This document discusses pediatric drug dosages and principles of antibiotic use and selection. It provides guidelines for calculating drug dosages based on weight and age. Specific dosages are given for analgesics like aspirin, paracetamol, and ibuprofen. Principles of multidrug therapy and antibiotic combinations are covered. Details are provided on administering injections including site selection, needle size, preparation, and post-injection observation.
This document provides guidance on medication administration including the five rights and tips for oral and injectable medications. It discusses assessing patients' ability to take oral medications and ensuring the right patient, medication, dosage, route and time. Tips are provided for preparing oral medications at the bedside and checking medications. Calculating dosages using tablets and vials is explained. Intramuscular and subcutaneous injection sites and techniques are outlined along with working with insulin vials. Students are assigned worksheets to practice for lab this week.
Injections can be administered via several routes including subcutaneous, intramuscular, intravenous, and intradermal. The key components of a syringe include the barrel, plunger, and tip. Medications can be drawn up from ampules or vials using aseptic technique. Intramuscular injections are administered at a 90 degree angle into muscle sites like the deltoid, gluteus maximus, or vastus lateralis. Subcutaneous injections are given at a 45-90 degree angle into the subcutaneous tissue. Intradermal injections involve injecting a small volume into the dermis to produce a wheal for diagnostic purposes.
Assessment of knowledge and practice of diabetic patients towards insulin t...AfrahAwad1
This study assessed the knowledge and practices of diabetic patients on insulin therapy in Khartoum, Sudan. It surveyed 385 diabetic patients across several hospitals and clinics. The study found that most patients injected insulin into their thighs or arms but that many did not properly change injection sites. It also found that while most knew the symptoms of low blood sugar, many did not correctly understand how to prepare an insulin dose or the proper injection technique. The study recommends better educating patients about disease management, insulin preparation and administration, storage, and expiration dates to improve outcomes.
Details about subcutaneous injection. We know about subcutaneous injection but do we know about the right information? Maybe you know, I here try to upgrade your current knowledge about the topic. Here, we discuss about the indications, contraindications, precautions, procedure, nursing care plan of subcutaneous injection, complications and many more. Feel free to learn.
Thanks
The document discusses various topics related to drug dosage including:
1. Usual and pediatric drug dosages are determined based on factors like age, weight, organ function. Drugs are dosed individually for neonates, elderly, and patients with organ impairment.
2. Several methods calculate pediatric dosages including based on body surface area, age, and weight using formulas like Young's and Fried's.
3. Dosage definitions include single dose, total daily dose, usual adult/pediatric doses, and effective/toxic concentrations. Routes of drug administration and household measures for doses are also outlined.
This document discusses important considerations for accurately calculating drug dosages, including understanding drug labels, concentration formulas, and methods for calculating pediatric dosages. It emphasizes reading all aspects of the drug label, such as the name, strength, and expiration date. For calculating dosages, it presents the formula for intravenous drugs and explains methods like Clark's Rule, Young's Rule, and Fried's Rule for tailoring dosages for pediatric patients based on their age and weight. Special equipment and techniques are also outlined for safely administering oral medications to children.
Oseltamivir for Injection USP Taj Pharma SmPCTajPharmaQC
Oseltamivir 12mg/ml Powder for Oral Suspension Taj Pharma: Uses, Side Effects, Interactions, Pictures, Warnings, Oseltamivir Dosage & Rx Info | Oseltamivir Uses, Side Effects Vecuronium bromide: Indications, Side Effects, Warnings, Oseltamivir-Drug Information –Taj Pharma, Oseltamivir dose Taj pharmaceuticals Oseltamivir interactions, Taj Pharmaceutical Oseltamivir contraindications, Oseltamivir price, Oseltamivir Taj Pharma Oseltamivir SmPC-Taj Pharma Stay connected to all updated on Oseltamivir Taj Pharmaceuticals Mumbai. Patient Information Leaflets, SmPC.
IM injections is an important skill needed for nurses to front-line in their job. this power-point gives all needed information for the students to learn about intramuscular administration of drugs.
This document provides guidance on medication administration including the five rights and tips for oral and injectable medications. It discusses assessing patients' ability to take oral medications and ensuring the right patient, medication, dosage, route and time. Tips are provided for preparing oral medications at the bedside and checking medications. Calculating dosages using tablets and vials is explained. Intramuscular and subcutaneous injection sites and techniques are outlined along with working with insulin vials. Students are assigned worksheets to practice for lab this week.
