Types of Shock- Medical Shock Types Explained

~~Table of Contents(toc)~~

Introduction

Shock is a condition in which there is inadequate blood supply to tissue of the body.

It is also defined a generalized hypoperfusion.

In other words it is lack of supply of oxygen to the body as demanded by the tissue.

Types of
Shock

Cardiogenic
Obstructive
Hypovolemic
Distributive

Septic
Anaphylactic
Neurogenic

Continue reading Types of Shock- Medical Shock Types Explained

NHPC Seventh License Examination Result Notice 2080

NHPC has published notice for result of PCL level licensing examination 2080 held on 14 th an 15 th Bhadra.

seventh license examination result

Click here to check NHPC result

ADA Hypoglycemia Classification 2022

ADA Hypoglycemia Classification

~~Table of Contents (toc)~~

Introduction

Hypoglycemia is a condition in which there is low sugar in our blood.

How does insulin work?

Insulin is a hormone secreated by pancreatic beta cells. It acts via specific
membrane-bound receptors on target tissues of our body to regulate metabolism
of carbohydrate, protein, and fats.

Target organs for insulin include the liver, skeletal muscle, and adipose
tissue.

Classification of hypoglycemia (ADA 2022):

Here is classification given by ADA 2022.

Level 1:

54 to 70 mg/dL (SI: 3 to 3.9 mmol/L)
hypoglycemia alert value
initiate fast-acting carbohydrate (eg, glucose) treatment.

Level 2:

<54 mg/dL (SI: <3 mmol/L)
Threshold for neuroglycopenic symptoms
Requires immediate action.

Level 3:

Hypoglycemia associated with a severe event characterized by altered
mental and/or physical status requiring assistance.

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NHPC Notice Regarding Attendence on Time

Table of Contents (toc)

NHPC Notice regarding atttendence on time

सुचना

नेपाल स्वास्थ्य व्यवसायी परिषद् (नेपाल स्वास्थ्य व्यवसायी परिषद् ऐन, २०५३ बमोजिम स्थापित!)

ओर बाँसबारी, काठमाडौंको समयमा नै उपस्थित हुनको लागि सम्बन्धित सबैमा जानकारीकों लागि सूचना !

प्रकाशित मिति – २०८०/०५ /११

यस परिषदद्वारा मिति २०८० साल भाद्र १५ देंखि २० गते सम्म संचालन हुन लागेको सातों नाम दर्ता

प्रमाणपत्र परीक्षाकों समय र परीक्षा केन्द्र समेत प्रकाशन भई सकेको अवस्थामा हाल देशका बिभिन्न

स्थानहरुमा बर्षाकों कारण बाढी पहिरो गई सार्वजनिक यातायात बन्द हुने अवस्थालाई ख्याल राख्दै

परीक्षार्थहरु समयमा ने परीक्षा केन्द्रमा उपस्थित हुन नसकक्ने भएको कारणले परीक्षा दिनबाट बन्चित हुन

सकने अवस्थालाई मध्यनजर गरी परीक्षा दिने परीक्षार्थीहरू आफ्नो समय तालिका अनुसार केहि दिन अगावै

काठमाण्डौमा उपस्थित भई आफ्नो समय तालिका अनुसार परीक्षा केन्द्रमा हाजिर हुन सम्बन्धित सबैमा

जानकारीको लागि यो सूचना प्रकाशित गरिएको छ।

परीक्षा समिति

Itching Home Treatment in Nepali

चिलाउने रोगको घरेलु उपचार

~~Table of Contents (toc)~~

परिचय

चिलाउनु एक सामान्य रुपमा बारम्बार देखिरहने लक्षण हो। यो रोगभन्दा पनि लक्षण हो।

यो प्राय छालाका रोग, पुरै सरीरको रोग, नसाको रोग र मानसिक रोगमा देखिन सक्छ।

चिलाउनुका कारणहरु

चिलाउनुका कारणहरु निम्न हुन सक्छन।

Inflammation
Bites
Stings
Infestations
Infections
Cancers and Neoplasia
Genetic
Uncatagorized other

(Source: Uptodate )

चिलाउनुका कारणहरु

बुढ्यौलि उमेर
लिंग

कसरि चिलाउछ? चिलाएको कसरि थाहा हुन्छ?

