Anaphylactic shock Adrenaline 0.5 ml sc / im Hydrocortisone 200 mg iv Diphenhydramine 25-50 iv/im Hypoglycemia Oral glucose Fruit juice 50 ml of 50% iv Glucose Glucagon Acute Myocardial infarction •Attach a Cardiac monitor •Administer Oxygen if oxygen saturation is <94% •Establish iv access •Nitroglycerin 0.5 mg sublingual •Morphine 5 mg iv with an Antiemetic …
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Status epilepticus is sustained epileptic activity with1. two fits without recovery of consciousness in betweenOR2.single fit of >30 mins with or without loss of consciousness Treatment aims at controlling seizures within 1 hour of admission. STEP A (first 20 mins) Maintain ABC (airway, breathing, circulation) measure blood sugar take a brief history Administer Diazepam (10 …
Status asthmaticus is also called Acute severe asthma. In Status asthmaticus,1.there is severe airway obstruction2.no response to the initial standard treatment of asthma3.severe dyspnea4.unproductive cough5.central cyanosis6.tachycardia7.sweating8.pulsus paradoxus (more than 20 mm Hg fall in BP during inspiration)9.Patient adopts an upright posture fixing the shoulder girdle to assist the accessory muscles of respiration Treatment:1.Humidified oxygen …
Must know drugs for Medicine and Pharmacology Practicals Click on the following drugs to read further. InsulinCalcium gluconateAdrenaline/EpinephrineHydrocortisoneAtropinePralidoximeNeostigmineFurosemide Sodium bicarbonateStreptokinaseUnfractionated heparinLow molecular weight heparinSalbutamolAmiodaroneDigitalis/DigoxinDobutamine VerapamilNifidepineDiltiazemPhenytoin sodiumLabetalolOseltamivirArtesunateRifampicinDopamine Insulin Synthesized by Beta cells of pancreas.Discovered by Best and Banting.Administered subcutaneously using Insulin syringe, insulin pens, insulin pumps. Actions:1.Insulin facilitates entry of glucose inside the cells.2.Inhibits hepatic glycogenolysis …
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Gynaecomastia is the proliferation of male breast glandular tissue. Causes of gynaecomastia: 1.Physiological (ageing)2.Cirrhosis of liver3.Hyperthyroidism4.Klinefelter’s syndrome5.Hypogonadism6.Tumours of testes and lung (You can remember the following drugs using DISCKO MOV 7.Digoxin8.Isoniazid9.Spironolactone10.Cimetidine11.Ketoconazole 12.Oestrogen 13.Metridazole 14.Verapamil -Mrunali Gondane
Important instruments for Medicine Practical exams Click on the instruments below to read further. Simple rubber catheter Ryle’s tube Foley’s catheter Metered dose inhaler Spacer/Spacehaler Tracheostomy tube AMBU bag Laryngoscope Endotracheal tube Liver biopsy needle Lumbar puncture needle Bone marrow aspiration needle Syringe Tuberculin Syringe Insulin Syringe IV bottle and infusion set Sphygmomanometer Sthethoscope Simple …
Diuretics are the drugs which causes loss of Na and water in urine. CLASSIFICATION OF DIURETICS HIGH EFFICACY DIURETICS SUPHAMOYL DERIVATIVES- furosemide, bumetanide MEDIUM EFFICACY DIURETICS THIAZIDES– hydrochlorothiazide, benzthiazide THIAZIDE LIKE– metolazone, xipamide, indapamide, clopamide WEAK DIURETICS CARBONIC ANHYDRASE INHIBITORS– acetazolamide POTASSIUM SPARING DIURETICS– Aldosterone antagonist- spironolactone Inhibitors of renal epithelial Na channel- amiloride OSMOTIC …
Hypokalaemia Occurs with chronic use or if dietary intake of K is less. Longer acting thiazide causes more loss of K than shorter acting (intermittent compensatory replenishment) furosemide. Prevention/treatment– high intake of K, supplement KCL, use K sparing diuretic. Ototoxicity Only with loop diuretics in presence of renal insufficiency. Allergy Rash, photosensitivity. Hyperuricemia Competition with …