❓ Are You Giving Your ICU Patients the Care They Deserve?
🔑 Use FAST HUGS BID to cover all essential aspects of critical care:
🔹 Feeding/Fluids
🔹 Analgesia 💊
🔹 Sedation 💤
🔹 Thromboprophylaxis 🩸
🔹 Head-up position 🛏️⬆️
🔹 Ulcer prophylaxis
🔹 Glycemic control
🔹 Spontaneous breathing trial
🔹 Bowel care 🚽
🔹 Indwelling catheter removal
🔹 Deescalation of antibiotics
#ICU_drugs
🔑 Use FAST HUGS BID to cover all essential aspects of critical care:
🔹 Feeding/Fluids
🔹 Analgesia 💊
🔹 Sedation 💤
🔹 Thromboprophylaxis 🩸
🔹 Head-up position 🛏️⬆️
🔹 Ulcer prophylaxis
🔹 Glycemic control
🔹 Spontaneous breathing trial
🔹 Bowel care 🚽
🔹 Indwelling catheter removal
🔹 Deescalation of antibiotics
#ICU_drugs
👍5❤4
الحمدلله بتوفيق الله و بجهودكم المباركة تم اكمال المبلغ 🙏
موقف مشرف من جميع زملائنا
يا رب بميزان حسناتكم و بارك الله فيكم و بسعيكم 🤍
موقف مشرف من جميع زملائنا
يا رب بميزان حسناتكم و بارك الله فيكم و بسعيكم 🤍
❤20💘1
✅Status epilepticus
🔶Top emergency case
عبارة عن abnormal excitation in brain ح يصير hyperactivity
❇️characterized by seizures lasting more than 5 minutes or recurrent seizures, without return to baseline mental status.
❇️ Causes of Status Epilepticus in Adults :
♦️ epilepsy
♦️ electrolyte disturbance disturbance (Na /ca/mg )
♦️DM(hypoglycemia/hyperglycaemia)
♦️ Infection such (meningitis/encephalitis)
♦️CNS lesion or tumor
♦️ Withdrawl alcohol
♦️Ix. CBC/ RBS / S.electrolyte /RFT
❇️ Management of Seizures :
◦ 🔥 1- Prehospital
🩸 the patient should be pro- tected from injury and, if possible, placed in a lateral decubitus position to reduce aspiration risk.
🩸 cervical spine immobilization if there is head and neck trauma
🔥 2- Emergency Department Management:
🩸focuses on identifying reversible causes, such as hypoxia and hypoglycemia, and initiating pharmacologic treatment.
(خصوصا hypoglycemia اي fit خلوها بالكم )
♦️Mx.
🔶ABC (not forgotten RBS)
🔶Left lat. Position/suction
🔶IV line
🔶O2
🔶First line diazepam 10mg over 2minute can be repeated 3time with apart 10 -15 minutes
نكدر نعيدة مرتين الى 3 في حال عدم الاستجابة
اذا كل هذا و م استجاب المريض ننطي
🔶Phenotoin 15 mg per kg
يعني مريض وزنه 70 ننطي 1000 mg الامبولة 250 ف ننطي 4 amp. و لازم cardic monitor
اذا م استجاب ننطي
🔶Phenobarbital 10mg per kg (الامبولة 200mg )
🔶If not respond call for GA
#status_epilepticus
🔶Top emergency case
عبارة عن abnormal excitation in brain ح يصير hyperactivity
❇️characterized by seizures lasting more than 5 minutes or recurrent seizures, without return to baseline mental status.
❇️ Causes of Status Epilepticus in Adults :
♦️ epilepsy
♦️ electrolyte disturbance disturbance (Na /ca/mg )
♦️DM(hypoglycemia/hyperglycaemia)
♦️ Infection such (meningitis/encephalitis)
♦️CNS lesion or tumor
♦️ Withdrawl alcohol
♦️Ix. CBC/ RBS / S.electrolyte /RFT
❇️ Management of Seizures :
◦ 🔥 1- Prehospital
🩸 the patient should be pro- tected from injury and, if possible, placed in a lateral decubitus position to reduce aspiration risk.
🩸 cervical spine immobilization if there is head and neck trauma
🔥 2- Emergency Department Management:
🩸focuses on identifying reversible causes, such as hypoxia and hypoglycemia, and initiating pharmacologic treatment.
(خصوصا hypoglycemia اي fit خلوها بالكم )
♦️Mx.
🔶ABC (not forgotten RBS)
🔶Left lat. Position/suction
🔶IV line
🔶O2
🔶First line diazepam 10mg over 2minute can be repeated 3time with apart 10 -15 minutes
نكدر نعيدة مرتين الى 3 في حال عدم الاستجابة
اذا كل هذا و م استجاب المريض ننطي
🔶Phenotoin 15 mg per kg
يعني مريض وزنه 70 ننطي 1000 mg الامبولة 250 ف ننطي 4 amp. و لازم cardic monitor
اذا م استجاب ننطي
🔶Phenobarbital 10mg per kg (الامبولة 200mg )
🔶If not respond call for GA
#status_epilepticus
❤7
According to AHA 2025
Every pt with ACS should take :-
Dual anti platelets
( aspirin 300mg chewable + plavix 300-600 mg )
Parenteral ( not subcutaneous ) heparin or clexane according to RFT and bleeding risk .
Together with pain assessment
• Serial EKG every 1 hour
+
• serial troponin
if cTroponin every 3-6 hrs
And if hsTroponin every 1-2 hr
In Non-ST elevation MI & installed angina
To look for the dynamic changes
• in the first 24 hr , start all of the followings to every pt with ACS to reduce the mortality:-
1- beta blockers
2-high intensity statin ( + ezetimibe if LDL persists > 70 )
3- ACEI/ARBs ( if LV ejection fraction <40 or the pt has concomitant DM,HTN,CKD with eGFR>30 )
4- oxygen only if spo2 <90%
5- risk stratification by GRACE and/or TIMI scoring systems.
Every pt with ACS should take :-
Dual anti platelets
( aspirin 300mg chewable + plavix 300-600 mg )
Parenteral ( not subcutaneous ) heparin or clexane according to RFT and bleeding risk .
Together with pain assessment
• Serial EKG every 1 hour
+
• serial troponin
if cTroponin every 3-6 hrs
And if hsTroponin every 1-2 hr
In Non-ST elevation MI & installed angina
To look for the dynamic changes
• in the first 24 hr , start all of the followings to every pt with ACS to reduce the mortality:-
1- beta blockers
2-high intensity statin ( + ezetimibe if LDL persists > 70 )
3- ACEI/ARBs ( if LV ejection fraction <40 or the pt has concomitant DM,HTN,CKD with eGFR>30 )
4- oxygen only if spo2 <90%
5- risk stratification by GRACE and/or TIMI scoring systems.
❤10