– References – Lab studies – TPN formula compositions; – will vary w/ Renal, Hepatic, or Cardiac failure; – Lipids in the TPN patient – TPN Complications – Discussion: – ensure that catheter is in the SVC and NOT in Rt Atrium or Subclavian; – begin infusion at 30-50 … Read more
– See: – Herniated Disc in the Child: – Intervertebral Discs: – Anatomy: – disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; – disc containment: – w/ a contained disc herniation, the … Read more
– See: – EKG Changes – Interactions and Toxicities: – Discussion: – for CHF, A.fib, flutter, PAT; – digitalis is the only drug that slows ventricular response w/o decreasing myocardial contractility; * Adult Dosing: * Loading: 0.25 – 0.5 PO/IV, then .25mg PO q6hr, until total dose = 1.0-1.5mg; * Note onset of action = … Read more
SVT vs VT Ischemia: MI/Angina Hypoxia Hypovolemia Valvular Heart Dz: Mitral Stenosis: Acidemia Cardiomyopathy, CHF Ventricular Aneurysm Electrolytes (HypoK, HypoMg, HypoCa) Meds: Digoxin Quinidine Procainamide Disopyramide Amiodarone Phenothiazine Tricyclics – each of these drugs will prolong QT interval, and may produce a type of V.Tach (Torades de Pointes)
– Specific Causes: – loss of estrogen: – in most women there is a rapid increase in bone loss after menopause; – this probably results from primarily by loss of estrogen; – however, all postmenopausal women have lost … Read more
– Adult: 0.5-1gm q 6hr PO or 12.5mg/kg/24hr; – Dosing Regimens for Patients with Renal Insufficiency: (Dose for70kg Adult {gm/ dosing interval in hours}) CrCl: >80; 0.5/6; CrCl:50-79::0.5/6; CrCl:30-49; 0.5/6; CrCl:10-29: 0.5/6 – 40 % of dose will be excreted in urine (w/ nl R F(x)) – Bad Taste (bad for Chlidren) – Peds … Read more
– See: – Myopathic Disorders – Ossification of Soft Tissue and Periosteum: – Discussion: – most common collagen vascular diseases which affect muscle; – pts may be affected at any age; – may be due to viral infection; – in adults, note possible concomitant occult neoplasm; – Clinical Findings: – systemic illness; – muscle … Read more
– Discussion: – aspirin & other nonsteroidal antiinflammatory drugs block biosynthesis of prostaglandins and thromboxane A(sub 2) by inhibiting cyclooxygenase enzyme; – ASA covalently acetylates cyclooxygenase, inhibiting it irreversibly, whereas other NSAIDs act reversibly on the cyclooxygenase
– Adjunct to rest and physical therapy for relief of muscle spasm associated w/ acute painful musculoskeletal conditions; CNS relief of muscle spasm; – Adult: 10mg PO tid; Do not use for longer than 2-3 weeks; sedative and anticholinergic properties; – Contraindicated with MAOI use, Tricyclics, during acute recovery from MI, – Contra w/ hyperthyroidism, CHF, dysrhythmias, … Read more
ACLS Risk Assessment: Management of Myocardia Infarct: Meds EKG Interpretation Hct TC x 2 10 gm/100 ml of Hgb is regarded by many as minimal for GEA w/ CAD; useful rule when attempting physiologic correction of chronic anemia is seldom to administer more than 1 unit of blood per day thereby allowing time for excretion … Read more