…different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal insulin, mealtime insulin and the correction dose…

…of standing in older patients, patients with diabetes and anyone with dizziness Definitions White coat hypertension: a raised office reading but normal readings at home…

…8. Document the diagnosis and communicate it at every handover. Recognise it Core criteria Core criterion Meaning : : Acute onset The change has developed over hours…

…infection or gastroenteritis at home Double or triple the oral daily dose during the days of illness (the patient's sick day rules) Vomiting or…

…home or ambulatory pressure. Office measurements provide only a limited representation of usual blood pressure and may be biased by the clinical environment. Out of…

…many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood gas determines the need for ventilatory support . At the same time…

…for at least 4–8 hours after anaphylaxis that required treatment; biphasic reactions occur. Everyone must go home with an adrenaline auto injector and written…

…with all agents prescribed at maximum or maximally tolerated doses. The apparently uncontrolled office blood pressure must be confirmed using home blood pressure monitoring or…

…be increased at an appropriate intensity, with attention to the emergence of symptoms. Evaluation Before Rehabilitation Clinical assessment Rehabilitation begins with patient assessment and ongoing…

…and backwards along the superior wall of the ear canal , past the plug — not straight at it. The water should get behind the wax and…