Injections can be administered via several routes including subcutaneous, intramuscular, intravenous, and intradermal. The key components of a syringe include the barrel, plunger, and tip. Medications can be drawn up from ampules or vials using aseptic technique. Intramuscular injections are administered at a 90 degree angle into muscle sites like the deltoid, gluteus maximus, or vastus lateralis. Subcutaneous injections are given at a 45-90 degree angle into the subcutaneous tissue. Intradermal injections involve injecting a small volume into the dermis to produce a wheal for diagnostic purposes.
Assessment of knowledge and practice of diabetic patients towards insulin t...AfrahAwad1
This study assessed the knowledge and practices of diabetic patients on insulin therapy in Khartoum, Sudan. It surveyed 385 diabetic patients across several hospitals and clinics. The study found that most patients injected insulin into their thighs or arms but that many did not properly change injection sites. It also found that while most knew the symptoms of low blood sugar, many did not correctly understand how to prepare an insulin dose or the proper injection technique. The study recommends better educating patients about disease management, insulin preparation and administration, storage, and expiration dates to improve outcomes.
Details about subcutaneous injection. We know about subcutaneous injection but do we know about the right information? Maybe you know, I here try to upgrade your current knowledge about the topic. Here, we discuss about the indications, contraindications, precautions, procedure, nursing care plan of subcutaneous injection, complications and many more. Feel free to learn.
Thanks
The document discusses various topics related to drug dosage including:
1. Usual and pediatric drug dosages are determined based on factors like age, weight, organ function. Drugs are dosed individually for neonates, elderly, and patients with organ impairment.
2. Several methods calculate pediatric dosages including based on body surface area, age, and weight using formulas like Young's and Fried's.
3. Dosage definitions include single dose, total daily dose, usual adult/pediatric doses, and effective/toxic concentrations. Routes of drug administration and household measures for doses are also outlined.
This document discusses important considerations for accurately calculating drug dosages, including understanding drug labels, concentration formulas, and methods for calculating pediatric dosages. It emphasizes reading all aspects of the drug label, such as the name, strength, and expiration date. For calculating dosages, it presents the formula for intravenous drugs and explains methods like Clark's Rule, Young's Rule, and Fried's Rule for tailoring dosages for pediatric patients based on their age and weight. Special equipment and techniques are also outlined for safely administering oral medications to children.
Oseltamivir for Injection USP Taj Pharma SmPCTajPharmaQC
Oseltamivir 12mg/ml Powder for Oral Suspension Taj Pharma: Uses, Side Effects, Interactions, Pictures, Warnings, Oseltamivir Dosage & Rx Info | Oseltamivir Uses, Side Effects Vecuronium bromide: Indications, Side Effects, Warnings, Oseltamivir-Drug Information –Taj Pharma, Oseltamivir dose Taj pharmaceuticals Oseltamivir interactions, Taj Pharmaceutical Oseltamivir contraindications, Oseltamivir price, Oseltamivir Taj Pharma Oseltamivir SmPC-Taj Pharma Stay connected to all updated on Oseltamivir Taj Pharmaceuticals Mumbai. Patient Information Leaflets, SmPC.
IM injections is an important skill needed for nurses to front-line in their job. this power-point gives all needed information for the students to learn about intramuscular administration of drugs.
The document provides instructions for various methods of parenteral drug administration including intravenous push, intramuscular injection, and subcutaneous injection. It describes the procedures for each method including necessary equipment, sites of injection, steps for administration, and potential complications. Intravenous push involves injecting medication directly into the intravenous line. Intramuscular injections are administered into muscle tissue, with recommended sites being the deltoid, ventrogluteal, dorsogluteal, rectus femoris, and vastus lateralis muscles. Subcutaneous injections involve injecting medication into the subcutaneous tissue, with common sites being the upper arm, abdomen, front of the thigh, upper back, and upper buttock.
Topical medications are applied directly to body surfaces like the skin, eyes, ears, nose, and rectum. There are many classes of topical medications including creams, ointments, patches, and sprays. The administration of topical medications requires following safety procedures like wearing gloves, applying the correct dose to the right site, and educating the patient. Special considerations are needed for administering eye drops, ointments, and ear drops to ensure the safe and proper application of these topical medications.
Angina pectoris is a syndrome characterized by sudden severe pressing substernal chest pain or heaviness radiating to the neck, jaw, back and arms.
Those drugs used to prevent, abort or terminate angina are anti angina drugs.
Different medications must be absorbed to be effective. For absorption, the drug must be administered in proper manner. To choose a route of administration we need to relate the dosage form, the advantages and disadvantages etc.
