Data Trace Editor – for reversal of narcotic effect or suspected narcotic overdose; – Adult: 0.2-0.8mg IV, IM, or SQ q5min for 3 doses; – May percipitate acute withdrawl in addicts, hence inorder to prevent vomiting and Aspiration Pneumoniae begin w/ 0.2mg IV, SC, or IM for several doses; – if no response after 3 doses, suspect non-narcotic cause; … Read more
– Discussion: – NSAIA (member of the arylacetic acid group); – for symptomatic RA, bone pain; – primary dysmenorrhea, acute tendinitis and bursitis, mild to moderate pain: – Adult: – typical dose: 250 mg PO bid or 500 mg PO bid (500-1250 mg/24hr PO divided bid); … Read more
Move to Restrict Pain Killers Puts Onus on Doctors Washington State’s guidelines on use of opioids for chronic non-cancer pain—frequently asked questions Guidelines For the Use of Analgesia and Sedation in the ICU, Paul Marik, MD http://www.agencymeddirectors.wa.gov/Files/DosingCalc.xls Pain and Policy Studies Group Reduction in narcotic use after primary total knee arthroplasty and association with patient … Read more
– Anatomy: – other name for the superficial transverse metacarpal ligament; – these ligamentous fibers extend between the web spaces of the digits, and lie immediately beneath the skin, and helps create web space; – digital nerves & vessels pass deep or dorsal to natatory ligaments; … Read more
Co-authored by Edward Harvey M.D. – Discussion: – symptomatic hip almost uniformly progresses to further collapse without treatment; – collapse rates approach greater than 85% in the symptomatic hips, even if first seen in the earliest stages; – treatment plan for the asymptomatic AVN is controversial; – approx … Read more
– See: DDH – Main Discussion – Discussion: – 95-98% of DDH cases are possibly reversible; – 2% of DDH cases may have teratologic dislocation which is generally not reversible; – less than 2% of infants will have a positive Barlow’s test (dislocatable hip); … Read more
– See: Partial ACL Deficiency: – Discussion: – left untreated, the torn ACL leads to anterior laxity, rotatory instabilities, and meniscal tears; – there is a definite increase in X-ray changes of DJD – 1/3 of pts w/ isolated ACL injuries will show minimal instability – 2/3 … Read more
– See: Class II Agents – Discussion: – adult dose: 40 mg PO qd (dose upto 240 or 320 mg may be required) – discussion: – used to slow ventricular rate during atrial fibrillation, esp w/ excessive heart rate during exercise
– Discussion: – indicated for the diagnosis of nail tumors or unexplained deformities; – may be performed using “punch method” or thru open nail bed biopsy; – open biopsies should use transverse incisions in the nail matrix and longitudinal incisions in the nail bed; – biopsy material should … Read more
– See: – Distal Phalangeal Frx: – Finger Tip Injuries: – Ingrown Toe Nail – Paronychia: – Matriectomy: – Mucous Cyst: – Nail Bed Biopsies: – Anatomy: – nail plate: … Read more