ISBAR formula to;

✅ inform #unstable patients to our MO/specialist

✅ made #referral to other department

✅ book case for #operation from Anaesthesia team

✅ request for #imaging scans from Radiology MO/specialist

https://www.facebook.com/617826448/posts/10159919115711449/?d=n

Dr Alia Nadhirah (ex-Peads MO) is kind enough to guide you on how to do proper #referral to Paediatric 👍🏻

She is the writer of Alia’s Illustrated extra notes on P/E, NICU essentials, NNJ & TFI workbook, and the latest Paediatric Crash Card 😇

One of common #referral HO need to make;

Calling Paediatric team for #standby for delivery/attending newborn in LR (labour room) or post LSCS (low section ceasarian section).
.

This one of many practice we have during Medicorp’s ward #simulation.

We’ll have such practice during online ✅ Advance HO Induction too 🌟
.

Learning points from the video;

👉🏻 HO need to understand #partogram ie know how to plot, present & extract necessary details from it
.

👉🏻 HO need to know how to perform #newborn examination, including assessing APGAR score after delivery
.

👉🏻 HO need to know how to resuscitate newborn (NRP), or at least assist MO during newborn resuscitation;

The poor MO in this video is resuscitating the newborn alone 😅
.

How to #manage patients from PAC (patient assessment center) in O&G?

Read more from Ampang HO guide (can be used in all hosp as well)

Download for #free here;

https://t.me/driliana9/6424

Possible #complications in each stages of labour;

must know as HO so you can anticipate & #detect if its happens

Download more O&G protocol here;

https://t.me/driliana9/6324

👆🏻 How to perform CBD (continuous bladder drainage) on uncircumcised male patient.


💉🩸💉🩸💉🩸💉🩸💉🩸


learn & practice till #confidence all compulsory procedures for HOs at ❤️ Medicorp’s Clinical Skills #workshop 💪🏻

We also have #new, shorter workshop focusing on

💉🩸 blood taking

✅ branula insertion

🙌🏻 sterile blood taking for blood C+S (Culture & Sensitivity)
.

Next session will be on Wednesday, 31st July 🟢
.

Register here for just RM 169 ▶️ https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop

More #discount for grouping registration ✅

Nota Perubatan
What is the optimum position of tIp of Endotracheal Tube (ETT) post intubation from chest X ray?

🔹Adults: 5 cm ± 2 cm above carina (with neck in neutral position)

🔹Children: 1.5 cm above carina

🔹If carina cannot be visualised, the tip of ETT should be at T2 - T4 (with the neck in neutral position)

Source: https://radiopaedia.org/articles/evaluation-of-endotracheal-tube-position

#ED
@nota_perubatan
https://t.me/nota_perubatan/1505

E-HO opening this Friday 😇

To those anticipating 5th intake, check ur email ya ✅

✅ how to #present ie inform to MO above new case for admission to Female Ortho Ward

LIST OF IMPORTANT DRUGS & DOSES

S/c Fondaparinox 2.5mg OD/7.5mg OD
S/c Heparin 5000u BD/7500u BD
S/c Morphine 5mg/7.5mg TDS
S/c Clexane 40mg/60mg OD

