…reconsider the pain mechanism instead of continuing to increase the dose. The level of sedation is scored on a four point scale: 0 fully awake…

…normally need investigation on the basis of an isolated, asymptomatic low sensor reading alone. Symptoms Autonomic symptoms Early warning symptoms are due to sympathetic activation…

…associated with the same risk as manifest hypertension. Non dipping: a nocturnal fall in pressure of < 10% of the daytime value; an independent risk…

…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…

…has been dealt with before the atria begin to contract again. An unsynchronised shock that happens to fall in the T wave can precipitate ventricular…

…non pharmacological measures at the same time, and use drugs only in severe agitation or marked distress. Delirium is an acute neuropsychiatric syndrome and a…

…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…

…about to stop breathing. Diminishing wheeze means improvement only if air entry, speech, work of breathing, level of consciousness and PEF improve at the same…

…with an expected fall to below 0.5 × 10⁹/L within 48 hours Profound neutropenia A neutrophil count below 0.1 × 10⁹/L An expected…

…depending on the clinical picture Moderate 6.0 to 6.4 mmol/L ECG and cardiac monitoring. Emergency treatment is often warranted, particularly in an…