…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…and infarction Definition and Purpose Cardiac rehabilitation is a comprehensive, multidisciplinary secondary prevention intervention for patients with cardiovascular disease, including those recovering from myocardial infarction…

…yourself a textbook by downloading all their guidelines. Nevertheless, I recently read Recommendations for interpretation of 12 lead electrocardiogram in the athlete , which is a…

…through a redistribution of blood from non ischemic to ischemic myocardium (i.e an increase in blood flow in the ischemic area!) [2]. Take home…

…by the International Society for Holter and Non Invasive Electrocardiology , where it is stated that it is extremely uncommon to have a non ischemic ECG…

…8 days including oral step down Hospital acquired pneumonia, severe piperacillin–tazobactam 4 g × 4 IV Exacerbation of COPD with an indication for antibiotics amoxicillin…

…is not enough. Lidocaine 10 mg/mL to anaesthetise the marrow cavity in a conscious patient. Fixation material for the intraosseous needle. Procedure Peripheral venous…

…accidental hypothermia with cardiac arrest or cardiopulmonary depression Use HOPE Score to assess the prognosis. A long no flow time can sometimes be compatible with…