The document discusses anaphylactic shock, including:
1. It defines anaphylaxis as a sudden life-threatening allergic reaction and anaphylactoid reaction as having similar symptoms but no immunological cause.
2. It describes the pathophysiology of anaphylaxis as a 5 stage process beginning with mast cell activation and ending with systemic inflammation.
3. Common causes include allergens that interact with IgE antibodies like foods, drugs, insect venoms, while non-IgE causes include blood products, dialysis membranes, and diagnostic dyes.
The document discusses the role of corticosteroids in treating allergic diseases, describing how corticosteroids work to reduce inflammation and summarizing their use in treating conditions like asthma, allergic rhinitis, atopic dermatitis, and anaphylaxis. Guidelines are provided on the appropriate use of corticosteroids for different severity levels of allergic diseases both orally and through inhalation.
Anaphylaxis is a life-threatening systemic allergic reaction that requires immediate treatment. It can affect multiple body systems such as the skin, respiratory tract, gastrointestinal tract and cardiovascular system. Epinephrine administered via intramuscular injection is the first-line treatment and should be given immediately when anaphylaxis is suspected in order to prevent progression of symptoms. Reactions can be biphasic in some cases, requiring monitoring beyond the initial emergency response. Education on allergen avoidance and emergency action plans are important for managing the risk of anaphylaxis.
Organophosphate poisoning occurs when a person is exposed to organophosphate pesticides or nerve agents, which inhibit the enzyme acetylcholinesterase. This causes acetylcholine to accumulate at nerve synapses, resulting in overstimulation of the nervous system. Signs and symptoms include excessive sweating, vomiting, diarrhea, increased urination, blurred vision, slow heart rate, low blood pressure, and muscle weakness or paralysis. Diagnosis involves testing for low acetylcholinesterase levels in red blood cells or plasma. Treatment focuses on atropine administration to block acetylcholine receptors, pralidoxime to reactivate acetylcholinesterase, oxygen supplementation, and supportive care. Complications can include
SEMS 2014: Ang Shiang Hu - Life threatening asthma Rahul Goswami
The Critical Care track of the Society for Emergency Medicine in Singapore Annual Scientific Meeting 2014.
For more information and conference videos, go to singem.blogspot.sg
The advantage of soy formula with lcpufa in immunity and allergyAriyanto Harsono
1. The document discusses the advantages of soy formula with long-chain polyunsaturated fatty acids (LCPUFA) in immunity and allergy prevention. It notes that soy formula has positive effects on immunity and allergies.
2. Primary, secondary, and tertiary prevention strategies are discussed. Primary prevention involves using hypoallergenic formulas from the first trimester to induce oral tolerance. Secondary prevention uses advanced hydrolyzed or soy isolate formulas to reduce morbidity.
3. Supplements like omega-3, vitamins A, C, E, minerals, and LCPUFA are noted as playing roles in modulating immune mediators and inflammation. Maintaining the right ratio of omega-3 to omega-
The document discusses the role of corticosteroids in treating allergic diseases, describing how corticosteroids work to reduce inflammation and summarizing their use in treating conditions like asthma, allergic rhinitis, atopic dermatitis, and anaphylaxis. Guidelines are provided on the appropriate use of corticosteroids for different severity levels of allergic diseases both orally and through inhalation.
Anaphylaxis is a life-threatening systemic allergic reaction that requires immediate treatment. It can affect multiple body systems such as the skin, respiratory tract, gastrointestinal tract and cardiovascular system. Epinephrine administered via intramuscular injection is the first-line treatment and should be given immediately when anaphylaxis is suspected in order to prevent progression of symptoms. Reactions can be biphasic in some cases, requiring monitoring beyond the initial emergency response. Education on allergen avoidance and emergency action plans are important for managing the risk of anaphylaxis.
Organophosphate poisoning occurs when a person is exposed to organophosphate pesticides or nerve agents, which inhibit the enzyme acetylcholinesterase. This causes acetylcholine to accumulate at nerve synapses, resulting in overstimulation of the nervous system. Signs and symptoms include excessive sweating, vomiting, diarrhea, increased urination, blurred vision, slow heart rate, low blood pressure, and muscle weakness or paralysis. Diagnosis involves testing for low acetylcholinesterase levels in red blood cells or plasma. Treatment focuses on atropine administration to block acetylcholine receptors, pralidoxime to reactivate acetylcholinesterase, oxygen supplementation, and supportive care. Complications can include
SEMS 2014: Ang Shiang Hu - Life threatening asthma Rahul Goswami
The Critical Care track of the Society for Emergency Medicine in Singapore Annual Scientific Meeting 2014.