This document provides information on injection technique. It begins by explaining that giving injections safely requires knowledge in various areas like anatomy, pharmacology, and communication skills. It then defines what an injection is and identifies the main parts of a syringe. The document proceeds to discuss skin anatomy and different injection sites. It provides details on intradermal, subcutaneous, and intramuscular injection techniques, including needle and syringe selection, administration steps, and recommended sites for each. Proper hand washing and infection control are emphasized throughout.
This document discusses restraint, drug administration, and blood withdrawal techniques for experimental animals. It describes various physical and chemical restraint methods, including the basic four-finger hold and one-handed restraint technique. Several routes of drug administration are outlined, such as intramuscular, subcutaneous, intraperitoneal, intravenous, and oral gavage. Blood withdrawal techniques including retro-orbital, saphenous vein, and lateral tail vein collection are also summarized. The purpose is to inform personnel on limiting stress to animals during experimental procedures.
This document discusses parenteral products, which are sterile preparations intended for administration through routes other than the digestive tract. The key advantages of parenteral products are their ability to deliver medications to unconscious patients, bypass the digestive system for medications that cannot be taken orally, and achieve 100% bioavailability without passing through the liver. However, parenteral administration requires aseptic technique and trained personnel, carries risks of pain, injury or infection, and has higher costs than other forms of delivery. The document outlines various parenteral routes including intravenous, intramuscular, subcutaneous, and intradermal, describing appropriate needle sizes and injection sites and angles for each.
Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle. In medicine, it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections. Medication administered via intramuscular injection is not subject to the first-pass metabolism effect which affects oral medications.
Understanding and Managing MOUNJARO® Therapy for PharmacistsFeba Joseph
The objective of this presentation is to provide medical professionals with detailed information about MOUNJARO® (tirzepatide), a unique therapeutic option for type 2 diabetes. Highlights include detailed instructions for administering MOUNJARO® vial and pen techniques effectively, allowing healthcare professionals to adequately assist patients. To ensure the medication's efficacy and safety, the presentation will cover critical subjects such as dosage adjustments, storage, and handling instructions. The presentation will address both mild and large side effects, as well as recommendations on how to report, monitor, and manage them in order to ensure patient safety. It also goes over patient education strategies such as adherence guidelines and the need of combining MOUNJARO® with lifestyle changes like exercise and diet. Through this presentation, attendees will be equipped with the knowledge to support patients in the effective use of MOUNJARO®, enhancing therapeutic outcomes and managing the challenges of type 2 diabetes.
This document provides information on safe injection practices for nurses. It discusses ensuring safety for patients, providers, and the community. Key aspects of safe injection include using sterile syringes and needles, proper disposal of used equipment, and immunizing healthcare workers against diseases like hepatitis B. The document also reviews best practices for different types of injections including intradermal, subcutaneous, and intramuscular injections. It describes appropriate needle sizes, injection sites on the body, and maximum volumes for different age groups. The goal is to educate nurses on techniques that prevent disease transmission and protect all parties involved in injection procedures.
This document provides information about the drug PERISET, which contains ondansetron hydrochloride. It is used to manage nausea and vomiting induced by chemotherapy, radiotherapy, post-operative nausea and vomiting (PONV), and other conditions. The document discusses the drug's indications, dosage, administration routes, side effects, use in pregnancy and lactation, pediatric use, target doctors, and market information. It positions PERISET as an effective and safe option for controlling nausea and vomiting in various clinical settings, including for children and post-cardiac surgery patients.
Oxytocin is a hormone that is used medically to induce and augment labor. It works by causing contractions of the uterus. It can be administered through intravenous infusion, with dosage protocols varying based on whether the patient is primigravid or multigravid. The hormone also acts in other areas like stimulating milk ejection and playing a role in social behaviors. While oxytocin induction and augmentation is widely used, it requires careful monitoring to avoid side effects from uterine hyperstimulation like fetal distress.
Ondansetron Oral Solution IP 2mg-5ml Manufacturers, Suppliers in India.pdfTajPharmaIndia
Ondansetron is used to treat nausea and vomiting caused by chemotherapy. It is also used to prevent or treat nausea and vomiting after surgery.
Ondansetron should be considered for infants and children age six months and older who present to the ED with vomiting related to suspected acute gastroenteritis, and who have mild to moderate dehydration or who have failed oral rehydration therapy.
