Surgical notes

،💧Fluid Balance within GIT

طيب البروتوكول المتبع في قسم النيفرو العلاج الhyperkalemia 1 -ca gluconate 10 ml 10%in 10 minutes يحمي القلب من تأثير البوتاسيوم لمدة نصف ساعة إلى ساعة وليس كعلاج 2- 10 units insulin in 2-3 ampoules 40% dextrose Then 200 ml dextrose 5% 3-combivent nebulizer اذا الk اكبر من 6.5 لازم hemodialysis

Also don't give lasix in obstuctinve uropathy

Cautions when u give Na bicarbonate in ER :- 1- patient shouldn't be hypertensive 2- patient shouldn't be anuric 3- chest should be clear د طارق، قسم النفرو

Causes of metabolic acidosis with high anionic gap

Cause of metabolic acidosis with normal anion gap

Causes of increase D.dimer

طيب البروتوكول المتبع في قسم النيفرو العلاج الhyperkalemia 1 -ca gluconate 10 ml 10%in 10 minutes يحمي القلب من تأثير البوتاسيوم لمدة نصف ساعة إلى ساعة وليس كعلاج 2- 10 units insulin in 2-3 ampoules 40% dextrose Then 200 ml dextrose 10 % 3-combivent nebulizer اذا الk اكبر من 6.5 لازم hemodialysis

Tazact Piperacillin and tazobactam combination injection .

🛑Which corticosteroid has the highest Relative Sodium Retention (RSR)?   Answe: Hydrocortisone : ✅ Hydrocortisone has Relative Sodium Retention of "20" in comparison to other steroids ✅ Prednisone's RSR is 1 ✅Methylprednisone RSR is 0.5 ✅Dexamethasone RSR is 0 #باطنة #crtical_care_pearl2018

Also, Acetylcysteine Injection is used for the treatment of paracetamol overdose (where you may have taken too much paracetamol). You will be given Acetylcysteine Injection if you have taken a potentially harmful amount of paracetamol.

Asist 300 mg I.V : Acetylcysteine helps to loosen thick mucus, making it easier to cough out. This makes it easier for air to move in and out. It will relieve symptoms such as tightness in your chest, shortness of breath, wheezing, and coughing and help you carry out your daily activities more easily #باطنة

#باطنة LTOT

Ecg findings in PE

PE #باطنة

ECG findings for PE .. 1.Sinus Tachycardia 2.Right Bundle Branch Block complete or partial 3.McGinns White Sign S1Q3T3 depressed S wave in lead 1, depressed Q wave in lead 3 and inverted T wave in lead 3. #باطنة

Acid base balance #باطنة