M Kalpana
Roll no. 92
This is my learning experience in the hospital from medicine postings from 12-2-23 to 13-4-23
First 15 days of my postings - peripherals
First 5 days (12-2-23 to 16-2-23) -ward duties
Under Dr Deepika mam (pg )
- made pajr groups for ward patients
- attended rounds of every admitted patient
- updated the fever charts and soap notes in ward , made sure that icu patients fever charts and soap notes are updated and shared in respective pajr groups
- I have attended a session with one of the amc patient with DR Raj Kumar sir and made a PNI report of that patient
Nephrology duties-(17-2-23 to 21-2-23)
Under Dr Nishitha mam (pg)and Dr kranthi sir(pg)
-Assisted in a central line procedure
-Monitored Blood Pressures of the patients during dialysis, in the CKD ward
-learnt about the pulmonary edema in ckd patients
- did my first ascitic tapping
-I have learnt the working process of dialysis machine and different complications in different patients during Dialysis
ICU duties-(22-2-23 to 26 -2-23)
Under Dr pavan sir (pg)
-Monitored vitals of the patients
-Watched 3 central line procedures
- helped in 2 intubations for icu patients
-Took venous blood samples of patients
-Took ABG s and learnt interpretation of abg
- placed ryles tube in icu bed -6 patient
-learnt about the working process of ventilator machine and it’s importance
During units duty - for next 1 month
Posted in unit -2 under
Dr abhinaya mam(sr)
Dr Durgakrishna sir (pg-3)
Dr Venkat sai sir (pg-2)
Dr Ajay Kumar sir (pg-1)
Dr Harika mam (pg-1)
On first day I got to know my respective unit patients And their present condition and their management .
On op days I took history of different patients and learnt how to analyse and what necessary investigations to be adviced
I learnt clinical examination and ecg and x ray interpretation of admitted and op basis patient
Learnt ,During admission of patients how to council the patient and patinet attenders
During casuality duties -I have seen emergency cases and did CPR and assisted in intubations
Under the guidance of pgs (dr Ajay Kumar sir and dr Nishitha mam ), I did ascitic and pleural tapping of one of the patient
These are the cases I have blogged during my postings -
http://kalpanamiryala83.blogspot.com/2023/02/70-years-old-female-with-acute-infarcts.html
Learning points -
-Management of hypokalemia
Learning points-
-how to diagnose a case of B12 deficiency anemia with pancytopenia
-management of b12 deficiency anemia
Learning points-
- ADA and it’s importance in diagnosis of tb
- empirical ATT and it’s dosage
Last 15 days -psychiatry postings
-Listen to different patients with various psychiatric problems
-learnt about the deaddiction program
- seen cases of depression and anxiety
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