Standing orders and protocols of obstetric emergencies approved by MOHFWjagadeeswari jayaseelan
The document discusses standing orders, which are written orders signed by a licensed practitioner that allow nurses to provide specific care for symptoms or clinical problems without a new direct order. Examples of situations where standing orders may be used include administration of immunizations, treatment of common health issues, screening activities, and orders for lab tests. The document also provides several examples of specific standing orders related to obstetric care, postpartum care, and newborn care.
This document discusses medication administration through different routes. It begins by outlining the 10 rights of medication administration and various drug preparations. It then describes several routes of administration including oral, rectal, parenteral, topical, inhalation, ophthalmic, and otic. Specific procedures for intramuscular and intradermal injections are also provided, with steps for administering the injections and locating appropriate injection sites.
Pediatric Drug calculations |drug calculation formulasNEHA MALIK
Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). Care must be taken to properly convert body weight from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. Doses are often expressed as mg/kg/day or mg/kg/dose, therefore orders written "mg/kg/d," which is confusing, require further clarification from the prescriber.
Ondansetron 4 mg film coated tablets smpc- taj pharmaceuticalsTaj Pharma
This document provides information on the drug Ondansetron 4 mg film-coated tablets, produced by Taj Pharmaceuticals, including its uses, dosage, side effects and interactions. It is indicated for managing nausea and vomiting from chemotherapy and radiotherapy as well as preventing postoperative nausea and vomiting in adults and children. The dosage varies depending on the condition being treated, age of the patient, and other factors. Precautions are outlined for patients with hepatic or renal impairment, QT prolongation issues, or who are taking other serotonergic drugs.
Topical drug administration involves applying medications locally to areas like the skin, eyes, ears, nose, and mucous membranes. It allows for local drug effects with fewer systemic side effects. Methods include direct application of liquids, insertions into body cavities, instillations, irrigations, and sprays. Proper topical administration requires following the rights of medication administration, preparing the application site, educating the patient, carefully applying the medication, documenting, and monitoring for side effects.
Topical drug administration involves applying medications locally to areas like the skin, eyes, ears, nose, and mucous membranes. It allows for local drug effects with fewer systemic side effects. Methods include direct application of liquids, insertions into body cavities, instillations, irrigations, and sprays. Proper topical administration requires following the rights of medication administration, preparing the application site, educating the patient, carefully applying the medication, documenting, and monitoring for side effects.
The document provides instructions for various methods of parenteral drug administration including intravenous push, intramuscular injection, and subcutaneous injection. It describes the procedures for each method including necessary equipment, sites of injection, steps for administration, and potential complications. Intravenous push involves injecting medication directly into the intravenous line. Intramuscular injections are administered into muscle tissue, with recommended sites being the deltoid, ventrogluteal, dorsogluteal, rectus femoris, and vastus lateralis muscles. Subcutaneous injections involve injecting medication into the subcutaneous tissue, with common sites being the upper arm, abdomen, front of the thigh, upper back, and upper buttock.
Topical medications are applied directly to body surfaces like the skin, eyes, ears, nose, and rectum. There are many classes of topical medications including creams, ointments, patches, and sprays. The administration of topical medications requires following safety procedures like wearing gloves, applying the correct dose to the right site, and educating the patient. Special considerations are needed for administering eye drops, ointments, and ear drops to ensure the safe and proper application of these topical medications.
Angina pectoris is a syndrome characterized by sudden severe pressing substernal chest pain or heaviness radiating to the neck, jaw, back and arms.
Those drugs used to prevent, abort or terminate angina are anti angina drugs.
Different medications must be absorbed to be effective. For absorption, the drug must be administered in proper manner. To choose a route of administration we need to relate the dosage form, the advantages and disadvantages etc.
This document provides information on injection technique. It begins by explaining that giving injections safely requires knowledge in various areas like anatomy, pharmacology, and communication skills. It then defines what an injection is and identifies the main parts of a syringe. The document proceeds to discuss skin anatomy and different injection sites. It provides details on intradermal, subcutaneous, and intramuscular injection techniques, including needle and syringe selection, administration steps, and recommended sites for each. Proper hand washing and infection control are emphasized throughout.
This document discusses restraint, drug administration, and blood withdrawal techniques for experimental animals. It describes various physical and chemical restraint methods, including the basic four-finger hold and one-handed restraint technique. Several routes of drug administration are outlined, such as intramuscular, subcutaneous, intraperitoneal, intravenous, and oral gavage. Blood withdrawal techniques including retro-orbital, saphenous vein, and lateral tail vein collection are also summarized. The purpose is to inform personnel on limiting stress to animals during experimental procedures.
