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This document contains medical terminology and concepts related to various physical and mental health conditions. It discusses topics like depressed mood being best treated in the morning, hypoglycemia resulting from abruptly stopping TPN, nausea arising from increased hormones in pregnancy, symptoms of mania including grandiosity and euphoria, risks of low white blood cell count, and the use of medications like morphine, glucophage, haldol, and narcan in different medical situations.
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this i take from i cant remember the website. i find it interesting and easy to understand and i upload it, so that i can read it anytime i want without losing it..... lets us together read.Algortihm hypoglycemia
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- Common causes in infants include neonatal hepatitis, biliary atresia, and progressive familial intrahepatic cholestasis. In children, common causes are hepatitis B, hepatitis C, Wilson's disease, and autoimmune hepatitis.
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this i take from i cant remember the website. i find it interesting and easy to understand and i upload it, so that i can read it anytime i want without losing it..... lets us together read.Algortihm hypoglycemia
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2) Significant neurodevelopmental deficits can occur in neonates who experience prolonged hypoglycemia. Studies in monkeys and infants show neuronal injury, particularly in parieto-occipital cortex and other regions.
3) There is no consensus on the definition and threshold for treating hypoglycemia. Guidelines generally recommend treating if blood glucose is less than 50 mg/dL in symptomatic newborns or less than 36 mg/dL in at-risk but asymptomatic newborns.Hypoglycemia ppt
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This document discusses neonatal hypoglycemia, including its definition, causes, screening, management, and long-term outcomes. Some key points:
- Hypoglycemia is common in newborns due to immature metabolic pathways and dependence on glucose. It can cause neurological damage if persistent.
- Definitions vary but typically include blood glucose levels below 45 mg/dL, or 36 mg/dL for asymptomatic babies with risk factors.
- Causes include decreased stores, increased utilization, and endocrine disorders like hyperinsulinemia.
- At-risk babies should be screened at birth and every few hours. Treatment involves glucose boluses and intravenous infusions to maintain safe blood glucose levels.FARM ON NEONATAL JAUNDICE
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A 22 month old male patient presented with loose stools, vomiting and yellowing of the skin. Laboratory tests found elevated bilirubin levels and decreased thyroid levels. The patient was diagnosed with neonatal jaundice likely caused by hypothyroidism and acute gastroenteritis. Treatment included antibiotics, antacids, antiemetics, probiotics and phototherapy to reduce bilirubin levels. The parents were advised to monitor for worsening jaundice using a bilirubin meter or skin color tests and seek medical care if additional symptoms developed.Hypoglycemia in Adults
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Nephrotic syndromeMuhammad Aizat Sofian
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This 5-year-old boy presented with generalized body swelling for 1 week. Examination found him to be edematous with ascites. Laboratory tests confirmed nephrotic syndrome with hypoalbuminemia, heavy proteinuria, and hyperlipidemia. The diagnosis was made based on edema, proteinuria over 40mg/m2/hour, hyperlipidemia, and low albumin. Treatment began with prednisolone to induce remission within 4 weeks. Management involved monitoring for hypovolemia or hypervolemia, restricting salt intake, and prescribing antibiotics during relapses.Complications of Diabetes Mellitus
Complications of Diabetes MellitusCarmela Domocmat
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The document discusses the complications of diabetes mellitus, including both acute and chronic complications. Acute complications involve alterations in blood sugar levels, leading to hypoglycemia or hyperglycemia events like diabetic ketoacidosis or hyperglycemic hyperosmolar nonketotic syndrome. Chronic complications affect the macrovasculature (large blood vessels) like atherosclerosis, and the microvasculature (small blood vessels) of tissues like the eyes and kidneys. Precise management of blood sugar levels can help prevent both acute and chronic complications of diabetes.Pharmacology Review by Dr.Saleh Bakar
