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احد نصائح المختبرين 🙏🙏⬆️

إذا فاتك أمر تحبّه (كفرصة عمل أو رزق أو نجاح)، فاعلم أنه ليس مقدرًا لك، وارضَ بذلك، وإذا أصابك شيء مما تكره فاعلم أنه مكتوب لك لحكمة يعلمها الله، فاصبر واحتسب. وذلك استشهادا بقول النبي ﷺ :واعلم أن ما أخطأك لم يكن ليصيبك، وما أصابك لم يكن ليخطئك.

دي اشياء زياده
مريت عليها وذاكرتها..

ذاكروهم بفاهم مع تجميعات شهر 7و 8 و9 وربي يوفقكم و يكتب لكم اعلى سكور يارب ❤️❤️✨

Diet, vitamins

• Low fat diet> Skimmed milk, yolk // Beans, fish
• Food causes Gas > Asparagus and Broccoli,Cherries, Radishes, Watermelon
• High potassium diet> orange
• Low potassium diet> Strawberry
• Low iron > Cheese pizza, pasta with tomato sauce
• High purines> Red meat

• Bulk forming foods? Fiber(whole grains, fruits, vegetables, legumes) | increase Fluid

• TPN-Defect beta cells of the langerhans /gradually to avoid > Hyeprglycemia
• Order TPN and PT have complications —-> check blood glucose level

🔴Pediatric :
• Diet 8 month —-> Egg yolk 🐣
• Diet > 1 year —-> Egg whites
• Milk >1 year —-> Cow milk 🥛
• food for Rickets —-> egg yolk and fish 🐟🥚

🔴Food to avoid :
• Pregnant> avoid Raw meat, soft/ unprocessed cheese, unpasteurised milk
+ castor oil? Stimulate the uterus contraction
• Anaemia -> avoid Chocolate, Tea, caffeine
• Glomerulonephritis —-> avoid fluid
• Celiac —-> avoid Wheat, rye , bran ( oats ) , barley🌾 + **Need ( Gluten free)
• Olecystectomy —-> avoid whole milk
• Prevent stones > avoid liver
• High cortisol/cholesterol ->avoid White bread, chicken ( should low fat )
• Cancer > avoid fatty food

🔴Food after surgery:
• Tonsillectomy, Thyroidectomy —> Apple juice
• Tonsillectomy —-> mashed potatoes, soup
• Cholecystectomy > Grapes and gelatin
• Vagotomy ——-—-> increased fluid intake, output to prevent dehydration
• IVP intravenous pyelogram? Encourage oral intake fluids
• IBD after stoma to avoid post-operative intestinal obstruction?Yogurt, parsley

🔴
• Hyperemesis gravidarum > Ginger 🫚
**Nausea early morning? biscuits, cracker before getting out bed

• Urinary tract infection > Cranberry juice
• kidney stones > Cranberry ( lower acidity ),increase fluid ,prunes
**After remove > Help Inhibit infection)
• Acute renal failure (ARF) >low Sodium
• pyelonephritis > Increased fluid intake 💧
• Gout >Low-purine(fruits,vegetable,low-fat dairy,whole grains,nuts,legumes, eggs.
• Crohn’s —-> High protein , Low residue
• Parkinsonism —-> semi solid 👴🏻
• Nephrotic syndrome —-> low salt , low fat , low fluid,normal protein

• Bowlegs ( low calcium) —-> Egg yolks
• Vegetarin Diet( high protein )—-> Lentils 🌾
• Vitamin D deficiency -> Fish, liver, oils, dairy ** Chest assessment? Rosary
• Vitamin A deficiency -> Vegetables, carrots **Causes? Night Blindness

• Vegetarian -> Lentils ** high risk? Vitamin B 12 deficiency

• To enhance absorption of iron supplements for anemia? Vitamin C
• To prevent peripheral Neuropathy? vitamin B6
• Hepatic (Increases protein intake) causes harmful effects > ammonia

• Drug Not effects by grapefruit ?Aspirin
• Avoid seasonings that are salt substitutes ? spironolactone =Aldactone
• Tetracycline avoid ? Milk

Medications

Vancomycin?MARSA

Ceftriaxone?Gonorrhea-Complication to newborn? (Blindness).

