…readings at home or on 24 hour recording. Masked hypertension: normal in the office but raised outside it — associated with the same risk as manifest…

…reduced level of consciousness, is having seizures or cannot swallow. 5. If there is no intravenous access, give glucagon and establish access at the same…

…of continuing to increase the dose. The level of sedation is scored on a four point scale: 0 fully awake, 1 drowsy but easily roused…

…signal is sought on the dorsum of the foot lateral to the extensor hallucis longus tendon. Measure in the same way as on the arm…

Procedurer Two things determine whether the procedure is safe: that synchronisation really is switched on when the shock is delivered, and that the thromboembolic risk…

…and on call physicians: recognise hypoactive delirium, stabilise the patient, work systematically through the possible causes, apply several non pharmacological measures at the same time…

…A documented decision on the ceiling of care. Signs of a serious condition Finding Significance : : Inability to speak in full sentences Marked work of breathing…

…speech, work of breathing, level of consciousness and PEF improve at the same time. Acute severe asthma is characterised by bronchospasm, mucosal oedema and mucus…

…The first hour Step Action : : 1 ABCDE, full vital signs, level of consciousness, and repeated assessment of the circulation and breathing 2 Assess whether the…

…Full blood count. Plasma glucose before insulin. Creatine kinase in suspected rhabdomyolysis. Phosphate, urate and lactate dehydrogenase in suspected tumour lysis syndrome. A digoxin level…