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Inpatient insulin therapy: quick reference

…before fasting or an investigation. Stopping it leads to ketoacidosis within hours. Treatment with correction doses alone according to the glucose value, without basal insulin…

Blood pressure

…but normal readings at home or on 24 hour recording. Masked hypertension: normal in the office but raised outside it — associated with the same risk…

Corticosteroids: quick reference for dose equivalents and stress dosing

…dosing in known adrenal insufficiency A patient with primary adrenal insufficiency (Addison's disease), secondary adrenal insufficiency or long term corticosteroid treatment cannot increase their…

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

…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

…adherence to medication or dietary sodium restriction may therefore mimic pharmacological resistance or contribute directly to persistent hypertension. Resistant hypertension is associated with a higher…

Acute exacerbation of COPD: quick reference

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

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

…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…

Cardiac Rehabilitation After Myocardial Infarction

…also influence prognosis. Major depression after infarction is associated independently with increased mortality, while inadequate emotional support is associated with recurrent cardiac events. One possible…

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