Chronic Alcoholic continued case
How to tackle such severe hypokalemia and hypoantremia in a chronic alcoholic patient with Hb 6.6, having megaloblastic anemia? Management Give your valuable opinion for this case
Pt is alcoholic and having hb6.6gm reflects pt has CLD Hyponatremia and hypokalamia are significant reflecting deranged KFTS Compensate electrolyte imbalance by inj NS inj kcl Orally pt has to be on tab resodium or salt caps Kcl syp or k-gard can replace iv kcl Inj b12 for megaloblastic anaemia Clinically looks to be hepatorenal failure Hence further workout and modify line of treatment
Possibly absorption defect/ enteropathy. Iv kesol replacement is expected. Though prognosis is not good in such cases.
Rx Liv 52 tab 2tid Galo ghan tab 2tid Amyron tan 2tiSH tab 1 bd
Adv admission in hospital 1)Megaloblastic anemia causes of cld with chronic alcoholic B12 level,folic acid level,iron study,stool r/m,USG abd and pelvis , endoscopy SOS Rx tab folvit 5mg bd*1month Tab limce 500 mg bd*15 days Inj vitcofol 2 cc I'm alternate days*5 days Then ones a week 2cc into 4 weeks Tab zental 400 mg od*2daya Alcohol stop 2) hyponatremia- 3% nacl with salt capsule 2cap qds with increased salt intake 3) hypokalaemia- inj kcl daily morning night*2days Syp kcl bd continue Daily morning night electrolyte After 10 days CBC repeat
Hypokalemia is treated with oral or intravenous potassium. To prevent cardiac conduction disturbances, intravenous calcium is administered to patients with hyperkalemic electrocardiography changes In general, hyponatremia is treated with fluid restriction (in the setting of euvolemia), isotonic saline (in hypovolemia), and diuresis (in hypervolemia). A combination of these therapies may be needed based on the presentation. Hypertonic saline is used to treat severe symptomatic hyponatremia.
NEED'S.. HOSPITALIZATION.. ELECTROLYTES.. BT ..
1) Blood transfusion 2 bottles Hyponetremia Inj Na Cl Hypkelemia Inj kesol followed by Liq Kesol Correct urgently
Admit in advance set up Give iv NA and K
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10 Health Benefits of Mangoes awesomecuisine.com Apr 16, 2018 6:16 AM The bright season is back and there are several reasons for us to be excited about it. This is a season of warmth, sweat, holidays and our favourite mangoes. We bet most of us are eagerly counting the days to caress the yellow, succulent beauty and ravage it until we are satisfied. We greedily grab mangoes to relish the toothsome fruit, but little do we know the numerous benefits this fruit has in store.  Here is why our mothers and grandmothers have been raving about the king of fruits – Prevents cancer Consuming mangoes everyday is a delicious way to make you immune to cancer. Mangoes contain abundant quantities of antioxidant elements. Terpenoids, carotenoids, polyphenols, ascorbic acid and gallic acid prevent breast, colon, prostrate and several kinds of cancer. Mangoes are gifted with unique compounds that cannot be found in any other fruits. Mangiferin compound present in mangoes is another reason for the fruit’s anti-cancer properties. This compound inhibits the growth of cancer and tumour cells. Immunity booster Mangoes are a rich source of beta-carotone and vitamin A. These carotenoids improve your overall health and make you resistant to bacteria and viruses. They fight free radicals and prevent them from harming your organs, thus, reducing the probability of falling sick. A mango a day also keeps the doctor away. Regulates diabetes One can derive wholesome benefits from every part of the fruit as it is a powerhouse of nutrients. Majority of the people with diabetes are afraid to indulge in mangoes because of its sweet taste. But this sweet fruit is known to help you overcome diabetes. Being a rich source fibre and the presence of unique phytochemical like mangiferin, mangoes help in maintaining the level of blood sugar and glucose. Having a concoction of boiled mango leaves has proven to lower spiking sugar levels – a natural way to cure diabetes. Maintains cholesterol levels Mangoes contain an increased level of Vitamin C and pectin that maintains cholesterol the right way. They are also a rich source of fibre that helps in cutting down unwanted cholesterol, especially low-density lipoprotein. Significant amount of potassium present in mangoes regulates blood pressure and heart rate. Enhances your sex life Rightly called the aphrodisiac fruit, mangoes help in regulating sex hormones and boost sex drive. The presence of vitamin E helps in improving men’s virility and increases the production of histamine that’s cardinal for men to reach orgasm. The presence of potassium, magnesium and other vital nutrients boost libido. The combination of beta-carotene and vitamin A is known to prevent sperm damage. A pregnant woman’s saviour Sufficient amount of iron is important during pregnancy. Mangoes are not only a rich source of Iron, but also Vitamins B6, A and C that are great for pregnant mothers and their baby. Iron also treats anaemia, a common problem for women by increasing the count of red blood cells. Mangoes are a great way to satiate voracious cravings during pregnancy and to get the right amount of nutrients. Aids in digestion It is time to make this fibrous fruit a significant member in your daily menu if you waste your precious time in the loo. Being a rich source of fibre, mangoes ease the digestion process and bowel movements. They relieve you from constipation, ulcers and other kind of gastrointestinal disorders. Enzymes in mangoes also help in breaking down carbohydrates and proteins. The next time your tummy feels funny, have an ample dose of mangoes. Helps in achieving flawless skin Vitamins A, C, B6 and other nutrients present in mangoes make consuming them an ideal way for achieving healthy skin. Mangoes cleanse your body within and clear your pores, thereby, keeping acne and other skin problems at bay. It protects your skin from sun and oxidative damage. They improve the complexion and help in maintaining the youth and suppleness of the skin. Alkalizes your body Maintenance of the right pH level of the body is important to stay healthy. Mangoes contain significant amounts of tartaric and malic acids and traces of citric acids as well. This helps in the maintenance of alkaline levels that prevent any damage to muscles, bones and kidneys. It also helps in quick transfer of oxygen to all parts of the body that keeps you energetic, fit and healthy. Memory booster Mangoes are loaded with nutrients that improve your brain health. The presence of vitamin B6 plays an important role in enhancing brain function. Regular consumption of mangoes prevent oxidative stress and cell damage that in turn improves your memory, alertness and prevents any kind of brain disorder. Binge on a plate full of mangoes while you’re preparing for your exams and you are sure to be a topper. 
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