Data Trace Editor (see Steroids) Adult: 20 mg PO qod, Max dose approx 85 mg PO qd. – Peds: 2 mg/kg/day References Intermittent glucocorticoid steroid dosing enhances muscle repair without eliciting muscle atrophy Weekly steroids strengthen, repair muscles. Steroids thought to waste muscles surprisingly turn out to be beneficial in weekly doses Prednisone in Duchenne dystrophy. A randomized, … Read more
– See: Hypoplastic Thumb: – Discussion: – a rudimentary thumb w/ no or very little metacarpal & no or very few muscles is categorized as a floating thumb. – such a floating thumb may have all assoc. abnormalities & syndromes of true hypoplastic thumb and the absent thumb. – Radiographs: – … Read more
– Discussion: – pretendinous bands arise from the palmar fascia as strips of tissue which extend toward the bases of the digits; – the neurovascular bundle will lie on either side of the pre-tendinous bands; – at a point distal to the distal palmar crease, the … Read more
– 2-7 days before surgery; – w/ spirometry, measure the response with bronchodilators; – w/ thoracic surgery: FEV1 < 50% = high risk – w/ peripheral surgery FEV1 < 30% = high risk – FEV1/FVC ratio of less than 0.5 – pCO2 > 45 (and patient is not receiving meds that decrease ventilation abdominal or … Read more
– Discussion: – for HTN; – Alpha blocker with some direct smooth muscle relaxation: – Dosing: – Initial: 1mg PO bid to tid (watch out for syncope); – Maintenance dose: 6-15 mg/day given in 2-3 divided doses; – Maximun daily dose: 20 mg/day; – Precautions: – syncope may occur w/ dose > 2 mg; – … Read more
for anxiety disorders; Benzodiazepine related to chlordiazepoxide; Adult: 5-10mg PO 3 or 4 times qd; 20-50mg PO as single bed time dose to minimize daytime drowsiness; CNS depressant activity may make some activities requiring concentration dangerous for patients (driving); Note that this drug designed for slow conversion to active product, peak: 4-12hr after dose; Note … Read more
– Discussion: – unlike anterolateral bowing, this disorder is not assoc w/ other anomalies (like neurofibromatosis) nor is it associated w/ tibial frxs or pseudarthrosis, such as congenital pseudarthrosis of tibia; – clinical findings: – posteromedial bowing – calcaneal valgus … Read more
– See – Hemilaminectomy and Decompression L3-4, L4-5 – Diskectomy: – diet: liquids as tolerated on the day of surgery, resume preoperative diet on the day following surgery; – pt may be up to void on the night of surgery (unless dura was opened) – patient may roll … Read more
– Discussion: – posterior splint for 10 days in maximum equinus to reduce tension on the incision; – cam walker w/ 15 deg of equinus (or gravity equinus), non wt bearing; – pts are permitted non wt bearing ankle ROM exercises out of the … Read more
– See: Rx of Hypo K – IV Potassium Infusion: – IV Rx is reverved for severe hypokalemia<-A> or for patients who cannot tolerate PO fmrms; – If the serum potassium is > 2.5 mEq/l and EKG changes are absent, potassium can be given at a rate of upto 10 mEq/hr and in concentrations of … Read more