💫تعال📚 استفيد💫

كيف تتخلص من الحوار السلبي مع الذات
https://tatwwiraldhat.blogspot.com/2023/01/blog-post.html

كيف نميّز بين شخص مصاب باضطراب نفسي معيّن وشخص آخر يمتلك سمات في شخصيّته
تذكّرنا بالاضطراب نفسه؟
https://tatwwiraldhat.blogspot.com/2023/01/20.html

خطوات زيادة الإنتاجية
https://tatwwiraldhat.blogspot.com/2024/09/alntagrh.html

#DOACs and Surgery/Procedures

*Minor (cath,derm,dental,eye): do not stop DOACs

*Moderate (Gallbladder,hernia, hysterectomy, hand/foot surgery): Stop ONE day in advance. Resume ONE day after

*High Bleed risk (joint replace, aortic, kidney): Hold TWO days in advance, Restart 2 after

#تعال_استفيد

علاج الغضب والتخلص 👇

https://tatwwiraldhat.blogspot.com/2024/09/anxieties-trem.html

STEMI in paced rhythm or LBBB:

Sgarbossa Criteria

1. Concordant ST elevation ≥ 1mm in a lead with a positive QRS (5pts)

2. ST depression ≥ 1 mm in V1, V2 or V3 (3pts)

3. Discordant ST elevation ≥ 5 mm in a lead with a negative QRS (2pts)

≥3points = 98% specific for ACS

#تعال_استفيد

#LTOT_in_COPD

#long_term_oxygen_therapy
✍Patients who receive LTOT should breathe supplementary oxygen for at least 15 hours
a day as this reduce mortality.
Oxygen concentrators are used to provide a fixed supply for LTOT.

#Assess patients if any of the following:
🔸 very severe airflow obstruction (FEV1 < 30% predicted).
🔸 Assessment should be 'considered' for patients with severe airflow obstruction (FEV1 30-49% predicted)
🔸 cyanosis
🔸 polycythaemia
🔸 peripheral oedema
🔸 raised jugular venous pressure
🔸 oxygen saturations less than or equal to 92% on room air

#Assessment is done by measuring arterial blood gases on 2 occasions at least 3 weeks apart in patients with stable COPD on optimal management.

#Offer_LTOT_to :
✍patients with a pO2 of < 55 mm Hg (7.3kpa) or SaO2 less than 88% with or without hypercapnia
or
✍to those with a pO2 of 55 - 60 mm Hg (7.3-8kpa) or SaO2 less than 88% with one of the following:
✔secondary polycythaemia
✔nocturnal hypoxaemia
✔peripheral oedema
✔pulmonary hypertension 

#Goals
Oxygen should be administered by nasal cannula or face mask, at 1 to 2 L/min, which provides 24% to 28% oxygen to #Improve PaO2 >60 mm Hg or SaO2 to 88% to 92%.
#N.B :
✍Improving oxygenation above 92% is not helpful and in patients with chronic hypercarbic respiratory failure hypoxemia can worsen V/Q matching and precipitate worsening hypercarbia.

#تعال_استفيد

#Chemotherapy_Heart_failure

✍ Doxorubicin: dose-related HF (irreversible)

✍Trastuzumab: non-dose-related HF (reversible)

#تعال_استفيد

ﺧﻄﻮﺍﺕ ﻋﻼﺝ ﺍﻟﻘﻠﻖ ﻭﺍﻟﺘﻔﻜﻴﺮ ﺍﻟﺰﺍﺋﺪ:👇

https://tatwwiraldhat.blogspot.com/2024/09/anxietyoverthrowing.html

اتعرف على العادات الذي تقتل إبداعك وتقلل إنتاجيتك؟👇

ketapat2.blogspot.com/2024/09/blog-post.html

#Hypokalaemia_ECG

😊 U have no Pot and #no_T, but a long #PR and a long #QT

#Hyperkalemic_ECG

✍The earliest ECG changes of hyperkalemia are peaking of the T waves and shortening of QT interval
- PR interval is prolonged
-loss of P waves
- widening of the QRS complex is seen with "sine- wave pattern
- asystole.


#Pseudohyperkalemia is an in vitro phenomenon caused by the
1-mechanical release of potassium
from cells during phlebotomy or specimen processing
2-marked leukocytosis and thrombocytosis.

#In_patients with pseudohyperkalemia, the plasma potassium concentration is normal.

#DON'T_BE_TRICKED
Significant hyperkalemia associated with a normal ECG suggests pseudohyperkalemia.

#تعال_استفيد

💉💉💉952
10 mmol of IV or 20 mmol of ORAL potassium usually raises SERUM potassium by only 0.1 mmol/L.

كيف تعزز الثقة بنفسك 👇

https://tatwwiraldhat.blogspot.com/2024/09/blog-post_13.html

خطوات  التّحفيز الذاتي للنجاح👇

https://tatwwiraldhat.blogspot.com/2024/09/blog-post_12.html