Thank you very much for this wonderful comprehensive but easy-to-understand presentation. This was very helpful to me. How about Acute Alcohol Intoxication treatment protocol/guidelines?
@toma7744Ай бұрын
SGLT2 inhibitors make no-sense, except to make pharma $$$$$
@infinow3 ай бұрын
Is lactobacillus bacteria cause nemonia. I aspirated a bit curd(yogurt) 2 hours ago. Nothing happened till now. Can i get nemonia
@taeschannell8 күн бұрын
Did you ever find out?
@infinow8 күн бұрын
@@taeschannell nothing happened 😂😂 I was scared for no reason
@franhar82924 ай бұрын
Voquezna is it considered a PPI? Thank you.
@aishwaryaguha9875 ай бұрын
can influvac tetra & pneumovax can be given together ?
@StarvingMyselfToLIFE5 ай бұрын
Exactly what issue are SGLT2's attempting to resolve?
@savedbygrace_alone6 ай бұрын
👏🏽
@VHBulls8 ай бұрын
Do symptoms subside within a few days for only for pneumonitis or pneumonia too?
@giuliagenetti8899 ай бұрын
Thank you ❤ not only do I have CKD but I also have a TBI and I clearly understand your clip! Finding this very helpful! 🙏🏽
@Psychiatrist78 Жыл бұрын
Actually they do have increased urination and thirst.( that is the basic side effect of sglt-2 inhibtors)
@JimmyButler221 Жыл бұрын
From the very first I day came across Dr Igudia KZbin channel, I knew that was going to be the end of my Diabetes. And to my surprise his herbs actually cured my Diabetes.
@MariaMatosNails Жыл бұрын
Thank you My husband has 5.9 potasio And he feels dizzy without energie He only wants to be in bed
@magi267 Жыл бұрын
The most up to date way to treat these patients is to use IV doses not oral, and to do breathalyzers every hour. Follow the CIWA and wake and assess patients hourly.
@voippvideo Жыл бұрын
Nice presentation thank you 😊
@mysarahandrews8536 Жыл бұрын
So helpful being an ICU RN but audio is low and breaking 😢 😪 up...
@aimanmalik4411 Жыл бұрын
🧕🤩
@AnxiousMedic Жыл бұрын
thank you!!
@alstondsouza4 Жыл бұрын
CHRONIC aspiration pnemonia due to chronic oropharx Disphagia with gag reflex lost
@adwaitadas8419 Жыл бұрын
Helpful information. Thanks
@ahmedomer3833 Жыл бұрын
Short and informative vedio ❤
@lukedebenham208 Жыл бұрын
they make two just to confuse us :(
@karmag8 Жыл бұрын
thanks a lot for this please keep on posting appreciate the good work!!🙂
@alanogy Жыл бұрын
As a retired Ph.D. sort of scientist and professor, I wanted to say, great, clear presentation. It answered a few things I've wondered about this drug. Curious now about the mechanism of increased diuresis/natriuresis, but only because I worked on natriuretic peptides at one point. Not curious enough to read a GLP-1 review article, but maybe I'll hit Wikipedia. As a patient without diabetes who's been on this drug for weight loss for a week, I've wondered about hypoglycemia. I thought, for a diabetic, more insulin might be good under circumstances where it would just lead to hypoglycemia for me. It was reassuring to read that the GIP agonism should reduce that risk. But as an n=1 patient who isn't objective, the fact that I basically never feel hunger since injection day 1 made me worry I might not perceive mild hypoglycemia and eat before it was less mild. Anyway, nice work!
How does this type of medication result in weight loss, if it works by stimulating insulin release?
@alanogy Жыл бұрын
My understanding from just the prescribing info PDF is that it's thought to be a combo of feeling full due to slower gastric emptying and of increased satiety through CNS pathways I know nothing about. My n=1 lay-person understanding after taking this drug for a week is, "holy crap, this is so weird, I literally don't ever feel hungry", which subjectively feels more like satiety than fullness. I wondered the same thing, but I guess quantitatively, any increase in fat or glycogen due to higher insulin levels is outweighed (no pun intended) by decreased food intake?
