11 ай бұрын
Пікірлер
@AhmedMokhtar-r2w Күн бұрын
great lecture Dr Maher, I have a question if you dont mind, In acute symptomatic hyponatremia, if the symptoms improved after the 100 ml over 10 min , but the 4-6 meq target is not acheived should we give 20 ml /hr 3% N.S until the target of 4-6 meq is acheived ?
@crimsonsoldier4180 Күн бұрын
Why would you use Peak pressure instead of Pplat on PC mode to set Phigh?
@thefilmculturehindi 3 күн бұрын
Is it ok to get new ct lung scan with contrast after 1 year gap from previous scan
@Hospitalista 2 күн бұрын
That should be okay if there’s a real need.
@RiyaGupta-wr2lk 3 күн бұрын
Sir can u become airhostess with sinus trachydia?
@samuelroytburd1260 4 күн бұрын
Thanks!
@plan831 8 күн бұрын
You explained it so clearly more than anybody in this 6min video. This is all I needed. Thank you so much! 🎉
@toajasho5037 8 күн бұрын
Dr. Maher i did not understand why you chose going for lmwh yet in the video you have said that once a patient is on DOACs he can continue with it after surgery and did you choose it because the patient was npo and what is the criteria of choosing lmwh or ufh in scenarios when the patient is npo.
@Hospitalista 6 күн бұрын
Yes, we chose LMWH because of the patient was NPO. LMWH is preferred over UFH in bridging given its more predictable anticoagulation effectwe
@ifym5455 9 күн бұрын
I just found and watched your video on hypernatremia which then lead me to this video and subscribe to your channel! I am weak in these particular subject but I will get stronger by God's grace. Thank you🙏.
@Hospitalista 9 күн бұрын
You’re welcome!
@MalakAlshilli 16 күн бұрын
Can I know ur evidence base about convert from VBG to ABG I search more about this… but I didn’t find
@Hospitalista 14 күн бұрын
There is plenty, here is one of them pubmed.ncbi.nlm.nih.gov/25552544/
@abdulmanafm2208 16 күн бұрын
Thankyou
@nigel5009 17 күн бұрын
At the 2:47 mark, the explanation for increasing peep and the relationship with alveolar pressure is confusing. Are you saying that if you increase the peep from 5 to 7 that will increase the pressure of breathing? Also, do you believe peep pushes fluid out of the lungs? If so, could you explain how? There are clinicians who feel that peep doesn't remove fluid from the lungs. After watching your video, I believe it might move it from the interstitial lung areas.
@AB-zz3gx 17 күн бұрын
مبين عراقي
@SarahNasser-z8m 23 күн бұрын
I enjoyably gained insight. Great video.
@kaseydey4651 26 күн бұрын
The nurse ripped mine out without telling me what she was doing I nearly vomited I went into shock 😳 I told her that she needed a new job and she informed me that she was going back to Britain on Monday. I literally wanted to punch her Atrocious behaviour I still feel sick thinking about it I couldn’t walk for weeks and had to get follow up pain kill and antibiotics from my GP
@acidbase2785 27 күн бұрын
Thank you sir. How should we give 50% dextrose? is it ok to use peripheral vein ?
@Hospitalista 27 күн бұрын
Yes, it is acceptable to administer 50% dextrose (D50) via a peripheral IV with caution, as it is a hypertonic solution and may cause tissue damage if infiltration occurs.
@acidbase2785 25 күн бұрын
@@Hospitalista thank you so much
@maxgiesken9488 28 күн бұрын
Dr. Alrahamneh, could you make a detailed video on sepsis including definitions (very confusing and controversial with the changing definitions and SIRS vs qSOFA) and the treatment algorithm? This is one of the number one causes of mortality in our patients, but is so undertaught in medical school and misunderstood by trainees
@Hospitalista 28 күн бұрын
Surely! I will add it to the queue.
@maxgiesken9488 28 күн бұрын
@ awesome, thanks so much! And thank you for the work you put into making these detailed videos. I’m sure you’ve heard it before, but they are tremendously helpful to med students like myself & residents. Especially as we are in an era where few read textbooks and most of us look to online sources for our education. These videos have been a perfect supplement to help me get more out of my clinical encounters and more importantly have been paramount in helping me practice up to date medicine for my patients.
@Hospitalista 28 күн бұрын
@maxgiesken9488 pleased that you found these videos helpful!
@nusaibahibraheem8183 Ай бұрын
Thank you so much. This is so helpful. This is the kind of information we need.
@sarmedmansur3470 Ай бұрын
Thank you much for this nice summary.
@csjlady2410 Ай бұрын
can i reach out to you? my father has alkalosis and is experiencing shortness of breath dizziness etc. How do we bring him back to neutral ph?
@Hospitalista 29 күн бұрын
Unfortunately, I can’t give any clinical advice for anyone who I can’t see in the clinic! I highly encourage you to take him to his doctor for further evaluation.