For more information and conference videos, go to singem.blogspot.sg
The advantage of soy formula with lcpufa in immunity and allergyAriyanto Harsono
1. The document discusses the advantages of soy formula with long-chain polyunsaturated fatty acids (LCPUFA) in immunity and allergy prevention. It notes that soy formula has positive effects on immunity and allergies.
2. Primary, secondary, and tertiary prevention strategies are discussed. Primary prevention involves using hypoallergenic formulas from the first trimester to induce oral tolerance. Secondary prevention uses advanced hydrolyzed or soy isolate formulas to reduce morbidity.
3. Supplements like omega-3, vitamins A, C, E, minerals, and LCPUFA are noted as playing roles in modulating immune mediators and inflammation. Maintaining the right ratio of omega-3 to omega-
This document discusses allergic rhinitis and its treatment. It defines allergic rhinitis as impaired nasal function after allergen exposure through IgE-mediated inflammation. It notes its prevalence is 10-25% and impacts include social, quality of life, school performance, and economic costs. It then discusses the pathophysiology of allergic rhinitis and the cells and mediators involved like mast cells, eosinophils, cytokines, and histamine. It provides an overview of symptoms and evaluates treatment options like immunotherapy, pharmacotherapy, and education. Medications discussed include antihistamines, intranasal corticosteroids, leukotriene receptor antagonists, and decongestants. It also
INVESTIGATION THE EFFECT OF PENTHYLENTETRAZOLE INDUCING EPILEPSY MODEL USING ...Self-employed researcher
This study investigated the anticonvulsant effects of Epilobium hirsutum extract in a pentylenetetrazole (PTZ)-induced seizure model in mice. Mice were pretreated with 100 or 200 mg/kg of E. hirsutum extract or valproate before being injected with PTZ. The extract increased seizure onset time and decreased duration compared to the PTZ group. Neurological tests and biochemical assays also showed the extract reduced oxidative stress and improved motor function versus PTZ. The results suggest E. hirsutum has anticonvulsant properties potentially due to its antioxidant compounds like flavonoids and phenolic acids.
This document discusses the history and physiology of labor analgesia. It provides an overview of the controversy around pain relief during labor and outlines both non-pharmacological and pharmacological options. Regional techniques like epidural analgesia are highlighted as the most effective methods with minimal effects on the fetus when used properly. The goals of labor analgesia and factors to consider when selecting drugs and techniques are also summarized.
This document provides information on anaphylaxis including its definition, clinical criteria, causes, pathophysiology, clinical features, diagnosis, differential diagnosis, and management. Anaphylaxis is defined as a serious allergic reaction that is rapid in onset and can cause death. It is caused by exposure to an allergen in sensitized individuals and involves the release of mediators from mast cells and basophils like histamine. Symptoms may include skin issues, low blood pressure, respiratory distress, and gastrointestinal symptoms. Epinephrine is the first line treatment to reverse its effects.
Pharmacotherapy in bronchial asthma and recent advancesDr Resu Neha Reddy
A 32-year-old female patient presented to the emergency room with acute dyspnea, dry cough, and wheezing. She has a history of recurrent similar attacks that are made worse by exercise and dust exposure. The document provides an overview of bronchial asthma including its history, pathophysiology, triggers, diagnosis, and pharmacotherapy. It discusses the inflammatory process and mediators involved in asthma as well as treatment options like bronchodilators, corticosteroids, leukotriene modifiers, and monoclonal antibodies.
The Subjective, Objective, Assessment and Plan (SOAP).the assessment will identify what the drug related/induced problem is likely to be and the reasoning/evidence behind it. This will include etiology and risk factors, assessments of the need for therapy, current therapy, and therapy options.
A 45-year-old male presented to the ICU with chest pain, sweating, backache and vomiting. Examination found normal vitals except elevated heart rate. Tests showed elevated cardiac enzymes and ECG changes consistent with ST-elevated myocardial infarction (STEMI). He was treated with fibrinolytics, anticoagulants, antiplatelets and beta blockers. Over subsequent days his symptoms improved and he was discharged on aspirin, clopidogrel, atorvastatin and metoprolol with counseling on cardiac risk factors and medications.
