Dr Shrikrishnan TP sir is generalist He approaches cases with all possible aspects including affordability ,age, past history, family history, common sense etc.. That's best part i learnt from him ❤❤❤
We treat patients who have any symptoms that might be due to increased intracranial pressure (seizures, obtundation, coma, respiratory arrest, headache, nausea, vomiting, tremors, gait or movement disturbances, or confusion) with a 100 mL bolus of 3 percent saline, followed, if symptoms persist, with up to two additional 100 mL doses (to a total dose of 300 mL) over the course of 30 minutes.
Dr Shrikrishnan TP sir is generalist
He approaches cases with all possible aspects including affordability ,age, past history, family history, common sense etc..
That's best part i learnt from him ❤❤❤
Dr.suhail
informative watching since 1 yr
Greetings from Iraq ❤Thank you for sharing these valuable information
Greetings from Nigeria 😊
Sedative abuse is another very important cause of Altered Mental Status in elderly
Thank you sir❤
Greeting from Kenya
If you are considering hypoxia as DD, the saturation is already 100 % on primary survey. We won't be able to justify Hypoxia.
Get an abg done if patient is tachypenic
Thank you 🙏
We treat patients who have any symptoms that might be due to increased intracranial pressure (seizures, obtundation, coma, respiratory arrest, headache, nausea, vomiting, tremors, gait or movement disturbances, or confusion) with a 100 mL bolus of 3 percent saline, followed, if symptoms persist, with up to two additional 100 mL doses (to a total dose of 300 mL) over the course of 30 minutes.
This is from uptodate, i think speed of 3% saline infusion doesn’t matter, what matters is total corretion less than 10,
Plz correct me if wrong
Recent Nejm updates have suggested to go slow in chronic alcoholics , nutritional deficiency pts
I m talking about acute cases only
P❤
Exactly correction greater than 10 meq per day can cause pontine demyleination@@doctorsofgoldenhour
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