Forwarded from Health Education التثقيف الصحي (®a6³b_§μ!💕)
-لم تعد قرح المعدة والاثنى عشر قاصرة على كبار السن فقط، ولكنها تنتشر بين الشباب وصغار السن لعدم الانتظام في وجبات الطعام وعدم تناول وجبة الإفطار وتأخير وجبة الغذاء والإكثار المفرط للتدخين والمنبهات والأدوية المسكنة على معدة خاوية، فضلًا عن التعرض للإجهاد المستمر والتوتر والقلق.
https://www.tg-me.com/Healthy_Eduction
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All Antibiotics according to the mechanism of action
متى نفضل إعطاء مضاد حيوي واسع الطيف ؟
في الحقيقه يفضل إعطاء مضاد واسع الطيف في حالتين وليس أي انفكشن يعطى
الحاله الأولى عندما يكون هناك
mixed infections where multiple organisms are likely to be present.
مثل
intra-abdominal and female pelvic infections
في هذه الحاله قد يصاب ب
aerobic and anaerobic bacteria
في هذه الحاله ي أما نجيب دواء واسع الطيف يغطي النوعين او نضيف دوائين.
الحالة الثانيه في
critically ill patients with presumed healthcare-associated infections
وهذا بسبب انة غالبا يصاب ب
multi-drug resistant.
في الحقيقه يفضل إعطاء مضاد واسع الطيف في حالتين وليس أي انفكشن يعطى
الحاله الأولى عندما يكون هناك
mixed infections where multiple organisms are likely to be present.
مثل
intra-abdominal and female pelvic infections
في هذه الحاله قد يصاب ب
aerobic and anaerobic bacteria
في هذه الحاله ي أما نجيب دواء واسع الطيف يغطي النوعين او نضيف دوائين.
الحالة الثانيه في
critically ill patients with presumed healthcare-associated infections
وهذا بسبب انة غالبا يصاب ب
multi-drug resistant.
🔹PCT appears to be a more specific marker for bacterial infections than either CRP or ESR, and it can be a valuable tool for the clinician to help assess mortality risks of patients with infections and also can help determine when to initiate antibacterial
✅خلصت اجازة العيد والحمدلله اني اقدرت احضر وسجل موضوعين وهو Community-acquired pneumonia و Septic shock اخذت مني جهد ووقت واكتشفت انه الجانب الأكاديمي متعب😅 اتمنى بانة قد اوصلت الموضوعين بشكل جيد ، وغدا نعود لدوام العمل 😁 ونلتقي في الإجازات في مواضيع ثانية ان شاءالله،أسأل الله أن يكون هذا العمل خالص لوجهه الكريم 👏👏
Clinical Notes
🔹PCT appears to be a more specific marker for bacterial infections than either CRP or ESR, and it can be a valuable tool for the clinician to help assess mortality risks of patients with infections and also can help determine when to initiate antibacterial
🔺PCT levels may help determine whether to discontinue empiric antibiotics in possibly infected patients as well as to determine when antibiotics can be discontinued in patients recovering from infections.
🔹PCT levels below 0.25 ng/mL (mcg/L) are associated with low risk of infection and can help justify the discontinuation of antibiotics, while levels >0.5 ng/mL (mcg/L) may indicate that antibiotics should be continued
🔹PCT levels below 0.25 ng/mL (mcg/L) are associated with low risk of infection and can help justify the discontinuation of antibiotics, while levels >0.5 ng/mL (mcg/L) may indicate that antibiotics should be continued
🛑Approach for shock management
✅Point of care ultrasound to differentiate cause of shock
✅Is there evidence of overt fluid/blood loss e.g. GIT bleeding ➡️blood and fluid resuscitation
✅In absence of evidence of overt blood loss➡️ Fluid responsiveness
✅Titrate norepinephrine to reach MAP ≥ 65 mmHg
✅After reaching the target of MAP ➡️assess tissue perfusion using lactate and/or capillary rfill time
✅If tissue perfusion is adequate→start weaning of vasopressor
✅If tissue perfusion is inadequate consider higher MAP (70-75 mmHg)
✅If tissue perfusion remains inadequate after achieving high MAP→ consider inotropic support in patients with poor contractility.
#Evidence-Based Critical Care Protocols 2022
✅Point of care ultrasound to differentiate cause of shock
✅Is there evidence of overt fluid/blood loss e.g. GIT bleeding ➡️blood and fluid resuscitation
✅In absence of evidence of overt blood loss➡️ Fluid responsiveness
✅Titrate norepinephrine to reach MAP ≥ 65 mmHg
✅After reaching the target of MAP ➡️assess tissue perfusion using lactate and/or capillary rfill time
✅If tissue perfusion is adequate→start weaning of vasopressor
✅If tissue perfusion is inadequate consider higher MAP (70-75 mmHg)
✅If tissue perfusion remains inadequate after achieving high MAP→ consider inotropic support in patients with poor contractility.
#Evidence-Based Critical Care Protocols 2022