Ortho Preferred Malpractice Insurance

Antipsychotics

– Phenothiazines     – Chlorpromazine     – Thioridazine     – Mesoridazine     – Fluphenazine – Thiothixenes     – Thiothixene – Butyrophenones     – Haloperidol – Discussion:     – in low doses they are useful for the management of the agitation and confusion of delirium and dementia;     – … Read more

Antimalarials

– clinical response can be anticipated within three to six months after initiating therapy with approximately 40%-60% of patients able to expect a beneficial response. – upper end of dosage used in treatment of RA is 3-4 mg/kg/day for chloroquine and 6-7.5 mg/kg/day for hydroxychloroquine; – corneal deposits occur in up to 50% of patients … Read more

Antibiotic Prophylaxis

– See:       – Antibiotic Menu       – Osteomyelitis – Perioperative Prophylactic Antibiotics:     – the main question we need to ask is what are we trying to accomplish?     – obviously we want a strategy that prevents the infection of MRSA, MSSA, staph epi, and anaerobic infections;     – giving ancef alone, … Read more

Amputation Menu

– Amputations in the Diabetic Patient – Above the Knee Amputation: – AKA prosthetics – Basic Science: – Below Knee Amputation: – amputation following fractures of the tibia – pediatric BKA: – BKA prosthetics – prosthetic feet – Foot and Ankle Amputation – Syme’s Amputation – Transmetatarsal Amputation – Chopart Amputations – Pediatric Amputations – … Read more

Amphotericin B/Fungizone

 – for severe systemic fungal infections;  – dose: 0.25mg/kg IV over 6hrs initially (infusion .1mg/ml);  – gradually increase dose as tolerated up to 1-1.5mg/kg/24hrIV over 6hr;  – note hypersensitivity, caution with nephrotoxic/antineoplastic agents;  – monitor blood, liver, and renal function,  – discontinue therapy if BUN >40mg/dl, Creatinine >3.0mg/dl, or if liver function test abnormalities are … Read more

Amikacin/Amikin

    – See:       – aminoglycosides – for short term Rx of serious infections from Gm Neg aerobes and penicillinase producing Staph; – Adult: 15 mg/kg/24hr divided over q8-12 hours;  – with clearance < 50 ml/min. give dose over 12-18hr;  – w/ clearance < 30 give dose over 24-36 hr; – Peds: … Read more

Aminoglycosides

– Specific Agents:     – Neomycin     – Gentamicin     – Tobramycin     – Amikacin     – Netilmicin – Discussion:     – indicated for serious Gm Neg infections caused by suseptable pseudomonas, proteus, e. coli, klebsiella, enterobacter sp., serratia, and gm neg sepsis;     – tobramycin is more … Read more

ALGORITHM for PAROXYSMAL SVT

– See: – Tachycardia, Assessment – Discussion – VT vs SVT UNSTABLE STABLE | | Synchronous Cardioversion 75-100 J Vagal Maneuvers | | Synchronous Cardioversion 200 J Verapamil, 5 mg IV | | Synchronous Cardioversion 360 J Verapamil, 10 mg IV | (in 15-20 min) Correct Underlying Abnormalities | | Cardioversion, Digoxin, B Blocker Pharmological … Read more

Alcohol Withdrawl

  – Discussion: –  onset- usually a few hours to 10 days after last drink (Usually 6-48 hr); – early symptoms: tend to be mild; – nausea, vomiting, anorexia, insomnia, diaphoresis, agitation, tachycardia, HTN, if seizures occur, – common abstinence syndrome, occurring at 6-8 hr, is the earliest withdrawl syndrome and is often present when the … Read more