Data Trace Editor – See: Criteria for Extubation – Decrease FiO2 to less than toxic levels ( < 50%) – Use PEEP to wean FiO2; – Maintain Hb Sat > 90% – Decrease mechanical rate: from IMV of 8 to 4 & check ABG – Reduces mean intrathoracic pressure and frequency of exposure to Peak Inspiratory Pressure (PIP); … Read more
– Discussion: – uricosuric agent; – for Gout, maintenance of serum levels of penicillin; – inhibits tubular secretion of penicillins; – adult: – gout: 0.25gm bid for 1 week, then 0.5 gm PO bid; – penicillin: 1-2 … Read more
– See: – Class I Agents – Discussion: – for supraventricular and ventricular arrhythmia (if lidocaine has failed); – is Class I antiarrhythmic, similar to quinidine; – requires a relatively long time to achieve therapeutic levels; – after new onset fibrillation or flutter have been controlled, add quinidine or procainamide to help maintain sinus rhythm; … Read more
– See: – topical antimicrobials – skin prep agents – High Pressure Irrigation: – irrigation can remove enough wound bacteria to cross the threshold to non-infected states, but only if the irrigant is delivered with sufficiently high pressure to mechanically disrupt bacterial adherance to the wound surface; – to be clinically … Read more
– See: Total Hip Replacement Menu: – Insertion of Cementless Femoral Stem: – Radiology of Press Fit Stems: – Removal of Cementless Stems: – Discussion: – indications: – younger patients (less than … Read more
– in jugual or subclavian vein, typical CVP pattern is observed. – as catheter is advanced thru tricuspid valve, into Rt ventricle, one will see a high amplitude, smooth regular wave form representing the ventricular contraction; Note: there is not dicrotic notch and that at its lowest, the wave for is near 0; – as … Read more
– See: – Charcot Changes in the Diabetic Patient – Diabetic Foot Menu – Pedorthic Footwear Association – Discussion: – foot orthotics – any diabetic patient who lacks protective sensation should have aggressive protective foot care; – diabetic foot should be protected by a padded … Read more
– Antibiotics: – prophylactic antibiotics – local antibiotic delivery – antibiotic beads – addition of antibiotics to cement – Skin Preparation: – topical agents: – skin prep agents – topical antimicrobials – Reduction in OR Contamination: … Read more
– Discussion: – in sharp clean wounds primary repair is indicated; – by definition primary repair is performed within 7 days of injury; – age of the patient is single most critical factor in sensory recovery after nerve repair, & results are adversely affected by associated … Read more
– Discussion: – soft tissue swelling is indirect indicator of significant trauma, esp when the soft tissue swelling is above the epiglottis; – retropharyngeal soft tissue swelling should not exceed: – anterior to C3 should not exceed 3 mm. – if > than 5 … Read more