✅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
https://www.facebook.com/share/p/BmzdHkH5n2HkUvx7/?mibextid=oFDknk
https://www.facebook.com/share/p/BmzdHkH5n2HkUvx7/?mibextid=oFDknk
✅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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🔻🔻
في حالة الانفكشن وقبل أن تضهر النتيجه فيه أشياء نركز عليه عند إختيار المضاد الحيوي
🔻
أولاً أسأله معينة يجيب معرفتة
✅ (1) prior knowledge of colonization or infections,
✅ (2) previous antimicrobial exposure,
✅ (3) the site of infection and the most likely pathogens, and
✅ (4) local antibiogram and resistance patterns for important pathogens
🔸 ثانياً نركز ع عوامل معينه منها
🔸
Severity and acuity of the disease, local epidemiology and antibiogram,
patient history,
host factors,
factors related to the drugs used, and the necessity for using multiple agents.
في حالة الانفكشن وقبل أن تضهر النتيجه فيه أشياء نركز عليه عند إختيار المضاد الحيوي
أولاً أسأله معينة يجيب معرفتة
Severity and acuity of the disease, local epidemiology and antibiogram,
patient history,
host factors,
factors related to the drugs used, and the necessity for using multiple agents.
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Which one of the following fluoroquinolones provides activity against MRSA?
Which one of the following fluoroquinolones provides activity against MRSA?
Which one of the following fluoroquinolones provides activity against MRSA?
Anonymous Quiz
28%
Levofloxacin
36%
Moxifloxacin
20%
Delafloxacin
16%
Levofloxacin
✔️Which of the following statins is most affected by grapefruit juice?
Anonymous Quiz
43%
A. Simvastatin
10%
B.Pitavastatin
9%
C. Pravastatin
38%
D. Rosuvastatin
وهذه تكون
water-soluble
وتملك ميزة أنها
less muscle penetration, which results in a lower risk of muscle-related side effects.
ف تعتبر اقل ادويه تعمل myopathy
بينما
تكون أكثر في
more lipid-soluble and can easily enter cells, including muscle cells, which increases the risk of muscle-related side effects.
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💠🔹A patient was recently discharged from the hospital following a myocardial infarction. One of the medications they were started on was rosuvastatin 20 mg once daily.
When should lipid levels be reassessed?
When should lipid levels be reassessed?
Anonymous Quiz
14%
A. 7-14 days
41%
B. 4-6 weeks
18%
C. 6 months
27%
D. Every 3-12 months