This document discusses parenteral products, which are sterile preparations intended for administration through routes other than the digestive tract. The key advantages of parenteral products are their ability to deliver medications to unconscious patients, bypass the digestive system for medications that cannot be taken orally, and achieve 100% bioavailability without passing through the liver. However, parenteral administration requires aseptic technique and trained personnel, carries risks of pain, injury or infection, and has higher costs than other forms of delivery. The document outlines various parenteral routes including intravenous, intramuscular, subcutaneous, and intradermal, describing appropriate needle sizes and injection sites and angles for each.
Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle. In medicine, it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections. Medication administered via intramuscular injection is not subject to the first-pass metabolism effect which affects oral medications.
Understanding and Managing MOUNJARO® Therapy for PharmacistsFeba Joseph
The objective of this presentation is to provide medical professionals with detailed information about MOUNJARO® (tirzepatide), a unique therapeutic option for type 2 diabetes. Highlights include detailed instructions for administering MOUNJARO® vial and pen techniques effectively, allowing healthcare professionals to adequately assist patients. To ensure the medication's efficacy and safety, the presentation will cover critical subjects such as dosage adjustments, storage, and handling instructions. The presentation will address both mild and large side effects, as well as recommendations on how to report, monitor, and manage them in order to ensure patient safety. It also goes over patient education strategies such as adherence guidelines and the need of combining MOUNJARO® with lifestyle changes like exercise and diet. Through this presentation, attendees will be equipped with the knowledge to support patients in the effective use of MOUNJARO®, enhancing therapeutic outcomes and managing the challenges of type 2 diabetes.
This document provides information on safe injection practices for nurses. It discusses ensuring safety for patients, providers, and the community. Key aspects of safe injection include using sterile syringes and needles, proper disposal of used equipment, and immunizing healthcare workers against diseases like hepatitis B. The document also reviews best practices for different types of injections including intradermal, subcutaneous, and intramuscular injections. It describes appropriate needle sizes, injection sites on the body, and maximum volumes for different age groups. The goal is to educate nurses on techniques that prevent disease transmission and protect all parties involved in injection procedures.
This document provides information about the drug PERISET, which contains ondansetron hydrochloride. It is used to manage nausea and vomiting induced by chemotherapy, radiotherapy, post-operative nausea and vomiting (PONV), and other conditions. The document discusses the drug's indications, dosage, administration routes, side effects, use in pregnancy and lactation, pediatric use, target doctors, and market information. It positions PERISET as an effective and safe option for controlling nausea and vomiting in various clinical settings, including for children and post-cardiac surgery patients.
Oxytocin is a hormone that is used medically to induce and augment labor. It works by causing contractions of the uterus. It can be administered through intravenous infusion, with dosage protocols varying based on whether the patient is primigravid or multigravid. The hormone also acts in other areas like stimulating milk ejection and playing a role in social behaviors. While oxytocin induction and augmentation is widely used, it requires careful monitoring to avoid side effects from uterine hyperstimulation like fetal distress.
Ondansetron Oral Solution IP 2mg-5ml Manufacturers, Suppliers in India.pdfTajPharmaIndia
Ondansetron is used to treat nausea and vomiting caused by chemotherapy. It is also used to prevent or treat nausea and vomiting after surgery.
Ondansetron should be considered for infants and children age six months and older who present to the ED with vomiting related to suspected acute gastroenteritis, and who have mild to moderate dehydration or who have failed oral rehydration therapy.
Standing orders and protocols of obstetric emergencies approved by MOHFWjagadeeswari jayaseelan
The document discusses standing orders, which are written orders signed by a licensed practitioner that allow nurses to provide specific care for symptoms or clinical problems without a new direct order. Examples of situations where standing orders may be used include administration of immunizations, treatment of common health issues, screening activities, and orders for lab tests. The document also provides several examples of specific standing orders related to obstetric care, postpartum care, and newborn care.
This document discusses medication administration through different routes. It begins by outlining the 10 rights of medication administration and various drug preparations. It then describes several routes of administration including oral, rectal, parenteral, topical, inhalation, ophthalmic, and otic. Specific procedures for intramuscular and intradermal injections are also provided, with steps for administering the injections and locating appropriate injection sites.
Pediatric Drug calculations |drug calculation formulasNEHA MALIK
Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). Care must be taken to properly convert body weight from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. Doses are often expressed as mg/kg/day or mg/kg/dose, therefore orders written "mg/kg/d," which is confusing, require further clarification from the prescriber.
