The Hip - book

INDAPAMIDE/LOZOL

– for HTN;  – Works as Indoline diuretic;  – Dose: Initially: 2.5mg qd in AM;  – May 1 week, increase dose to 5mg qd;  – Contraindicated w/ hypersensitivity to sulfonamide derived drugs

Imipenem/Cilastin/Primaxin

– Discussion:     – 0.5-1gm q6-8h IV;     – good for Pseudomonas, Enteric, Coag pos Staph (except for MRS) and Staph producing B lactamases, anaerobes, w/ enterococci/ NonEneterococciStrep; Poor activity against Coag neg Staph;     – mild infections: 250-500mg IV q6hr;     – severe infections: 500mg-1gm IV q6-8hr;     – maximum … Read more

Hypocalcemia: Diff Dx

– Diff Dx:     – factitious levels 2nd to low protein and albumin (malabsorption, intestinal bypass surgery);     – causes related to calcium deficiency:           – osteomalacia (most common)           – vitamin D defficiency;           – rickets         … Read more

Hypercalcemia

– Discussion:     – physical properties     – state in body fluids          – calcium is a necessary & important addition to cell membranes, giving strength to these structures and regulating permeability;          – physiologic roles of calcium are well established;          – abnormally … Read more

Hydrochlorothiazide/Hydrodiuril/Esidrix

– for edema, HTN, CHF;  – Adult: 25-100 mg PO qd in divided doses;  – Precautions:  – may cause Hypokalemia, Hyperglycemia, Hyperuricemia; – contraindicated w/ allergy to sulfonamide drugs;  – beware of erythematous maculopapular rash;  – Peds: <6mo: 2-3 mg/kg/24hr divided bid; >6mo: 2mg/kg/24hr divided bid;  – Hydrochlorothiazide & Amiloride (Moduretic)  – for HTN and … Read more

Hip Joint in Rheumatoid Arthritis

– See: rheumatoid arthritis – Discussion:     – rheumatoid cervical spine:            – ensure that anesthesia is prepared for possible need for bronchoscopic intubation;     – total hip arthroplasty in rheumatoid arthritis: (see total hip replacement);            – protrusio acetabuli is common and is often … Read more

Heterotopic Ossification

– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion:     – occurence and formation of mature bone in non-osseous tissue;      – may present w/ signs of localized inflammation or pain, elevated skin temp, ect.     – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement;     … Read more