La milijuli sewa dinu paryo yaha bata. J jati huncha..post ma raheka mahanubhav haru le aafu bata j jati sakincha..jai nepal.!
Management of acute alcohol poisoning
1) monitor the vitals- pulse, Bp, temperature, respiration(alcohol act on CNS to alter the vitals) 2) infuse dextrose 🍫 or dextrose with normal saline(DA or DNS 5%) to counter hypoglycemia and ketoacidosis 3) monitor the vomitting 🤢 tendency (as patient is mostly unconscious so vomitus can aspirate)- give anti emetic even if vomiting is absent. Eg Ondansetron... 4) inj thiamine I/V to prevent wernicke korsakoff syndrome🤯 5) manage electrolytes balance if any(hypokalemia may occur in presence of excessive vomiting 🤮)
See MoreCa-cheek(operated) Graft rejection Wound left open for healthy granulation tissue to appear so the closure could be done Regular dressing ongoing #ENT... #medical #frankestien7
See MoreDx?? Male 14 yrs old With history of use of antibiotics and drugs for pyrexia of unknown origin.. #healthworkersofnepal #frankeistein7
#cheerbagar :D :D
N we all have gone through this #cheerbagar
#Titanicfordoc