…is required Level 3, severe hypoglycaemia No defined threshold The patient has cognitive or physical impairment and needs help from another person Level 3 can…

…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…

…the same time exclude other acute causes, for example hypoglycaemia, poisoning, stroke, meningitis and a postictal state. 3. Check a repeat plasma sodium if the…

…Can usually be stopped without a prolonged taper 3 weeks, prednisolone ≥ 5 mg/day Substantial A stepwise taper. More quickly down to the physiological level…

…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…

…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…

…fasting and surgery. A risk of euglycaemic ketoacidosis Sulfonylurea A high risk of hypoglycaemia in a patient who is eating poorly. Consider stopping it GLP…

…is given as a bolus [1,2]. In a meta analysis of three phase 3 trials, tenecteplase was non inferior to alteplase with respect to…

…half of patients with a central cause. A normal routine neurological examination is therefore not sufficient to exclude stroke [3]. Step 1: classify by time…

…minutes is the practical threshold for treatment, known as t1. After about 30 minutes of continuous convulsive activity, t2, the risk of permanent neuronal injury…