Izuan

Izuan

Template To Refer Paeds for Neonatal Jaundice

TSB levels

Ingat lagi dulu-dulu masa jaga postnatal ward kat O&G, kadang-kadang baby kuning, mesti kena ambik TSB and refer paeds. Boleh try pakai template ni. Currently, he is ___ hours of life?☞ Usually within 72 hours, counted in hours☞ If >72…

How To Overlap Insulin

overlap insulin

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 =…

Contraindications For Certain Drugs

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

AEIOU for AKI

hemodialysis-aeiou-nephrology-mnemonic-indications-original

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…

Eradication Therapy for H. Pylori

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.…

Systemic Inflammatory Response Syndrome(SIRS)

SIRS-and-qSOFA-criteria

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…

Daflon Regime Malaysian Hospital

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

types-of-hernia

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…

Classification Of Shock

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 =…