Patient KJ (male, 55 years old, weight 77 kg) is admitted to…
Patient KJ (male, 55 years old, weight 77 kg) is admitted to hospital following an episode of haematemesis. Past medical history: musculoskeletal back pain related to his occupation as a lorry driver Medication history: sometimes takes co-codamol for back pain which he buys from the pharmacy penicillin allergy Following endoscopy a diagnosis of major peptic ulcer bleeding is made. The ulcer is treated endoscopically and a test for H. pylori is POSITIVE. Which treatment plan is MOST APPROPRIATE?
Read DetailsPatient YP (75 years old, weight 68 kg) has type 1 diabetes…
Patient YP (75 years old, weight 68 kg) has type 1 diabetes mellitus and mild dementia. She was discharged from hospital three days ago following treatment of a urinary tract infection. She lives alone and usually has district nurses administering insulin. Upon investigation it is revealed that they were not informed of Patient YP’s discharge and therefore have not been visiting to administer her insulin. Today she is readmitted to hospital as her son has found her to be unwell. She is drowsy, more confused than usual, vomiting and her breath has a smell of ketones. She is diagnosed as having diabetic ketoacidosis (DKA). Which treatment should be started in the FIRST instance?
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