Mist calminative 15mls TDS
Mist Na Citrate 15mls/30mls OD
T EES 400mg BD
T Zinnat 250mg BD
T Ponstan 500mg TDS
T Voltaren 50mg TDS
T Papase 11/11 TDS
T Gelusil 11/11 TDS
IV Maxolon 10mg TDS
C Celebrex 200mg BD /400mg OD
C Tramal 50mg/75mg TDS
T Arcoxia 90mg OD
Syp MMT 15mls TDS
Syp Benadryl 15mls TDS
T Piriton 4mg/8mg TDS
IV hydrocortisone 200mg stat, 100mg QID
T Cilostazol (claudication pain) 100mg OD
T Aspirin 150mg OD/300mg STAT
IM nubain 20mg stat
T/IV Bisolvon 8mg TDS
T Labetolol 100mg TDS
T Adalat 10mg TDS
T Methyldopa 250mg TDS
Ural sachet 1/1 BD/TDS
IV/T lasix 20/40/80 mg BD
IM/IV Pethidine 50mg
T Rocaltriol 0.25 mcg OD
T calcium lactate 600mg BD
T levenogestrel 1.5mg stat
Inj Ertapenem 1gm OD
Inj Piptaz 3.375g
T/IV Tranexamic acid 500-1000mg TDS
IV Tramal 50 mg/75mg TDS
IV Maxolon 10 mg TDS
IV Cefuroxime 1.5 stat, 750mg TDS
IV Unasyn 1.5g STAT and TDS
IV Cefobid 2g stat, 1g BD
IV Ceftriaxone 2g stat, 2g/1g OD
IV Cefepime 2g stat, 1g BD
IV Meropenem 500mg tds/qid
IV Imipenem 500mg tds/qid
IV Ampicillin 2gm Stat 1gm QID
IV Cloxacillin 1g STAT, 1g/500mg QID
IV Flagyl 500mg TDS
IV Augmentin 1.2g STAT, TDS
T Augmentin 625 mg BD
T Unasyn 375mg BD
T Doxycycline 200mg stat, 100mg bd
T Cloxacillin 500mg QID
T Azithromycin 500mg OD
T Flagyl 400mg TDS
C Tramal 50mg/75mg TDS
T Maxolon 10mg TDS
T Doxazosin 4mg OD
T Finasteride 5 mg OD
T Cardura 4mg ON
T Hytrin 4mg ON

LYTIC COCKTAIL
IV Actrapid 10u STAT
IV ca gluconate 10% 10cc in 10 minutes
IV Dextrose 50% 50cc

CORRECTION OF ELECTROLYTES:

Corrected Ca : (40-albumin)x0.02 + serum calcium
If <2 , fast correct : IV Calcium Gluconate 1amp in 100cc NS over 1H

K+ correction
K+ deficit : 3.5-serum K x BW(kg) x 0.04
K+ require : (1mmol/kg/d)
1mmol x BW kg
Total req : (K deficit + K require)/ 13.4 mmol

*from mmol change to g divide by 13.3*
*For female :0.6 , male :0.4*

Fast correct : IV 1g KCl in 100cc NS over 1H
Slow dose : T. Slow K 1.2g tds
Mist KCl 15ml tds
Maintainance dose : IV 1g KCL in each pint

Fast PO4 correction
IV Potassium Dihydrogen PO4 (K2H2PO4) 1amp in 100 cc NS/1 H

Fast Mg2 correction
IV MgSO4 2.4g in 50cc NS/30 min
IV MgSO4 1amp in 100cc NS/1H

Na+ correction
Mild : NS drip 3 pint
Mode :
Severe : 3% 100cc NS slow infusion over 6H, repeat Na after fast correct.
Not more than 10mmol/24H

SEDATION
Midazolam 0.1mg/kg
Syrup chlorhydrate 50mg/kg

OAC/PAC REGIME
C Omeprazole 40mg BD
T Ampxicillin 1g BD
T Clarithromycin 500mg BD
Then C Omeprazole 40mg OD

HEMATINICS
T FeSO4 200/400mg OD/BD
T Vit B Co I/I, II/II OD/BD
T Folate I/I, II/II OD/BD

PREMED FOR INTUBATION
Midazolam 5mg
Fentanyl 50mcg = 0.05mg
Scoline 100mg/ Rocuronium 50mg

COVER FOR ACS
T Aspirin 300mg STAT
T plavix 300mg STAT

Maintenance:
T Aspirin 150mg OD
T plavix 75mg OD
S/c fonda 2.5mg OD/ s/c clexane 40mg OD(renal impairment)

BOWEL PREP
2 days before - low residual diet
1 days before:
RP normal - fleet phosphosoda 45ml BD x 1/7
RP abnormal - Foltran 2L/3L
On day of scope:
Ravin enema II/II stat
Or fleet enema I/I stat
Do PR!

Haemorrhoids
Tab. Daflone ll/ll TDS 4/7
Tab. Daflone ll/ll BD 3/7
Tab. Daflone ll/ll OD 1/52