…help matter more than a single measured value [2]. Level Plasma glucose Meaning : : : Level 1, alert value < 3.9 mmol/L but at least…

…five minutes 1. Assess airway, breathing and circulation. 2. Assess the neurological symptoms and at the same time exclude other acute causes, for example hypoglycaemia…

…1. Assess vital signs and level of consciousness immediately. 2. Check oxygen saturation and capillary glucose. 3. Exclude immediately treatable threats without delay: hypoxia, hypoglycaemia…

…fever, hyponatraemia, hyperkalaemia, hypoglycaemia. Give hydrocortisone and an isotonic crystalloid. Exact doses according to the local protocol. Tapering after pharmacological treatment Duration and dose Risk…

…immediately. Assess the level of consciousness, the pupils, tone, clonus and seizures. Give glucose in hypoglycaemia and a benzodiazepine for toxicological seizures E Temperature, skin…

…may potentiate the hypoglycemic effect of sulfonylureas, possibly due to reduced binding to serum albumin. Nicotinic acid: Acetylsalicylic acid may increase plasma levels of nicotinic…

…ketoacidosis Sulfonylurea A high risk of hypoglycaemia in a patient who is eating poorly. Consider stopping it GLP 1 receptor agonist It can cause nausea…

…administration. 12. Prepare for the monitoring and management of intracranial haemorrhage and angioedema. First of all Measure Comment : : Plasma glucose Hypoglycaemia can mimic stroke. Measure…

…how long an attack lasts, and whether anything actually triggers it [1,2]. The single most important practical rule is: Continuous acute dizziness with spontaneous…

…hypoventilation, circulatory failure or an anticipated need for anaesthesia. Consider a 12 lead ECG when the acute situation allows, particularly before fosphenytoin, or where poisoning…

…hyperglycemia, smoking, and turbulent hemodynamic shear stress. This dysfunction compromises the endothelial barrier, upregulating the expression of vascular cell adhesion molecule 1 (VCAM 1) and…