This document defines anaphylaxis and hypersensitivity reactions, describes the pathophysiology and etiology of anaphylaxis, and outlines signs/symptoms, diagnosis, and treatment. It discusses how anaphylaxis is a severe allergic reaction affecting multiple organ systems. Common triggers include foods, medications, insect bites, and latex. Diagnosis is based on symptoms occurring rapidly after exposure. Treatment involves epinephrine, antihistamines, corticosteroids, bronchodilators, and emergency management including CPR if needed.
Emergency Management of Local Anesthesia (Dentistry)Dr. Jasmine Singh
Hey Guys, this presentation was used during the webinar on 1st May 2020 (Friday). A quick revision of the basics and i have shared my experiences from the government hospital and we have seen the clinical and practical aspects on the management of the local anesthesia side effects such as -
Needle Prick Injury
Parathesia
Toxicity
Needle Breakage
Hematoma
Syncope
Allery
and we have seen the latest trends in the pain control.
Anaphylaxis is a severe, life-threatening allergic reaction that can affect multiple systems of the body simultaneously. It is caused by exposure to an allergen that leads to mast cell degranulation and release of inflammatory mediators. Symptoms may include respiratory distress, reduced blood pressure, skin changes, gastrointestinal issues, and circulatory problems. Treatment involves epinephrine injection, oxygen, intravenous fluids, antihistamines, glucocorticoids, and beta-agonists depending on symptoms. Management requires rapid diagnosis and treatment, monitoring for biphasic reactions, and alerting intensive care as anaphylaxis can be fatal if not properly managed.
The document discusses poisoning and toxicology. It defines poisoning as the harmful effects of exposure to toxic substances. Poisoning can occur through ingestion, inhalation, absorption, or injection. Common causes of poisoning include chemicals, household products, drugs, pesticides, plants, and animal bites. Symptoms and treatment depend on the specific toxin. Management involves decontamination, supportive care, and antidotes when available. The document focuses on organophosphate poisoning, noting treatment involves atropine and pralidoxime to counteract acetylcholinesterase inhibition.
Terapia dello Shock Anafilattico - AdrenalinaFilippo Fassio
The document discusses guidelines for the assessment and management of anaphylaxis. It emphasizes the importance of promptly diagnosing anaphylaxis and administering epinephrine as the first-line treatment. While epinephrine is essential, the evidence for managing anaphylaxis is limited compared to other conditions. The guidelines focus on basic initial treatment that can be provided even in low-resource settings. Oxygen supplementation, intravenous fluids, and monitoring vitals are also recommended components of anaphylaxis management.
Anaphylaxis is an acute multi-system allergic reaction that can involve the skin, airways, blood vessels, and gastrointestinal tract. It is a severe and immediate hypersensitivity reaction. The most common causes are foods, drugs, and insect bites or stings. Symptoms affect multiple body systems and can include skin issues like hives or swelling, respiratory issues like difficulty breathing, and cardiovascular issues like dizziness or fainting. Diagnosis is based on symptoms occurring after exposure to a potential trigger. Treatment involves epinephrine, antihistamines, corticosteroids, monitoring for several hours, and prevention through allergen avoidance and carrying emergency medication.
This document provides information on organophosphate poisoning including its definition, incidence, causes, pathophysiology, signs and symptoms, diagnosis, and management. Organophosphate poisoning occurs when organophosphate pesticides or nerve agents inhibit the enzyme acetylcholinesterase, leading to a buildup of acetylcholine in the nervous system. Initial treatment focuses on controlling symptoms through atropine administration and supporting respiratory and cardiac function. Proper decontamination and monitoring for complications are also important aspects of management.
The document discusses infliximab, a biologic therapy for rheumatoid arthritis. Research showed that a mouse anti-TNF antibody inhibited joint inflammation and swelling in collagen-induced arthritis mouse models, demonstrating infliximab's effectiveness. Although human and animal diseases differ, infliximab reduced rheumatoid arthritis symptoms as observed in mouse models, proving it to be an effective biologic therapy despite the long development time.
This document provides information on organophosphate poisoning (OP poisoning) including:
1. OP poisoning is caused by potent nerve agents that inhibit the enzyme acetylcholinesterase. WHO reports millions of cases worldwide annually from accidental and intentional exposure.
2. Clinical manifestations range from mild symptoms like blurred vision and excess saliva to severe symptoms like convulsions, respiratory failure, and death. Treatment involves atropine administration to counteract acetylcholine accumulation along with other supportive care measures.
