A Journey of 100s Miles to dream

Contents [ hide ] Guidelines for treatment of asthma   1.mild episode asthma- step 1   2.seasonal astma- step 2  3.mild chronic asthma with occasional exacerbations -step 2   4.moderate asthma with frequent excerbations -step 3  5.severe asthma -step 4,5 Step1 - inhaled short acting b2 agonist  Step 2 - low dose glucocorticoids or sodium chromoglyacate +inhaled long acting b2 agonist  Step 3- add leukotrine antagonist  Step 4 - inhaled high dose glucocorticoid+ipratropium bromide  Step 5 -add oral prednisolone +omalizumab Status asthmaticus  -medical energency condition Features  - chest pain,cynosis,bradycardia, hypotension,pulsus paradoxus Management  - correct dehydration  -O2 adminstration  -nebulise salbutamol and ipratropium bromide  -oral glucocorticoides  -if poor response is seen after one hour then following treatmanets are required •hospitalized the patient  •marked ventilation  •c...

Pulmonary tb is the bacterial infection of the lungs caused by mycobacterium tuberculosis... It can cause various symptoms like chest pain,difficulty in breadthing and severe coughing... Classiffication of drugs used in tuberculosis  1.first line drugs  -isoniazid(H)  -rifampicin(R)  -pyrazinimide(z)  -ethambutol(E)  -streptomycin(S)  2.second line drugs  -thiacetazone(tzn)  -para amino salicylic acide(pASA)  -ethionamide(etm)  -kanamycin(kmc)  -amikacin(am)  -capriyomycin(cpr)  3.second line newer drugs  -ciprofloxacin  -ofloxacin  -azithromycin  -clarithromycin  -rivabutn isoniazide  -first line anti tubercular drugs  -it is bacteriostatic for resting bacili and bactericidal for rapidlly diving organism -act on both extracelluar and intracellular tb bacilli  -MOA (inhibit the synthesis of mycolic acid which is present in the mycobacterial cel wall) -atypical mycobacteria are n...