🔹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
🛑ادويه anticoagulants المستخدمه في معالجة مريض Acute coronary syndrome هي
✅heparin
✅enoxaparin
✅fondaparinux
✅bivalirudin
السؤال متى نستخدم كل واحد ؟؟
✅heparin
✅enoxaparin
✅fondaparinux
✅bivalirudin
السؤال متى نستخدم كل واحد ؟؟
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😊😊😊سر الزواج الناجح
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✅مساء الخير راح اسجل اليوم موضوع
pulmonary embolism
او مايسمى باللغة العربية
الانصمامُ الرئوي وراح اتكلم على ثلاثة محاور
✅Diagnosis
✅Risk stratification
✅Treatment
حسب الجايدلاين الاوروبي ESC
انتظرونا عند الساعه العاشره مساء ان شاء الله ❤️
pulmonary embolism
او مايسمى باللغة العربية
الانصمامُ الرئوي وراح اتكلم على ثلاثة محاور
✅Diagnosis
✅Risk stratification
✅Treatment
حسب الجايدلاين الاوروبي ESC
انتظرونا عند الساعه العاشره مساء ان شاء الله ❤️
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