STAR Lite Medicals Uganda

STAR Lite Medicals Uganda STAR Lite Medicals exists as a medium of sharing evidence based medical knowledge with medical pract

DO THIS AND SAVE BABIESAdvanced Neonatal resuscitation comes into play when the neonate does not respond after effective...
16/06/2022

DO THIS AND SAVE BABIES

Advanced Neonatal resuscitation comes into play when the neonate does not respond after effective Bag and Mask ventilation.

If Breathing is absent, after ambu bag and chest compression, consider,

Advanced Neonatal resuscitation should start if HR remains below 60 BPM

Use . A vasopressor that improves coronary circulation (flow of blood to the heart itself)

Dosage: Intravenous Injection 0.01-0.03 Mg/Kg

Flush with 2mL of Saline (NS) immediately after administration

Repeat the dose after every 3-5 minutes as you continue bagging

HOW TO RECONSTITUTE EPINEPHRINE 1Mg/mL

Add 1ML (=1 mg/mL) into 9 MLS of water for injection to make a total of 10mLs where = 0.1Mg/mL

Remember the neonate dosage is 0.01-0.03Mg/Kg. (NOT 0.1 Mg/Kg)

So, Use a 2 mL Syringe ๐Ÿ’‰. Where each small bar of the 2CC syringe = 0.01Mg.

Listen to the heart rate after 1 minute of ventilation and chest compressions

NOTE: Give 1 breath and 3 Compressions (1:3)

Patient in a mental institution appear to propose to a female medical student๐Ÿ˜œ๐Ÿ˜œ
28/04/2022

Patient in a mental institution appear to propose to a female medical student๐Ÿ˜œ๐Ÿ˜œ

Expected Weight changes during pregnancy
28/04/2022

Expected Weight changes during pregnancy

I have a morbid phobia for needle pricks And the Ugandan Nurse will be like,Kati omusajja omukuru nawe otya empiso?The m...
04/04/2022

I have a morbid phobia for needle pricks

And the Ugandan Nurse will be like,
Kati omusajja omukuru nawe otya empiso?

The mpiso meanwhile ๐Ÿ‘‡๐Ÿ‘‡

03/04/2022

Flail Chest.

Flail chest is a traumatic condition of the thorax.

It may occur when 3 or more ribs are broken in at least 2 places (Like each rib breaks at 2 points)

Causes
Mostly associated with blunt force trauma to the chest that breaks the rib cage. (Not sharp objects). Motor vehicle collisions cause about 75% of these

In elderly, falls can actually break ribs and lead to such a traumatic chest

Metabolic bone disease and osteogenesis imperfecta may predispose children to this condition.

Major symptoms

Paradoxical breathing.
Normally, when we inhale, our chest expands and falls when we exhale.
In paradoxical breathing, the opposite happens, chest expands on exhalation (see video)

Management (At lower level Health facilities)
Investigations may include Chest X-ray.. Though CT scan is more sensitive in such a traumatic chest condition than X-ray

Adequate ventilation (Oxygen therapy) to maintain good transfusion and perfusion

Pain management and control
Judicious use of fluids to avoid more lung congestion

The Lethal Triad Acidosis, mostly Metabolic and or Respiratory AcidosisHypothermia, decreases myocardial performanceCoag...
20/03/2022

The Lethal Triad

Acidosis, mostly Metabolic and or Respiratory Acidosis

Hypothermia, decreases myocardial performance

Coagulopathy (Remember Halt Coagulation Cascade??)

HIV self test ... OraQuickA quick HIV test that is done by swabbing one's gums or inside of the chick They are said to b...
06/03/2022

HIV self test ... OraQuick

A quick HIV test that is done by swabbing one's gums or inside of the chick

They are said to be 99% accurate

Common Hospital/surgical instruments
01/03/2022

Common Hospital/surgical instruments

Sterilization and disinfection of Healthcare instrumentsHow to formulate 0.5% Jik
27/02/2022

Sterilization and disinfection of Healthcare instruments

How to formulate 0.5% Jik

You will find this very helpful
14/02/2022

You will find this very helpful

Case of the day.26 y/o male pt presenting with purple-violet nodules.. extending to  oral and tonsila regions He's a new...
22/01/2022

Case of the day.

26 y/o male pt presenting with purple-violet nodules.. extending to oral and tonsila regions

He's a new HIV PT.

Have you guessed the diagnosis already??

Kaposi sarcoma. (Oral KS)
(Biopsy confirmed)

Which presents with eruption of such purple-violet to reddish nodules . Caused by human herpes virus

It is very fatal if left untreated

Treatment
Highly reactive Anti retros
Target lowering CD4 count as much as possible

(Updated) Goal oriented Antenatal Care --- Uganda When to see these mothers
12/12/2021

(Updated) Goal oriented Antenatal Care --- Uganda

When to see these mothers

Address

Bweyogerere
Kampala

Telephone

0783619363

Website

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