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Case update. Facial space swelling of Lt Submandibular region Akhtar Bibi 54Y/F, know D.M (10y) and HTN(on off medication) presented with history of pain and swelling since 1 week. Previously patient was advised I and D but patient refused and was taking  IV medication. O/E: swelling on left of face involving Lt Buccal and sub mandibular region which tender to touch. Mouth opening is 8mm Poor oral hygiene Aspiration+ve( advised for Pus C/S) I&D done,  draine placed at Left Retro molar area secured with Slik 3/0. Drain is active BLIS done OPG misplaced ( they will trace from IDC) HB: 13.2 g/dl WBC: 10920/uL P: 344k HbA1c:15.3% BSR( 216, 247, 382,250g/dl) Treatment plan: G.M consultation done, they advised R insulin 120units TDS BSR and BP charting continue Medication sheet maintained Patient retained in ER under OMFS care

Ditch the GP Queue, Get Treated Faster with Medicine Drop! That pesky cough got you down? Or maybe it's time for a refill on your hay fever meds? Medicine Drop is now part of the Pharmacy First scheme, meaning you can get treated for certain conditions WITHOUT a GP appointment! 🩺 Book a remote consultation and chat with our qualified pharmacists, and get the medication you need - all in one go! But wait, there's more! We also offer: ✅ Free consultations with our pharmacists ️ ✅ Repeat prescriptions made easy ✅ Convenient medication deliveries straight to your door Ready to skip the wait? Head to our website (link in bio) to find out if your condition qualifies! or contact us if you have any further questions! #MedicineDrop #PharmacyFirst #HealthcareMadeEasy #NoMoreGPQueues #SubjectToConditions

An infusion pump infuses fluids, medication or nutrients into a patient's circulatory system. It is generally used intravenously, although subcutaneous, arterial and epidural infusions are occasionally used. A type of infusion pump, manufactured by Fresenius. Infusion pumps can administer fluids in ways that would be impractically expensive or unreliable if performed manually by nursing staff. For example, they can administer as little as 0.1 mL per hour injections (too small for a drip), injections every minute, injections with repeated boluses requested by the patient, up to maximum number per hour (e.g. in patient-controlled analgesia), or fluids whose volumes vary by the time of day. #snsinstitutions #snsdesignthinkers #designthinking

Daily Critical Care Pearls #31: Eye Care in the ICU - Caring for the Ventilated Patient ✔️ Inability to close the eye - Lagophthalmos - is almost universal in mechanically ventilated patients ✔️ Eye surface damage occurs as high as 60% in ICU intubated patients ✔️ Prevention with eye care every 2 hours with passive eye closure, cleaned with gauze, saline, and topical moisturizer/lubricants ✔️ Long-acting agents are preferred for maximum benefits ✔️ Agents such as Methylcellulose or Hypromellose are commonly used ✔️ Taping the lids closed after the application of moisturizers is a common practice in some centers #criticalcare #pharmacy #medicine #clinicalpharmacy #pearls

Proper administration of CPR MEDICATIONS via an ENDOTRACHEAL TUBE Interrupt chest compressions (which you should be avoiding if at all possible) & inject a mixture of the medication in 10mL Normal saline or distilled water into the endotracheal tube, w/ several subsequent bag−valve mask ventilations prior to resuming chest compressions. This allows for medication nebulization to the alveoli→↑absorption Administer @ 2−3X the IV dosage, as pulmonary blood flow is significantly compromised w/ minimal transalveolar medication absorption What can be administered: •Lipid soluble medications, such as Naloxone, Atropine, Vasopressin, Epinephrine, Lidocaine (think ‘NAVEL’) What should NEVER be administered: •Never give NON−LIPID SOLUBLE medications (SODIUM BICARBONATE, Glucose, Calcium) via endotracheal tube, as they will damage the airways mucosa, having a CAUSTIC effect Visit our Website/ Medical wards app knowmedicine.net #medicalstudent #medicalresident #meded #medicalschool #internalmedicine #medicaleducation #medstudent #imresidency #medicalapp #foamed #hospitalist #hospitalmedicine #cpr

