Osce and learning points

 1.indications for dialysis ?

      1.plasma urea >180mg/dl

       2.hyperkalemaia >6mmol/l

      3.metabolic acidosis

      4.fluid overload and pulmonary edema

       5.Uremic encephalopathy

       6.creatinine levels >6.8.g/dl

2.why patient not recovering from sedation since 2 days?

  1.normally metabolites of midazolam eliminated by kidneys.but in this patient kindney functions are impaired,because of impaired elimination prolonged action is seen.sedation also prolonged.


   2.midazolam administration along with atorvastatin results in delaying elimination.so midazolam administration along with atorvastatin is not recommended.


LEARNING POINTS;


 

 1.i have learned about importance of clinicals along with theory .

2.l have learned about types of heart failure,clincal features, management of heart failure.

3.importance of contraindications and drug interaction while prescribing medications.

4.imporatance of control of comorbidities.


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