Data Trace Editor – See: – Coag Pathway – Pulmonary Embolus – Discussion: – at greater than 40 years; – preexisting conditions such as heart disease, obesity, carcinoma, diabetes, varicose veins, and hypertension; – history of pre-existing embolism; – history of prolonged immobilization; – use of estrogens; … Read more
– Discussion: – hyperextension dislocation type of injury of Cervical Spine may be assoc w/ marked neurologic deficit – esp Central Cord Syndrome; – cervical cord is compressed between posteriorly dislocated vertebral body and the posterior longitudinal ligament, & posterior elements and ligamentum flavum; – Radiographs: – combination … Read more
– See: – Central Cord Syndrome: – Extension Teardrop Fracture of C2 – Hangman’s frx – Jefferson Fracture – Lower Cervical Burst Fractures – Hyperextension fracture dislocation – Prevertebral Soft Tissues – Discussion: – hyperextension injuries may include: … Read more
– See: – Anterior Subluxation & Wedge Fracture – Bilateral InterFacet Dislocation – Spinous Process Fracture (avulsion frx – “Clay Shoveler’s Frx) – Flexion Tear Drop Fracture – Discussion: – anterior subluxation is characteristic that more commonly results from a hyperflexion … Read more
– See Treatment of – Diff Dx: – Diabetes Mellitus / Inadequate Insulin dosing – Infection – GI upset – TPN administration – MI / Stroke – Cushing’s, Acromegaly – Increased Epinephrine (Injection, Pheochromocytoma), Stress, Burns, Surgery) – Acute Pancreatitis; – Meds: Corticosteroids Thiazides – Spurious result caused by drawing blood from a site above … Read more
– for moderate to severe pain (surgery, cancer); – Adult: PO: 1-4mg PO q6hr prn; SC/IM: 1-2mg q4-6hr prn; IV: (given slowly over 3-5min):1-2mg q4-6hr prn;; – 1.5mg IM equivalent to 10mg morphine IM
– See: bone mineralization – Basic Science: – compound that is similar to bone mineral, sharing the formula Ca10 (PO4 )6 OH2; – crystal lattice of hydroxyapatite is hexagonal or pseudohexagonal; – as shown by radiographic diffraction analysis, calcium and phosphate mineralize in bone in the form of an … Read more
– Discussion: – for anxiety, tension, sedation, itching (associated with allergic conditions), Antemetic, ETOH withdrawl; – acts as antihistamine, sedative effects, potentiates narcotics and has antiemetic effects; – adult: dose: anxiety or pre-op: 50-100 mg PO/IM qid or prn: max of 600mg; – itch: 25-50 mg PO/IM … Read more
– For mod – to severe HTN & CHF; – Hydralazine can be used to effect transition from continuous infusion agents to bolous agents which in effects gets pt off “drip” (Nitroprusside) – Adult Dosing: – begin w/ 10mg PO qid for 2-4 days, then incr to 25mg qid, may incr to 50mg qid after … Read more
– for edema, HTN, CHF; – Adult: 25-100 mg PO qd in divided doses; – Precautions: – may cause Hypokalemia, Hyperglycemia, Hyperuricemia; – contraindicated w/ allergy to sulfonamide drugs; – beware of erythematous maculopapular rash; – Peds: <6mo: 2-3 mg/kg/24hr divided bid; >6mo: 2mg/kg/24hr divided bid; – Hydrochlorothiazide & Amiloride (Moduretic) – for HTN and … Read more