…insulin at lunch and dinner in the first instance. Measure the glucose before every meal and at bedtime Enteral or parenteral nutrition Insulin is needed…

…hypertension: a raised office reading but normal readings at home or on 24 hour recording. Masked hypertension: normal in the office but raised outside it —…

…the mineralocorticoid effect or about suppression of the HPA axis, where a long half life produces more marked suppression. Stress dosing in known adrenal insufficiency…

…Establish whether the condition is new or clearly worse than baseline. Contact relatives, home care services, the residential care home or the previous care provider…

…Office blood pressure: blood pressure measured in a clinical setting, manually or with an automated device. Home blood pressure monitoring (HBPM): self measurement at home…

…goal despite three or more antihypertensive drugs from different classes at maximally tolerated doses, including a diuretic appropriate for kidney function. In patients with an…

…of care. Signs of a serious condition Finding Significance : : Inability to speak in full sentences Marked work of breathing Use of accessory respiratory muscles or…

…toxins, thrombosis (coronary or pulmonary), tension pneumothorax. No drug has been shown to improve the neurological outcome in cardiac arrest. High quality compressions with minimal…

…instilled 15–30 minutes before the procedure, or over a few days at home for a hard plug. Have the patient lie with the ear…

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