Little TV Addict

Tvb when lanes merge 情越双白线 replaced the mysteries of love series. Yes can’t believe mysteries of love ended so fast. Hmm.. need more good tv series! Anyway the casts members of this new series are Kent Cheng, Raymond Wong 黃浩然, Kate Tsui and Sonija Kwok.. Not very interesting cast, but I think they are giving Raymond Wong a chance to take the role as the main actor in this show.. he has in the recent years, been nominated for TVB most improve actor amd TVB best supporting actor. So far, he hasnt won any yet, lets see if he can take this opportunity to shine and stand out

I just watched the 1st 2 episodes of When Lanes Merge.. hmm.. still missing the mysteries of love casts.. trying to adapt to this new show. I guess it will take awhile now, since none of the cast members are particularly my favourite..

How about you?? Watching this series or not??

Omg.. its 3am now!! And guess what? Im going back to work tomorrow.. gosh, hope I wont be too sleepy

So what was I doing ? Needless to say, of course to watch the mysteries of love episode 23,24 and 25 i missed when i was away lor.. hehe.. Well.. episode 23 and 24 was so-so only(all expected)… episode 25 was whoa!! super ‘kam tung’ (touching) when Kings cried and went down on his knees.. the only time you get to see Kings get all emotional.. I was so shocked to find out that SLM actually cut herself to ease her pain.. seriously never expected that at all!! I loved the part where Kings cried and begged her for forgiveness and asked to be together again..the best thing is SLM didnt agree easily..

Only dissapointment in my mind isss…. where’s the make out scene?!!! Why cant they just share a kiss at the end when SLM agreed to Kings proposal?? They should just cut down on Gordon’s making out scenes with Nickole lol..most of them were not necessary ;P and compensate them with SLM and Kings.. Sheeesh….

But overall, I was quite pleased with the ending.. at least it wasn’t without effort.. SLM’s acting is seriously good eh? Agree?? Kings begging and crying was not bad too, but really when you watch SLM perform so well, his is nothing much compared to hers. My emotions were mainly attributed to SLM’s acting skills. She is the star in this series!! Well done! Liking Tavia more and more now

Anyway its ended d.. lets look forward to the next series…

tvb the mysteries of love episode 22 is out..

Too much of ‘Gorcole’ makes me nauseous..Lol.. wa today’s episode so much of Nicole and Gordon.. They all too See-weet until i ‘no eye see’ ah.. ‘make fish porridge  in the room’ ?! @.@ Gordon almost got into trouble again man.. lucky Nicole came back on time.. if not gone case again.. since now they are so happy, and are getting married etc.. thats happy ending for them, I think thats it for them now..

The show will probably focus on Kings and SLM, and the final big case. The sneak preview revealed that the mom will be abducted in tomorrow’s episode.. and that B just scream away watching her being taken..soo useless. From that preview, I guess we are right about the ending. The mom being taken, SLM will join her ex-team mates and be the Heroine to save King’s mom.. the family will then be so very thankful… and eventually accept SLM.. I guess we pretty much know how the story line is gonna go from here…

3 more episodes till the show ends.. I think Friday will have 2 episodes aired together… unfortunately I wont be able to watch it on time.. will have to go to Wales for me exam on friday, then head to London for the weekend.. then probably watch on sunday night. So I wont be updating d.. thanks for leaving comments guys

tvb the mysteries of love episode 21 is out! Finally!!

Watched it yet??? Whoa, I hated this episode so much man. Correction. I hated that B**ch so much man!! She is super desperate lor, especially when they were having dinner and in the lab.. she was initiating most of their conversation.. even hinted she is interested in him, and asking him out etc… OMG.. TOO much this girl.

Later found out she is that typical rich and arrogant B*****, hated her even more lol!! Sheesh.. too rush already today’s episode.. they purposely introduce this new girl into the story, but just in 1 episode, the girl already liked him, and in tomorrow’s episode they are going out again! This is insane… doesnt make sense.. I think tomorrow is gonna be another heart gripping episode when SLM bum into Kings and that B…

The happiest bit about today’s episode is Nicole finally caught Adrian with another girl! Great.. I think as long as Gordon persist longer, send her more flowers and chocolates, he is definately gonna have her back Yay..

