Drug Indication Class Notes Salbutamol Asthma, COPD SABA First-line; fast-acting Atrovent Asthma, COPD SAMA (Ipratropium Bromide) – Add-on for moderate-severe cases– Best for COPD, used with SABA in asthma Combivent Asthma, COPD SABA + SAMA Preferred combo in exacerbations Pulmicort…
7 Ps of Rapid Sequence Intubation (RAI) Preparation & Plan.Preoxygenation.Pre-treatment.Paralysis and induction.Protection and positioning.Placement with proof.Post-intubation management. When oxygen saturation drops remember : 1. To diagnose cause using DOPESDislodged tubesObstructed tubingsPneumothoraxEquipment issuesStacking (dynamic hyperinflation) 2. To treat using DOTTSDisconnectOxygen –…
Corrected Sodium (Hyperglycemia – mmol/L) Measured Na⁺ (mEq/L): Serum Glucose (mmol/L): Calculate Corrected Na⁺ Show formula Corrected Na⁺ = Measured Na⁺ + 0.288 × (Glucose − 5.6) – Glucose in mmol/L – Correction accounts for water shift from intracellular to…
Hyponatremia, defined as a serum sodium concentration below 135 mEq/L, is the most common electrolyte abnormality encountered in clinical practice. Hyponatremia is a common electrolyte abnormality caused by an excess of total body water in comparison to that of the…
Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Either the small bowel or large bowel may be affected Symptoms 4 Cardinal Signs of IO: Other hx: – Symptoms of GIT bleed, infection, –…
We encounter metformin almost every day in practice — in patients’ medication list / we prescribe to patients / we withhold for patients. It is very important to understand the medications that we are giving, so that we do no…
22yo male came with high grade fever for 2 days, a/w productive cough, septic looking. “HO tolong ambik septic workup utk patient ni”, korang pun be like, nak ambik apa ni…. Blood Ix Tube FBC Purple CRP Yellow Aerobe C&S…
Dekat O&G kalau boss suruh ambik blood for Pre Eclampsia atau PE Profile, tapi korang xtahu berdosa tau. Ix Tube FBC purple RP + LFT yellow Uric acid yellow AST yellow Urine FEME urine container For Malaysian Hospital settings
Patient came with anemic ssx, lethargic, shortness of breath. Pastu boss pun suruh “dik, ambik anemic workup utk patient ni”, pastu korang sebagai HO yang baru masuk keje pun be like? Yang mana eh? Ix Tube Full Blood Count (FBC)…
Antara tugas HO ialah order ubat, kalau tak order tunggu je la akak2 SN bising nnti. “Dr dh order ubat ke”, “Order sekarang Dr, akak nk ambik kat farmasi ni”. Pastu masa round mesti MO atau SP akan tanya, ubat…