Drug of choice ▪️OPTHALMOLOGY

Drug of choice
OPTHALMOLOGY

▪️Drug of choice for open-angle glaucoma - Prostaglandins analogs

▪️Drug of choice for closed-angle glaucoma - Acetazolamide

▪️Drug of choice for secondary glaucoma - Beta blocker

▪️Drug of choice for inclusion conjunctivitis - Ceftriaxone

▪️Drug of choice for trachoma - Azithromycin

▪️Drug of choice for primary open angle glaucoma (POAG) - Timolol

▪️Drug of choice for Xerostomia - Cevimeline

▪️Drug of choice for corneal ulcer - Cyclopentolate

▪️Drug of choice for hypertension with glaucoma - Timolol

▪️Drug of choice for iridocyclitis - Atropine

▪️Which beta blocker is the drug of choice in open angle glaucoma - Timolol

▪️Drug of choice for hepatic keratitis - Idoxuridine

▪️Drug of choice for fungal corneal ulcer - Natamycin

▪️Drug of choice for uveal herpetic keratitis - Acyclovir

▪️Drug of choice for preventing meiosis during cataract surgery - Flurbiprofrn

▪️Drug of choice for mild allergic conjunctivitis - Topical antihistaminics

▪️Drug of choice for decreasing intra ocular pressure before Osmotic diuretics (Eg: Manitol)

▪️Drug of choice for decreasing high intra ocular pressure - Osmotic diuretics

▪️Drug of choice for recurrent anterior uveitis - NSAID's

▪️Drug of choice for reducing intra ocular pressure in diabetes - Osmotic diuretics

Drug of choice URINARY SYSTEM

Drug of choice 

URINARY SYSTEM

▪️Drug of choice for RPGN - Cyclophosphamide

▪️Drug of choice for lupus nephritis - Cyclophosphamide

▪️Drug of choice for nephrotic syndrome - Steroids

▪️Drug of choice for steroid-resistant nephrotic syndrome - Cyclosporine 

▪️Drug of choice for steroid-dependent nephrotic syndrome - Cyclophosphamide 

▪️Drug of choice for urinary retention - Bethanechol

▪️ Drug of choice for enuresis - Imipramine

▪️Drug of choice for hemorrhagic cystitis - Mesna

▪️Drug of choice for patient allergic to thiazides and loop diuretics - Ethacrynic acid

▪️Drug of choice for forced alkaline diuresis - Furosemide 

▪️Drug of choice for cerebral edema - Mannitol (Osmotic diuretic)

▪️Drug of choice for malignant hypertension - Furosemide 

▪️Drug of choice for edema in liver cirrhosis - Furosemide

▪️Drug of choice for hypercalcemia - Furosemide (Loop diuretic)

▪️Drug of choice for edema in congestive heart failure - Furosemide

▪️Drug of choice for edema in renal failure - Furosemide 

▪️Drug of choice for idiopathic hypercalciuria - Thiazide (Eg: hydrochlorothiazide)

▪️Drug of choice for calciuria due to hyperparathyroidism - Thiazides

▪️Drug of choice for nephrogenic diabetes insipidus - Thiazides

▪️Drug of choice for lithium induced nephropathy - Thiazides 

▪️Drug of choice for hyperuricemia in renal failure - Allopurinol 

▪️Drug of choice for gout in renal failure - Allopurinol

▪️Drug of choice for lesh nyhan syndrome - Allopurinol

▪️Drug of choice for urate nephropathy - Allopurinol (Xanthine oxidase inhibitor)

▪️Drug of choice for alkalization of urine - Acetazolamide 

▪️Drug of choice for Conn's syndrome primary hyperaldosteronism Spironolactone

▪️Drug of choice for secondary hyperaldosteronism - Spironolactone 

▪️Drug of choice for thiazide induced hypoklemia - Spironlactone

List of emergency drugs to patients, purpose, procedure and risks

John Korsah

Q: List of emergency drugs to patients, purpose, procedure and risks

Some commonly used emergency drugs that healthcare providers may use in different situations:

▪️Epinephrine: used to treat severe allergic reactions, anaphylaxis, and cardiac arrest
▪️Aspirin: used to reduce the risk of heart attack and stroke
▪️Nitroglycerin: used to treat angina and heart attack
▪️Albuterol: used to treat asthma and other respiratory conditions
▪️Glucose: used to treat low blood sugar in diabetic patients
▪️Naloxone: used to reverse the effects of opioid overdose
▪️Atropine: used to treat bradycardia and some types of poisoning
▪️Diazepam: used to treat seizures and anxiety
▪️Lidocaine: used to treat ventricular arrhythmias and local anesthesia
▪️Dopamine: used to treat shock and low blood pressure.
▪️Adenosine: used to treat supraventricular tachycardia
▪️Calcium chloride: used to treat calcium channel blocker toxicity, hyperkalemia, and hypocalcemia
▪️Sodium bicarbonate: used to treat acidosis and some types of poisoning
▪️Ketamine: used for procedural sedation and analgesia, as well as for rapid sequence intubation in critically ill patients
▪️Heparin: used to prevent and treat blood clots
▪️Furosemide: used to treat congestive heart failure and fluid overload
▪️Morphine: used to treat severe pain, such as in the case of myocardial infarction or trauma
▪️Dextrose: used to treat hypoglycemia and to provide calories and fluids in critically ill patients.
▪️Amiodarone: used to treat ventricular arrhythmias and to stabilize the heart's rhythm during cardiac arrest
▪️Sodium nitroprusside: used to treat hypertensive crisis and congestive heart failure
▪️Epinephrine autoinjector: a self-administered injection used to treat anaphylaxis in patients with known allergies
▪️Activated charcoal: used to treat certain types of poisoning by absorbing toxins in the digestive tract
▪️Dexamethasone: used to treat severe allergic reactions, as well as some types of inflammation and swelling
▪️Magnesium sulfate: used to treat certain types of arrhythmias, as well as eclampsia and pre-eclampsia in pregnant women
Propranolol: used to treat high blood pressure, angina, and certain types of arrhythmias
▪️Rocuronium: used as a muscle relaxant during intubation and other medical procedures.
▪️Atropine sulfate: used to treat bradycardia and as a pre-medication prior to anesthesia
▪️Midazolam: used to treat seizures and anxiety, as well as for procedural sedation and analgesia
▪️Dexmedetomidine: used for sedation and analgesia in critically ill patients
▪️Propofol: used for anesthesia induction and maintenance, as well as for procedural sedation and analgesia
▪️Ketorolac: used to treat moderate to severe pain, such as in the case of post-operative pain or renal colic
▪️Ondansetron: used to treat nausea and vomiting, such as in the case of chemotherapy-induced nausea and vomiting
▪️N-acetylcysteine: used to treat acetaminophen toxicity and prevent liver damage
▪️Tranexamic acid: used to treat or prevent excessive bleeding, such as in the case of traumatic injury or surgery.

It is important to note that the use of these drugs should be guided by a healthcare professional who has training and experience in emergency medicine.

➡️ Purpose

The purpose of emergency drugs is to provide immediate medical intervention to address life-threatening or time-sensitive medical emergencies. These drugs are designed to quickly alleviate symptoms, stabilize vital signs, and prevent further complications until the patient can receive definitive treatment.

The use of emergency drugs is often necessary in situations such as cardiac arrest, severe allergic reactions, respiratory distress, trauma, and overdose. In these situations, the prompt administration of appropriate medications can be critical to saving the patient's life or preventing long-term damage.

Emergency drugs are typically administered by trained healthcare professionals who have the knowledge and skills to safely and effectively use these medications in emergency situations. However, in some cases, patients may be instructed to self-administer emergency drugs, such as in the case of an epinephrine autoinjector for severe allergic reactions.

It is important to note that emergency drugs should only be used when medically necessary and under the guidance of a qualified healthcare provider. The inappropriate use of emergency drugs can lead to serious complications and should be avoided.