Azithromycin?Chlamydia

Rifampin /Isoniazia?TB

Dexamethasone? Preterm birth,To promote fetal lung maturation

Indomethacin? Assist in closure
PPA

• lithium carbonate : **(N=0.8-1.2)
Severe toxicity? nystagmus, visual hallucination, oliguria, seizure
Moderate toxic? Polyuria , hypotension, hand tremor
Mild toxicity ? GIT (nausea, vomiting, diarrhea)
^Withhold the next dose
* avoid working outdoors in a hot weather,^ sweating,^ fluids intake

• Haloperidol > form stopped posture, shuffling gait, pill-rolling movement of his hands? SE of Pseudo parkinsonism

• Antipsychotics adverse effects? Extrapyramidal symptoms

• Overdose of Benzodiazepine? Seizure. **Avoid with alcohol

• Carbamazepine SE? Sexual dysfunction

• Diazepam? To control Convulsions, eclampsia

• Chlordiazepoxide(Librium)?reduce symptoms of alcohol withdrawal

• Zolpidem | sedative-hypnotics? insomnia

• Clozapine | Atypical Antipsychotic (New generation) ?less SE
* SE?agranulocytosis.

• Amiodarone | anti-arrhythmic? Absent P-waves,Atrial fibrillation, PSV

• Adenosine (Adenocard) | anti-arrhythmic ? SVT,
**monitor for asystole few sec

• Digoxin | Digitalis glycosides->Tachycardia+AF, to decrease HR
**If HR <60 HOLD
• Atropin | Anticholinergic -> Bradycardia , to increase HR

• Albuterol? Check HR BEFORE || Morphine? Check RR BEFORE

• Aspirin stopped at least 7 to 10 days before surgery.
• Warfarin stopped at least 2 to 3 days before surgery.
• Heparin hold 6 hr before surgery.
• Glucophage =Metformin hold 48hr before, after surgery

• Furosemide/Lasix |Diuretic, Check before (Bp , HR , urine output)
**SE? hypokalemia

• Metoclopramide|Antiemetics,Piokinetics?N/V,empty stomach faster
**SE? Headache

• Nifedipine | Calcium channel blockers ? Raynaud phenomenon,
reducing attacks, pain, disability

• Magnesium sulfate? prevent Convulsions, preeclampsia| Alert RR
Toxicity? Respiratory Depression, ⬇️BP,⬇️HR,deep tendon Reflex )

• Steroid->Contraindications immunisation+ during pregnancy

• Prednisone |Corticosteroids for? Nephrotic syndrome+ SE? (Anorxia )
** If with bronchial asthma,drug exhibit,experience? Tachycardia

• 1-Beta agonist + 2-corticosteroids for ? Asthma

• MOA corticosteroids ? Reduced inflammatory response, fewer exacerbations, reduced oedema, mucus. production, Increase responsiveness to β-agonist.

• Hydrocortisone rote ? Nose

• Orlistat ? For lipase inhibitors, weight, nutrition management,
**multivitamin + orlistat /Disfral at least two hours apart.

• Codeine| opiate (narcotic) analgesics

• Monoamine oxidase inhibitor(MAOI)|Antidepressant,Avoid tyramine
*consume tyramine > Hypertensive crisis
*Toxicity? severe nausea, vomiting> Stop infusion
*SE? dizziness, drowsiness,headache, Blurred vision, nausea

• Selective serotonin reuptake inhibitors(SSRIs)|Antidepressant,low SE

• MOA combined oral contraceptives?
1-suppress ovulation,reduce sperm transport in fallopian tubes ,change endometrium making implantation less likely,thicken cervical mucus (preventing sperm penetration)

• Pregnancy patches contradiction/ reduced effect? Over wt 80

• Adverse reactions of captopril (Capo ten) ? Persistent cough *For HTN

• NSAIDs->Drug can take from local pharmacy

• Amikacin (amikacin sulfate)+ severe respiratory distress > Toxic effect

• Streptokinase+fever,SOB >Allergic reaction

• Systemic lupus erythematosus(SLE)? Topical cream NSAIDs, corticosteroids, antimalarials immunosuppressants

• Diphenhydramine | antihistamines for? sever itching

• Loratadin | antihistamine SE? dizziness

• Baclofen if given for diabetic pt SE? Increase insulin demand

• Depakote ( Depakine)| anticonvulsant SE? Hair loss

• Quinine sulphate SE? Ringing in ears

• Ant malarial SE? Tinnitus

• erythropoietin/epogen effectiveness? Hemoglobin

• Pancreatic enzymes? For Cystic fibrosis
**Three times per day with meals

ملخصات من احد مختبرين ⬆️⬆️