A diagnosis of diabetic ketoacidosis is confirmed, and the decision is made to start fluid replacement followed by insulin administration.

One of the reasons that the elderly are more prone to life-threatening pneumonia is:

What advice should be provided to this patient based on their home blood pressure results?

Identify the skin lesions below.        

24 hours later the patient’s condition improves, and the decision is made to switch from fixed rate insulin infusion to a basal bolus insulin regimen.   With reference to Appendix 1 in the resource, what is the maximum estimated total daily dose of insulin recommended for this patient? Answers should be rounded to the nearest whole unit    

How much steroid cream is one fingertip unit sufficient to cover?

60 minutes later their blood glucose is recorded as 8 mmol/L. What is the most appropriate action to take?  

Post-discharge the patient develops an inflammatory condition that requires treatment with daily oral steroids. What is the most appropriate action in relation to blood glucose monitoring for this patient?  

Why is this patient prescribed medical appliances to monitor blood glucose?  

What is the potency of betamethasone valerate 0.1% cream? You may use the following resource: Topical corticosteroids | Treatment summaries | BNF | NICE