Ondansetron 4 mg film coated tablets smpc- taj pharmaceuticalsTaj Pharma
This document provides information on the drug Ondansetron 4 mg film-coated tablets, produced by Taj Pharmaceuticals, including its uses, dosage, side effects and interactions. It is indicated for managing nausea and vomiting from chemotherapy and radiotherapy as well as preventing postoperative nausea and vomiting in adults and children. The dosage varies depending on the condition being treated, age of the patient, and other factors. Precautions are outlined for patients with hepatic or renal impairment, QT prolongation issues, or who are taking other serotonergic drugs.
Topical drug administration involves applying medications locally to areas like the skin, eyes, ears, nose, and mucous membranes. It allows for local drug effects with fewer systemic side effects. Methods include direct application of liquids, insertions into body cavities, instillations, irrigations, and sprays. Proper topical administration requires following the rights of medication administration, preparing the application site, educating the patient, carefully applying the medication, documenting, and monitoring for side effects.
Topical drug administration involves applying medications locally to areas like the skin, eyes, ears, nose, and mucous membranes. It allows for local drug effects with fewer systemic side effects. Methods include direct application of liquids, insertions into body cavities, instillations, irrigations, and sprays. Proper topical administration requires following the rights of medication administration, preparing the application site, educating the patient, carefully applying the medication, documenting, and monitoring for side effects.
Storyboard on Skin- Innovative Learning (M-pharm) 2nd sem. (Cosmetics)MuskanShingari
Skin is the largest organ of the human body, serving crucial functions that include protection, sensation, regulation, and synthesis. Structurally, it consists of three main layers: the epidermis, dermis, and hypodermis (subcutaneous layer).
1. **Epidermis**: The outermost layer primarily composed of epithelial cells called keratinocytes. It provides a protective barrier against environmental factors, pathogens, and UV radiation.
2. **Dermis**: Located beneath the epidermis, the dermis contains connective tissue, blood vessels, hair follicles, and sweat glands. It plays a vital role in supporting and nourishing the epidermis, regulating body temperature, and housing sensory receptors for touch, pressure, temperature, and pain.
3. **Hypodermis**: Also known as the subcutaneous layer, it consists of fat and connective tissue that anchors the skin to underlying structures like muscles and bones. It provides insulation, cushioning, and energy storage.
Skin performs essential functions such as regulating body temperature through sweat production and blood flow control, synthesizing vitamin D when exposed to sunlight, and serving as a sensory interface with the external environment.
Maintaining skin health is crucial for overall well-being, involving proper hygiene, hydration, protection from sun exposure, and avoiding harmful substances. Skin conditions and diseases range from minor irritations to chronic disorders, emphasizing the importance of regular care and medical attention when needed.
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
Home
Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
BBB and BCF
control the entry of compounds into the brain and
regulate brain homeostasis.
restricts access to brain cells of blood–borne compounds and
facilitates nutrients essential for normal metabolism to reach brain cells
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
2. Pediatric drug doses
Drug combinations
Choice & rationale of antibiotic therapy
3. Drugs play a vital role in protecting,
maintaining and restoring the health of
people, if used rationally.
Most drugs are chemicals and their
indiscriminate consumption may lead to
toxicity and adverse reactions
4. Principles of prescribing drugs
i There should be a genuine indication for the use
of a drug in the patient.
ii A minimum number of appropriate, familiar, and
inexpensive drugs of good quality should be
used.
iii Drugs should preferably be prescribed by
generic name.
iv The dosage of the drug should be optimum to
achieve the desired clinical benefits.
v It is desirable to administer drugs as far as
possible through oral route in children
5. Drug dosages
Non-Narcotic Analgesics
Aspirin. Anti-inflammatory dose in rheumatic disease
~ 90-130 mg/kg/D PO q 4 h.
Antipyretic dose: 30-60mg/kg/ q 4-6 h.
Salicylates should be avoided on empty stomach.
Side-effects. Hypersensitivity, hypo-
thrombocytopenia. salicylate use and Reye' s
encephalopathy.
Therefore, use for upper respiratory tract infection
and fevers undetermined origin in children is not
advisable.
6. . Combination of antibiotic agents may be
necessary when the causative agent is not
known
7. Multidrug therapy is indicated to prevent
bacterial resistance to individual drugs during
long-term management of tuberculosis and
leprosy and also to reduce toxicity of
individual drugs.
Bactericidal drugs ordinarily act best when
the organism is actively multiplying.
Therefore, bacteriostatic drugs are not the
best agents to combine with bactericidal
drugs.
8. Examples of true synergism are rare;
the most notable exception being
co-trimoxazole
incorporating trimethoprim and
sulphamethoxazole.
