Study Group

H2 blocker Renitidine (NDMA component) is carcinogenic.
It's already off the USA market.

*Is an approach of treating hypertension in acute ischemic stroke , in which antihypertensive treatment is warranted in patients with systolic blood pressure greater than 220 mm Hg,or diastolic blood presure greater than 120mmhg in the pts receiving thrombolytic therapy, or with concomitant medical issues
The goal would be to lower blood pressure by 15% during the first 24 hours after onset of stroke
,* it is recommended that the blood pressure be reduced and maintained below 185 mm Hg systolic for the first 24 hours. The first-line drugs for lowering of blood pressure remain labetalol, nicardipine, and sodium nitroprusside.

Study Group Internal medicine

• A sickle cell chest crisis should be suspected in a patients with a known sickle cell disease
who develops hypoxia.
• A chest crisis can be fatal, so a patient should be reviewed early for antibiotics,
intravenous fluids, oxygen and possibly a blood transfusion to try to improve the hypoxic tissue dammage

Study Group Internal medicine