Pharmacology Review by Dr.Saleh BakarSaleh Bakar
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This document provides information about various drugs including their uses, dosages, side effects, teaching points, and contraindications. It discusses drugs like acetylsalicylic acid (aspirin), activated charcoal, alteplase, aluminum hydroxide, ampicillin, atropine sulfate, beclomethasone dipropionate, benztropine mesylate, and chloradiazepoxide hydrochloride. For each drug, it summarizes the drug class or use, common side effects, nursing considerations, and situations where the drug should be avoided. The document is intended as a study guide for the NLN RN Pharmacology Exam.Electrolyte disturbances in PICU
Electrolyte disturbances in PICUpune2013
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Educative power point presentation for PG and trainees in Paediatrics, Paediatric Critical Care , DCH , or DNB students.Renal-_Antidiuretic_agents.pdf
Renal-_Antidiuretic_agents.pdfSanjayaManiDixit
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Pharmacology Lecture ºÝºÝߣs on Antidiuretics by Sanjaya Mani Dixit Assistant Professor of Pharmacology at Kathmandu Medical College
Syndrome of Inappropriate Anti-diuretic Hormone Secretion (SIADH)
Syndrome of Inappropriate Anti-diuretic Hormone Secretion (SIADH)Hari Krishnan
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A presentation on the endocrine disorder, Syndrome of Inappropriate ADH Secretion
Presented by Hari Krishnan07. HYPERTENSIVE DISORDERS IN PREGNANCY.ppt
07. HYPERTENSIVE DISORDERS IN PREGNANCY.pptOgunsina1
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1-Gestational hypertension
2-PET
3-Eclampsia
4-Chronic hypertension
5-PET superimposed on chronic hypertension
07. HYPERTENSIVE DISORDERS IN PREGNANCY.ppt
07. HYPERTENSIVE DISORDERS IN PREGNANCY.pptimnetuy
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This document discusses hypertensive disorders in pregnancy, including gestational hypertension, preeclampsia (PET), eclampsia, chronic hypertension, and PET superimposed on chronic hypertension. It covers the pathogenesis, clinical manifestations, maternal and fetal risks, classification, and management of these conditions. Management involves hospitalization, termination of pregnancy when indicated, antihypertensive therapy for severe PET, fluid management to avoid pulmonary or cerebral edema, and magnesium sulfate to prevent seizures. The goal is to deliver the fetus safely while restoring the mother's health.
Hyperglycemia-DKA-and-HHS.pptx
Hyperglycemia-DKA-and-HHS.pptxYasirMehmood96
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This document provides an overview of diabetes ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) for medical residents. It discusses normal glucose metabolism and how a lack of insulin leads to DKA or HHS. The key diagnostic criteria for each condition are outlined. Targets of treatment include resolving hypovolemia, acidosis, hyperglycemia, and electrolyte abnormalities, as well as identifying and treating any underlying precipitating illnesses. Management involves intravenous fluids, insulin administration, and monitoring of electrolytes and glucose levels. Transitioning to subcutaneous insulin and care on the medical floor is also reviewed.Question trainer 2 notes
- 1. QUESTION TRAINER #2<br />Physical energy for depressed mood= best in the am<br />Pt on TPN but stopped abruptly-will get diaphoresis, tachycard, confusion, insulin levels remain high but glucose now low = hypoglycemia<br />Nausea-elevation in hormones from pregnancy<br />Mania=grandiose, diff concentrating, agitation, euphoria<br />Low WBC=risk for infection<br />Morphine decreases anxiety only<br />Hep A standard prec<br />7 yrs impending divorce- play therapy cuz have diff verbalizing emotions (express thru play)<br />IV pyelography taking Glucophage –should stop 48hrs before=contrast causes life threatening lactic acidosis<br />DIABETES INSIPIDUS- decreased ADHfrom head injlarge dilute urine= opposite of SIADH (water wt gain, hyponatremic, & tachycardia<br />If spec grav is low=dehydration from all that urine coming out<br />Hyperglycemia-glucosuria, osmotic dieresis, loss of water & elect<br />LOW intestinal obstr=n/v, abdominal distention, hyperactive BS<br />DNR – only when heart has stopped; not when correcting itrogenic sx so Narcan ok when resp 8,<br /> bp 86/50-may need to give 2 or 3 times<br />paranoid schizo-don’t ask about false ideas will get defensive & engage in further distortion!<br />Haldol- blood dyscrasia ( increase in WBC & platelets?? Imbalanced state) & extrapyramidal sx<br />