➡️ Procedure

The procedure for administering emergency drugs varies depending on the drug and the specific medical emergency being treated. In general, the administration of emergency drugs involves the following steps:

▪️Assessment and diagnosis: The healthcare provider will assess the patient's condition and diagnose the medical emergency. This involves evaluating the patient's vital signs, medical history, and current symptoms.

▪️Drug selection: Based on the patient's diagnosis and medical history, the healthcare provider will select the appropriate emergency drug and dose.

▪️Preparation: The healthcare provider will prepare the emergency drug for administration, following the manufacturer's instructions for reconstitution and dilution if necessary.

▪️Administration: The healthcare provider will administer the emergency drug using the appropriate route of administration, which may include intravenous (IV), intramuscular (IM), subcutaneous (SC), or inhalation. The provider will monitor the patient's response to the medication and adjust the dose or route of administration if necessary.

▪️Monitoring: The healthcare provider will continue to monitor the patient's vital signs, symptoms, and response to treatment. They will also monitor for potential side effects or adverse reactions to the medication.

▪️Follow-up: After the administration of the emergency drug, the healthcare provider will continue to monitor the patient's condition and provide further treatment as needed. They may also provide instructions for follow-up care or referral to a specialist if necessary.

It is important to note that the administration of emergency drugs should only be performed by trained healthcare professionals who have the knowledge and skills to safely and effectively use these medications in emergency situations.

➡️ Risks

Like all medications, emergency drugs carry potential risks and side effects. Some of the risks associated with the use of emergency drugs include:

▪️Adverse reactions: Emergency drugs can cause adverse reactions such as allergic reactions, anaphylaxis, respiratory depression, and hypotension.

▪️Drug interactions: Emergency drugs may interact with other medications the patient is taking, potentially leading to adverse effects or decreased efficacy.

▪️Administration errors: Misuse or incorrect dosing of emergency drugs can lead to adverse effects, including severe side effects or treatment failure.

▪️Delayed definitive treatment: While emergency drugs can provide immediate relief and stabilize the patient's condition, they are not a substitute for definitive treatment. Delaying definitive treatment can lead to complications and worsen the patient's outcome.

▪️Masking underlying conditions: In some cases, the use of emergency drugs can mask underlying conditions, making it more difficult to diagnose and treat the underlying cause of the emergency.

It is important to note that the potential risks associated with the use of emergency drugs should always be weighed against the potential benefits of their use. Emergency drugs should only be used when medically necessary and under the guidance of a qualified healthcare provider with training and experience in emergency medicine.

 

Drug of choice CARDIOVASCULAR SYSTEM

Drug of choice
CARDIOVASCULAR SYSTEM

▪️Drug of choice for digoxin toxicity - Potassium

▪️1st line drug of choice for CHF- ACE inhibitors (Eg: Captopril, Enalapril)

▪️Drug of choice for rapid fast diuresis - Loop diuretics (Eg: Furosemide)

▪️Drug of choice for multi-focal atrial tachycardia - Verapamil (Calcium channel blocker)

▪️Drug of choice for paroxysmal supra-ventricular tachycardia (PSVT) - Adenosine (Anti-arrhythmic agent)

▪️Drug of choice for supra-ventricular tachycardia (SVT) - Verapamil

▪️Drug of choice for digitalis-induced ventricular arrhythmia - Lignocaine (Anti-arrhythmic agent)

▪️Drug of choice for ventricular arrhythmias - Lidocaine

▪️Drug of choice for ventricular tachycardia and fibrillation - Lidocaine

▪️Drug of choice for ventricular extra-systole - Beta blocker (Eg: Atenolol)

▪️Drug of choice for atrial fibrillation - Digitalis

▪️Drug of choice for maintaining sinus rhythm - Amiodarone (Anti-arhythmic agent)

