Sunday, March 21, 2010

-Indications of heamodialysis.

Indications of heamodialysis
"Unstable"

Uraemia.
No response to conventional therapy.
Salicylates.
Theophylline.
Alcohols,Acetaminophen.
Boric acid,Barbiturates.
lithium.
Ethylene glycol.

Dr Ibrahim

Saturday, March 20, 2010

-Substances not adsorbed by Activated Charcoal.

Substances not adsorbed by Activated Charcoal
"Phials"

Pesticide,potassuim
Hydrocarbons.
Iron,Insecticide.
Acids,Alkali,Alcohols.
Lithium.
Solvents.

Dr Ibrahim

Friday, March 19, 2010

-Common radiopaque medications.


Common radiopaque medications which appear in X-ray
"Cheap bit"

Chloral hydrate,Cocaine,Ca.
Heavy metals.
Enteric coated tablets.
Antihistamines,Arsenic.
Phenothiazines,potassium.

Barium.
Iodide,Iron.
Tricyclic antidepressants.

Dr Ibrahim

Thursday, March 18, 2010

-Don't soil scorpion sting.

Don't soil(تلوث)scorpion sting
(Don't perform the following in scorpion sting):-

Suction of the wound.
Over treat by hypnotics (over sedation).
Immersion of injured extremity in ice.
Local incision.

Dr Ibrahim

Wednesday, March 17, 2010

-Vircow's triad.


Vircow's triad is the aetiology of thrombosis which is composed of :-

1-Damage of vascular endothelium(Vascular trauma):-
this damage expose the endothelial collagen which is rough surface to which platelets can stick firmly and release thromboxane A2 that help more platelet aggregation.

2-Slowing(Reduced)in the blood flow (stasis):-
these changes help thrombosis by allowing the platelets to deviate from the axial stream and cross the peripheral plasmatic zone to stick to the vascular endothelium.

3-Change in blood composition(Increased coagulability ):-
a-Increase number of blood elements.
-Increase platelets so become more sticky and agglutinate in small masses and adhere to vascular endothelium.
-Increase WBCs and RBCs increase viscosity of blood and stasis.
b-Biochemical changes that cause systemic activation of the cloting system.

"VIR chow"

Vascular trauma
Increased coagulability
Reduced blood flow (stasis)

Dr Ibrahim

Return to other triads here.