pace your MRCP-PACES

👉 *IMPORTANT 562* 👈 *Possible complications of Renal Replacement Therapy:* Risks of dialysis catheter insertion and maintenance Procedural hypotension Bleeding due to the requirement for anticoagulation Altered nutrition and drug clearance. Good Luck

👉 *IMPORTANT 561* 👈 *Possible indications for renal replacement therapy:* Fluid overload unresponsive to medical treatment. Severe/prolonged acidosis. Recurrent/persistent hyperkalaemia despite medical treatment. Uraemia eg pericarditis, encephalopathy (more common in CKD). Good Luck

👉 *IMPORTANT 560* 👈 *Few important points about treatment of hyperkalemia* Treat K>6.5mmol/L or any with ECG changes 1.10mL of 10% calcium chloride (or 30mL of 10% calcium gluconate) IV via a big vein over 5-10min, repeated if necessary and if ECG changes persist. This is cardioprotective (for 30-60min) but does not treat K level. 2. Intravenous insulin (10u soluble insulin) in 25g glucose (50mL of 50% or 125mL of 20% glucose). Insulin stimulates intracellular uptake of K, lowering serum K by 0.65-10mmol/L over 30-60min. Monitor hourly for hypoglycaemia which may be delayed in renal impairment (up to 6 hours after infusion). 3. Salbutamol also causes an intracellular K shift but high doses are required (10-20mg via nebulizer) and tachycardia can limit use (10mg dose in IHD, avoid in tachyarrhythmias). 4. Definitive treatment requires K' removal. If the underlying pathology cannot be corrected renal replacement may be indicated. Good Luck

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *April 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *4 April and finish on 20 April.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions.* After the performance a detailed feedback will be given to elaborate the weak skills. It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

👉 *IMPORTANT 559* 👈 *ECG changes on hyperkalemia* In order: tall 'tented' T waves increased PR interval small or absent P wave widened QRS complex sine wave' pattern asystole. There is considerable inter-individual susceptibility. Good Luck

👉 *IMPORTANT 558* 👈 *Commonly used criteria for Acidosis* Mild = pH 7.30-7.36 (~bicarbonate >20mmol/L). Moderate pH 7.20-7.29 (~bicarbonate 10-19mmol/L). Severe = pH <7.2 (~bicarbonate <10mmol/L) Good Luck

👉 *IMPORTANT 557* 👈 Please remember JVP does not reflect intravascular volume if there is right-sided heart disease/failure. Good Luck

I am sorry for the inconvenience, I got disconnected

Here is the recording of today's session. Please try to listen the recording in 1 day as Zoom provides limited space and it automatically deletes the old recordings to keep space for new ones ..so the recording will not be available after 1 day☝️☝️☝️

r6+gb&8e

Sorry for the inconvenience, please join this one

646224

Please join

267586

*Announcement for Online Session No 84* *2 April 2023* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 1 station 2 ( History Taking )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 3 00 pm Pakistan : 5 00 pm Bangladesh : 6 00 pm India : 5 30 pm Singapore : 8 00 pm Hong Kong : 8 00 pm Malaysia : 8 00 pm Egypt : 2 00 pm Libya : 2 00 pm Bahrain : 3 00 pm Burma ( Myanmar ) :6 30 pm Sudan : 2 00 pm UAE : 4 00 pm UK : 12 00 pm Ireland ( Dublin ) : 12 00 pm Afghanistan : 4 30 pm Kenya : 3 00 pm Germany ( Berlin ) : 2 00 pm Nigeria : 1 00 pm Japan ( Tokyo ) : 09 00 pm Denmark : 2 00 pm Qatar : 3 00 pm Oman : 4 00 pm Italy : 2 00 pm Indonesia : 7 00 pm Mauritius : 4 00 pm Iraq : 3 00 pm Texas Usa : 7 00 am Kuwait : 3 00 pm ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. The candidate for today's session has been selected. GOOD LUCK.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *April 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *4 April and finish on 20 April.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions.* After the performance a detailed feedback will be given to elaborate the weak skills. It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*Announcement for Online Session No 84* *2 April 2023* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 1 station 2 ( History Taking )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 3 00 pm Pakistan : 5 00 pm Bangladesh : 6 00 pm India : 5 30 pm Singapore : 8 00 pm Hong Kong : 8 00 pm Malaysia : 8 00 pm Egypt : 2 00 pm Libya : 2 00 pm Bahrain : 3 00 pm Burma ( Myanmar ) :6 30 pm Sudan : 2 00 pm UAE : 4 00 pm UK : 12 00 pm Ireland ( Dublin ) : 12 00 pm Afghanistan : 4 30 pm Kenya : 3 00 pm Germany ( Berlin ) : 2 00 pm Nigeria : 1 00 pm Japan ( Tokyo ) : 09 00 pm Denmark : 2 00 pm Qatar : 3 00 pm Oman : 4 00 pm Italy : 2 00 pm Indonesia : 7 00 pm Mauritius : 4 00 pm Iraq : 3 00 pm Texas Usa : 7 00 am Kuwait : 3 00 pm ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. Interested candidate may send a personal message to take the case GOOD LUCK.