3. Complications can include intermediate syndrome causing respiratory muscle weakness and organophosphate-induced delayed polyneuropathy requiring long-term recovery support. Proper diagnosis, treatment, and psychiatric evaluation are important for
This document provides information about allergies and their treatment. It discusses what allergies are, the allergic reaction process, common types of allergies including food and environmental allergies. It describes allergy symptoms for different body systems. Diagnosis methods like skin prick tests and blood tests are mentioned. Treatment options discussed include medications like antihistamines, immunotherapy involving gradual exposure to allergens, and monoclonal antibody treatments. Anaphylaxis is defined as a severe allergic reaction requiring emergency epinephrine treatment.
This document discusses allergic rhinitis and its treatment. It defines allergic rhinitis as impaired nasal function after allergen exposure through IgE-mediated inflammation. It notes its prevalence is 10-25% and impacts include social, quality of life, school performance, and economic costs. It then discusses the pathophysiology of allergic rhinitis and the cells and mediators involved like mast cells, eosinophils, cytokines, and histamine. It provides an overview of symptoms and evaluates treatment options like immunotherapy, pharmacotherapy, and education. Medications discussed include antihistamines, intranasal corticosteroids, leukotriene receptor antagonists, and decongestants. It also
INVESTIGATION THE EFFECT OF PENTHYLENTETRAZOLE INDUCING EPILEPSY MODEL USING ...Self-employed researcher
This study investigated the anticonvulsant effects of Epilobium hirsutum extract in a pentylenetetrazole (PTZ)-induced seizure model in mice. Mice were pretreated with 100 or 200 mg/kg of E. hirsutum extract or valproate before being injected with PTZ. The extract increased seizure onset time and decreased duration compared to the PTZ group. Neurological tests and biochemical assays also showed the extract reduced oxidative stress and improved motor function versus PTZ. The results suggest E. hirsutum has anticonvulsant properties potentially due to its antioxidant compounds like flavonoids and phenolic acids.
This document discusses the history and physiology of labor analgesia. It provides an overview of the controversy around pain relief during labor and outlines both non-pharmacological and pharmacological options. Regional techniques like epidural analgesia are highlighted as the most effective methods with minimal effects on the fetus when used properly. The goals of labor analgesia and factors to consider when selecting drugs and techniques are also summarized.
This document provides information on anaphylaxis including its definition, clinical criteria, causes, pathophysiology, clinical features, diagnosis, differential diagnosis, and management. Anaphylaxis is defined as a serious allergic reaction that is rapid in onset and can cause death. It is caused by exposure to an allergen in sensitized individuals and involves the release of mediators from mast cells and basophils like histamine. Symptoms may include skin issues, low blood pressure, respiratory distress, and gastrointestinal symptoms. Epinephrine is the first line treatment to reverse its effects.
Pharmacotherapy in bronchial asthma and recent advancesDr Resu Neha Reddy
A 32-year-old female patient presented to the emergency room with acute dyspnea, dry cough, and wheezing. She has a history of recurrent similar attacks that are made worse by exercise and dust exposure. The document provides an overview of bronchial asthma including its history, pathophysiology, triggers, diagnosis, and pharmacotherapy. It discusses the inflammatory process and mediators involved in asthma as well as treatment options like bronchodilators, corticosteroids, leukotriene modifiers, and monoclonal antibodies.
The Subjective, Objective, Assessment and Plan (SOAP).the assessment will identify what the drug related/induced problem is likely to be and the reasoning/evidence behind it. This will include etiology and risk factors, assessments of the need for therapy, current therapy, and therapy options.
A 45-year-old male presented to the ICU with chest pain, sweating, backache and vomiting. Examination found normal vitals except elevated heart rate. Tests showed elevated cardiac enzymes and ECG changes consistent with ST-elevated myocardial infarction (STEMI). He was treated with fibrinolytics, anticoagulants, antiplatelets and beta blockers. Over subsequent days his symptoms improved and he was discharged on aspirin, clopidogrel, atorvastatin and metoprolol with counseling on cardiac risk factors and medications.
