Cara Dilute Fentanyl Midazolam
Actually different hospitals, have different guidelines or protocol, this is just one of the way to dilute.
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AEIOU for AKI
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 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
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 =…
Minor, Moderate, Severe Head Injury
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…
Intracranial Haemorrhage
AIM : prevention of secondary brain injury (from hypotension, hypoxemia, increased ICP etc.) since neuronal death is irreversible. Concussion Physiological dysfunction without anatomical or radiological abnormality (physiological dysfunction is the first step towards cell death, but is reversible if no…