• Flucloxacillin – hepatic disorder, hepatitis can occur even after Tx stopped
• Co-amoxiclav – cholestatic jaundice, >common over 65yrs, tx should not be > 14 days
• Tobramycin (nebs) – use other inhalers first, then tobramycin nebs, monitor bronchospasm, can cause severe haemoptysis
• Telithromycin - 1. hepatic disorder – dark urine, jaundice, N+V, 2. driving – visual disturbance, loss of consciousness, so admin at bedtime
• Clindamycin - diarrhoa – fatal, discontinue if diarrhoa develops
• Chloramphenicol – blood disorders
• Daptomycin – muscle effects
• Linezolid – 1. blood disorders 2. optic neuropathy 3. it is a reversible MAO i, avoid large amount of tyramine food, avoid concomitant MAOi, TCA, SSRI
• Co-trimoxazole – use for acute exacerbation of chronic bronchitis and UTI with good reasons, can cause blood disorders, bone marrow supp, agranulocytosis
• Trimethoprim – blood disorders
• Isoniazid – hepatic disorder, peripheral neuropathy (give pyridoxine)
• Pyrazinamide – hepatic disorder
• Rifampicin – hepatic disorder, discolouration of soft contact lense, extra contraceptive measures
• Ethambutol – visual disturbances
• Ciprofloxacin – not for children due to arthropathy, tendonitis – concomitant use of corticosteroid increases risk
• Amphotericin – anaphylaxis reaction with IV, test dose
• Itraconazole – hepatotoxicity and heart failure – cautious
• Ketoconazole – hepatotoxicity
• Nucleoside reverse transcriptase inhibitor – Lactic acidosis in hepato impairment, pancreatitis – i.e. Didanosine
• Abacavir – hypersensitivity
• Protease inhibitor – hyperglycaemia, cautious with diabetes
• Non-nucleoside RTI – Rash and Psychiatric problems

Extra Bits

Strains – staphylococcus, and pseudomonas aer

Staphylococcus – gram +ve, normally affects skin and nose
Staph Aureus – boils, impetigo, pimples, cellulitis
More serious infections – pneumonia, meningitis, endocarditis
Tx – Penicillin, but due to increase resistance, Flucloxacillin is 1st line

Pseudomonas aeruginosa – gram -ve, UTI, GI, Lungs
Resistant - penicillin and B-lactam Abx
Tx - quinolones, antipseud penicillin, aminoglycosides, cephalosporin

Broad Spectrum Abx

• Penicillin – ampicillin, amoxicillin
• Cephalosporin
• Chloramphenicol
• Tetracyclines
• Macrolides
• Aminoglycosides
• Carbemenems

Misc

• Aztreonam (beta-lactam) - Only active against Gram -ve , less likely to cause hypersensitivity in penicillin sensitive patients
• Polymyxins – Active against Gram -ve , can cause nephro and neurotox
• Linezolid – Only active against Gram +ve  – MRSA, alternative to vancomycin
• Clindamycin – Only active against Gram +ve, active against anaerobes, joints and bones infection
• Metronidazole – Active against anaerobes
• Aminoglycosides – Inactive against anaerobes
• Fusidic Acid – Narrow Spectrum – joints and bones infection

I finally managed to catch up with this series, just finished watching ghost writer episode 10, waiting for episode 11 to be out, soon! This series is definately getting more interesting with the addition of Fala Chen.. She is really funny when she takes on an innocent and silly role, trying to behave and talk like a human on earth (assuming that she live in heaven all these while)

I think soon, people will start suspecting the relationship between the shemale and po chung ling. Lol.. they have been hanging out all the time, was even caught in bed by the mom! but obviously, they were innocent DD

On the other hand, its so frustrating watching po chung ling to give away sam yu gu leong to ma kat! gosh, its only gonna make ma kat’s misunderstanding deeper, then he will be very hurt when he finds out! But i cant wait for sam yu to tell ma kat about her feelings for po chung ling before the shemale falls in love with po chung ling.. ggrrr.. I think ma kat should end up with chung yeh’s sister, its so obvious she likes him!! Lol..

We will see what happens in episode 11 , enjoy!

hoho.. tvb the mysteries of love episode 20 is finally out!! yay.. waited so long for this episode!!! Can’t wait for dinner time when i enjoy my dinner with my current favourite tv series. But for now, i have to carry on studying 1st! Urgh..

finally watched it!!

Why does the episode seem so short ???!! im not getting enough of it every time.. you?

