Data Trace Editor – For grand mal and partial seizures; – Adult active siez:18-20mg/kg IV (50mg/min maximum infusion rate); – Oral loading: 15-20mg/kg in doses of 400mg or less at 4 hr intervals; – Maintainance doses: 300-400 mg/24 hr IV/PO divided q12-24 hr, based on plasma values and clinical response; – …or try: Loading dose 750 mg to 1 … Read more
– Discussion: – bone bridge obliterates growth-plate cartilage & prevents growth; – peripheral bone bridges predispose patient to angular deformities; – most common sites of growth arrest include the distal tibia, distal femoral and distal ulnar physis; – much less common sites include distal radius and proximal humerus; – Radiology: … Read more
– for seizure disorders, insomnia, anxiety; – Adult: sedative- hypnotic: 30-120mg PO or IM qd prn; – Anticonvulsant:loading dose:10-12 mg/kg in 3 divided doses, then 1-3 mg/kg/24 hr; – Note tolerance will develop to sedation; – paradoxical hyperactivity seen in pediatric patients; long half life allows single daily dose; therapeutic dose: 15-40; >45=toxic; Contraindications: Respiratory disease … Read more
– See: HTN – Discussion: – given IV for marked elevation of BP; – causes decrease in peripheral resistance & increase in venous capacity, due to direct action on vascular smooth muscle; – this may be accomanied by Tachycardia; – in emergencies: 2.5-5mg may be given IV; – 5-10 mcg/kg/min by continuous IV
– See: Phalangeal Frx – Indications: – open transverse phalangeal fractures, replantation; – certain transverse phalangeal fractures, avulsion & intra-articular fractures; – Advantages: – allows fixation of small intra-articular frx fragments; – there is no transfixation of soft tissues, which is seen w/ multiple K wire fixation; … Read more
– Amputation of the Finger and Hand – Arthrodesis of the MP joint and Finger Joints – Boutonnere Injuries – Characteristics of Phalangeal and Metacarpal Fractures – Compression Screws – Condylar Frx – Crossed Finger Flap – Dislocations of PIP – Digit Reimplantation – Dislocations: … Read more
– this test attempts to reproduce symptoms of leg pain, weakness, or numbness by causing neural ischemia; – w/ patient upright, bend the patient into extension for a full minute; – this should accentuate the Spinal Stenosis; – positive test will produce a crescendo of leg symptoms followed by rapid relief of these … Read more
– See: – Aspirin – Heparin – Dipyridamole – Verapamil – Warfarin – Urokinase – Papaverine – Prevention of Thrombosis in Microvascular Surgery: – most significant factor in patency of microvascular anastomoses is flawless … Read more
– Symptomatic relief of urinary tract irritation from surgery, endoscop, infection; Local anesthetic on urinary tract mucosa; – Dose: 200 mg PO tid after meals x 1-2 days; – GI disturbances, red orange urine color; Not for chronic use; Encourage high fluid intake
Phenelzine is a MAOI; DOSING INFORMATION: Recommended oral adult doses of phenelzine are 45 to 75 mg/day; alternatively, – Onset of activity is noted within 2 weeks, however, maximal effects are not seen until up to 6 weeks of therapy. – Phenelzine is well absorbed following oral administration and is excreted primarily as metabolites … Read more