This document defines anaphylaxis and hypersensitivity reactions, describes the pathophysiology and etiology of anaphylaxis, and outlines signs/symptoms, diagnosis, and treatment. It discusses how anaphylaxis is a severe allergic reaction affecting multiple organ systems. Common triggers include foods, medications, insect bites, and latex. Diagnosis is based on symptoms occurring rapidly after exposure. Treatment involves epinephrine, antihistamines, corticosteroids, bronchodilators, and emergency management including CPR if needed.
Emergency Management of Local Anesthesia (Dentistry)Dr. Jasmine Singh
Hey Guys, this presentation was used during the webinar on 1st May 2020 (Friday). A quick revision of the basics and i have shared my experiences from the government hospital and we have seen the clinical and practical aspects on the management of the local anesthesia side effects such as -
Needle Prick Injury
Parathesia
Toxicity
Needle Breakage
Hematoma
Syncope
Allery
and we have seen the latest trends in the pain control.
Anaphylaxis is a severe, life-threatening allergic reaction that can affect multiple systems of the body simultaneously. It is caused by exposure to an allergen that leads to mast cell degranulation and release of inflammatory mediators. Symptoms may include respiratory distress, reduced blood pressure, skin changes, gastrointestinal issues, and circulatory problems. Treatment involves epinephrine injection, oxygen, intravenous fluids, antihistamines, glucocorticoids, and beta-agonists depending on symptoms. Management requires rapid diagnosis and treatment, monitoring for biphasic reactions, and alerting intensive care as anaphylaxis can be fatal if not properly managed.
The document discusses poisoning and toxicology. It defines poisoning as the harmful effects of exposure to toxic substances. Poisoning can occur through ingestion, inhalation, absorption, or injection. Common causes of poisoning include chemicals, household products, drugs, pesticides, plants, and animal bites. Symptoms and treatment depend on the specific toxin. Management involves decontamination, supportive care, and antidotes when available. The document focuses on organophosphate poisoning, noting treatment involves atropine and pralidoxime to counteract acetylcholinesterase inhibition.
Terapia dello Shock Anafilattico - AdrenalinaFilippo Fassio
The document discusses guidelines for the assessment and management of anaphylaxis. It emphasizes the importance of promptly diagnosing anaphylaxis and administering epinephrine as the first-line treatment. While epinephrine is essential, the evidence for managing anaphylaxis is limited compared to other conditions. The guidelines focus on basic initial treatment that can be provided even in low-resource settings. Oxygen supplementation, intravenous fluids, and monitoring vitals are also recommended components of anaphylaxis management.
Anaphylaxis is an acute multi-system allergic reaction that can involve the skin, airways, blood vessels, and gastrointestinal tract. It is a severe and immediate hypersensitivity reaction. The most common causes are foods, drugs, and insect bites or stings. Symptoms affect multiple body systems and can include skin issues like hives or swelling, respiratory issues like difficulty breathing, and cardiovascular issues like dizziness or fainting. Diagnosis is based on symptoms occurring after exposure to a potential trigger. Treatment involves epinephrine, antihistamines, corticosteroids, monitoring for several hours, and prevention through allergen avoidance and carrying emergency medication.
This document provides information on organophosphate poisoning including its definition, incidence, causes, pathophysiology, signs and symptoms, diagnosis, and management. Organophosphate poisoning occurs when organophosphate pesticides or nerve agents inhibit the enzyme acetylcholinesterase, leading to a buildup of acetylcholine in the nervous system. Initial treatment focuses on controlling symptoms through atropine administration and supporting respiratory and cardiac function. Proper decontamination and monitoring for complications are also important aspects of management.
The document discusses infliximab, a biologic therapy for rheumatoid arthritis. Research showed that a mouse anti-TNF antibody inhibited joint inflammation and swelling in collagen-induced arthritis mouse models, demonstrating infliximab's effectiveness. Although human and animal diseases differ, infliximab reduced rheumatoid arthritis symptoms as observed in mouse models, proving it to be an effective biologic therapy despite the long development time.
This document provides information on organophosphate poisoning (OP poisoning) including:
1. OP poisoning is caused by potent nerve agents that inhibit the enzyme acetylcholinesterase. WHO reports millions of cases worldwide annually from accidental and intentional exposure.
2. Clinical manifestations range from mild symptoms like blurred vision and excess saliva to severe symptoms like convulsions, respiratory failure, and death. Treatment involves atropine administration to counteract acetylcholine accumulation along with other supportive care measures.
