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Some physicians depend on ketamine only in endotracheal intubation without usage of neuromuscular blocker, is it correct?

March 19, 2025 2
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Ketamine or atracurium

For endotracheal intubation, what is preferred ketamine or atracurium or we can use both together?

March 19, 2025 2
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Difference between ringer, ringer Lactate and ringer acetate?

When I can use ringer, ringer acetate or ringer Lactate?

March 13, 2025 2
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Alternative to MgSO4

Is there  an alternative to magnesium sulfate inhalation in children < 2y in case of severe exacerbation not responding to usual regimen?

March 5, 2025 2
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Pulmicort interval

Budesonide inhalation can not be used more than 2 times daily, even in severe respiratory symptoms. Admixtures of budesonide with ipratropium (Atrovent), and admixtures of budesonide and albuterol (salbutamol),...

March 4, 2025 2
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Gast-Reg dose

In Gast-Reg pamphlet, there is a dose for children starting from 2 years, Is it correct to use it before 12 y old?

March 4, 2025 2
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Pulmicort interval

Can Pulmicort mixed with other inhaled drugs like Atrovent or Farcolin and taken Q 6 -8 hr

March 4, 2025 2
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Sensitivity to light

In EMC reference, Vancomycin is sensitive to light, if that is correct, why all Vancomycin available in market is in a transparent vials?

March 4, 2025 2
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Deescalation of antibiotics

If culture takes around 5 days and the patient is clinically improved using empirical antibiotics, can I continue ttt using empirical antibiotics?

February 16, 2025 5
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Deescalation of antibiotics

1.Is case improvement an indication for deescalation of antibiotics? 2.What is the correct ,complete empirical antibiotics or use antibiotics found sensitive in blood culture?

February 16, 2025 2
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Blood culture

10-y old girl, admitted with pneumonia, two cultures were drawn Blood culture with result G+ve cocci (CONS) Sputum culture with result G-ve bacilli ( Enterobacter MDR) How cal I deal with these results?

February 2, 2025 2
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Synergism effect

Is there synergistic effect between cephalosporin and penicillin groups of antibiotics,  and cover what spectrum?

January 23, 2025 2
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Diflucan ttt

5-mo baby, 5.5 kg, admitted with typical pneumonia, on cefotax for 1 day, and shifted to Cefepime. CRP -ve WBCs 10 mainly Lymphocytosis Blood culture not available yet Normal temperature Immunoglobulin...

January 22, 2025 2
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She is presented with pneumonia for the second time, history of one time admission (NICU admission), slight difficulty in learning with no follow-up with neurology Physician, no suiezers. Recent bleeding...

January 16, 2025 2
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Antibiotics

10-y old girl with disturbed conscious level, PH 7.27 , CRP 48 TLC 10 GRAN% 18.7 Controlled temperature, severe secretions No blood culture available yet ON ceftriaxone for 1 day, Physician changes...

January 16, 2025 2
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Hepatitis A

What is the most safe antihistaminic drug for children with HAV, and is there any vaccine can be used after infection with HAV?

January 14, 2025 2
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Change antibiotics

1.5 y child was admitted with pneumonia, ttt on ceftriaxone for 10 days and azithromycin for 5 days, now pneumonia patches are still present with difficult breathing, Recent blood culture: no growth...

December 29, 2024 2
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I am sorry, I don't have such reliable source, so I asked about it. Thank you

December 8, 2024 2
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Please, can I ask for references?

December 8, 2024 2
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Mucophylline

Is Acyphylline piperazine [Mucophylline] is still used in paediatric?

December 8, 2024 2
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