9. ParacetamoI.15mg/kg/dose, every 5-6hours.if
fever is more than 100*f. tepid sponging
40-60 mg/kg/D PO q 4-6 h
.Inj 5 mg/kg 1M.
Side-effects. Skin rashes, hepatotoxicity.
Occasionally renal damage.
Ibuprofen. 20-30 mg/kg/ day q 6-8 h oral
Avoid infants <6 months age. Side-effects.
Nausea, vomiting rashes.
Nimesulide. 5 mg/kg/D q 8-12 h.
Side effects.Hepatic enzyme elevation. Use
with caution ; hepatocellular disease or when
combining with anothe hepatotoxic drug. Safety
not established in children und 6 mo of age.
10. Narcotic Analgesics (Opioids)
Fentanyl. 0.5-5 kg/kg/dose q 1-4 h IV, as a
continuous infusion 1-5kg/ kg/h. Potent,narcotic
analgesic, 0.1 mg dose possesses an
equivalent analgesic activity to 10 mg of
morphine.
Pentazocine. 0.5 to I mg/kg per dose 4 times a
day
(30-60 mg 1M equivalent to 10 mg of morphine.
Orally 5 mg equals 60 mg of codeine).
Contraindications Hepatic injury, raised
intracranial tension, porphyria.
Codeine. For pain: 3 mg /kg/D PO q 4 h. For
cough 0.2 mg/kg/ dose 4 hourly.
Pethidine. 1-2 mg/kg/dose 1M or IV
11. IN H.PYLORI
I. Omeprazole+ amoxicillin+ clarithromycin
2.Omeprazole+ Amoxycillin + Metronidazole
3. Omeprazole+ Clarithromycin +
Metronidazole
12. Amikacin = 15mg/kg/day 2div im/ iv
Asprin = 40- 65mg/kg/day 4 div
rheumatic 65-120mg/kg/day 4div
Ampicillin=mod.inf.100mg/kg/day4divim/iv
sev.inf. 200mg/kg/day
Ampicillin+sulbactum = 50-100mg/kg/day
3div iv over 30minute
13. Amoxicillin = 40-50mg/kg/day 2div
in areas of resistance 70-80mg/kg
Neonate 20-40mg/kg/day in 3div
amox+clavulinic acid = 25+5mg/kg/24 iv 3div
Adrenaline = 0.01mg/kg/dose sc
Artemether 1.6mg/kg twice/dayim followed by
1.6/kg od x5days
14. Azithromycin 10mg/kg/dayx 5days
10mg/kg day one
5mg/kg 2 to 5days
Aminophyllin 5mg/kg/dose stat
1-2mg/kg/dose 3times maintenance
Atarax hydroxyzine 0.5/kg/day
16. To calculate amount of infusion.
1ML = 15-16 macro drops
1ml = 60 micro drops
Amount of ml x 60
_____________________________
No of hours x 60
= micro drops/ minute
17. Amount of ml x 16
_______________________________
No of hours x 60
= macro drops/ minute
21. Weight / Height
3months –12months age months + 9
2
1 years—6years age in years x(2+8)
7 years—14 years age in years x(7-5)
2
1year 75cms
2—12years age in years x +77
22. New drug in cardiac failure
Levosimendan is a inodilator may be useful in
refractory cardiac failure, refractory pulmonary
hypertension and dilated cardio myopathy.
a pyridazone dinitrile derivative.
Two actions –
enhance cardiac contractility (calcium sensitization.)
23. causes venous , arterial and coronary
vasodilation , probably by opening
ATP-sensitive potassium channels in
smooth muscle.
Levosimendan may help in decreasing
the need for long term inotropic support
and act as a bridge to heart transplant .
Levosimendan with its long half-life
appears to be a promising ‘once a
week’ inotrope.
25. A dose of 60 milligram of Tamiflu medicine is
given to those whose body weight is
between 23 and 40 kg,
while a 45 milligram dose is given to children
between 15 kg and 23 kg.
A 30 milligram dose is given to those whose
body weight is below 15 kg.
26. SITE OF INJECTION
It varies according to the age of the recipient and
the vaccine/drug effect may be
enhanced/diminished.
All complications of nerve injury and muscle
contracture of injection are also site dependant.
The preferred site for injections in pediatric
patients are anterolateral aspect of thigh and
the deltoid region.
27. Vaccines should never be given in the gluteal
region, as gluteal fat retards absorption.
The preferred site for 1M injection in children.
the target muscle is Vastus Lateralis.
The injection is given on anterolateral aspect of
thigh, middle third portion between greater
trochanter and lateral femoral condyle.