योनि चिलाउने समस्या

शेव गरिएको योनि चिलाउन सक्छ।

योनि संक्रमण र योनि चिलाउने समस्या

Ekg Considered a Diagnostic Test

Is an EKG considered a diagnostic test?

~~Table of contents(toc)~~

EKG or ECG
stands for Electrocardiogram. It is electronic record in a graph paper of the
electrical activity of heart.

It can be used to detect and diagnose many more heart diseases and possible
future diseases.

One of the most important emergency use of ECG is to detect and diagnose heart
attack or Myocardial infarction.

How far back can an EKG detect a heart attack?

EKG or ECG cannot detect heart attack before it has happened. But it sure can
diagnose the conditions and diseases that can lead to heart attac kincluding
hypertensive changes and more.

ECG can hep us diagnose ischemic and ischemic changes(along with many more
diseases and conditions)

Basic purpose of ECG in case of heast attack is to diagnose heart attack or
ischmia while it is happening or has happened so that we can take
inntervention before it has completely killed the heart muscles.

How is an ecg performed on a woman?

Performing the ECG in woman is same as men.

The only difference in woman is presence of the breasts so that we may need to
move the breasts slightly to the different side or slightly upp to expose the
desired area and put the chest leads there. (check image)

Heart attack ECG vs normal?

Basically there can be three changes in ECG that may suggest heart attack or
myocardial infarction.

They include:

T wave abnormalities
ST segment changes
New onsset or changes in Q waves

ST elevation heart attack ecg vs normal

Please check the images for ST elevation and normal ECG.

If ecg is normal can you still have heart problems?

Yes. ECG does not always detect the heart issues. Various other
modalities need to be used to complete eveluation of an organ . For
heart they may include ECG, Echocardiography (echo), Holter, TreadMill
test(TMT), 18 lead ECG, Coronanry angiography (CAG), MRI of Heart and
many more.

How long does an ekg take to perform?

This may take 5 min – 10 mis depending on the facility, technician and
the type of ECG machine used.

EKG shows previous heart attack

Yes EKG can diagnose previous heart attack. Check the below ECGs
which are of previou Heart attack.

In ECG with previous
heart attack following changes can be noted :

Q waves
T wave changes
Arrhythmias
Blocks and many more

In acute setting you should be able to differentiate new and old
ECG changes, compare with old ECGs if available and treat as new
if not sure to save life.

ECG or EKG difference?

They are different terms used for same thing and are pronounced same
in full form . They both stand for ELECTROCARDIOGRAM.

What does an ekg look like in a heart attack?

In heart attack ECG looks like in following pictures.

T wave changes
ST changes
Q waves

If ECG is normal, is my heart ok?

As describes above this cannot be guarabteed and should be clinically
correlated.

Multiple investigation modalities should be used to diagnose and manage heart
condition relalting to previous findings and clinical correlation .

But ECG or EKG is a good screenning test for heart diseases and is very good
diagnostic test for heart attacks, arrhythmias, heart blocks, hypertrophy and
other pathologies.

Conclusion

In conclusion, ECG or EKG is not a complete diagnostic test as there are many
more dedicated to heart diseases but it is a very good test to start with due
to its ease, cheapness, unharmfulness, and less time comsuming nature.

Also, now a days all health care workers are taught to read the ECG and hence
this will help diagnose the common disease early.

Thank you for reading.

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It can be used to detect and diagnose many more heart diseases and possible future diseases.

One of the most important emergency use of ECG is to detect and diagnose heart attack or Myocardial infarction.”
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Basic purpose of ECG in case of heast attack is to diagnose heart attack or ischmia while it is happening or has happened so that we can take inntervention before it has completely killed the heart muscles.”
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Amino Acid Mnemonics

20 Amino Acid Mnemonics (amino acids mnemonics)

~~(toc)Table of Content~~

What are amino acids?

Amino acids are group of chemical coumponds that are used to make protein. Hence they are also called building blocks of the protein. In other words proteins are the polymes of amino acids.

There are 20 different types of amino acids that are found in our body .

Basically these 20 aminoa cids in different combinations make all the proteins and lipoproteins in oour body.

