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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…

Inpatient insulin therapy: quick reference

…in a person with type 1 diabetes , not even before fasting or an investigation. Stopping it leads to ketoacidosis within hours. Treatment with correction doses…

Blood pressure

…mmHg suggests vascular disease, and the arm with the higher reading is used thereafter Two to three measurements one minute apart, taking the mean of…

Corticosteroids: quick reference for dose equivalents and stress dosing

…life produces more marked suppression. Stress dosing in known adrenal insufficiency A patient with primary adrenal insufficiency (Addison's disease), secondary adrenal insufficiency or long…

Delirium in older adults: quick reference

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

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

…fourth Korotkoff sound is used. Office blood pressure: blood pressure measured in a clinical setting, manually or with an automated device. Home blood pressure monitoring…

Resistant Hypertension: Evaluation and Treatment

…with all agents prescribed at maximum or maximally tolerated doses. The apparently uncontrolled office blood pressure must be confirmed using home blood pressure monitoring or…

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

…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…

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