The Hip - book

Non Union of Humeral Fractures

– Discussion: – Non Union – General Discussion: – definition of fracture union: defined as bridging callus (ideally both cortices) on 2 orthogonal views with the disappearance of fracture lines – care must be taken not to mistake a pseudoarthrosis for a simple hypertrophic nonunion; – treatment of the pseudoarthrosis requires complete resection of the synovial tissue, and … Read more

Neuro

– Discussion:     – decrease phenothiazines (reversible Parkinson’s dz);     – may find defects in mentation, neuritis of myelinated long nerves (restless leg syndrome), and MS changes;     – uremic polyneuropathy, w/ decr electric conduction along myelinated nerve fibers;     – conduction may be as low as 15 to 20/sec in renal failure; … Read more

Nafcillin/Uniipen

– See Penicillin Family – For penicillinase producing Staph; – Adult: 50-200 mg/kg/24hr;          IV: 500 mg – 1gm q4h for severe infections;          IM: 500 mg q4-6hr for severe infections;          PO: 250 – 500mg q4-6hr – Peds: 100-200 mg/kg/day q6hr; – Poorly absorbed orally, … Read more

NALBUPHINE/NUBAIN

for moderate to severe pain;  Synthetic partial opiate agonist/antagonist;  Adult: 10-20mg IM, IV, SQ;  q4-6hr prn;  Causes CNS depression and drowsiness;  use with caution in patients receiving opiate drugs;  KEY PAIN OPIOID

Mydazolam/Versed

– Discussion:     – for preoperative sedation; impairment of memory of perioperative events;     – sedation for procedures, short acting benzodiazepine:     – versed is 3 to 4 times more powerful per mg. than valium     – may dilute injection in D5W, NS, or LR; – Conscious Sedation:     – … Read more

Myelodysplasia

– Discussion:     – disorder of spinal cord development/closure or secondary rupture of developing cord secondary to hydrocephalus;     – term myelodysplasia includes:           – spina bifida occulta           – meningocele: sac without neural elements protruding through defect;           – myelomeningocele; … Read more

Myasthenia Gravis

– Discussion:     – most common neuromuscular junction defect;     – results from damage to postsynaptic acetylcholine receptor sites;     – more common in young women & older adults of both sexes;     – diff dx:           – myathenic syndrome:           – ALS … Read more

Miconazole/Monistat

– For severe fungal infections including coccidioidomycosis, candidiasis, Cryptococcus, and others; various tinea forms; cutaneous candidiasis; vulvovaginal candidiasis; tinea versicolor; – Adult: systemic: dosage range from 200-3,600 mg/24hr IV based on diagnosis; to be administered diluted to minimum volume of 200 ml NSS; – Topical apply to affected area twice daily for 2-4 weeks; – … Read more

Metoclopramide/Reglan/ Clopra

– Diabetic Gastroparesis:   – 10mg PO 30min AC and HS for2-8 weeks prn;   – GI Reflux:  – 10-15mg PO 30min AC and HS; maximum duration of therapy is 12 weeks;  – Prophylaxis of N/V in Cancer Chemotherapy;  – IV infusion 1-2mg/kg diluted in 0.9% saline and given slowly (over 15min) 30 min before … Read more