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STATUS EPILEPTICUS | Causes | Treatment | Harrison
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- čas přidán 17. 04. 2021
- Hi guys 🤩! Welcome to Emergency Medicine series on your channel 👩⚕️
In this lecture we will discuss STATUS EPILEPTICUS & its Treatment all from Harrison 👩⚕️.
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Wonderful lecture
& amazing channel❤
Sir i had a request , can u make a new vedeo on epilepsy & more specific status epilepticus, because I am confused with Harrison it has divided status epilepticus into 3 stages with 3 stage after 48 h,
Other books mention we have to admit pt into icu after seizures r not managed with 60min,
Kindly elaborate 🙏
Sure
Please post more videos
And Thank you for these lectures
Nice lectures ...make more videos ...
U r simply amazing bro🤟
Thanks so much
Plz upload lecture on chronic obstructive pulmonary disease
Sir please please please upload CVA and hemiplegia soon🙌
good videos, are ur videos all from harrisons sir?
Yes. Most of the content is Harrison based
Reason for giving thiamine before glucose?
It is well known that chronic alcoholics are at high risk for being deficient in vitamin B1 (thiamine), which is known to put the patient at an increased risk for Wernicke-Korsakoff Syndrome, cerebellar degeneration, and cardiovascular dysfunction.The current standard of treatment for such patients is to give them thiamine 100 mg intravenously (IV) before administering glucose containing IV fluids and then to continue this dose for several days.The inability of pyruvate to enter the TCA cycle causes the cell to convert the pyruvate to lactate (or lactic acid) in order to be able to maintain glycolysis at a minimum rate. Therefore, if you feed the cell more glucose without giving the needed thiamine to allow for the forward movement of cellular reactions for complete ATP generation, you only increase the amount of lactic acid produced.This development of acidosis, the inability of the pentose phosphate pathway to protect the cell from reactive oxygen species that damage cellular structures and the mounting stress on the cell overall, results in either cell death or activation of apoptosis.
@@Medi-Lectures thanks a lot..wonderful explanation..
I have one more query... Not related to this topic.though..why isnt pyridoxine used in treatment of parkinson disease
Well they do not do this in the UK. No THiamine or toxic screeening
Hinglish m btao aap sir
please try to repeat the lecture