Dr Iliana9
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Forwarded from siti
Hi, would like to inform that I called BSM KKM (03-88832735) today. Staff said info regarding Eho opening in May is false information.

Eho April ni dan cadangan PTM bulan Mei. Tarikh masih dalam perbincangan.
Forwarded from Navin Kumar Vijan
Hard to say. I called and they also said April but they can't say when because ptm date isn't finalised yet
Forwarded from siti
Dr Iliana9
Hard to say. I called and they also said April but they can't say when because ptm date isn't finalised yet
True. But honestly during first intake also i asked when the exact date, they will always say dalam perbincangan. This was their answer few days before first intake as well. KKM love being vague πŸ˜€
Forwarded from Navin Kumar Vijan
Just continue checking daily. People have gotten email 1 day before eho😐
Dr Iliana9 pinned Deleted message
For those who’s #expecting 2nd & 3rd HO intake this year, you are advised to join ⚑️Flash & Advance HO βœ… in #May,

because we are not sure when will be the 3rd intake - as E-HO opening & PTM date has been unusual this year πŸ˜…


Register awal, boleh revise recording after LIVE class & rejoin the subsequent LIVE session for FOC πŸ‘πŸ»


Yg dah join sesi sebelum ni, please save the date as well, nnt saya inform dlm WA group program - macam mana nak rejoin the upcoming live session ❀️
LIVE hosp review session for those expecting 2nd HO intake in May;

https://medicorp.onpay.my/order/form/livehospreview

1st register, 1st serve. Limited seats available πŸ˜‡
Live update from tagging HOs in recent intake Bil 1/2023πŸ₯Ή

1 ward is at least 20 patients, sometimes can be up to 40+ patients πŸ˜…


πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»πŸ‘‡πŸ»

Here’s current situation from different departments from various hospital πŸ‘‡πŸ»
Forwarded from Nota Perubatan
Sticky Note untuk HO πŸ‘©β€βš•οΈπŸ‘¨πŸ»β€βš•οΈ

▢️▢️ How to play with insulin sliding scale (VRIII)?

βœ… When to start insulin sliding scale?
➑️ If blood glucose >10mmol for 2 consecutive readings 1 hour apart. example we used when patient fasting for operation or DXT too 'Hi' in ward but not in DKA.

βœ… Scale to start?
➑️ Start with scale 2

βœ… How to adjust? (After 2 consecutive reading)
⏩ If current BG become lower, stay in the same column or lower infusion rate

⏩ If current BG still same or higher, move scale to the right first column with higher infusion rate

⏩ If current BG within target, do not change column (DXT reduce with success, can continue)

βœ… Target blood glucose : 7.8 - 10mmol

βœ… How frequent monitor BG?
➑️ Hourly

βœ… When to stop?
➑️ Once finish operation, ensure that patient can tolerate orally then start bridging of insulin
➑️ Or when uncontrolled DM patient's DXT achieved target and patient can tolerate orally, start beidging of insulin

βœ… How to bridge to bolus insulin? Example
➑️ SC Actrapid 6U at 11.30am
➑️ Patient eat lunch at 12pm
➑️ Off IVI Insulin at 12.30pm

**Ada certain ward yang takde insulin sliding scale chart. Jadi inisiatif aku sendiri sebelum ni, aku print & hulur pada staff nurse incharge untuk follow chart tersebut. Kalau tak, bersedia lah korang hadap misi continue same dose dari awal sampai lah diorang inform patient korang hypoglycemia.

Dr Hanif Arshad - Selamat Berbuka dengan insulin

#GIM

https://www.facebook.com/100000248545939/posts/pfbid02xkQ3agA9Zcx8NBbXUmgvG7twAijwiZT8aW1WGqKCewxtKL7tzf7a8FyW7JSVbAjtl/?mibextid=Nif5oz
More #live update from HO 1st intake & tagging tips# πŸ”½πŸ”½πŸ”½πŸ”½