Data Trace Editor – 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
– See Steroids: – similar indications as dexamethasone but not used in cerebral edema; – IV/IM: Initial dose is 100-500mg depending on severity of condition – infuse slowly (500mg over 10min), dosage may be repeated q2-6hr prn; – for bronchospasm: 250mg IV bolus; maintenance = 100mg IV q6hr; – will take 6 hr … Read more
– Discussion: – see: Oasis Surgical Technique by Jack Farr – uses a distraction histiogenesis strategy; – three separate phases: – latency phase that immediately follows the osteotomy for some duration during which time no mechanical perturbation is applied; – active or distraction phase during which the two bony segments are … Read more
– Discussion: – staple fixation & casting at surgery or shortly thereafter; – advantage: allows full wt bearing; – disadvantage: requires above knee cast; – Management of Fibula: – Surgical Approach: – Osteotomy Cuts: … Read more
– Discussion: – medial displacement osteotomy to stabilize unstable 4 part intertrochanteric frx; – in 4 part frx, adductors tend to displace frx into varus secondary to lack of medial cortical opposition; – disadvantages: – in a biomechanical study by Chang, el al., it … Read more
– See: – Gait Menu; – Muscle Activity During Gait – Discussion: – at initiation of double limb stance, heel contacts ground, & ankle rapidly plantar-flexes as tibialis anterior eccentrically contracts; – at moment of heel strike, during the first interval of stance phase, anterior … Read more
– See: Humeral Frx – Main Menu – Condylar Fractures – Non Union of Humeral Fractures – Pediatric Humeral Shaft Fracture – Synthes Humeral Shaft Products – Discussion: – mechanism: – bending force produces transverse frx of the shaft; – torsion force will result in a spiral fracture; – combination of bending and torsion produce … Read more
– See: – Proximal Humeral Physeal Injuries – Condylar Fractures – Discussion: – while radial nerve paralysis occurs in adults, its rare in children; – most represent neuorpraxias, & are expected to return w/ in 3-4 months; – acceptable reduction: – overriding of 1 to 1.5 cm is accepted, as overgrowth is common in pediatric … Read more
– See: Medial Approach to the Ankle – Equipment: – one or two appropriately sized reduction tenaculi; – one sharp awl; – either the cannulated 4.0 drill set or the small fragment set with two 2.5 mm drills (for 4.0 mm cancellous bone screws); – Incision: – curvilinear … Read more