Here's why IV ketam*ne is the gold standard for ketam*ne treatment 1. Highest safety level  There is always an experienced anesthesiologist in attendance. 2. Most effective outcome IV ketam*ne consistently produces better outcomes than ketam*ne delivered through a nasal spray, lozenge, tablet or injection 3. Quickest results People feel better faster with IV ketam*ne than with other forms of ketam*ne 4. Greatest absorption 100% of ketam*ne is delivered through the IV into the bloodstream, whereas this ranges from 15% to 50% with other methods. 5. Most transformative experience As there is more control, the dose can be adjusted to provide the best experience 6. Precise control With IV, the dose can be precisely controlled. It can be instantly decreased, increased, or paused, which is not possible with other delivery methods. 7. Customized dosing Additional medication can be added to the IV as needed depending on the response Discover the benefits of IV ketam*ne infusions and see if this treatment is right for you. Contact us today at (416) 343-0074 to learn more. #MentalHealth #IVInfusion #TransformativeHealing #EffectiveTreatment #MentalHealthHelp

Two ways, one goal: intravenous and subcutaneous    Intravenous (i.v.) and subcutaneous (s.c.) injections are two ways to deliver medicine into the body. However, there is an important difference.   With intravenous injections, the medication is administered directly into the vein. This method is used when rapid absorption of the medication is required.   Subcutaneous injections, on the other hand, are administered under the skin in the subcutaneous fatty layer, often in the abdominal or thigh area. They are used for the even release of medication.   At Biotest, we produce both intravenous and subcutaneous preparations because we focus on innovative solutions to improve the lives of people with serious illnesses.   #Biotest #FromNatureForLife #Healthcare #Injections #Intravenous #Subcutaneous #Medicines #Plasmamedicines

Decoding “DICKS”: Managing Hyperkalemia (elevated blood potassium levels) In healthcare, acronyms can be quite cheeky, like “DICKS.” Before you think otherwise, this one is all about tackling hyperkalemia, a medical emergency demanding immediate attention. DICKS breaks down like this: *D - 50% Dextrose IV push *I - Regular Insulin IV push *C - Calcium Gluconate IV *K - Kayexalate orally or rectally *S - Sodium Bicarbonate IV (if patient is acidotic) These interventions, in accordance with facility protocols and physician preferences, are deployed to swiftly bring the levels back to normal. (However: It is recommended to administer Calcium Gluconate first, due to its “heart-protective” effects.) Nurses on the frontlines of healthcare, constantly find ways to make the serious nature of our work a little more approachable (and memorable!). What are some of your favorite healthcare acronyms? #medicalacronyms #hyperkalemia #medicalmalpracticeattorney Need help w/those medical records? Contact us! ☎️ (954) 418-2824 💻 www.HobsonsLegalNurses.com

⛔ IS INTUBATION THROUGH A LMA OVER A FIBREOPTIC SCOPE(FOB) EASIER AND SAFER THAN USING A LARYNGOSCOPE FOR PRACTITIONERS THAT INFREQUENTLY INTUBATE? ⛔ 1️⃣ the patient will be less likely to suffer hypoxia as ventilation can be continued even while intubating 2️⃣ if intubation fails the Laryngeal Mask Airway can always be used to ventilate the patient 3️⃣ if the endotracheal tube is advanced just past the elevating bars in the distal LMA tube there is only 2.5 to 5cm to negotiate between the tube tip and the vocal cords with the FOB and the scope should be orientated towards the vocal cords in most attempts. 4️⃣ placing a Laryngeal Mask Airway is simpler than intubation, requires less anaesthesia and only if ventilation is achieved does the patient need to be paralysed. ✅ Using a FOB through a Laryngeal Mask Airway is an easy skill to master. ✅ Certainly for infrequent practitioners intubating ill and compromised patients via the LMA has the potential to reduce intubation related complications and should be considered before using a laryngoscope. hashtag #innovation hashtag #medicaldevices hashtag #paramedics hashtag #emergencydepartment hashtag #emergencymedicine hashtag #prehospitalcare hashtag #airambulance the 🔺 DA-ETT 🔺 is available from Lateral Medical, Brisbane www.lateralmedical.com