@AdamAdam-kb3yh Ай бұрын
Perfect
@kirans-q6r Ай бұрын
Sir , the infusion dose of Inj Amiodarone is 1mg/min for 6hrs followed by 0.5mg/min for the rest 18hrs.
@Hospitalista Ай бұрын
Yes that’s correct!
@tamemomar5724 Ай бұрын
Your videos are incredible. Very practical and clinically oriented. Thank you for the effort you put into preparing them
@kMGG-p7f Ай бұрын
So, they might need DVT prophylaxis despite elevated INR?
@Hospitalista Ай бұрын
Yes indeed
@drhanishahin Ай бұрын
❤
@kMGG-p7f Ай бұрын
Your lectures are to the point & sink in so well.
@Hospitalista Ай бұрын
Glad you found it helpful!
@younessm6434 Ай бұрын
My dad spent two months in a hospital after having surgery and right before been discharged he became confused he know all of us and his friends but he forgets his state and that his mom is dead and keep talking about people and mixing there story. But he is calm about it.. what should we do?
@msharyhomrany7826 Ай бұрын
“Direct oral anticoagulant”, as in aspirin?
@Hospitalista Ай бұрын
Aspirin is an antiplatelet not an anticoagulant.
@ahmadsaleh85 Ай бұрын
Amazing video !! Thanks Doc!!!
@theking60100 Ай бұрын
As a senior resident physician, I can say you are truly an absolute gem of a teacher! You have such a creative way of breaking down complex topics into easy to understand, digestible concepts
@laylam4241 Ай бұрын
Great videos, please keep making them ❤
@user-oh7iv3ij5x Ай бұрын
Had a bladder scan with contrast no ill effects, then had a chest lung with contrast severe allergic reaction, skin on fire for weeks lots of hair fell out, it was temporary but scary. Just had another MRI no contrast even though the doctor tried to make me I insisted no Contrast dye. My MRI came back normal no sign of cancer spread.
@shafimohammed9365 Ай бұрын
Like Ronaldo !!😂
@y64 Ай бұрын
Thanks doc, this is so informative.
@jaydee177 Ай бұрын
JUST SAY NO!!!!!
@akramfahmy4720 Ай бұрын
Thanks for excellent explanation I want to ask a question If a patient in icu and on prophylactic anticoagulant and his inr results above 1.7 should we stop prophylactic anticoagulant or continue?! The patient has no liver disease
@Hospitalista Ай бұрын
The important question is why INR is elevated? Is it DIC? Nutritional deficiency? Medication? The answer depends on the cause!
@akramfahmy4720 Ай бұрын
@ not DIC may be nutritional
@Hospitalista Ай бұрын
Then they should have a chemical DVT prophylaxis as long as no other contraindications
@momslittledaughter3702 Ай бұрын
Thank you so much 😊
@anantsharma5519 Ай бұрын
Best video on the insulin on youtube. Short , crisp and beautifully explained 🤌🏻
@tillymay8271 Ай бұрын
Thank you so much. I’m not gonna have it. I’m gonna have the MRI. I’m not gonna have a day booked in tomorrow.
@abdulmanafm2208 Ай бұрын
What about noacs for dvt prophylaxis
@Hospitalista Ай бұрын
I mentioned that in the video I believe in the last clinical scenario but we typically reserve them for those with allergy to heparin and it’s derivatives like in HIT.
@DCODD918 2 ай бұрын
☠️
@NicholasNormand 2 ай бұрын
Never had an mri before 20 years ago I’ve had a CT scan head/brain without contrast
@dr.jaisonjoseph3652 2 ай бұрын
Arterial pco2 explanation is wrong
@Hospitalista 2 ай бұрын
Please read the pinned comment
@AamirAhmad-c7n 2 ай бұрын
An Excellent explanation Much appreciated
@Hospitalista Ай бұрын
Glad it was helpful!
@muhammadahmad1157 2 ай бұрын
Your channel is a treasure of clinical medicine. Thank you so much for the great work.
@abcd-fw2fd 2 ай бұрын
How to check bp on lvad patient
@Hospitalista Ай бұрын
LVAD patients have a nonpulsatile or very low pulsatile flow, traditional techniques of blood pressure measurment are ineffective, instead we could use the same cuff technique but check the flow with a doppler US not a regular stethoscope.
@deanrobinson711 2 ай бұрын
Had blood test today for cancer screening, the hospital told me that I would be waiting around 5 weeks for a CT. They rang me back 5 hours later saying that some had cancelled their CT, so could I come back in. It seems like they might of found something in my bloods, why call me back in when there is a 5 weeks waiting list. Surely they would of called someone that is higher up on the waiting list?
@zingoringo4656 2 ай бұрын
جمييييل يا رحامنه👍👍👍👍