@ondrej1893 Жыл бұрын
Because the whole LowCarb quack "hypothesis" about insulin being the main driver of weight gain is a pile of BS.
@saxgirlhornboy6458 Жыл бұрын
@@ondrej1893 Let's see your data. Know any type 1 diabetics who lost weight when they started on insulin?
@joyemeka64082 жыл бұрын
Stop believing What the doctors says that there’s no cure for diabetes, I was recently cured of my Type 2 diabetes with the herbs medication I ordered from Dr Igudia on his KZbin channel
@ahmedahm12 жыл бұрын
Good comparison! 7:30 it bugs me when companies use a placebo or use an active comparator which is inferior (like here). It happened here as well as in the REDUCE-IT Study, Vascepa vs mineral oil. That mineral oil placebi increased LDL-C by 10% and increased CRP by 32%
@ansonma73512 жыл бұрын
This is very good thankyou
@albarone872 жыл бұрын
Thanks ☺️ it’s so helpful شكراا
@nasirmir87712 жыл бұрын
Can you do a favour for humanity...send me 1 strip here in india it's not available here but I need it
@staciegulizia41442 жыл бұрын
Thank you for educating people about EDKA. I almost lost my husband to this last week. He had no symptoms until he passed out. It was caused by his low carb diet mixed with the prescribe Jardiance. Thankfully, the ER doctor diagnosed it correctly and the ICU administered the correct treatment. They discontinued the Jardiance.
@saxgirlhornboy6458 Жыл бұрын
Hooray! What was his glucose level, and what treatment did he receive?
@StarvingMyselfToLIFE5 ай бұрын
Could the problem been the Jardiance alone, since many people seem to thrive on low carb diets for a long time
@jameswilliams57032 жыл бұрын
My heart filled with joy and appreciation to Dr Abumere on youtube for curing my HSV with his natural roots and herbs. Am now perfectly okay. God bless you for me. kzbin.info/www/bejne/gZismWupnb-MaLs ....
@joelsamuels69102 жыл бұрын
Thanks for sharing. Can a 5 month old take the PPSV23?
@jaredbutler80932 жыл бұрын
There is no current need to provide a 5 month old with the PPSV23. At that age they should be receiving the 2nd or 3rd dose of the PCV-13 vaccine series. PPSV23 is considered after the age of 2 depending on the immunocompromised condition. Otherwise PPSV23 isn't utilized until later in life.
@oswaldfernandes82663 жыл бұрын
Dka due to sglt2 inhibitors are easy target to the covid virus because the immune system is suppressed because of the acidosis and the drug has to be treated with caution in this covid pandemic.
@im_pharm_appe19923 жыл бұрын
At this time the same level of caution in selecting the ideal candidate for the drug therapy remains in order to reduce the risk of euglycemic DKA. Patients may have slight enhancement of infection due to side-effects of DKA, but no different than DKA in type-1 DM using insulin.
@drnaeeem54223 жыл бұрын
Does they increase the risk....???
@im_pharm_appe19923 жыл бұрын
The risk of euglycemic DKA is increased with theses agents, but if patient selection and education on management of use of SGLT-2-I during illness or around the time of surgery the risk can be reduced.
@ashleymuff19183 жыл бұрын
Good presentation. One question. You say IDSA does not recommend adding anaerobic coverage unless there's evidence of empyema or lung abscess. We often have patients who are elderly and are very noticeably aspirating. In these patients we will frequently add anaerobic coverage (often unasyn). What do you think of this practice?
@im_pharm_appe19923 жыл бұрын
Per the guidelines Unasyn is a potential option for a first line beta-lactam choice. We should be using it more for the strep species coverage than the anaerobe (bacteroides). In the silent aspirations we tend to aspirate oral flora/anaerobes like pepto-strepto-coccus. This is easily killed by cephalosporins. My thought process is that we don't given anaerobic coverage for endocarditis prophylaxis (dental manipulation seeding the blood instead of same bacteria falling down the wrong pipe). You could make an argument for enhanced anaerobic coverage (metronidazole) for someone found down/vomiting GI contents that made their way into the lungs (as long as not pneumonitis). Thanks for the question!