NALBUPHINE/NUBAIN
for moderate to severe pain; Synthetic partial opiate agonist/antagonist; Adult: 10-20mg IM, IV, SQ; q4-6hr prn; Causes CNS depression and drowsiness; use with caution in patients receiving opiate drugs; KEY PAIN OPIOID
for moderate to severe pain; Synthetic partial opiate agonist/antagonist; Adult: 10-20mg IM, IV, SQ; q4-6hr prn; Causes CNS depression and drowsiness; use with caution in patients receiving opiate drugs; KEY PAIN OPIOID
– Discussion: – for preoperative sedation; impairment of memory of perioperative events; – sedation for procedures, short acting benzodiazepine: – versed is 3 to 4 times more powerful per mg. than valium – may dilute injection in D5W, NS, or LR; – Conscious Sedation: – … Read more
– Discussion: – disorder of spinal cord development/closure or secondary rupture of developing cord secondary to hydrocephalus; – term myelodysplasia includes: – spina bifida occulta – meningocele: sac without neural elements protruding through defect; – myelomeningocele; … Read more
– Discussion: – most common neuromuscular junction defect; – results from damage to postsynaptic acetylcholine receptor sites; – more common in young women & older adults of both sexes; – diff dx: – myathenic syndrome: – ALS … Read more
Review Article: Drug Therapy: Moricizine
– Diabetic Gastroparesis: – 10mg PO 30min AC and HS for2-8 weeks prn; – GI Reflux: – 10-15mg PO 30min AC and HS; maximum duration of therapy is 12 weeks; – Prophylaxis of N/V in Cancer Chemotherapy; – IV infusion 1-2mg/kg diluted in 0.9% saline and given slowly (over 15min) 30 min before … Read more
– Discussion and Dosage: – type of reducing compound that leads to the formation of oxygen free radicals which are toxic to anaerobic bacteria; – for amebiasis, trichomoniasis, B.fragilis, C. difficile; – is effective for B.fragilis which is resistant to clindamycin, chloramphenicol, penicillin G; – amebic: 750mg … Read more
– See: – Penicillin Family – AntiPseudo – Adult: 2-4gm q4-6hr Injection; or 200-300 mg/kg/24hr; 1.85mEq Na/gm; – More active than Ticarcillin against Enterobacteriacae, same activity against P.aeruginosa; good activity against B.fragilis; – Diffusion from blood into CSF adequate w/ or w/o Inflammation; Ratio of CSF to Blood Level … Read more
– For severe fungal infections including coccidioidomycosis, candidiasis, Cryptococcus, and others; various tinea forms; cutaneous candidiasis; vulvovaginal candidiasis; tinea versicolor; – Adult: systemic: dosage range from 200-3,600 mg/24hr IV based on diagnosis; to be administered diluted to minimum volume of 200 ml NSS; – Topical apply to affected area twice daily for 2-4 weeks; – … Read more
– See: Orthopaedic Infection Menu: and risk factors for TJR infection – Pre-Admission Considerations: – removal of hardware prior to joint arthroplasty: – High incidence of early periprosthetic joint infection following THA with concomitant or previous hardware removal – Hospital and OR Considerations: – perioperative oxygen – normothermia: – Perioperative normothermia to … Read more