▪️Drug of choice for Wolff-Parkinson-white syndrome - Procainamide or Amiodarone

▪️Drug of choice for digitalis-induced arrhythmia - Lignocaine

▪️Drug of choice for acute left ventricular failure - I.V Furosemide

▪️Drug of choice for the scleroderma induced hypertensive crisis - ACE inhibitors

▪️Drug of choice for acute long QT syndrome - MgSO4

▪️Drug of choice for congenital long QT syndrome - Beta blocker

▪️Drug of choice for hypertension with peripheral vascular disease - Calcium channel blockers

▪️Drug of choice for the Hypertensive emergency - Sodium nitroprusside (Vasodilator)

▪️Drug of choice for malignant hypertension - Nitroprusside (Vasodilator)

▪️Drug of choice for producing controlled hypotension - Sodium nitroprusside

▪️Drug of choice for pulmonary hypertension - Bosentan

▪️Drug of choice for atrial flutter and fibrillation - Ibutilide

▪️Drug of choice for paradoxical tachycardia - Digoxin (Digitalis glycosides)

▪️Drug of choice for angina - Nitrates (Vasodilator)

▪️ Drug of choice for prophylaxis of stable angina - Beta blockers

▪️Drug of choice for variant angina - Calcium channel blockers (Eg: Verapamil)

▪️Drug of choice for the cardiogenic shock with renal failure - Dopamine

▪️Drug of choice for pulmonary edema with Congestive heart failure (CHF) - Furosemide (Loop diuretic)

▪️Drug of choice for rheumatic fever - Benzathine, Penicillin

▪️Drug of choice for TOF - Morphine

▪️Drug of choice for reducing mortility in CHF - Spironolactone

▪️Drug of choice for inotropic effect - Dobutamine

▪️Drug of choice for a hypertensive patient with benign prostatic hyperplasia (BPH) - Alpha 1 Blocker (Eg: Prazosin, Terazosin, Doxazosin, Alfuzosin)

▪️Drug of choice for perioperative arrhythmias - Esmolol (Cardio selective beta blocker)

What is NURSING SCIENCE?

What is NURSING SCIENCE?

At primary level 

At a primary level, nursing science refers to the study of the basic principles and practices of nursing. It involves learning about the foundational concepts of nursing, such as the nursing process, patient assessment, and communication skills, as well as the scientific basis for nursing interventions and treatments.

Nursing science is a field of study that integrates knowledge from the natural, social, and behavioral sciences to understand and promote health and wellness. It involves the application of critical thinking, problem-solving, and evidence-based practice to provide safe and effective care to individuals, families, and communities.

In essence, nursing science is the study of how nurses can best care for patients, using a scientific approach to inform their practice. It involves learning about the human body and mind, as well as the environmental and social factors that can impact health and well-being. By understanding these factors, nurses can develop effective strategies to help patients achieve and maintain optimal health.

At Intermediate 

At an intermediate level, nursing science builds upon the foundational concepts and principles learned at the primary level. It involves a deeper exploration of the biological, psychological, and social sciences that underpin nursing practice.

Intermediate-level nursing science courses may cover topics such as pathophysiology, pharmacology, mental health nursing, and community health nursing. Students will learn about the underlying mechanisms of disease and the physiological effects of medications, as well as how to identify and manage mental health disorders.

In addition to learning about the science of nursing, intermediate-level nursing students will also develop their clinical skills through supervised practice in a variety of healthcare settings. They will learn how to assess patients, develop care plans, administer medications, and provide other nursing interventions.

Therefore Intermediate-level nursing science courses aim to provide students with a comprehensive understanding of the scientific basis for nursing practice, as well as the skills and knowledge needed to provide safe and effective care to patients across the lifespan.

At Pre advanced level 

At a pre-advanced level, nursing science continues to build upon the foundational and intermediate concepts and skills learned in previous levels, with a focus on further developing critical thinking and clinical reasoning skills.

Pre-advanced nursing science courses may include topics such as leadership and management in nursing, nursing research and evidence-based practice, and advanced pathophysiology and pharmacology. These courses aim to provide students with a more in-depth understanding of the complex biological, psychological, and social factors that can impact health outcomes, and how to apply this knowledge to the development of nursing interventions and treatment plans.