Mnemonic to remember Essential Amino Acids: PVT TIM HALL

(Read as “Private Team Hall”)

P Phenylalanine
V Valine
T Threonine
T Tryptophan
I Isoleucine
M Methionine
H Histidine
A Arginine
L Leucine
L Lycine

Basic amino acids

Histidine
Arginine
Lysine

NHPC seventh License examination Notice 2080

NHPC seventh License examination Notice

NHPC seventh License examination Notice: Name registration

NHPC has published notice of seventh licensing examination for different courses.

You can check the notice in their website as we..

नेपाल स्वास्थ्य व्यवसायी परिषद्

(नेपाल स्वास्थ्य व्यवसायी परिषद् ऐन, २०५३ बमोजिम स्थापित)

बाँसबारी, काठमाडौंको सातौं (Licensing Examination)

प्रकाशित मिति :- २०८०/०४/३०

यस परिषदको परीक्षा समितिको मिति २०८०/०४/२९ गतेको निर्णय अनुसार परिषदबाट संचालन हुने स्नातकोत्तर, स्नातक र प्रमाणपत्र तहको नाम दर्ता प्रमाणपत्र परीक्षा मिति २०८० साल भाद्र महिनाको १४ देखि २० गते सम्म संचालन हुने व्यहोरा सम्बन्धित सबैमा जानकारीको लागी यो सूचना प्रकाशित गरिएको छ |

साथै परीक्षा तालिका, प्रवेश-पत्र, परीक्षा केन्द्र र थप अन्य जानकारीको लागि परिषदको आधिकारिक Website www.nhpc.gov.np, Facebook Page Nepal Health Professional Council मा सूचनाहरु प्रकाशन गरि जानकारी गराईनेछ ।

संयोजक परीक्षा समिति, नेपाल स्वास्थ्य व्यवसायी परिषद

NHPC नेपाल स्वास्थ्य व्यवसायी परिषद् 7th exam date

मिति २०८० साल भाद्र महिनाको १४ देखि २० गते सम्म

Contact me for commando class

Treatment of Diabetes (Sugar)

How to do best Treatment of Diabetes (Sugar)

What is diabetes?

Diabetes is a chronic medical condition characterized by high levels of blood sugar (glucose). This occurs either because the body doesn’t produce enough insulin (a hormone that regulates blood sugar) or because the cells don’t respond properly to the insulin that is produced. Insulin is necessary for the body to effectively use glucose as a source of energy.

There are three main types of diabetes:

Type 1 Diabetes: T

his is an autoimmune condition where the body’s immune system attacks and destroys the insulin-producing cells in the pancreas. People with type 1 diabetes need to take insulin injections or use an insulin pump to manage their blood sugar levels.

Type 2 Diabetes:

This is the most common form of diabetes and is often associated with lifestyle factors like obesity, sedentary behavior, and poor diet. In type 2 diabetes, the body becomes resistant to the effects of insulin, and the pancreas might not produce enough insulin to keep blood sugar levels in check. It can often be managed through lifestyle changes, oral medications, and sometimes insulin injections.

Gestational Diabetes:

This type of diabetes occurs during pregnancy and usually resolves after the baby is born. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life.

Treatment of Diabetes Options

Exercise
Diet
Medicines

Insulin
Oral medicines Continue reading Treatment of Diabetes (Sugar)

Diabetic Diet: Cutting Carbs in Diabetic Diet?

Nutrition in diabetes: Diabetic Diet and Carbs?

Practice MCQs on Diabetes mellitus here

Introduction to Diabetes

Green Salad

Balanced diabetic diet: Low in sugar, rich in fiber. Prioritize veggies, lean proteins. Control portions for stable blood sugar. Stay healthy

Carbohydrate

(40-60% of total energy intake)
Glycemic index (GI) of a carbohydrate-containing food measure of the change in blood glucose following its ingestion
Consumption of foods with a low GI Produce a slow, gradual rise in blood glucose
basmati rice, spaghetti
porridge, noodles
granary bread, beans & lentils

Fat

<35% of the total energy intake
Minimal trans fat consumption

Protein

10-15% (do not exceed 1 g/kg body weight)
High protein diet deteriotes renal function
Low-calorie and sugar-free drinks are useful for patients with diabetes
Sucrose-containing foods may be consumed with adjustments in insulin dose

Please contact us for more on diaetes.

Role of exercise on diabetes is described here.

Diabetes treatment.