Prajwal

☕️☕️☕️

[Aditya Gupta @DrAditya2935]

The oldies really F**** this profession up.
They don’t retire, don’t give space for young ones to grow.
Took the high paying jobs, degraded the doctor-patient relationship and now in free time give Gyaan on ethics and clinical skills.

[Prajwal @Prajcm]

@YashRc18 😂😂

[Prajwal @Prajcm]

@BJP4Karnataka 😂😂😂😂😂😂💦💦💦💦💦

[Dr.Dhruv Chauhan @DrDhruvchauhan]

Govt For Public : “All Pathy are equal be it Homeopathy , Ayurveda or Allopathy

When their ministers are sick : “Cardiology dept of AIIMS Delhi”

[Prajwal @Prajcm]

@saah_trah Bitch direct your anger towards govt , its you bitches who has elected this govt

[Prajwal @Prajcm]

@BeingSalmanKhan Its done bro , shut the fuck up

[Prajwal @Prajcm]

@PJaseja 1

[Prajwal @Prajcm]

@NewsArenaIndia Beauty without frontal lobe and common sense , fucking coward , a lizard sized brain

[Prajwal @Prajcm]

@dpradhanbjp Thuu nin jammake

[Prajwal @Prajcm]

@Mem_of_movies 😂😂

[Prajwal @Prajcm]

@yesofficialraja Rameshwaram cafe foods

[Prajwal @Prajcm]

@ritujoon2j 😂😂

[The Office Memes @OfficeMemes_]

The king of paper

[Prajwal @Prajcm]

@prarit_v After the update, app closes on itself on trying to open !

[Prajwal @Prajcm]

@prarit_v sir pocket md not opening after update 😥😥

[Prajwal @Prajcm]

@IndianTechGuide 😂😂😂😂

[Prajwal @Prajcm]

@heisenberg023 @HumansNoContext 😂😂😂😂😂

[Dr. Shiv_Kumar @Dr_Shiv_kumar_]

Calcium stabilizes the cardiac membrane in hyperkalemia. We’ve all been taught this: Turns out… that’s probably not true.

A 2024 study by Piktel et al. challenges decades of dogma.

Hyperkalemia → ↑ Resting membrane potential → ↓ Sodium channel activity
→ Slowed conduction + wide QRS + arrhythmias

This much we know.. Traditionally, we said:
Calcium works by “membrane stabilization”
(i.e., restoring resting membrane potential)

But this study shows:
👉 RMP does NOT improve with calcium

🔻What actually happens?

1. Calcium → Improves conduction velocity (44%)

2. Narrows QRS

3. Does NOT fix action potential duration

4. Does NOT restore RMP

Mechanism shift 🔄

Instead of “stabilizing membrane,”
Calcium: 👉 Enables Ca²⁺-dependent conduction pathways
(when Na⁺ channels are impaired)

Clinical takeaway: Calcium still saves lives in Hyperkalemia but for the right reason.

Use when there is ECG evidence of conduction delay (wide QRS)
Time to retire the phrase “membrane stabilization.

#MedX

[Prajwal @Prajcm]

@rohann__45 He has to visit mr premanand guruji again !