For those who’s #expecting 2nd & 3rd HO intake this year, you are advised to join ⚡️Flash & Advance HO ✅ in #May,
because we are not sure when will be the 3rd intake - as E-HO opening & PTM date has been unusual this year 😅
Register awal, boleh revise recording after LIVE class & rejoin the subsequent LIVE session for FOC 👍🏻
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 ❤️
because we are not sure when will be the 3rd intake - as E-HO opening & PTM date has been unusual this year 😅
Register awal, boleh revise recording after LIVE class & rejoin the subsequent LIVE session for FOC 👍🏻
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 😇
https://medicorp.onpay.my/order/form/livehospreview
1st register, 1st serve. Limited seats available 😇
Forwarded from AMALINA NOTES
Putrajaya under fire after health minister delists liquid nicotine ahead of new vape tax
https://www.malaysianow.com/news/2023/04/01/putrajaya-under-fire-after-health-minister-delists-liquid-nicotine-ahead-of-new-vape-tax
https://www.malaysianow.com/news/2023/04/01/putrajaya-under-fire-after-health-minister-delists-liquid-nicotine-ahead-of-new-vape-tax
MalaysiaNow
Putrajaya under fire after health minister delists liquid nicotine ahead of new vape tax | MalaysiaNow
The decision comes despite strong objections from medical experts, with one group warning that it is a recipe for a major health crisis.
Forwarded from Nota Perubatan
Sticky Note untuk HO 👩⚕️👨🏻⚕️
▶️▶️ How to play with insulin sliding scale (VRIII)?
✅ When to start insulin sliding scale?
➡️ 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.
✅ Scale to start?
➡️ Start with scale 2
✅ 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)
✅ Target blood glucose : 7.8 - 10mmol
✅ How frequent monitor BG?
➡️ Hourly
✅ When to stop?
➡️ Once finish operation, ensure that patient can tolerate orally then start bridging of insulin
➡️ Or when uncontrolled DM patient's DXT achieved target and patient can tolerate orally, start beidging of insulin
✅ How to bridge to bolus insulin? Example
➡️ SC Actrapid 6U at 11.30am
➡️ Patient eat lunch at 12pm
➡️ 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
▶️▶️ How to play with insulin sliding scale (VRIII)?
✅ When to start insulin sliding scale?
➡️ 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.
✅ Scale to start?
➡️ Start with scale 2
✅ 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)
✅ Target blood glucose : 7.8 - 10mmol
✅ How frequent monitor BG?
➡️ Hourly
✅ When to stop?
➡️ Once finish operation, ensure that patient can tolerate orally then start bridging of insulin
➡️ Or when uncontrolled DM patient's DXT achieved target and patient can tolerate orally, start beidging of insulin
✅ How to bridge to bolus insulin? Example
➡️ SC Actrapid 6U at 11.30am
➡️ Patient eat lunch at 12pm
➡️ 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
How to #intubate patients?
1st you need to #understand indication for intubation,
then be a good & skilful assistant;
prepare all needed #equipment (including the right size of laryngoscope blade & ETT) 👍🏻
✔️✔️✔️✔️✔️✔️✔️✔️✔️
Learn & practice #intubation, together with 16 other must-know #procedures for HOs in just 1️⃣ day at Medicorp’s Clinical_Skills #Workshop ❤️
Registration will open soon, with option for 3 times instalment for the fee via Atome 👍🏻
1st you need to #understand indication for intubation,
then be a good & skilful assistant;
prepare all needed #equipment (including the right size of laryngoscope blade & ETT) 👍🏻
✔️✔️✔️✔️✔️✔️✔️✔️✔️
Learn & practice #intubation, together with 16 other must-know #procedures for HOs in just 1️⃣ day at Medicorp’s Clinical_Skills #Workshop ❤️
Registration will open soon, with option for 3 times instalment for the fee via Atome 👍🏻
How to intubate patients?
Credit to Dr Hanif Arshad,
one out of 11 thousand Medicorp’s participant since 11 years ago ❤️
https://m.facebook.com/story.php?story_fbid=3439008259450758&id=100000248545939&sfnsn=mo
Credit to Dr Hanif Arshad,
one out of 11 thousand Medicorp’s participant since 11 years ago ❤️
https://m.facebook.com/story.php?story_fbid=3439008259450758&id=100000248545939&sfnsn=mo
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