notamedik

Author: notamedik

  • How To Overlap Insulin

    How To Overlap Insulin

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    A favourite pop-up quiz during round – How to overlap Insulin? (in patient initially started with IVI insulin for DKA) According to CPG Management of Type 2 DM Use patient’s body weight, let’s say 60kg 60 kg x 0.5 = 30 unit30 unit / 2 = 15 unit 15 units for prebed (long acting) insulin…

  • Contraindications For Certain Drugs

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    Automatic reflex (question to ask) before starting these medications Labetalol / any beta blocker SC Fondaparinux MDI Salbutamol IVI insulin Streptokinase Paracetamol Penicillin Propofol

  • Cara Dilute Fentanyl Midazolam

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    Actually different hospitals, have different guidelines or protocol, this is just one of the way to dilute.

  • AEIOU for AKI

    AEIOU for AKI

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    Indications for dialysis in Acute Kidney Injury(AKI) pt. A – Acidosis – metabolic acidosis with a pH <7.1 E – Electrolytes – refractory hyperkalemia with a serum potassium >6.5 mEq/L or rapidly rising potassium levels; see this post for a review of the causes and management of hyperkalemia I – Intoxications – use the mnemonic SLIME to remember the drugs and toxins…

  • Eradication Therapy for H. Pylori

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    Kalau lepas OGDS, Helicobacter Pylori test dia positive, kita kena order set of meds for eradication therapy. Ataupun dipanggil Urease Test. Rapid urease test, also known as the CLO test, is a rapid diagnostic test for diagnosis of Helicobacter pylori. The basis of the test is the ability of H. pylori to secrete the urease…

  • Systemic Inflammatory Response Syndrome(SIRS)

    Systemic Inflammatory Response Syndrome(SIRS)

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    SIRS criteria Any 2 out of 4 of the criteria are met : However, remember that almost all septic patients have SIRS, but not all SIRS patients are septic. qSofa Criteria The qSOFA score (also known as quickSOFA) is a bedside prompt that may identify patients with suspected infection who are at greater risk for a…

  • Daflon Regime Malaysian Hospital

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    Siapa dh lepas posting Surgery tapi tak tahu Daflon regime, berdosa tau. Kita guna utk patient Haemorrhoids biasanya. Order T Daflon II/II TDS for 4 days, thenII/II BD for 3 days, thenII/II OD for 6 weeks.

  • Cara Refer Hernia To Surgical Team

    Cara Refer Hernia To Surgical Team

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    Dik, patient ni ada hernia la, nnti refer surgical. HO be like, baik bos🫡. Tapi nak citer apa ni? History Smoker?Occupation? History of frequent lifting heavy things in the past?Chronic cough?Constipation?Straining on urination?Other lower urinary tract symptomsHistory of abdominal surgery in the past?Family history of inguinal hernia? Any symptoms suggestive of intestinal obstruction? (vomiting, abdominal…

  • Classification Of Shock

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    Definition : inadequate tissue and organ perfusion to meet metabolic demands leading toeventual global cellular hypoxia. Hypotension: SBP < 90mmH or MAP <60mmHg or reduction in SBP >30mmHg from baseline Pathophysiology of Shocki. MAP ∝ CO x SVRii. CO = SV x HRiii. SV ∝ preload, afterload and myocardial contractilityiv. → MAP ∝ HR, preload,…

  • Minor, Moderate, Severe Head Injury

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    Management for Head Injury Assessment : 3 important parameters: ABCs, GCS, pupil size Minor head injury (GCS >13) Indications for admission: 1. Persistent headache and/or vomiting2. CSF leak3. Neurological deficit4. Skull fracture5. History of loss of consciousness6. Amnesia – In ward: NBM, IV drip (no dextrose saline!), no sedation, monitor GCS – If pt deteriorates…