PBL 6 session 3

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PBL 6 session 3 by Mind Map: PBL 6 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. goals of management

2.1.1.1. prevent complication

2.1.1.2. return normal function

2.1.1.3. abstinent from alcohol

2.1.2. abstention of alcohol

2.1.2.1. complete absteince

2.1.2.2. diazapam for withdrawl symptoms

2.1.2.3. delirium should be monitor

2.1.2.3.1. anti-psychotic are given for delirium

2.1.2.4. acamprosite

2.1.2.5. disulfram

2.1.2.5.1. makes pt feels bad symptoms when drinks

2.1.3. diet and nutritional support

2.1.3.1. folate thiamin and protien

2.1.3.2. reduce salt intake

2.1.3.3. decrease amount of fat

2.1.4. supportive therapy

2.1.4.1. IV fluid and electrolyte

2.1.4.2. monitor infection

2.1.4.3. vitamins like folate and thiamin

2.1.4.4. vit. K

2.1.4.5. prophylactic acid suppression

2.1.4.5.1. proton pump inhibitors

2.1.4.6. stop any cytotoxic medications

2.1.5. liver transplant

2.1.5.1. last resort

2.1.6. pharmacological

2.1.6.1. steroids

2.1.6.1.1. 28 days regemin then tapered slowly

2.1.6.1.2. propylthiouracil

2.1.6.1.3. colchincine

2.1.6.2. pentoxiphilin

2.2. Prevention

2.2.1. primary

2.2.1.1. not to drink alcohol or limit intake

2.2.1.2. education for public

2.2.2. secondary

2.2.2.1. screening for fatty liver

2.2.2.2. vaccine for hepatits

2.2.3. tertiary

2.2.3.1. PREVENT HCC

2.2.3.2. group support

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.2.1. moayyad

3.2.1.1. session was very good

3.2.2. moyaasarSESSION WAS REPEATED .. chair did very well .. thank u all

3.2.3. ahmed .. enjoied the sessions .. thanks me ..

3.2.4. buluwi .. good session .. every one participate .. great communication .. AGAIN HE THANKED ME

3.2.5. SULTAN ..

3.2.6. GAIN .. ALCOHOL IS COMMON

3.2.7. TURKS .. REALLY ENJOIED .. FOR MAKING THIS HAPPEN

3.2.8. HANEEFF .. NO point for repeating

3.2.9. hossam .. no much to add .. scribe was excellent and ONE OF THE BEST

3.2.10. DAKHAYIL .. HE THINKS THE SESSIONS WERE GREAT ..

3.2.11. peter ... he thinks we are expert .. we did well .. apology for the tutors ..

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes