- Видео 15
- Просмотров 26 646
Chisambo Mwaba
Добавлен 10 май 2020
All things paediatric nephrology
Видео
RENAL FORUM: The use of vasoactive drugs in critically ill children -Dr Kaiser Fitzwanga
Просмотров 3912 года назад
A talk given to the renal forum by paediatric critical care specialist Dr Kaiser Fitzwanga
DIALYSIS : Improvised Peritoneal Dialysis
Просмотров 4703 года назад
During crises conventional peritoneal dialysis may not be available. This is a talk on possibilities for improvised peritoneal dialysis in children.
RENAL ROUNDS : PROTEINURIA
Просмотров 1,1 тыс.4 года назад
Talk on normal renal handling of protein and approach to a child with proteinuria
RENAL WARD ROUNDS : URINALYSIS
Просмотров 6884 года назад
A discussion around one of the most commonly performed tests in clinical practice with regards to the correct procedure and possible causes of abnormal test findings
URINARY TRACT INFECTIONS IN CHILDREN
Просмотров 6354 года назад
A lecture on urinary tract infections in children
BURNOUT SYNDROME-DR MARIA AKANI-Part 2
Просмотров 3374 года назад
July renal forum: Dr Akani of Renasense Clinic graciously agreed to give a talk on healthcare worker burnout: how to recognize it,prevention strategies and when to seek professional help.
BURNOUT SYNDROME- DR MARIA AKANI-Part 1
Просмотров 2 тыс.4 года назад
July Renal Forum: Dr Akani of Renasense Clinic graciously agreed to give a talk on healthcare worker burnout: how to recognize it, prevention strategies and when to seek professional help
DIABETIC KETOACIDOSIS IN CHILDREN
Просмотров 2,5 тыс.4 года назад
lecture delivered to medical students
ELECTROLYTE IMBALANCE :HYPERNATREAMIA SCENARIO
Просмотров 7174 года назад
discussion of Hypernatraemia clinical case
Friday Nephro-pathology meeting-crescentic glomerulonephritis
Просмотров 2924 года назад
Review of renal biopsy slide
Nephrotic Syndrome in Children
Просмотров 2,8 тыс.4 года назад
A lecture delivered to medical students
Thank you so Much Dr Mwaba
Thank you ❤️
Thank you Dr Mwaba😊
Continue with the Good work...
So helpful. This is such a great lecture. Thank you dr Mwaba
Thank you Dr Mwaba
Brilliant, practical. Thank you Dr
Thank you so much
thank you for this lecture its incredibly helpful. Just a clarification, we were taught that you start the insulin infusion only after the administering the first 10ml/kg/hr of fluid. Is this a hard and fast rule?
Very informative. Thank you Dr Mwaba. Thank you Dr Fitzwanga.
Thank you for the wonderful lecture
Welcome!
This is amazing Daktari, can request fir the slides, wooow you should be my lecturer, very clear and wonderful
So clear and concise. Thank you Dr Mwaba
Wonderful and insightful presentation, thank you. I would add another possible complication noted in practice, which is anaemia as a result of prolonged bleeding from the incision site.
Thank you so very much for this, I’m a 3rd year med student at Levy mwanawasa, I missed this lecture because of an unfortunate circumstance, thank you so much this has really helped me
Glad it was helpful!
Thank you..
Very nice content.. But the voice is very low.
Precise and accurate. Thanks
superb explanation maam..!!
Thanks a lot for this presentation.. I just wanted to add that even our employers have a lot to do to stop/minimise this problem of burnout such as having reasonable staff numbers in a department. How can one person work for 24 hours everyday in a department that needs 7 people and the employer is OK with it? And this poor person has to work because they need the money for their family.
Very helpful. Thank you Dr Mwaba!
How is the subcut insulin dose calculated?
Thanks a lot Dr Mwaba
Wonderful topic. We rarely address this very real problem.
Great work she did on the “Characteristics of CSA” with Dr. Paul Ravi, really helped my research at 6th year.
You make me want to get into nephrology. Thank you Dr Mwaba!
There is plenty of room please join the club!
Great lecture indeed, just a clarity on maintenance fluid, in the lecture you giving 100ml/kg 1st 10kgs then 50ml/kg for next 10kgs and rest 25ml/kg instead of 20ml/kg as usual. Any reason for using 25mls instead of 20mls. Thank you
Holliday-segar 4-2-1 rule
On insulin administration, do have to start do a loading dose of 0.1IU/kg followed by the maintenance dose of 0.1IU/Kg/hr via infusion pump?
No evidence to support giving a bolus of insulin. May actually increase chance if cerebral eodema. Start your fluids then after an hour start insulin infusion
Thank you for the clear lecture Dr. Mwaba. Just wanted to find out to what extent these principles can be extrapolated to adults.
By and large same principals. For example adults get 6iu insulin per hour - if you assume an adult weighs 60kg and give 0.1 iu/ kg/hour). Fluid therapy specifics may be different but the general principles are the same
Awesome lecture. Thank you
Forgot to mention that regardless of the calculated amount of fluid the maximum total fluid to be given over any 24 hour period should not exceed 1.5 to 2 X maintenance fluids.
noted
Thank you Daktari, kindly share the slides 🙊, My name is Ken a medical student at University of Nairobi.
I’ve been this attentive in a physical class
How do you administer insulin therapy if you do not have an infusion pump.. Can you approximate using "drops per minute" if you give the calculated dose of insulin in 50ml Normal saline? If so, what's your target dops per minute? Thank you.
Yes Please use the old fashioned drops per minute. The drops would depend on the type of giving set that you are using( usually indicated how many drops per ml will be delivered) and how the insulin is mixed up. Once you know these two factors then just do some mathematics to figure out the drops per minute.
Thank you! If we used 40 IU of insulin to control the DKa, how do we transition to sub cut insulin which the patient is expected to continue after discharge?
2 methods: 1st: direct transition to 2/3 given am and then 1/3 given PM. The morning dose consists of 2/3 Lenten and 1/3 soluble. The initial subcut dose given 30 minutes before discontinuing insulin infusion. Monitor patient response and titrate to reach target dose before discharge. Method 2: before starting the above method first transition patient to 6 hourly subcut insulin . Titrate dose to get good control then change to the twice daily insulin as outlined above. Monitor and titrate to ensure target sugars are achieve before discharge achieve
Is urea used as an early marker of AKI?
No
Great lecture as always! Thank you Dr. Mwaba
Great Lecture.
Awesome entry.tx Dr mwaba.
Very educative👍
Tx. Nice listening to the legendary Dr. Mumba after a long time.
This is very good👍
Thanks Dr Mwaba. I love how you just simplify everything and break the patho-physiology down to basic clinical practice.
Thank you. Looking forward to more lectures.
Didnt even notice the hour slip by. Such detail explained so simply! A definite must watch! :)
thank you so much! wonderful lecture
Well explained. Thank you
Tx for the upload. Much appreciated.