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

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

More #live update from HO 1st intake & tagging tips# 🔽🔽🔽🔽

To be prepared is half the victory 😇

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 👍🏻

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

Alhamdulillah, proud of our alumni.

This particular Dr attended ❤️ Medicorp’s Clinical_skills #workshop twice;

once as paid participant,
then as #free volunteer to learn & practice again 😇

.

Same goes to the online ⚡️ Flash & Advance HO, this particular Dr attended few times while waiting for his HO (he only need to pay once ☺️),


& he went extra mile to join our #ward_simulation as well 👍🏻

💪🏻💪🏻💪🏻💪🏻💪🏻💪🏻💪🏻💪🏻💪🏻💪🏻


Hard work will always pay off, alhamdulillah he's able to do blood taking, branula & blood culture #successfully on Day 1 of tagging,


& somehow #manage the ward work at ward alone, even during 1st week of tagging 👏🏻👏🏻👏🏻👏🏻

As for #reviewing cases & #presenting, that will definitely take sometime to practice & master them.


Kalau 1st week dah boleh buat review sendiri (bukan C&P senior 🤭),

have the courage to #present case to MO & specialist during rounds,

ni pun dah bagus. The rest we can improve along the way 💪🏻💪🏻💪🏻💪🏻

But at least, you can ace in performing common #procedures since day 1 tagging 👍🏻

So takde lah rasa #hopeless sangat, semua benda tak tahu buat kan 😂


Read more on # difficult venous access here. this is definitely not 1st poster tagger level. Need help from your seniors ya👍


#Clinical_skills_workshop
⚡️#Flash & #Advance online preHO

👆🏻Slides for Hosp Review session😇

Thanks to all 270 #excellent Drs who joined the live session yesterday ❤️