10th May 2025

A 77-year-old male came to A&E with a fall.

A 77-year-old male came to A&E with a fall. He gave a history of feeling dizzy and falling on his back after standing from the toilet seat. He had some palpitation before the fall but no loss of consciousness. His past medical history included hypertension and type 2 diabetes. Triage note revealed, HR- 66/min, BP standing: 140/90mmHg, sitting- 90/60mmHg, SpO2- 94% in room air, blood glucose of 4.9 mmol/L. He is on regular Metformin and Ramipril 5mg once a day, which has been recently increased from 2.5mg once a day by his GP. What is the next best appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only