– For Diabetes Insipidus (intranasal & parental); bleeding due to hemophilia A and Type I von Willebrand’s dz (parental); bleeding from esophageal varices; head trauma; – it can transiently correct the bleeding time in most patients with chronic renal failure and other acquired disorders of platelet function; – DI: Intranasally: Adult: 0.1-0.4 mL (10-40 ug) … Read more
– See: – Anatomy of C2 – Development of Dens – Odontoid view: – Pediatric Dens Frx: – Discussion: – odontoid fractures are the most common upper Cervical Spine fractures; – remeber rule of thirds – cervical cord occupies … Read more
– Dosing: – contraindicated w/ clinical allergy, must periodically examine urine sediment with chronic use; – for symptomatic Paget’s Disease of bone, hypercalcemia, post-menopausal osteoporosis (in addition to supplemental calcium, adequate vitamin D intake, and adequate diet); – osteoporosis: – may be … Read more
– See: Alkaline Phosphatase – Discussion: – disease of unknown etiology affecting skeleton & adjacent tissues; – characterized by fever, rirritability, swelling of soft tissues, & cortical bone thickening; – thickening of jaw & forearm are the most common sites, but occassionally lesion is diffuse; … Read more
– See Bone Topics: Calcaneus Capitate Clavicle Coracoid Process Femur Fibula Foot Hamate Humerus Lunate Navicular Olecranon Patella Pisiform Radius Sacrum Scaphoid Scapula Sesamoid Bones (Foot) Sesamoid Bones (Hand); Talus Tibia Trapezium Triquetrium Ulna
– for allergic rhinitis; – 1 spray intranasally bid/tid; – nasal spray gives 42ug/dose; – for chronic Asthma; – adult 2 puffs tid/qid (maximum=20 per day); – not effective for acute cases;(2 puffs=84ug); – rinse mouth and gargle w/ water after inhalation; – no systemic effects w/ dose < 1mg/24hr
– Discussion: – HTN from bladder or bowel distension or from renal calculi; – sensitivity to succinyl choline (hyperkalemia) – increase susceptibility to pulmonary edema; – can follow upper and lower spinal cord injuries; – related to bladder overdistension or fecal impaction and manifests as with … Read more
– See: – Occipital-Atlanto-Axial Anomalies: – Anatomy of C1 / C2 – Discussion: – more common children, since the pediatric occipital condyles are small and almost horizontal & lack inherent stability; – this injury is usually but not invariably fatal 2nd to respiratory arrest caused by injury … Read more
– Discussion: – for treatment of Asthma; – not for acute attack; used for allergic rhinitis; – prevents release of bronchoconstrictors; – Adults: 20mg (as powder in capsule) inhaled qid; for aerosol; – inhale 2 puffs qid; – nasal instillation: spray once in each nostril 2-6 times qd; – Peds: > 5yrs: 20 mg (as … Read more
– Facial Fractures and Upper Airway Injuries: – in pts with major frxs of the mandible and maxilla (Lefort III) in whom massive edema has yet to occur, oral intubation is preferred, and if required is usually easily accomplished; – blind nasal intubation following major facial injury is discouraged because of … Read more