The Hip book

Dicloxacillin/dynapen

– Adult: 0.5-1gm q 6hr PO or 12.5mg/kg/24hr; – Dosing Regimens for Patients with Renal Insufficiency:  (Dose for70kg Adult {gm/ dosing interval in hours})   CrCl: >80; 0.5/6; CrCl:50-79::0.5/6; CrCl:30-49; 0.5/6; CrCl:10-29: 0.5/6 – 40 % of dose will be excreted in urine (w/ nl R F(x)) – Bad Taste (bad for Chlidren) – Peds … Read more

Dermatomyositis and Polymyositis

– See:       – Myopathic Disorders – Ossification of Soft Tissue and Periosteum: – Discussion: – most common collagen vascular diseases which affect muscle; – pts may be affected at any age; – may be due to viral infection; – in adults, note possible concomitant occult neoplasm; – Clinical Findings: – systemic illness; – muscle … Read more

Cyclo-oxigenase

– Discussion:     – aspirin & other nonsteroidal antiinflammatory drugs block biosynthesis of prostaglandins and thromboxane A(sub 2) by inhibiting             cyclooxygenase enzyme;     – ASA covalently acetylates cyclooxygenase, inhibiting it irreversibly, whereas other NSAIDs act reversibly on the cyclooxygenase

Cyclobenzaprine/Flexeril

– Adjunct to rest and physical therapy for relief of muscle spasm associated w/ acute painful musculoskeletal conditions; CNS relief of muscle spasm; – Adult: 10mg PO tid; Do not use for longer than 2-3 weeks; sedative and anticholinergic properties; – Contraindicated with MAOI use, Tricyclics, during acute recovery from MI, – Contra w/ hyperthyroidism, CHF, dysrhythmias, … Read more

Cardiac Orders / Management

– ACLS – Risk Assessment: – Management of Myocardia Infarct: – Meds – EKG Interpretation – Hct – TC x 2      – 10 gm/100 ml of Hgb is regarded by many as minimal for GEA w/ CAD;      – useful rule when attempting physiologic correction of chronic anemia is seldom to administer … Read more

Calcium Supplements

– See Vit D Discussion: – Discussion:     – calcium requirements:          – age  1 – 10:  800-1000 mg per day;          – age 11 – 35: 1200 mg per day;          – premenopausal:  1000 mg per day;          – postmenopausal: 1500 mg per day;   … Read more

Bone and Fracture Healing

– See: Bone Topics    – Discussion:     – woven bone healing:           – ref: Distal radial fractures heal by direct woven bone formation     – stages of enchondral bone healing:           – hematoma / inflammation:                  – shortest stage of fracture healing                  – disruption of vascular flow through the marrow and periosteum … Read more

Cardiac Sports Conditions

– See:       – pulmonary contussion:       – cardiac enzymes       – blunt cardiac trauma – Discussion:     – defined as cardiogenic shock, arrhythmias requiring treatment, or structural cardiac abnormalities directly related to the cardiac trauma; – Commotio Cordis:      – catastrophic condition (rare) that is caused by blunt … Read more