على اعتبار ان ال DKA يكون فيها Blood glucose عادة مرتفع اكثر من 250.

هنا اقل ولكن بوجود اعراض ال Acidosis شديدة

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هذه قناة الدكتور ابراهيم الصبري ، بيكون فيها شرح لمواضيع تهم الطبيب العام وطبيب الامتياز ولسا بيقول يا هادي ورحلة الالف ميل تبدأ بخطوه
وهذه اول خطوه ان شاء الله.
ومنتظرين جمال طرحك في مواضيع جايه ان شاء الله ✨💙

Indications of LTOT " long term Oxygen therapy "

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هذا التطبيق فخم فيه كثير من الحسابات والسكورات الي الواحد يحتاجها

This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema). This product contains 2 medications: ipratropium and albuterol (also known as salbutamol).

Salbutamol, also known as albuterol and sold under the brand name Ventolin among others, is a medication that opens up the medium and large airways in the lungs. It is a short-acting β₂ adrenergic receptor agonist that causes relaxation of airway smooth muscle

VENTOLIN HFA is a prescription inhaled medicine used to treat or prevent bronchospasm in people aged 4 years and older with reversible obstructive airway disease. 

NOAC

New oral Anticoagulants 🥺

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Clinical classification of Pulmonary Hypertension

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The most common organisms cultured in COPD from both sputum and bronchoscopic samples are consistently :-

● Haemophilus influenza,
● Streptococcus pneumonia,
● Moraxella catarrhalis

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Through traditional sputum cultures, the most common bacteria detected in patients with stable bronchiectasis are P. aeruginosa and H. influenzae.

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🛑First-line beta-lactam agents for P. aeruginosa coverage include :-

● beta-lactam/beta-lactamase-inhibitor combinations (BL/BLI) (piperacillin-tazobactam and ticarcillin-clavulanate)

and cephalosporins with antipseudomonal activity (ceftazidime, cefepime, and cefoperazone). Cefepime is the most commonly used beta-lactam antibiotic for P. aeruginosa 

● Fluoroquinolones (ciprofloxacin and levofloxacin) remain currently the only oral treatment options for quinolone-sensitive P. aeruginosa. However, ciprofloxacin is superior to levofloxacin.

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Pseudomembranous colitis occurs when certain bacteria, usually C. difficile

Clostridium difficile is the most common nosocomial pathogen of the gastrointestinal tract. Disease is usually a consequence of antibiotic therapy.

All antibiotics, except parenteral aminoglycosides, sulfonamides and vancomycin, can induce pseudomembranous colitis. The worst offenders are clindamycin, ampicillin, amoxicillin and the cephalosporins. 

Oral metronidazole 250 to 500 mg four times a day is the recommended first-line therapy; vancomycin (125 mg four times a day) should be reserved for patients who cannot tolerate metronidazole, who do not respond to this drug, or who should not take it for various reasons (i.e., pregnancy).

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