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Inpatient insulin therapy: quick reference

…Enteral or parenteral nutrition Insulin is needed around the clock. A continuous infusion or repeated doses, according to the local protocol Renal failure The insulin…

Corticosteroids: quick reference for dose equivalents and stress dosing

…above all in the afternoon and evening. See the quick reference on inpatient insulin therapy Peptic ulcer A proton pump inhibitor with concomitant NSAID use…

Drugs in the emergency setting

…kg over 20–60 min Central access for a longer infusion Metoprolol 5 mg IV, repeated to a maximum of 15 mg 0.1 mg…

Epidemiological aspects of cardiac arrest

…Hasselqvist Ax et al ). About 70% of all cardiac arrests occur in homes. These cases have substantially worse survival than cases occurring in public places…

Blood pressure

…a single reading. It requires repeated measurements on at least two occasions, and preferably confirmation by home measurement or 24 hour recording — the thresholds for…

Delirium in older adults: quick reference

…home care services, the residential care home or the previous care provider. 5. Confirm delirium with a structured instrument , for example the 4AT or the…

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

…for hypertensive emergency. In that setting, clinical assessment must determine whether immediate blood pressure lowering treatment is required. Patients with suggestive symptoms, signs or a…

Resistant Hypertension: Evaluation and Treatment

…antihypertensive drugs from different classes at maximally tolerated doses, including a diuretic appropriate for kidney function. In patients with an estimated glomerular filtration rate below…

Acute exacerbation of COPD: quick reference

…need for ventilatory support . At the same time, exacerbation is a clinical syndromic diagnosis, not a sufficient explanation for all acute dyspnoea in a patient…

Otoscopy and ear syringing

…procedure, or over a few days at home for a hard plug. Have the patient lie with the ear uppermost for 5 minutes after instillation…

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