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Inpatient insulin therapy: quick reference

…often at a somewhat reduced dose. Withhold mealtime insulin. Monitor the glucose closely Fasting before an investigation, type 2 Withhold metformin, SGLT2 inhibitors and sulfonylureas…

Corticosteroids: quick reference for dose equivalents and stress dosing

…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…

Delirium in older adults: quick reference

…1. Assess vital signs and level of consciousness immediately. 2. Check oxygen saturation and capillary glucose. 3. Exclude immediately treatable threats without delay: hypoxia, hypoglycaemia…

Blood pressure

…least two occasions, and preferably confirmation by home measurement or 24 hour recording — the thresholds for which are lower than for office measurement. Classification of…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…setting, manually or with an automated device. Home blood pressure monitoring (HBPM): self measurement at home, generally with a validated upper arm oscillometric device. Ambulatory…

Resistant Hypertension: Evaluation and Treatment

…maximally tolerated doses. The apparently uncontrolled office blood pressure must be confirmed using home blood pressure monitoring or ambulatory blood pressure monitoring. Other guideline formulations…

Acute exacerbation of COPD: quick reference

…oedema. Previous hypercapnia, NIV or invasive ventilation. Home oxygen and the patient's usual saturation. Previous exacerbations and hospital admissions. Current inhaled treatment and adherence…

Drugs in the emergency setting

…treatment; biphasic reactions occur. Everyone must go home with an adrenaline auto injector and written instructions. Patients taking beta blockers may respond poorly to adrenaline…

Otoscopy and ear syringing

…A small or uncooperative child Movement causes injury Preparation and equipment Otoscopy: an otoscope with a charged battery and clean disposable specula in several sizes…

Cardiac Rehabilitation After Myocardial Infarction

…where appropriate, primary care personnel and home visits may reduce rehospitalization for recurrent ischaemia and infarction. Clinical Presentation and Symptoms Cardiac rehabilitation is initiated in…

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