Dr Muhammad saad shafi

لن ينال الله لحومها ولا دماوها ولكن يناله التقوى منكم
May Almighty Allah accept your Ibadah and sacrifice and reward you generously!
Eid-Ul-Adha Mubarak.

🔵 .
It is the most appropriate ACE inhibitor for a patient with impairment.
Captopril is primarily eliminated by the kidneys, with minimal hepatic metabolism. Therefore, it is safer for patients with liver dysfunction as it does not require extensive hepatic processing for activation or elimination.

🔴 and are both that require hepatic conversion to their active metabolites (ramiprilat and enalaprilat). Since liver function is compromised in impairment, these drugs might not be efficiently converted, potentially leading to reduced efficacy or accumulation of the prodrug.

Vegetable, fruits,dairy products with Glycemic index
Classified into low, medium and High

Severe Hypokalemia and learn why Hypokalemic Periodic Paralysis is important to have on your differential 🧪 🫘

تجھ سے چھپاؤں منہ تو کروں کس کے سامنے
کیا اور بھی کسی سے توقع نظر کی ہے

وہ جو اک بات بہت تلخ کہی تھی اس نے
بات تو یاد نہیں یاد ہے لہجہ اس کا

واقف نہیں تم اپنی نگاہوں کے اثر سے
اس راز کو پوچھو کسی برباد نظر سے

Winning short from chacha

2 on 2

Shanaka the sensible man