notamedik

Category: Blog

  • Septic Workup

    Septic Workup

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    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 Blood culture bottle Anaerobe C&S Blood culture bottle Sputum C&S Sterile container Urine C&S Sterile…

  • PE Profile

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    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

  • Anemic Workup

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    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) purple Iron + TIBC yellow Ferritin yellow Full Blood Picture(FBP) purple B12 + Folate yellow…

  • Nexus Criteria Mnemonic

    Nexus Criteria Mnemonic

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    NEXUS (National Emergency X-Radiography Utilization Study) is a set of validated criteria used to decide which trauma patients do not require cervical spine imaging. Trauma patients who do not require cervical spine imaging require all of the following: The NEXUS criteria have a sensitivity of 99.6% for ruling out cervical spine injury in the original study…

  • Tips HO Sebelum Refer Peri MO

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    Antara benda yang HO paling kureng sekali bila nak carry out active plan ialah referral. Sebab kena tahu case betul2 and kena marah tu benda biasa🥰. Antara Tips dan Adab Kalau Nak Refer Case : Goodluck pada Houseman ya. Moga lepas ni refer dengan lebih baik 🤞. Credits : facebook.com/hanif.arshad.3/posts/3386251151393136?_rdc=1&_rdr

  • Template To Refer Paeds for Neonatal Jaundice

    Template To Refer Paeds for Neonatal Jaundice

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    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 hours, mention in day what of life Admitted for neonatal jaundice/NNJ☞ Straight to the point…

  • 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…