– See: – Penicillin Family – AntiPseudomonal Agents – Discussion: – piperazine penicillin derivative with increased activity against many gm negative bacteria – P.aeruginosa, Enterobacteriacae – S.faecalis; Anaerobes (B.fragilis); – for serious infect.: 200-300 mg/kg/24hr IV in 4-6 divided doses; – for complicated … Read more
– Discussion: – pt w/ anterior dislocation keep affected arm at side of body in external rotation; – shoulder will loose its usual roundness and will be full anteriorly to palpation; – axillary nerve f(x) should be documented; – rotator cuff is frequently damaged & should be … Read more
– Symptomatic treatment of acute gouty arthritis; rheumatoid spondylitis; – musculoskeletal disorders (peritendinitis, bursitis); acute perivascular inflamation; – NSAIA; dosage: 300-600 mg/day in 3-4 divided doses; – should reduce maintenance dose to minimum effective dose (maximum 400mg/day) – Note: erythematous maculopapular rash; – Note: use w/ caution in pts over 40 yrs; ocular and otic … Read more
– Discussion: – for treatment of vascular failure in shock, hypersensitivity, or drug induced hypotension; – used to overcome paroxysmal SVT; – blood pressure maintenance during spinal anesthesia; – alpha agonist vasoconstrictor: – Dosage: – mild hypoTN: 2-5mg IM or SQ elevatesBP for 2 hrs; – 0.1-0.5 mg IV given as slow IV injection; – … Read more
– For grand mal and partial seizures; – Adult active siez:18-20mg/kg IV (50mg/min maximum infusion rate); – Oral loading: 15-20mg/kg in doses of 400mg or less at 4 hr intervals; – Maintainance doses: 300-400 mg/24 hr IV/PO divided q12-24 hr, based on plasma values and clinical response; – …or try: Loading dose 750 mg to 1 … Read more
– See: – Aspirin – Heparin – Dipyridamole – Verapamil – Warfarin – Urokinase – Papaverine – Prevention of Thrombosis in Microvascular Surgery: – most significant factor in patency of microvascular anastomoses is flawless … Read more
– H2 blocker: – Cimetidine – Zantac – Pepcid – Nizatidine – Other: – Antacids – Omerprazole – Nexium – Carafate – Protonix – Aciphex (rabeprazole sodium): – proton pump inhibitor approved for … Read more
– Dose: – maximum dose for RA patients is 750 mg to 1 g per day; – low doses (125-250 mg) of the drug are used initially with slow-dose titration to reduce the potential for side effects. – D-penicillamine exhibits similar toxicity profile to IM gold, which includes mucocutaneous reactions, proteinuria, nephrotic syndrome, leukopenia, thrombocytopenia, … Read more
– See: Penicillin Family – DOC for Group A strep, pneumococcus, N. gonorrhea, syphilis; – good for most Gm positive, Streptococcus, Meningitis, Clostridium, Cornybacterium, coliforms, – prophylaxis for bacterial endocarditis; – Adult: 250-500 mg (400-800 K units) PO qid; – IV 1.2-24 million units per day; – Strep Pneumonia: 1-2 million units IV q4-6hr; … Read more
for moderate to severe pain; preop sedation; Synthetic partial opiate agonist/antagonist; Dosage:30mg IM or IV; 50-100mg PO q3-4hr prn; Note that 30-60mg IM equianalgesic to 10mg morphine IM; therefore, use with caution in patients receiving opiate drugs; associated with considerable dysphoria; KEY SEDATION PAIN OPIOID