Diet- normal, salt, fruit. Diazepam (10mg) 1 amp. Postoperative period Hypotension should be managed by -Fluid & Noradrenaline infusion.2. Theophylline 400 mg ½ + 0 + ½.11. BMD T score below -2.5 or below -1.5 in corticosteroid induced osteoporeis2.Vertebral fracture irrespective of BMD (except traumatic vertebral fracture)1. Avoid glutein life long (avoid wheat, rye, barly & initially oats)3. When blood glucose <15.00 mmol/L (270mg/dl) then switch to 5% DA 1 Litre 8 hourlya) If infusion pump,is available then infuse @ 3-6 units / hourb) If pump not available 10-20 units IM stat. If short H/O of fever then add Tab. ACEi, ARB, CCBThese are now not used as 1st line antihypertensive agent unless there is compelling indication.Vein Heart VeinAlternative approach for Antihypertensive drug combination< 55 years > 55 years or black pt. If the response to antibiotic therapy is not rapid4. & B.D.1. stat & 8 hourly8. In overdose situations, flumazenil may be used for patients with pure benzodiazepine overdose who are verbally unresponsive and have no history of long-term benzodiazepine use or seizure disorder. Omeprazole 40 mg iv slowly stat. Inj Morphine / Diclofenac sodium for pain7. 84.04% patients survived, 7.98% died and abscondened 7.98%. If IV not available, then1. Dashes indicate that no BP reading was taken. Most drugs are either degraded by the liver to non-toxic metabolites or have such large volumes of distribution that there is insufficient active drug elimination in urine for forced diuresis to be of any clinical value. The muscle tone in the limbs is usually normal but may be decreased. Plasma exchange or IVIg (should be started with in 14 days).2. Ceftriaxone(1gm) 1 vial iv stat. for blood grouping & crossmatching.i) Drained lobe should be upper mostii) Deep breathing followed by forced expiratory maneuvers (the active cycle breathing technique)iii) Percussion of the chest wall with cupped handsiv) Devices (positive expiratory pressure mask)Ciprofloxacin 250-750 mg 12 hourly or Ceftazidim 1-2 gm 8 hourly.ii) Confined to single lobe or segment on CTiii) In progressive form of bronchiectasis resection of the destroyed areas of lung.E) Airflow obstruction-inhaled bronchodilator (Salbutamol) & corticosteroid (Beclomethasone).2.
can take orally then Tab. If the glomerular filtration rate (GFR) is decreased, diuretics will increase urinary sodium excretion.Ø Treatment includes 5% dextrose solution to reduce hyperosmolality. H/O of treatment with Insulin or Secretogogues (e.g. If symptoms appear with in half an hour then repeat the treatment4. The presence of all three suggests that too much atropine is being given. Nasal steroid spray e.g. Although some volunteer studies have shown substantial decreases in the bioavailability of ingested drugs, no controlled clinical trials have been performed and there is no conclusive evidence that WBI improves the outcome of the poisoned patient.WBI is contraindicated in patients with bowel obstruction, perforation, ileus, and in patients with haemodynamic instability or compromised unprotected airways. It is important to limit absorption of the drug. The clinical benefit of oximes for OP pesticide poisoning is not clear, being limited by the type of OP, poison load, time to start of therapy, and dose of oxime.Current WHO recommend giving a 30 mg/kg loading dose of pralidoxime over 10–20 min, followed by a continuous infusion of 8–10 mg/kg per hour until clinical recovery (for example 12–24 hours after atropine is no longer required or the patient is extubated) or 7 days, whichever is later.
Antiviral- oral Aciclovir 800mg 5 times daily for 5 daysIn immunocompromised host/ pregnant women Aciclovir 5 mg/kg 8 hourly until pt. In the rests who are unconscious, history from relatives, friends or attendants is helpful and diagnosis is often inferred from brought specimen (e.g. Omenix sachet 1 packet dissolve in ½ glass water through NG tube BD9. (a) As atropine can induce ventricular tachycardia & ventricular fibrillation in a severely hypoxic patient, hypoxia should be corrected before administration of atropine. পূর্ববর্তী নবীদের আল্লাহর তরফ থেকে দেয়া অলৌকিক নিদর্শনসমূহ নিয়ে আলোচনা করেছেন। অন্যান্য নবীদের দ্বারা প্রদর্শিত অলৌকিক ব্যাপারসমূহ যদিও নিঃসন্দেহে মর্যাদাপূর্ণ ছিল, তবুও সেগুলোর সঙ্গে রাসূল (সা. Tab Ultracarbon 2 + 2 + 2 if present within 1 hour7. In severe cases pt should be incubated and mechanical respiration should be given.7.
Metronidazole if allergic to Penicillin8. The administration of activated charcoal should only be Whole bowel irrigation (WBI) requires the insertion of a nasogastric tube into the stomach and the introduction of polyethylene glycol electrolyte solution 1500-2000 mL/h in an adult.
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