Important Tips in Internal Medicine‼️👌
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| 4 |  Risk factor of tumor lysis syndrome | 0 |
| 5 | Git
توقعات 😂 | 0 |
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| 8 | اللي هيسيب AB يبص علي دول | 0 |
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| 12 |  & Sine wave pattern in Hyperkalemia. | 0 |
| 13 | Ttt of sle | 0 |
| 14 | “Acute Complications of HD”
⚫️ Intradialytic Hypotension:
↓ in SBP 20mmHg or MAP 10mmHg
TTT: regarding dialysate
✅Cooling 35-36°C
✅ Ca conc. of 1.5mmol/L
❌ Low Mg conc. (0.25mmol/L)
⚫️ Intradialytic HTN :
↑ in SBP > 10mmHg or MAP ≥ 15mmHg
TTT: regarding dialysate
❌ High Ca conc.
❌ High Na conc.
➡️ Trendelenburg position: ttt of Intradialytic Hypotension
➡️ Left Trendelenburg position:
Prevention of air embolism
⚠️ 0.5-1 ml/kg air may be fatal
🔴 Anti-hypertensive drugs could be administered éout risk of elimination:
1️⃣ ACE-I: فوزي
▪️Fosinopril
2️⃣ ARBs: ✅
3️⃣ BBs: كارڤي ولابي
▪️Carvedilol
▪️Labetalol
4️⃣ CCBs: أمل وفيلو ونيفين وڤيرا
▪️Amlodipine
▪️Felodipine
▪️Nifedipine
▪️Verapamil
🛑 Type A reaction:
Rare, Rapid éin 20min
Due to:
✔️Ethylene Oxide (ETO)
➡️ ttt: ❌ ETO 😊
✔️Polyacrylonitrile (PAN) membrane in patients on ACE-I
➡️ ttt: ✅ ARBs & dialysis é 3.5 mEq/L Ca
🛑 Type B reaction: éin 20-40min
▪️Chest & Back pain.
⚠️ As for arrhythmia ttt:
✅ Class IA & IC restore Sinus rhythm: Propafenone
✅ AF: remember anticoagulation
❗️Digoxin is administered é extreme caution.
📣M/C cause of death in CKD patients: Cardiovascular Dse
📣M/C electrolyte disturbance in CKD patients: Hyperkalemia
📣M/C acid-base disturbance in CKD patients: Metabolic acidosis
دا يُعتبر المهم ف محاضرة ال
Complications of Haemodialysis
مواضع ال MCQ
لو حد ماعندوش وقت ممكن يقرأها سريعًا
بالتوفيق يا رب ♥️♥️
#Nephrology | 0 |
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| 19 | peritoneal nodules👉goog prognosis
peritoneal metastasis 👉bad prognosis
papillary adenenocarcinoma👉good prognosis
non papillary adenocarcinoma👉bad prognosis | 0 |
| 20 | Aortic regurgitation in Relapsing polychnodritis
Mitral regurgitation in APS
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