
% Row 25
\SetRowColor{white}
Gefa hægt í æð & 1-2 ml á 30-60 mínútu fresti þar til einkenni  batna. \tn 
% Row Count 9 (+ 3)
% Row 26
\SetRowColor{LightBackground}
Endurtakið eftir þ{\"o}rfum & Naloxon með stuttan helmingunartíma \tn 
% Row Count 11 (+ 2)
% Row 27
\SetRowColor{white}
Sjúklingar líkamlega háðir ópíóðum fá fráhvarfseinkenni við of stóra skammta & ógleði, uppk{\"o}st, tachycardia, sviti og miklir verkir \tn 
% Row Count 16 (+ 5)
\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}{Stoðlyf}}  \tn
% Row 0
\SetRowColor{LightBackground}
Bisfosfón{\"o}t & Beinmeinv{\"o}rp \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Þríhringlaga þunglyndislyf & Aamitryptilín/ flogalyf (gabapentin, karbamazepín) við taugaverkjum \tn 
% Row Count 5 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Sterar & Erfiðir taugaverkir \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
Kannabis & Notkun; Ógleði, uppk{\"o}st, listarleysi. Lyf sem innihalda kannabónóða. \tn 
% Row Count 10 (+ 4)
\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}{Önnur verkjameðferð}}  \tn
% Row 0
\SetRowColor{LightBackground}
Skurðaðgerð & t.d. til að losa um stíflur \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Lyfjameðferð & til að minnka æxli og deyfa \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Geislameðferð & til að minnka æxli \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
Sjúkraþjálfun og endurhæfing & Auka færni, TENS, nálastungur o.fl. \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Aðrar aðferðir en lyf & Sl{\"o}kun, tónlist o.fl. \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Sálfélagslegur stuðningur} \tn 
% Row Count 10 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.68758 cm} x{2.28942 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Gefa lyf eftir þ{\"o}rfum - PN}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Alltaf notuð stuttverkandi lyf} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Gjafaleið & IV, SC, PO, buccal, intranasal \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Skammtastærð & 1/6 af \seqsplit{sólarhringsskammti}. \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{Hærra ef stórir skammtar af ópíóðum í grunnin}}} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Skammtahækkun}}} \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
Hækka grunnskammt PN skammta ef-{}-\textgreater{} & PN-skammtar eru ≥3 á dag \tn 
% Row Count 10 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Grunnskammtur lyfja ukinn-\textgreater{} & Hækka pn skammt \tn 
% Row Count 12 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Nota prósentuhlutfall (ekki mg) og hækkið í samræmi við styrk  verkja:} \tn 
% Row Count 14 (+ 2)
% Row 8
\SetRowColor{LightBackground}
NRS 2 - 3 & Hækka um 10\% \tn 
% Row Count 15 (+ 1)
% Row 9
\SetRowColor{white}
NRS 4 - 5 & Hækka um 30\% \tn 
% Row Count 16 (+ 1)
% Row 10
\SetRowColor{LightBackground}
NRS 6 - 8 & Hækka um 50\% \tn 
% Row Count 17 (+ 1)
% Row 11
\SetRowColor{white}
NRS 9 - 10 & Hækka um 100\% \tn 
% Row Count 18 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Dæmi: \newline Sjúklingur er á t. Contalgin 60mg x 2 (120mg/sólarhring) \newline Ef verkir eru 4-5: Hækka um 30\% = 156mg/sólarhring (80mg x 2)  Ef verkir eru 6 - 8: Hækka um 50\% = 180mg/sólarhring (90mg x 2)}  \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}{Jafngildisskammtar}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Hvenær á að reikna jafngildiskammt í ópíóalyfjagj{\"o}f?} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Alltaf ef skipta þarf um ópíóða hjá sjúkling} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Út frá hvaða gildum er jafngildiskammtar alltaf reiknaðir?} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Út frá sólarhringsskammti} \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Af hverju þarf oft að minnka skammt nýs ópóóðs um 30-50\%?} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Því krossþol milli ópíóða er mismunandi} \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Jafngildisskammtar}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Hvenær á að reikna jafngildiskammt í ópíóalyfjagj{\"o}f?} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Alltaf ef skipta þarf um ópíóða hjá sjúkling} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Út frá hvaða gildum er jafngildiskammtar alltaf reiknaðir?} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Út frá sólarhringsskammti} \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Af hverju þarf oft að minnka skammt nýs ópóóðs um 30-50\%?} \tn 
\mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Því krossþol milli ópíóða er mismunandi} \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Meðh{\"o}ndlun aukaverkana}}  \tn
% Row 0
\SetRowColor{LightBackground}
Algengi & Flestar minnka/hverfa með tímanum \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Samþætt (multimodal) meðferð & Fleiri en 1 tegund lyfs og aðrar aðferðir en lyf \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Stundum eru aukaverkanir minni af einu lyfi  en {\"o}ðru milli einstaklinga = þá getur þurft að  skipta um lyf} \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Algengar aukaverkanir}}\{\{ac\}\}} \tn 
% Row Count 9 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Magabólgur/magasár}}} \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{NSAID lyf. Gefa prótónpumpuhemla fyrirbyggjandi f. áhættuhópa} \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Hægðatregða }}} \tn 
% Row Count 13 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Ópíóðar. ALLIR á hægðalyfjum fyrirbyggjandi frá 1. degi. Lyf sem {\"o}rva þarmahreyfingar + mýkjandi lyf} \tn 
% Row Count 16 (+ 3)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Munnþurrkur}}} \tn 
% Row Count 17 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Góð munnhirða} \tn 
% Row Count 18 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Ógleði/uppk{\"o}st}}} \tn 
% Row Count 19 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Ógleðilyf eftir þ{\"o}rfum. Regluleg gj{\"o}f ef ógleði/uppk{\"o}st eru viðvarandi} \tn 
% Row Count 21 (+ 2)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Sjaldgæfari aukaverkanir}}\{\{ac\}\}} \tn 
% Row Count 22 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{H{\"o}fgi/syfja}}} \tn 
% Row Count 23 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Minnka skammta ef viðvarandi vandamál} \tn 
% Row Count 24 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Kláði}}} \tn 
% Row Count 25 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Ofnæmislyf ef þ{\"o}rf krefur eða kláðastillandi krem} \tn 
% Row Count 27 (+ 2)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Rugl/kippir/ofurnæmi}}} \tn 
% Row Count 28 (+ 1)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Minnka skammta} \tn 
% Row Count 29 (+ 1)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Skipta um ópíóíða} \tn 
% Row Count 30 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}