3. Complications can include intermediate syndrome causing respiratory muscle weakness and organophosphate-induced delayed polyneuropathy requiring long-term recovery support. Proper diagnosis, treatment, and psychiatric evaluation are important for
This document provides information about allergies and their treatment. It discusses what allergies are, the allergic reaction process, common types of allergies including food and environmental allergies. It describes allergy symptoms for different body systems. Diagnosis methods like skin prick tests and blood tests are mentioned. Treatment options discussed include medications like antihistamines, immunotherapy involving gradual exposure to allergens, and monoclonal antibody treatments. Anaphylaxis is defined as a severe allergic reaction requiring emergency epinephrine treatment.
Similar to anaphylacticshock-130712220308-phpapp01.pdf (20)
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
Reimagining Your Library Space: How to Increase the Vibes in Your Library No ...Diana Rendina
Librarians are leading the way in creating future-ready citizens – now we need to update our spaces to match. In this session, attendees will get inspiration for transforming their library spaces. You’ll learn how to survey students and patrons, create a focus group, and use design thinking to brainstorm ideas for your space. We’ll discuss budget friendly ways to change your space as well as how to find funding. No matter where you’re at, you’ll find ideas for reimagining your space in this session.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
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Answers about how you can do more with Walmart!"
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
2. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
2
Definition
Anaphylaxis: Reactions sudden life-
threatening because the process
immonologic of allergen-antibody
reaction
Anaphylactoid Reaction causing physical
the same symptoms but caused no
immunological reaction
3. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
3
Alergen
APC MHC-II
Th0
IL-12/ IL-1
Th-2
Th.1
IL-1
TNF-β, IFN-γ
IL-2, IFN-γ
B-Cell
IL-4
IL-5
SEL PLASMA
SEL MEMORI
IL-6
IL-10
CTL
MHC-I
L
MEMORY CELLS
Aktifasi
Komplemen
Blocking Antibody
Precipitatigng
Aglutinating AB
Anafilaksis
27. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
27
Prevention
1. Pre vaccination screening:
(1)history of allergy to component of vaccines:
-egg,
-gelatin,
-antibiotics.
(2) healthy.
2. Anticipation
• Patient should be kept under supervision for
at least 15’.
• Ready Anaphylactic equipment
28. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
28
Management
1. Primary treatment
Adrenaline 1:1000 with a dose of 0.001 ml / kg
maximum: 0.3 ml subcutaneously
Tourniquet on the proximal shock / injection
Adrenaline can be repeated 3X every 15-20 '
Sprong oxygen nose / hoad box 2-3 L / min
Free the airway, neck hyper-extension position,
head tilted, suction mucus, monitor vital
signs
29. 29
•Place the patient at shock position
•Pulmonal Ressuscitation
•Oropharyngeal airway
•Tube endotrakeal
•Tracheostomy
•Cardiac compression
30. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
30
Adrenaline HCL Dose 1:1000
according age
Age Dose
2-6 Bulan 0.07 ml
12 Bulan 0.1 ml
18-48 Bulan 0.15 ml
5 Tahun 0.2 ml
6-9 Tahun 0.3 ml
10-13 Tahun 0.4 ml
>14 Tahun 0.5 ml
31. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
31
2. Complementary treatment
Intended for complications:
Seizures: diazepam, phenobarbital
Bronchial Spasm : Aminophylline 7 mg
dissolved in 10-20 ml of 0.9% NaCl
followed 9 mg/kg/24 hours (divided into 3
doses)
b-2 agonist: Ventolin nebulizer
32. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
32
3. Additional treatment
•Antihistamine (H1 Receptor antagonist): Benadril 2 mg/kg
i.m. continued with 3 mg/kg/24 jam oral (dibagi 3 dosis)
•H-2 receptor antagonist : Cimetidine
•Corticosteroid: Solukortef 4-7 mg/kg i.v. continued with 4-7
mg/kg/24 hour oral (devided 3 doses)
H1
H2
H3
H4
H1-antagonist
H2-antagonist
Histamin
35. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
35
Fluid therapy
• Kristaloid
• Koloid
“The most important is not the composition, but
rather the rate of administration”
In children: 30ml/kg hour I
Cardiac output
Dopamine 2-20 mg/kg/menit
36. Prof. DR.Dr.Ariyanto Harsono
SpA(K)
36
NB
• Tourniquet is released every 3 minutes
until symptoms resolved shock
• If the vaccine subcutaneously, may be
added adrenaline 0.005 ml / kg (max: 0.3
ml) at the injection site, one time only!