The Hip - book

Anatomy

from An Atlas of Human Anatomy by Carl Toldt, M.D., 1919. Original Text by Clifford R. Wheeless, III, MD.

Amphotericin B Mixture Interactions

– should not be mixed with the following medications: Amikacin Ca Cl and Ca gluconate Carbenicillin CIMETIDINE DOPAMINE Gentamicin KANAMYCIN LIDOCAINE METARAMINOL METHYLDOPA Penicillin G Potassium Cl RANITIDINE Tetracycline VERAPAMIL Original Text by Clifford R. Wheeless, III, MD.

Ampicillin Sulbactam/Unasyn

(see also: Penicillin Family / Ampicillin / Aumentin) Discussion for beta lactamase producing Staph aereus, Eneterococcus, H. influenza, Klebsiella, Proteus mirablis, Bacteroides adult: 1.5-3 gm IM/IV q6hr (2:1 ampicillin sodium:sulbactam) adjust w/ Renal failure; good diffusion from blood into CSF only with inflammation; inflammed meninges: 5-10; peds: Dosed as Ampicillin; supplied: Powder for Injection 1.5 gm, 3.0 … Read more

Ampicillin (Amcil, Omnipen)

(see also: Penicillin Family) Discussion ampicillin is usually given IV as unasyn vs. amoxicillin which is given orally; for treatment of suseptible gram negatives (Shigella, Salmonella, E. coli, H. influenza, P.mirabilis, N. gonorrhea) and gram positives (streptococci); adult: 500mg – 2gm PO, IM, or IV q6hr; peds: term infants: 150-200 mg/kg/24hr divided q6-8hr IV or IM; … Read more

Amyotrophic Lateral Sclerosis

– See: – El Escorial Revisited: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis – Disorders of Nerves: – Anterior Horn Cell Disorders: – ALS Society Homepage – Discussion: – amyotrophic lateral sclerosis is a syndrome characterized by both upper and lower motor neuron disease; – destruction of anterior horn cells & descending corticospinal tracts; … Read more

ALGORITHM for VF and PULSELESS VT

See VT/QT Widening Asystole may resemble V. fib: if ? then consider conversion. Witnessed arrest Unwitnessed arrest | | check pulse-if No PULSE – if no pulse | | precordial thump only if | defibrillator not present | | | check pulse-if No pulse | |___________________________| | 100% O2 + Ventilate w/ Mask + Suction … Read more

Amantidine

    for Parkinsonism, drug induced extrapyramidal reactions, prophylaxis of Influenza A and treatment of Influenza if seen < than 20hrs after onset of illness;; has ability to release dopamine; Adult: for drug induced etrapyradimal reactions:100 mg PO bid; for parkinsonism: 100mg PO qd initially, then may increase gradually to maximum of 400 mg qd … Read more

ALGORITHM for VENTRICULAR ECTOPY

– See: Discussion V tach Acute Suppressive Therapy: Assess for Need for Acute Suppressive Rx: |________________________ r/o Treatable Causes | lidocaine, 1mg/kg | If not suppressed Procainamide 20 mg/min Until No Ectopy, or upto 1000 mg Given | If not suppressed and not contraindicated Bretylium, 5-10mg/kg over 8-10 min Once Ectopy Resolved, Maintain as Follows: … Read more

Amoxicillin/K+ & Clavulic acid/Augmentin

(see also: penicillin family) Discussion combination of clavulanic acid and amoxicillin (augmentin – 250 or 500 mg of amoxicillin plus 125 mg of clavulanic acid) provides oral preparation with enhanced activity against beta-lactamase-producing strains of Staph, Branhamella catarrhalis, H. influenza, N gonorrhoeae, and bacteroides; oral administration of amoxicillin and clavulanic acid (every 8 hours) is effective … Read more

Aldolase: 1.5 -12.0 micro / lit

requires about 5 ml of venous blood, pt NPO for AM blood draw. Increased: Dermatomyositis, Polymyositis, Limb girdle muscular dystrophy Chronic hepatitis, Portal cirrhosis, Obstructive jaundice (See bilirubin) Gangrene, Prostate tumors (PSA), Trichinosis, Liver mets, blood dyscrasias, delirium tremens, Burns, 20% of cancer pts. – Normal Values – Poliomyelitis, Myasthenia gravis, Multiple sclerosis, Neurogenic musclee … Read more