In addition to classroom learning, pre-advanced nursing students will typically engage in supervised clinical practice in a variety of healthcare settings, gaining experience in managing complex patient cases and working collaboratively with other healthcare professionals.

At this level, students may also have the opportunity to specialize in a particular area of nursing, such as critical care, pediatrics, or oncology, through elective courses or clinical placements.

Therefore pre-advanced nursing science courses prepare students to take on more complex roles within healthcare organizations and to become leaders in their field, with the knowledge and skills needed to make evidence-based decisions and provide the highest quality of care to their patients.

At Advanced level 

At an advanced level, nursing science focuses on preparing students to assume leadership roles in healthcare organizations, conduct research, and contribute to the development of nursing theory and practice.

Advanced nursing science courses may include topics such as healthcare policy and ethics, advanced nursing research and statistics, and population health and epidemiology. Students will learn about the complex social, economic, and political factors that influence healthcare systems and how to develop and implement strategies to improve patient outcomes and promote health equity.

In addition to classroom learning, advanced nursing students will typically engage in extensive clinical practice, including specialized clinical rotations and preceptorships. They may also have the opportunity to conduct research and participate in interdisciplinary collaborations with other healthcare professionals.

Advanced nursing students may choose to specialize in a particular area of nursing practice, such as nurse practitioner, clinical nurse specialist, nurse educator, or nurse researcher. These roles require advanced knowledge and skills in areas such as patient assessment, diagnosis and treatment, and the development and implementation of evidence-based interventions.

Therefore advanced nursing science programs prepare students to take on complex leadership roles in healthcare organizations, conduct research that contributes to the advancement of nursing practice, and make significant contributions to the health and well-being of individuals, families, and communities.

Colon and Rectal Surgeons

Colon and Rectal Surgeons

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Colon and rectal surgeons, also known as proctologists or colorectal surgeons, are medical doctors who specialize in the diagnosis and treatment of conditions affecting the colon, rectum, and anus. They are experts in the surgical and non-surgical management of a wide range of disorders, including colorectal cancer, inflammatory bowel disease, hemorrhoids, anal fissures, and fecal incontinence.

Colon and rectal surgeons undergo extensive training in general surgery and then complete additional training in the specialized field of colorectal surgery. They may also pursue additional subspecialty training in areas such as pelvic floor disorders or surgical oncology.

These specialists use a variety of techniques to manage colorectal conditions, including minimally invasive procedures such as laparoscopy and robotic surgery, as well as traditional open surgery. They work closely with other medical professionals, such as gastroenterologists and oncologists, to provide comprehensive care for their patients.

Types: 

There are various types of conditions that colon and rectal surgeons can diagnose and treat. Some of the common conditions they manage include:

1. Colorectal cancer: This is a type of cancer that affects the colon or rectum. Colon and rectal surgeons play a crucial role in the diagnosis, staging, and treatment of this condition.

2. Inflammatory bowel disease: This is a group of conditions that cause chronic inflammation of the digestive tract, including Crohn's disease and ulcerative colitis. Colon and rectal surgeons work closely with gastroenterologists to manage these conditions and may perform surgery when necessary.

3. Anal conditions: This includes conditions such as hemorrhoids, anal fissures, and anal abscesses. Colon and rectal surgeons can diagnose and treat these conditions using a variety of techniques, including surgery.

4. Rectal prolapse: This is a condition where the rectum protrudes through the anus. Colon and rectal surgeons can perform surgical procedures to correct this condition.

5. Fecal incontinence: This is the inability to control bowel movements. Colon and rectal surgeons may use various treatments, including medications and surgery, to manage this condition.

6. Pelvic floor disorders: This includes conditions such as rectocele, cystocele, and vaginal prolapse. Colon and rectal surgeons may work with other specialists, such as urogynecologists, to manage these conditions.

