What is coronary heart disease?

Coronary heart disease (CHD) is sometimes called coronary artery disease. A coronary artery is a blood vessel that carries blood to heart muscle. These arteries are like narrow tubes. A fatty substance called plaque can build up in arteries, blocking or slowing the flow of blood and oxygen through them. This can happen in any artery, but when it happens in the coronary arteries, the heart muscle doesn't get the blood and oxygen it needs to work properly. Coronary heart disease can lead to serious health problems, including angina (pain or pressure in the chest) and heart attack.

Plaque formation
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POISONING

Alkali, acid, korosine oil(hydrocarbons)- DONT induce vomiting(Can cause inhalation to lungs.)

Paracetamol, kaneru, weedicide and pesticide, niyangala, other tablet poisoning-induce vomiting.

As soon as possible bring to nearest hospital.

If reduced conciousness, keep patient to a side.

If possible bring the poison taken.

Highly Venomous snakes
1.cobra
2.russels viper
3.saw scaled viper
4.common krait
5.sri lankan krait
6.Sea snakes
Bites from snakes 1 to 4,are treated with anti venom serum)
Moderately venomous snakes
1.Green pit viper
2.Hump nose viper(kunakatuwa,polon thelissa)

FIRST AID

Reassure the patient.

Immobilize the bitten part.

Give only paracetamol for pain relief.

Don’t cut the bitten site.

Bring the patient to nearest hospital.

If possible,bring the offending snake to hospital

Bronchial Asthma is due to consriction of airways causing reduced oxygen supply to lungs.

Symptoms
Shotness of breath
Wheezing
Cough

Rate of respiration increased
Cant speak a sentence completely

First aid

If the patient a known bronchial asthma patient,give the drugs/inhalers with patient
INHALER-Salbutamol inhalers –to reduce symptoms
Steroid inhalers-to reduce disease recurrence

Bring the patient to nearest medical centre with nebulization facility

Give a good oxygen supply

Delmon Hospital
No.58, Galle Rd., Wellawatte.
Tel : 503295

Apollo Hospital
Colombo 05 Sri Lanka
Tel : 554154 / 074 930000

Asiri Hospitals
181, Kirula Road,Narahenpita,
Colombo 05,Colombo
Tel: 500608 ~ 11, 593930,
593929, 508766, 508767,
074513939, 07451

Arogya Hospital (Pvt) Ltd.
Gampaha, Sri Lanka
Tel : 033 24592

Durdans Hospitals
Colombo 03, Sri Lanka
Tel : 575205-7, 575402-3

Nawaloka Hospitals (pvt) Ltd
Colombo 2, Sri Lanka
Tel : 304444-56