Potassium correction in #hypokalemic patients 😷;

Must know formula & calculation for all HOs 👍🏻

This is one of common OFFTAG assesment question in Medical & Surgical posting‼️
.

Hypokalemic patients ni antara in ward #emergencies yg sangat common & HO kena tahu macam mana nak attend ya ‼️

Boleh tgk video saya explain step by step how to calculate potassium deficit & correction;

https://www.facebook.com/100000012518463/posts/2670180269659031/?d=n

Boleh tgk post ni jugak;

https://www.facebook.com/772067001/posts/10159302037202002/?d=n

Yg dah nak masuk HO, wajib tahu macam mana nak kita potassium deficit & correction ya!

Here’s example of #documentation when you attend to assess hypokalemic patient in the ward ‼️
.

Take note that every time you attend to patient, you need to assess patient completely like doing a #round/review.
.

And when you want to document ie make an entry in the case file, you need to document completely as well - follow the 4D + SOAP format as what we learnt during ⚡ Flash & Advance HO

P/s any unfamiliar abbreviation? Ask in comment 🤗

✅ conduct SVD 👶

✅ perform episiotomy

✅ delivery of placenta via CCT

@ #Medicorp's Clinical Skills Workshop today 😘

Any fresh medical grads here? 🤔

Medicorp is giving away ✨5 FREE seats ✨ for Blood Taking & Branula insertion 💉 🩸 workshop this Wednesday, 19th February at 10am - 2pm
.

To redeem these free seats (worth RM 189 each),

✅ Make sure you can attend the physical workshop at given date & time

✅ Contact Dr Iliana via WhatsApp* at this number; +60167117780; mention your name, university, graduation date & why you wish to join the workshop FOC

✅ you are required to give verbal & written review on the workshop after attending the session
.

*Winners will be chosen based on;
- how fast you WA Dr Iliana
- most reasonable reason to join the session


✨✨✨💉💉💉🩸✨✨✨

All 5 FREE seats are taken, congratulations all winners for your prompt action 👏🏻👏🏻👏🏻

People say "Cheese!"

We say "V/E 6 cm" 🫢😆
.

Clinical Skills workshop again,
& again, alhamdulillah9 😍
.

We keep small group for each session so everyone can practice multiple times.

Manikin pun banyak so mmg tak perlu tunggu turn lama InsyaAllah.
.

Waktu lunch, tea & dinner break boleh #practice lagi.

Sebelum balik pun boleh practice lagi.

Silalah practice sampai #lebam sebelum you need to do it on real patients soon 😷
.

I realized nowadays most medical grads - regardless which uni - memang tak pernah buat V/E 😅

So they are clueless what to assess.

Let's learn & practice 17 procedures in 1 day at #Medicorp Clinical Skills Workshop 💪🏻

Kenapa HO kena #hafal normal value?

Cause the reference range is only available in the computer system & if you get the printed copy as below ‼️

But as a HO, we will usually copy the result into flow chart or patient BHT - so when you review case/ie see the BHT alone - you won’t know whether the result is normal or NOT, unless you remember the normal value ie the reference range ⚠️
.

Ini list lab values yg HO wajib tahu sebelum start #tagging dalam wad 👇🏻 👇🏻 👇🏻 👇🏻 👇🏻

Must know #normal values for HOs;

🔼 [FBC - Full Blood Count 🩸 ]

WBC - white blood cell
Hb - Hemoglobin
HCT - haematocrit
PLT - platelet

🔽 [RP - renal profile]
Aka [BUSE - blood urea serum electrolytes]

Urea, Creat, Na+, K+

🔽 [LFT - liver function test]

Alb - albumin
Bil - bilirubin
ALP - alkaline phosphatase
ALT - alanine transaminase

Nak lagi mudah?

Dapatkan pocket book Nebulizer ni,

senang kecik je boleh simpan dlm poket & rujuk bila2 nak double confirmkan;

✅ Ejaan nama ubat

✅ Berapa dose ubat yg tepat bila nak prescribe

✅ Normal values/range

✅ Special test yg kita jarang2 perform on patients
.

Murah je RM 14.90 😁, boleh order di sini;

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

Setiap pembelian akan dapat FREE Common Drugs & Diseases list ni worth RM 10.90

InsyaAllah bermanfaat utk tahu;

✅ Apa common diseases yg HO perlu clerk, review & manage di Medical dept

✅ ubat2 yg biasa kita guna ie prescribe at Malaysian hosp.

So sebelum HO ni, boleh siap2 baca & revise mechanism of action & indication of all these common drugs 😉

Nanti nk OFFTAG, biasa MO akan tanya randomly common drugs punya dosage ‼️
.

Order je apa2 buku di link ni,
https://medicorp.onpay.my/order/form/bookstore

Nnt akan dapat Common diseases & Drug list ni for 🆓🥰

Shortlist of common disease & #emergencies you need to as HO;


👉🏻 All posting (esp medicine, surgical & ortho)

- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock


💉💊 medicine; AEBA (asthma), COPD, dengue, ACS


✂️ surgery; acute abdomen (appendicitis, choledocholithiasis, PGU),  sepsis, UGIB, LGIB


🦴🦴 ortho; open fracture, DFU, fat embolism, compartment sindrom


🤰 O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH


👧🏻👦🏻 gen paeds; AEBA, dengue, AGE, febrile fit


👶👶🏼 neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn


#Reference; 📚any book you already have, yang penting baca 😂

Nak lagi mudah?

Let's learn directly with the experts - MOs & specialist 😎🌟
.

Everything HO need to know about common #emergencies in the ward;

to detect & manage accordingly before you can inform & discuss further with the oncall MO ‼️
.

Only RM 39 for 4 months access to #online ABG 💉 🩸 & Medical Emergencies course ✅
.

(But so far we never stop anyone's access after 4 months 🫢;

so basically you'll get #unlimited access as long as our online platform are available ✅)


Enroll NOW for the online course;

https://medicorp.onpay.my/order/form/3in1combo

Common Investigation List/Work up

✅ Anaemia Work up
Iron
TIBC
Ferritin
Folate
FBP
LDH
Coombs Test
TFT
SOBT

✅ CTD (connective tissue disease) screening
ANA
Extractable nuclear antigen (ENA)
Anti ds DNA
ANCA
C3/C4
CRP
Rheumatod factor RF

✅ Septic Work up
(Look for source of infection)
FBC, ESR, CRP
Blood C&S
UFEME, Urine C&S
Sputum C&S
CXR

✅ Young Hypertension Work up
Serum Random Cortisol
TFT
UFEME
24hours urine cortisol
24hours urine VMA ( label comment : urine cathecholamine)
US KUB Doppler TRO renal artery stenosis

✅ Atypical pneumonia cytology
Mycoplasma
Legionella
Chlamydia

✅ TB Work up
CXR
Mantoux test
AFB sputum x 3
Mycobacterium C&S
ESR

✅ Infectious screening
HepB sAg
Hep C
HIV antibody

✅ Fasting Blood
FSL
FBS
HbA1c

‼️ Local hospital protocol/practice may varies ‼️