Corticosteroid and sodium bicarbonate in septic shock

🔹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

nutrition in septic shock
اخر موضوع

✅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 👏👏

🔺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

🛑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

🛑ادويه anticoagulants المستخدمه في معالجة مريض Acute coronary syndrome هي
✅heparin
✅enoxaparin
✅fondaparinux
✅bivalirudin
السؤال متى نستخدم كل واحد ؟؟

😊😊😊سر الزواج الناجح
https://www.facebook.com/share/p/BmzdHkH5n2HkUvx7/?mibextid=oFDknk

✅كيف نختار المحلول الوريدي المناسب حسب حاله المريض؟؟
العظمه ذي من مرجع Shock للبروف Ahmed Hasanin

✅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 ❤️

Risk stratification of pulmonary embolism