Data Trace Editor – Anti-Gout Meds: – Allopurinol – Colchicine – Indomethacin – Probenecid – Sulfinpyrazone – Discussion: – inflammatory response to MSU crystals can be interrupted w/ joint rest, anti-inflammatory drugs, or administration of colchicine; – colchicine: for all pts w/ gout, whether it is primary … Read more
– Outside Link: – An Approach to the Head Injured Patient by Paul Marik, MD – Trauma Menu: – Spine / C-spine – Orders for the Spine Injured Patient: Anesthesia in the Spinal Cord Injured Patient: Fluids in the Head Injured Pt: Hyperventilation Glasgow Coma Scale Head … Read more
– Discussion: – diff dx: – physical exam: – neuromuscular: weakness, paresthesia, depressed tendon reflexes; – assess severity: – K > 8.0 mmol/L, EKG w/ more than peaked T waves alone, or if cause is not immediately … Read more
– Discussion: – physical properties – state in body fluids – physiologic roles of calcium are well established; – abnormally low concentrations of Ca permit spontaneous discharges of both sensory & motor fibers in peripheral nerves, leading to tetany; – w/ elevated levels, … Read more
– Signs & Symptoms – Potassium Supp – Diff Dx – Management: – hypokalemia assoc w Met Alkalosis is treated w/ Chloride; – Moderate Hypokalemia: (Serum K+ < 3.0 mmol/L) – may see PAC’s but no (or infrequent) PVC’s & no digoxin toxicity; – potassium supplementation: – Slow K = … Read more
– Discussion: – accetable reduction: – more than 50% of cortical overlap; – > 10 deg of angulation in any plane is unacceptable – < 5 deg of varus or valgus; – < … Read more
– See: blunt cardiac trauma – Initial Management: – determine whether the chest pain is of cardiac origin: – sublingual nitroglycerin should improve chest pain (at least partial relief) if the pain is of cardiac origin; – EKG changes in MI: … Read more
– Inhaled B agonists: – Ventolin; – Berotec; – Alupent; – Theophylline Prep; – Atrovent (Anticholinergic Agents) – Steroids – Atropine; – Nebulized water and saline are without documented benefit, as are oral expectorants such as guaifenesin and saturated iodide, and the latter has severe toxic side effects. GMO Manual Iowa Family Practice Handbook – … Read more
– See: – Burns of the Hand – Chemical Burns – Electrical Burns – Frost Bite – Initial Management: – trauma management: – patients require a generalized trauma assessment w/ all clothing removed; – determine nature of the burn (flame, chemical, electrical); … Read more
– Anticoagulant Induced Bleeding: – Coags – Coag Pathway – Platlet abnormalities: – Transfusion Rx – Dilution Coagulopathy: – may result from massive transfusions; – rarely occurs w/ < 12 units of transfused pRBC, but occurs in nearly all pts that have received > 20 units of pRBC; – note: coagulopathy associated with … Read more