Well, our guess is right about the doctor! But I never thought he would do such a disgusting thing! absolutely gruesome, had chills when watching the last bit. Who would do such a thing??! so ‘pin tai’ @.@

Anyway cut the least important bit.. and get into the main stuff Looks like Sai Lei Mui still hasnt gotten over Kings yet.. Kings should just stop caring about her.. the more he tries to be friends and care, the harder it is for SLM to forget him.. She tries so hard to act ‘normal’ but the fact is she cant! It feels like she struggle to hold her tears back everytime she sees him.. it must be very sanfu for her…

Did you guys see the sneak peak??  I think its gonna get even more complicated and frustrating from tomorrow.. I knew there will be another girl coming in between them, before the happy ending (hope).. from the appearance, this new girl looked like she’s from a rich family as well, guess the parents will try to bond them.. SIGH!! Also, im not very happy with the story now, I think with the addition of a new girl, it would not only be harder for SLM, but it is giving a chance for Kings to move on too!! What I really wanted to see was, a new guy coming after SLM, Kings get jeolous, realises he can’t live without her, and tries to get her back, despite the parents objecting. Bah, i dont think there’s any chance for that though…

One more thing, Kings doesnt seem to have enough emotions in this show?? or isit just me?? It feels like he got over her easily.. he still cares and wants to be friends with her! I think his acting is not as good as when he was in heart of greed.. hmm.. or maybe he was asked to portray as someone who is cool and calm at all times?

Only 5 more episodes left!! So sad… how do you think the ending will be??

Well.. Im guessing, the last case will involve SLM risking her life saving one of Kings family?? What do you think?

BNF CSM and Warnings

• Adenosine (supraventricular arrythmias)- heart transplant individuals require reduction dose of adenosine
• Beta-blocker and asthma – bronchospasm
• Labetalol – Liver damage irrespective of short or long term use
• Sotalol – limited for ventriclr arryth/prophylaxis of supravtclr arryth, not for angina, hypertension, thyrotoxicosis anymore
• Lisinopril – should not start after MI if BP < 100 mmHg
• GTN - must be kept in glass, not > 100 tabs, no cotton wool wadding, foil lined cap, discard after 8 weeks
• Diltiazem – standard formulation – no need brandspecific -tds, longer acting – must be brand specific i.e. XL, LA, SR, CR, retard (XL and LA are Once daily) , applies to Nifedipine as well
• Verapamil and BB used together can be hazardous
• Heparin – thrombocytopenia, does not develop until after 5-10days, monitoring of platelet counts recommended if given more than 4 days
• Heparin - inhibition of aldosterone secretion causes hyperkalaemia
• Statins – rhabdomyolysis rare but increase with renal impairment, hypothyroidism, or concomitant fibrate and statin use
• Bile acid sequestrant interferes with absorption of fat soluble vit A,D,E,K, require supplements
• Bezafibrate used in renal impairment –> myotoxicity
• Nicotinic acid – prostaglandin mediated symptom – flushing, reduce this by using initial low dose with meal, if takes aspirin, must be taken 30 mins before nicotinic acid

Extra bits

Diuretics

• gravitational oedema – not long term use
• thiazide – hypo K, hypo Na, hypo Mg, hyper Ca, hyperglycaemia, hyperuricaemia, gout
• loop        – hypo K, hypo Na, hypo Mg, hypo Ca, hyperglycaemia, hyperuricaemia, gout, deafness.
• hypo K –> precipitate encephalopathy in hepatic failure
• thiazide – act in 1-2 hours, duration of action 12-24 hours, loop act in 1 hour, complete in 6 hours
• metolazone – used with loop, ok in renal failure
• indapamide – less metabolic disturbance, ok in diabetes mellitus
• aldosterone antagonist – useful in ascites – liver cirrhosis
• eplerenone – suitable for use after MI

Beta Blocker

• BB not contraindicated in diabetes, but deteriorate glucose intolerance, may mask symptoms of hypo
• intrinsic sympathomimetic activity(less bradycardia and cold extremities, - oxprenolol, pindolol, acebutolol, celiprolol
• water soluble (less sleep disturbnc) – atenolol celiprolol, sotalol, nadolol
• cardioselective – atenolol, bisoprolol, metoprolol, nebivolol, acebutolol
• Labetolol – suitable for pregnancy, following MI, hypertensive crisis
• Avoid use of BB(mask symptoms of hypo) and thiazide(hyperglyc) in diabetics

ACE inhibitor

• Young Caucasians and below 55 - ACE i 1st line, over 55, afro carribean – CCB or Thiazide 1st line
• Pregnancy – contraindicated, suitable – methyldopa, hydralazine, labetalol, nifedipine
• Ace i can be used in renal impairment, but cautiously, avoid in renovascular disease
• Interactions – +NSAIDS – renal damage, +Diuretics – 1st dose postural hypo, +K-sparing diuretic – hyperK

