Important Tips in Internal Medicine‼️👌

Contraindication of Fibrinolysis

Mention 4 chemotherapy drugs cause extravasation effect

Risk factor of tumor lysis syndrome

Git توقعات 😂

اللي هيسيب AB يبص علي دول

& Sine wave pattern in Hyperkalemia.

“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

peritoneal nodules👉goog prognosis peritoneal metastasis 👉bad prognosis papillary adenenocarcinoma👉good prognosis non papillary adenocarcinoma👉bad prognosis