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SGLT2 Inhibitors for Cardiovascular and Renal Protection

…By inhibiting SGLT2, these drugs produce coupled sodium and glucose loss in approximately a 1:1 stoichiometric relationship. The resulting glucosuria and natriuresis reduce proximal…

Acute coronary syndrome: quick reference for loading doses and time targets

…the more myocardium can be salvaged. Call the PCI service in parallel with drug treatment and transport planning [1,5]. Symptom duration Under 12 hours…

Acute stroke and thrombolysis: quick reference

…to alteplase and is simpler to administer, since the whole dose is given as a bolus [1,2]. In a meta analysis of three phase…

Hypoglycaemia: quick reference for emergency management

…help matter more than a single measured value [2]. Level Plasma glucose Meaning : : : Level 1, alert value < 3.9 mmol/L but at least…

Poisoning: quick reference for antidotes and initial management

…of poisons. Stabilisation according to ABCDE, the plasma glucose, a blood gas and an ECG all come before complete identification of the substance. Treatment of…

Inpatient insulin therapy: quick reference

…continued Red flags and pitfalls Stopping basal insulin in type 1 diabetes. The single most dangerous prescribing decision on a ward. Not prescribing glucose measurement…

Metabolic Syndrome: Definition and Clinical Significance

…fibrinogen, plasminogen activator inhibitor 1, serum viscosity, asymmetric dimethylarginine, homocysteine, white blood cell count, proinflammatory cytokines and C reactive protein. Increased urinary albumin/creatinine ratio…

Myocardial Ischemia &amp; infarction: Cellular changes, ECG and symptoms

…body, cardiac myocytes use ATP (adenosine triphosphate) as the primary energy source. ATP is produced by metabolizing carbohydrates (glucose), fats or proteins, whichever is available…

Acute kidney injury: quick reference for management

…and care settings [2]. Practical first actions Do the following in parallel, not sequentially: 1. Check previous creatinine values and establish the time course. 2…

Common laboratory tests

…acute phase protein Thyroid Test Reference : : TSH 0.4–4.0 mIU/L Free T4 12–22 pmol/L Free T3 3.1–6.8…

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