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Inpatient insulin therapy: quick reference

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…

Capnography (end-tidal carbon dioxide measurement, ETCO2) during cardiac arrest

…Increased aerobic metabolism, perfusion, and ventilation result in a higher end tidal carbon dioxide level. Continuous ETCO 2 monitoring is possible by means of intubation…

Hypoglycaemia: quick reference for emergency management

…aphasia and radiological changes resembling ischaemic stroke. Glucose measurement is therefore always part of the initial stroke assessment [1]. Treat immediately when there are symptoms…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…resolved. Capillary measurement of beta hydroxybutyrate has high diagnostic accuracy [2]. A venous blood gas is generally sufficient for the assessment of pH and bicarbonate…

Corticosteroids: quick reference for dose equivalents and stress dosing

Endokrinologi & metabolism Farmakologi & dosering Lathundar Two situations are often confused: replacement therapy in adrenal insufficiency (which must be increased under stress) and pharmacological anti inflammatory…

Sepsis and septic shock: quick reference for the first hour

…A systolic blood pressure of 100 mmHg or less, a MAP below 65 mmHg, delayed capillary refill, cold or mottled skin Metabolism and perfusion A…

Hypertriglyceridaemia: Management and Cardiovascular Risk

…Endocrinology & metabolism Definition and pathophysiology Hypertriglyceridaemia (HTG) is defined by an increased concentration of circulating triglycerides. Both fasting and non fasting measurements provide prognostic information…

Primary Aldosteronism: Screening and Management

…Metabolic syndrome and diabetes are also more prevalent. Epidemiology and clinical significance The reported prevalence depends on the population studied and the intensity of screening…

Secondary Hypertension: When and How to Investigate

Cardiology Endocrinology & metabolism Definition and pathophysiology Secondary hypertension is elevated blood pressure attributable to a specific, identifiable underlying cause. It should be considered in every…

Principles of myocardial perfusion imaging (SPECT, PET), coronary blood flow and flow reserve (CFR)

…in coronary perfusion pressure, typically within a range of 50 120 mmHg. This process is primarily mediated by local metabolic mechanisms, which adjust vascular tone…

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