WebbGeneral principles. A single antihypertensive drug is often inadequate in the management of hypertension, and additional antihypertensive drugs are usually added in a stepwise manner until control is achieved. Titrate to the optimum or highest tolerated dose at each step before adding further treatment. WebbAetiology. Ocular hypertension (OHT) is generally defined as consistently elevated intraocular pressure (IOP) (greater than 21mmHg [2 standard deviations above the population mean IOP] by Goldmann applanation tonometry [GAT] on 2 or more occasions) in one or both eyes in the absence of clinical evidence of optic nerve damage, visual field …
Fluids and electrolytes Treatment summaries BNF NICE
WebbHyperkalaemia is an increase in the level of potassium in the blood. There is no agreed definition of hyperkalaemia, but serum concentrations greater than 5.5 mmol/l is usually … WebbIf the NT-pro-BNP level is between 400–2000 ng/L (47–236 pmol/L), refer for specialist assessment and echocardiography to be seen within 6 weeks. If NT-pro-BNP is less than 400 ng/L (47 pmol/L), be aware that a diagnosis of heart failure is less likely. Consider discussion with a physician with subspeciality training in heart failure if a ... johnston murphy bit loafer
Initial investigations Diagnosis Chronic kidney disease CKS
WebbCKS notes that the KDIGO anaemia publication uses different thresholds for haemoglobin concentration to define renal anaemia compared with NICE (less than 13.0 g/dL [130 g/L] … WebbIf a man presents with erectile dysfunction, assess with their partner if possible and appropriate, to determine any underlying cause and their cardiac risk of sexual activity. Ask about psychosexual factors: Sexual orientation, gender identity, and past and current sexual relationships. Sexual function, including onset and duration of erectile ... WebbRecommended investigation for isolated raised abnormal gamma glutamyl transpeptidase (GGT) in an asymptomatic patient without risk factors for or clinical features of liver disease in primary care (1): GGT has limited utility as a primary liver test johnston murphy careers