An interesting case
52 yo male scheduled for right thoracoscopy for tumor vs empiema (tough surgery was sure It was on the cancer side) with a history of heavy smoking over 20 years, HBP with no treatment, dilated miocardiopath, heart failure with FEV1 20%, recent onset AF. Current meds are digoxine, furosemide, enalapril and metoprolol. At the OR the patien was unstable with AF all over the place, my attending cancelled the case, but what would be your plan for this patient? (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2021 Category: Universities & Medical Training Authors: Sleeplessbordernights Tags: Anesthesiology Source Type: forums
Massive transfusion protocols (MTP)
Those of you in level 1 trauma center, what is your MTP protocol? We do 6 pRBC 6 FFP 1 plt ratios.
I think the latest evidence shows that plt through a fluid warmer is ok. specially given how fast it goes in.
Anyone use furosemide? What clinical signs do you use to give you an idea that you need to diurese?
Also what about in pedi? theoretically it should be the same concept, children have more fluid per kg, does that make a difference on how you transfuse?
Theoretical question given...
Massive transfusion protocols (MTP) (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2017 Category: Universities & Medical Training Authors: dchz Source Type: forums
step 2CK: digoxin hyperkalemia
This is a question i found on MTB step 2 ck, it said:
You have a patient with dilated cardiomyopathy secondary to MI in the past, that comes for routine evaluation, is asymptomatic, but with hyperkalemia. He is on lisinopril, furosemide, metoprolol, aspirin and digoxin.
What is the best management?
The answer was to change lisinopril (a IECA, so a possible cause of hyperKalemia) for hydralazine + nitroglycerin. This also lowers mortality, like IECAs, in CHF.
My question is... I remember...
step 2CK: digoxin hyperkalemia (Source: Student Doctor Network)
Source: Student Doctor Network - August 30, 2016 Category: Universities & Medical Training Authors: DrPettans Source Type: forums
digoxin + furosemide interaction
Forum: Pharmacy
Posted By: asaaal
Post Time: 24-03-2015 at 16:11 (Source: The Student Room)
Source: The Student Room - March 24, 2015 Category: Universities & Medical Training Source Type: forums
what to do next for this man?
A colleague rang me this morning about a 65 year old man.
background ischaemic cardiomyopathy -angio last week no targets for revascularisation
suitable for a bivent ICD as EF 25% and has lbbb on ecg
worsening heart failure - put on 3kg over past 24 hours on furosemide 80mg / 40 mg iv, spironolactone 25mg, ramipril 2.5mg and bisoprolol 5mg
BP 120 systolic, creatinine 110 , sodium now 122 (was normal 1 week ago)
what would you do next?
sadian (Source: Doc2Doc BMJ Cardiology)
Source: Doc2Doc BMJ Cardiology - December 16, 2013 Category: Cardiology Authors: sadian Source Type: forums