28. Subcutaneous Injections
Subcutaneous injections are usually
administered into the thigh of infants and in
the deltoid area of older children and adults.
A 5.8- to 3.4” 25- to 26/27- gauge needle
should be inserted into the tissues below the
dermal layer of the skin.
29. Intramuscular Injections
.The preferred sites for intramuscular injections
are the anterolateral aspect of the upper thigh
and the deltoid muscle of the upper arm.
• The anterolateral gluteal area should not be
used routinely for active vaccination of
infants, children or adults because of the
potential risk of injury to the sciatic nerve.
30. Hand washing
--is an important prerequisite for
administration of safe injections.
Effective hand washing technique involves
three stages; preparation, washing and
rinsing & drying.
Preparation requires wetting hands under
tepid running water before applying liquid
soap or an antimicrobial preparation.
The hand wash solution must come in
contact with all the surfaces of the hand.
31. The hands must be rubbed together vigorously for
a minimum of 10-15 seconds, paying particular
attention to the tips of the fingers, the thumbs and
the areas between the fingers.
Hands should be rinsed thoroughly .
Dab the hands prior to drying with pre-sterilized
and clean towels or allowed to air dry.
Apply an emollient hand cream regularly to protect
skin from the drying effects of regular hand
decontamination.
32.
33. If swabs are used to clean the skin they
should be used in an inside out semicircular
movement or, top to bottom without returning
to the site. In most cases though the recipient
may be asked to wash the site prior to
injecting.
If alcohol is used for cleaning, it should be
allowed to dry before injection is given.
The site of injection is cleansed in a circular
outward motion with a clean cotton swab
dipped in alcohol.
The site is allowed to dry before injecting .
If alcohol is not available soap & water may
be used.
34.
35. DELTOID MUSCLE
This is the alternate site for children above 3years.
The injection is given 3-5 cm below the acromion
process or midway between acromion process
and deltoid insertion.
The muscle space is adequate for low volume'
injections. If not positioned properly there) is a
potential , for injury to axillary and radial nerves
and posterior circumflex humeral vessels.
Triceps muscle should never be used since radial,
brachial and ulnar nerves and profunda brachii
artery are under the muscle.
36. POSITIONING
This is important to ensure that the pain is
less and also there is no injury to the provider
and the patient.
Thigh: Child may be laid supine or be held
on adult's (mother's) lap.
Deltoid: Child may be held on adult's lap.
The part should be completely exposed and the
child positioned such that the target muscle is
fully relaxed.
37.
38. Sizeofneedles recommended as per lAP ACIP
guidelines .
1M Injection:
23Gx25mm--most children
26Gx16mm—pre-term and small babies
23Gx38mm—obese child.
Subcutaneous-- 23 x 25mm
Intradermal-26/27Gx16mm
39. There is no need to aspirate before injecting in
immunization. The vaccine should be injected at a
moderate rate of around 1 mil 1 0 see.
40.
41. Toddlers and Older Children: The deltoid may be
used if the muscle mass is adequate. The needle
size 22 to 25 gauge and from 5/8 to 11/4 inches,
based on the size of the muscle. As with infants, the
anterolateral thigh may be used, but the needle
should be longer- generally ranging from 7/8 to 11/4
inches.
Adults: The deltoid is recommended for routine
intramuscular vaccination among adults, particularly
for Hepatitis B vaccine. The suggested needle size
is 23G x 1 ".
42. POST INJECTION PRECAUTIONS
After emptying medication wait for 10
seconds before withdrawing next time.
Withdraw the needle with a smooth and
steady movement. Apply gentle pressure with
a gauze for a few seconds.
Do not rub the area for site cleaning and
post injection. Do not use alcohol/spirit swab
which may cause burning sensation.
43. MULTIPLE INJECTIONS
Use separate syringe and needle for each injection:
If more than one preparation is administered or if
vaccine and an immunoglobulin preparation are
administered simultaneously, it is preferable to
administer each at a different anatomic site.
It is also preferable to avoid administering two
intramuscular injections in the same limb, especially if
DPT is one of the products administered.
However, if more than one injection must be
administered in a single limb, the anterolateral aspect
of thigh is usually the preferred site because of the
greater muscle mass; the injections should be
sufficiently separated (i.e., 1-2 inches apart) so that any
local reactions are unlikely to overlap.
44. POST INJECTION:
The child should be observed for 15 minutes.
The recipient should be explained to look out
for complication, both immediately and 2-4
hours later if possible. Instruct parents
regarding self management of minor
reactions and to report if any major problem
arises.