– Specific Agents: – Neomycin – Gentamicin – Tobramycin – Amikacin – Netilmicin – Discussion: – indicated for serious Gm Neg infections caused by suseptable pseudomonas, proteus, e. coli, klebsiella, enterobacter sp., serratia, and gm neg sepsis; – tobramycin is more … Read more
– See addition of antiobiotics to cement discussion – tobramycin: – has rapid elution of antibiotics which diminishes quickly after 2 weeks; – of interest, some bacteria will be able to survive on tobra or vanco beads alone, but generally cannot survive when both antibiotics are added to cement mixture; – the addition of 3.6 … Read more
– for Asthma, bronchospasm; – Adult Loading Dose: 6mg/kg IV over 20 min; – maintenance 0.6 mg/kg/hr IV infusion; w/ CHF, Liver dz, or elderly pts maintenance dose = 0.3 mg/kg/hr IV; – will need to individualize doses; – Acute Asthmatic Attack: Load 6mg/kg IV, then 1 mg/kg/hr IV; – Watch serum values: 10-20ug/ml is … Read more
Discussion for anxiety disorders, benzodiazepine, cross tolerant w/ ETOH; Adult: 0.25-0.5mg PO tid; max dose= 4mg/day; reduce dose in elderly; Peak plasma PO [ in 1-2hr w/ t/2== 6-20 hr
– Discussion: – for hyperacidity in PUD, hiatial hernia, esophagitis, gastritis by neutralizing gastric acid; and hyperphosphatemia; acts as Antacid; – Adult: 10-30ml or 1-2 tab (.6gm) PO 4-6x qd; – Side Effects: – Poor Choice with Renal Insufficiency (Aluminum toxicity) – Do not use with patients taking tetracycline; – may cause hypokalemia; – Peds: … Read more
– provides an assessment of alveolar-capillary gas exchange. – normal gradient is 20 – 65; Gradients > than 400 = severe Resp distress; – calculation requires: paO2 & PAO2; – place on 100% O2 for 20 min; PAO2 then = 673 (pCO2 = 47) – then get @O3.HLX^LABABG[ABG and calc difference; 673 – pO2. – … Read more
See Penicillin Family – For UTI caused by some strains of gram negative bacteria; – Dose: 600 mg IV/IM q4-6hr; – Not effective against P. aeruginosa, Penicillinase producing Staph aureus, H.influenza, Neisseria, or anaerobes; Note: Diffusion from Blood to CSF Good only with Inflammation
– RA criteria: (if 5 out of following are present for > 6 weeks); – morning stiffness; – pain on motion, or tenderness in at least one joint; – swelling (soft tissue thickening or fluid, not bony overgrowth alone) in at least one joint; – swelling of at … Read more
– see human amic studies and perisosteal grafting studies Biological resurfacing: an alternative to total joint arthroplasty. Autogenous meniscus grafts in articular cartilage defects–an experimental study. Treatment of articular defects with meniscal allografts in a rabbit knee model [Experimental study on interpositional arthroplasty using collagen membrane] Carbon fiber implants in osteochondral defects of the … Read more
– Gravity Method of Stimson – Bigelow’s Maneuver: for Posterior Hip Dislocation – Closed Reduction – Discussion: – patient is placed in the supine position; – knee is flexed to relax the hamstrings; – assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh; … Read more