Heart Failure

1. ACE i
2. Beta- Blocker
3. Diuretic (for fluid retention)- loop for poor renal function, thiazide for good renal function
4. Digoxin – where AF is present
5. Spironolactone can be added

Nitrates

• attack > twice a week require regular meds
• GTN subl – 20-30 min effect, 300mcg
• ISB MN – prophylaxis of angina
• ISB DN – sublingual
• GTN & ISB DN – IV injection

Calcium-channel Blocker

• Rate-limiting CCB – Verapamil and diltiazem – negative inotropic, constipation common
• CCB doesnt reduce risk of MI in unstable angina
• Nifedipine, nicardipine, amlodipine, felodipine – angina and hypertension
• Isradipin, lacidipine, lercanidipine – hypertension only
• Short acting nifedipine – not for angina or long term hypertension

Anticoagulant

• Heparin carry on for 5 days until INR stable for 2 days
• Start warfarin at the same time, it take 48-72 hours to work
• pregnancy – LMWH ok, does not cross placenta
• Heparin – side effect- osteoporosis, blood disorders, hyperK
• Warfarin – contraindicated in pregnancy – teratogenic, especially 1st and 3rd trimester
• Warfarin – avoid cranberry juice, avoid in hepatic impairment

MI

1. ACE i
2. Beta- Blocker
3. Aspirin (use with clopidogrel for 4 weeks)
4. Statin

Stroke – aspirin + dipyridamole for 2 years? to reduce risk of recurrent stroke.

CSM and Warnings

•  Sucralfate – Bezoar formation pg 47
• Misoprostol – avoid in pregnancy, only used if contraceptive measures taken, it causes uterus contraction –> miscarriage
• Aminosalicylates – Blood disorder
• Methotrexate – Blood disorder, liver toxicity, respiratory effects
• High strength pancreatin – fibrosing colonopathy in children with cystic fibrosis age 2-13yrs
• Dantron (Co-danthromer) – carcinogenic, only use if terminally ill

Extra bits

Antacid

Many antacids contain sodium, avoid in salt restricted individual – Peptac, Gaviscon, Rennie, Topal. The magnesium and alluminium antacids are suitable for them – Asilone, Maalox (low sodium)

Antimuscarinics

 Antimuscurinic drugs are contraindicated in – prostate enlargement, angle closure glaucoma, urinary retention, constipation, Common drugs involved – TCA, Antihistamine, Antispasmodics, Antipychotic, Parkinson drugs, some bronchodilators

Laxatives

Stimulant laxative can cause hypokalaemia
Lactulose (lowers pH) – prevent release of mesalazine
                                              – also a treatment for hepatic encephalopathy
Movicol sachets - after reconstitution, keep in the fridge, discard after 6 hours
Movicol Paeds plain – discard after 24 hours

Colestyramine

Binds with bile acid forming insoluble complex, used for pruritus in biliary obstruction
It affects the absorption of many drugs, other drugs taken 1 hour before or 4-6 hours after

TVB the mysteries of love episode 19 is out..watched it yet?

So today, there isn’t much about the 2 pairs, only had abit of Gordon and Nicole. Gordon confessed and failed. Lol.. it was an awkward moment for him.. I dont understand why Nicole likes Adrian so much, he is such a jerk man.. And she just ‘close one eye’ each time.. sigh.. But I think Gordon isnt that good either, he has got a bad record already from the past.. super playboy.. who knows if he has changed for real, or whether he is acting out of jelousy at the moment? If he gets her easily, he might go back to his old self? I dont believe a playboy can turn a new leaf entirely. Well in the show, of course everything is possible.

So there wasn’t much about SLM today..she seemed calmed and recovered slightly. Im very happy for her, just wished she could move on, and never forgive Kingsley, am so angry at him at the moment! Arghh… but i guessed everyone is looking forward to see what Kings has to do to get her back ..*makes me wonder*

Oh and I thought today’s case was quite interesting – Multiple personality disorder. Do you believe Karen, or the husband (psychiatrist)??? I think the husband is the culprit. Like I mentioned in my previous post, I noticed that the baddy is always the person they least suspect at 1st, which is the husband, because he is a doctor, a healthcare professional, seemed calm etcetc.. I think he was trying to manipulate the police to believe that Karen is very ill mentally, and even tried to come up with the idea that Debbie, the 2nd personality within Karen, who killed Fion! I think he is making it up to cover his ass! Who do you think is the murderer???? Could it be Simon, Karen’s new boyfriend instead?? Have your say

Enjoy!!