…in impaired left ventricular function and together with an intravenous beta blocker Digoxin In heart failure or hypotension, or as an add on Slow onset…

…tablets) on days 1 and 2 in patients over 75, with a weight below 60 kg, heart failure, hepatic impairment, malnutrition, concurrent amiodarone or known…

…onset of the disease. Approximately 12% die within 30 days, compared to the 30 day mortality of STEMI (ST segment elevation infarction) , which is about…

…2 or more. Patient preference and the balance of risk and benefit determine whether treatment is initiated. High 3 9 As above. Very high Oral…

…on the route of administration. Intravenous (IV) amiodarone generally acts within 1 to 2 hours. Oral onset is delayed, typically requiring 2 to 3 days…

…infection or gastroenteritis at home Double or triple the oral daily dose during the days of illness (the patient's sick day rules) Vomiting or…

…7 days Cat bite within 2 days phenoxymethylpenicillin 1 g × 3 10 days Cat bite after 2 days, close to a joint or on the…

…anxiety or communication difficulties that prevent the patient from cooperating. Suspected base of skull fracture or marked coagulopathy argues against the nasal route; the oral…

…list (metformin, NSAIDs, RAAS blockade, gabapentin, direct oral anticoagulants) and refer to nephrology at an eGFR < 30, with rapid deterioration, or with A3 albuminuria.

…Oestrogen and the combined oral contraceptive These raise cortisol binding globulin and can give falsely normal values; stop about 6 weeks before if possible Inhaled…