Medical Malpractice Insurance for orthopaedic surgeons

Metronidazole / Flagyl

– Discussion and Dosage:     – type of reducing compound that leads to the formation of oxygen free radicals which are toxic to anaerobic bacteria;     – for amebiasis, trichomoniasis, B.fragilis, C. difficile;     – is effective for B.fragilis which is resistant to clindamycin, chloramphenicol, penicillin G;     – amebic: 750mg … Read more

Mezlocillin/Mezlin

– See:        – Penicillin Family        – AntiPseudo – Adult: 2-4gm q4-6hr Injection; or 200-300 mg/kg/24hr; 1.85mEq Na/gm; – More active than Ticarcillin against Enterobacteriacae, same activity against P.aeruginosa;  good activity against B.fragilis; – Diffusion from blood into CSF adequate w/ or w/o Inflammation; Ratio of CSF to Blood Level … Read more

Methods to Prevent Infection

– See: Orthopaedic Infection Menu: and risk factors for TJR infection – Pre-Admission Considerations:         – removal of hardware prior to joint arthroplasty:                 – High incidence of early periprosthetic joint infection following THA with concomitant or previous hardware removal – Hospital and OR Considerations:          – perioperative oxygen          – normothermia:                  – Perioperative normothermia to … Read more

Methotrexate

– Dosing:       – leukemia:              – 2.5 to 5 mg for children & 2.5 mg to 10 mg for adults;       – continuous infusion of large amounts of methotrexate may be employed (from 250 mg to 1 g/sq m., q week), when leucovorin rescue is … Read more

Methenamine Hippurate/Hiprex

– similar to Methenamine Mandelate) – these are oral agents used only for suppression or prophylaxis of chronic UTI; – they are absorbed well and are excreted into the urine in high conc. – these agents have no intrinsic antibacterial activity, but at a pH of 5.5 or less, mandelic and hippuric acids are antibacterial and … Read more

Meperidine/Demerol

– Adult: 50-150mg PO/IM/SQ q3-4hr prn Pain; (75mg IM Demerol =10mg Morphine) 1-2 mg/kg/dose PO/IM/IV (including Peds q 6 hr) – PO: peak effect at 2 hrs; – IM/IV: onset at 2-5 min; Peak at 1 hr; lasts 2-3 hrs. – IV administration must be slow in diluted solution; – Peds: 1 mg/kg/dose IV/IM q2-4hr;    1.0-1.5 mg/kg/dose … Read more

Medical Topic Index

  The Merk Manual Medical Calculator Categories eMedicine Online Text Electronic Textbook of Dermatology Agency for Health Care Policy and Research Textbook in Medical Physiology And Pathophysiology Surgical Treatment – Evidence Based and Problem-Oriented. NCBI Bookshelf Clinician’s Handbook of Preventive Services Todar’s Online Textbook of Bacteriology Dictionary English to Spanish Translator History template builder   … Read more

Med Index: T, U, V, W, X, Y

Index T:                         Temazepam                         Terazosin                         Terbutaline                         Teriparatide                          Tetanus Prophylaxis                     … Read more