Data Trace Editor Hyperkalemia – Determination of the serum K is especially useful in the evaluation of hyperchloremic metabolic acidosis. Infusions of mineral acids result in elevated serum K levels because of the shift in K+ out of cells in exchange for H+ entry. Thus, hyperalimentation, NH4 Cl, CaCl2 ingestion, and Cholestyramine administration, all cause a hyperkalemic Non Anion Gap Acidosis. In addition, hypoadosteronism … Read more
– See ABG Non AG: Renal Non AG: Gut (Hyperchloremic Acidosis) RTA Diarrhea Carb Anhyd Inhib Fistulae Inhibitor Ileal loop (Urinary diversion) Post hypercapneic Ileostomy Excessive NS IV rate (mild) Ileus Repair phase of DKA Villous adenoma Anion Exchange Resins – Cholestyramine CaCl Pancreatic & Biliary drainage Hyperalimentation Solutions – w/ aminoacid salts – also … Read more
– See: – Scahoid Frx Menu – Non Diagnositic X-ray – Discusion: – tension in palmar radioscaphocapitate ligament leads to displacement of distal pole of scaphoid; – consider immobilization to relaxe palmar … Read more
– See: carpal instability – Discussion: – refers to a proximal row instability which occurs in the absence of instability between the individual proximal carpi; – ie, the scapholunate and lunotriquetral intervals are normal; – potential sites of pathology: – capitolunate … Read more
– Discussion: – most crucial measurement is degree of continuity of posterior facet, which is best determined by CT scan; – all frx are initially treated by strict bed rest, elevation, until acute swelling has subsided; – nondisplaced frx w/ mild or moderate decrease in Bohler’s < are initially … Read more
Teratogenic, contraindicated in pregnant women; Gum should be chewed slowly until sense tingling or pepery taste (one minute), then park the gum between cheek and gum; once the tingling or tast is gone, then rebegin chewing until again senses taste; This should be repeated for about 30 minutes; Ea nicorrette contains equivalent of 2mg Nicotine; May take … Read more
A trial of the effect of nimodipine on outcome after head injury. The influence of the calcium channel blocker nimodipine on flap survival.
– See After-Loading Agents given by Continuous Infusion; – Discussion: – Angina, pulmonary HTN, venous dilatation; – will produce modest decr in BP; – has cardioprotective action by decr Preload and dilation of coronary arteries; – if HTN remains, may begin concomitant Nitroprusside … Read more
– See: – After-Load – Toxicity – Discussion: – direct acting arterial & venous dilator is treatment of choice for HTN crises; – if HTN remains, despite max dosing then use Chlorpromazine; – consider Hydralazine when weaning from drip; – w/ Aortic dissection, Nitroprusside useful, but must be used with Beta blocker- -reduces Intra Vent … Read more
– Discussion: – therapy for > 24 hrs, excessive dosage, or RF may cause acculuation of thiocyanate, the metabolite, is excreted by kidney; – thiocyanatetoxicity occurs at plasma levels of 5-10mg/dl; – look for metabolic acidosis (early sign) blurred vision, tinnitus, or delirium, hepatic dysF(x), dyspnea, V, dizziness, ataxia, and syncope; – metabolic acidosis is … Read more