div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> – See strong>a href=”/joints/hip/total-hip-arthroplasty/”>Total Hip Replacement Menu:/a>/strong> br/> br/> strong>- Discussion:/strong> (strong>a href=”/ortho/deep_venous_thrombosis”>general discussion of DVT/a>/strong>) br/> – 40-60% of THR patients who do not receive prophylaxis will get a DVT (dependment on imaging method); br/> – ref: Significance of deep … Read more
– See: Surgical Treatment of Dupuytren’s: – Discussion: – originally described by Baron Guillaume Dupuytren in 1831; – ref: Guillaume Dupuytren: His Life and Surgical Contributions – usually appears between age 40 to 60 years; – disease occurs more often and is more severe in males or … Read more
– See: Chemotherapy Agents: – Indications: – acute leukemias and malignant lymphomas; non-Hodgkin’s lymphomas and Hodgkin’s disease; ca of the ovary; breast; sm cell of lung; – Sarcomas: Osteogenic sarc, Ewing’s, and soft tissue sarcomas; – Metastatic ca of Breast, ca of bladder, bronchogenic ca, neuroblastoma; – Precautions: – care should be taken to avoid … Read more
– See: – Inotropic Agents – Inotropic agent (not vasoconstrictor); – Useful in pt w/ poor CO output, elevated left ventricular filling pressures (PAOP > 18mm Hg), & marginal systemic blood pressures; – For Shock syndrome as result of MI, endotoxins, trauma, Renal failure; – Selective B1 stimulator; – Causes direct iotropic stimulatorwith reflex vasodilation … Read more
– For constipation prone patients (bedrest, medications); – Acts as stool softener; – Adults: 240 mg PO qd; – Peds: >6yrs: 50-150 mg PO qd; – Supplied: Caps: 50mg, 240mg; – COLACE: – Adults: 50-250 mg PO bid; – Peds: <3yrs: 10-40 mg / 24 yrs PO divided qd/qid; – 3-6 yrs: 20-60 mg/24hrs PO … Read more
– See WPW / PAT – Atrial Rate: 150-214: average 187 – when P waves are seen they are: – inverted in inferior leads; – follow the QRS complex; – often P waves are difficult to discern Review Article: Drug Therapy: Adenosine And Supraventricular Tachycardia.
– 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)