Endokrinologi & metabolism Lathundar An inpatient has a different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal…

…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…

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

…The varying inclusion criteria in these registries explain the marked differences in characteristics and outcomes across the data sources for out of hospital cardiac arrest…

…and preferably confirmation by home measurement or 24 hour recording — the thresholds for which are lower than for office measurement. Classification of office blood pressure…

…Delirium is common but often missed. On medical and geriatric wards a substantial proportion of older patients are affected, and the incidence is particularly high…

…oscillometric device. Ambulatory blood pressure monitoring (ABPM): automated measurement, usually over 24 hours, at predefined intervals. Inter arm difference: a sequential systolic difference of 10…

…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…

…Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood gas…

…has a protective function, and the commonest complication of ear syringing is that someone syringes an ear that did not need syringing. The second commonest…