Roles

Colon and rectal surgeons play several important roles in the diagnosis, treatment, and management of conditions affecting the colon, rectum, and anus. Some of these roles include:

1. Diagnosis: Colon and rectal surgeons use a variety of diagnostic tools to identify conditions affecting the colon and rectum, such as colonoscopies, sigmoidoscopies, and biopsies.

2. Treatment: Depending on the diagnosis, colon and rectal surgeons may use a variety of treatment options, such as medications, minimally invasive procedures, or surgery. They work closely with patients to develop an individualized treatment plan based on their unique needs.

3. Surgery: Colon and rectal surgeons are experts in surgical techniques for the treatment of conditions affecting the colon, rectum, and anus. They may use minimally invasive techniques such as laparoscopy or robotic surgery to minimize recovery time and discomfort for their patients.

4. Follow-up care: After treatment, colon and rectal surgeons provide ongoing care and monitoring for their patients to ensure that they continue to receive the appropriate care for their condition.

5. Patient education: Colon and rectal surgeons play an important role in educating their patients about their condition and treatment options. They help patients make informed decisions about their care and empower them to take an active role in their health.

Therefore colon and rectal surgeons play a vital role in the management of conditions affecting the colon, rectum, and anus. 

Their expertise and specialized training enable them to provide high-quality, individualized care to their patients.

Drug of choice RESPIRATORY SYSTEM

Drug of choice 

RESPIRATORY SYSTEM

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• Drug of choice for COPD - Anticholinergics (Eg:Tiotropium)

• First line drugs for tuberculosis - Rifampicin, Isoniazid, Pyrazinamide, Ethambutol, Streptomycin (RIPES)

• Drug of choice for testing bronchial hyperactivity - Methacholine (Non- selective muscarinic receptor agonist)

• Drug of choice for pulmonary edema with Congestive heart failure (CHF) - Furosemide (Diuretic)

• Drug of choice for a vasodilatory shock - Norepinephrine

• Drug of choice for persistent hiccups - Carbon Dioxide

• Drug of choice for apnea in premature infants - Theophylline 

• Drug of choice for exercise induced asthma - Mast cell stabilizers (Eg: Sodium Cromoglycate) 

• Drug of choice for asprin induced asthma - Leukotriene antagonist (Eg: Montelukast)

• Drug of choice for starting treatment of asthma - Inhaled beta 2 agonist (Eg: salmeterol) 

• Drug of choice for bronchospasm with COPD - Ipratropium Bromide

•Drug of choice for smoking cessation - Nicotine 

• Drug of choice for liquefying plaques of sputum in patients with cystic fibrosis - Acetylcysteine

• Drug of choice for temporal arteritis - Corticosteroid -  Sodium

• Drug of choice for prophylaxis of exercise induced asthma chromoglycate

• Drug of choice for pulmonary edema - Furosemide

• Drug of choice for dry itchy cough - Codeine

• Drug of choice for acute asthma attack - Salbutamol (Short acting Selective Beta2-adrenergic receptor agonist) 

• Drug of choice for persistent asthma - Inhaled corticosteroid

• Drug of choice for an asthmatic patient with hypertension - Amlodipine

• Drug of choice for Pneumocystis carinii - Cotrimoxazole

• Drug of choice for suppression of cough - Dextromethorphan 

• Drug of choice for ACE inhibitor induced cough - Asprin

• Drug of choice for asthma in diabetes - Ipratropium

• Drug of choice for beta blocker induced bronchospas - Ipratropium bromide

• Drug of choice for mild persistent - Inhaled low dose corticosteroid or Mast cell stabilizers or leukotrienes antagonist

• Drug of choice for moderate persistent asthma - Inhaled corticosteroid with long acting beta 2 agonist

• Drug of choice for severe persistent asthma - High dose Inhaled corticosteroid (ICS) + Long acting beta 2 agonists (LABA) +Oral corticosteroid

• Drug of choice for poorly controlled asthma - Theophylline

• Drug of choice for prophylaxis of asthma - Sodium cromoglycate (Mast cell stabilizer)