The Hip - book

Gluteus Medius

– Anatomy:     – origin:          – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis;          – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly;   … Read more

Glutamine

Glutamine-enriched intravenous feedings attenuate extracellular fluid expansion after a standard stress.

Glutamic Oxaloacetic Transaminase (SGOT) 8-40 U/L

Aspartate Aminotransaminase (AST): Increased: Acute MI Liver dz Reye’s syndrome Muscle Trauma / Injection / Polymyositis Pancreatitis Intestinal Injury or Surgery, Factitious Increase (Erythromycin, Opitates) Burns, Cardiac catheterization Brain Damage Renal Infarction TPN Glutamic Pyruvic Transaminase (SGPT) 8-50 U/L; Alanine Aminotransaminase (ALT)  – SGPT is more elevated t(an SGOT in Viral Hepatitis; SGOT is elevated … Read more

Glucose/Dextrose

Supplied: 1-2 amps of D50W (25-50 gm glucose); Cautions nutritional support solutions infused peripherally are usually limited to 10-12.5% Dextrose because infusion of more hypertonic solutions into peripheral veins can result in phlebitis or severe infiltration sequelae; Peds w/ Dextrose concentrations of 10-12.5% adequate calories for preterm neonates can be provided peripherally if the patient … Read more

GLUCAGON

– Discussion:  – for treatment of severe hypoglycemic reactions in diabetic patients with insufficient liver glycogen stores;  – Adult: 0.5 – 1.0mg SQ, IM, or IV, repeated at 20 min intervals as needed;  – administration of IV glucose is necessary if pt fails to respond to glucagon;  – Peds: 0.03-0.1 mg/kg/dose SQ, IM, or IV … Read more

Glomus Tumor

    – Discussion:     – glomus body is a neuromyoarterial apparatus;     – glomus is a controlled arteriovenous anastomosis or shunt between terminal vessels;     – its function is to regulate peripheral blood flow in the digits;     – majority of the lesions occur in females between the ages of … Read more

Glipizide/Glucatrol

– See: Antidiabetic Medications:  – for type II diabetes; sulfonylurea hypoglycemic;  – Adult: 5mg PO qAM; titrate as need;  – Precautions:  – reduce dose in elderly; watch disulfiram rxn; – contraindicated w/ DKA, use w/ caution in patients w/ renal or hepatic dz;  – hypoglycemicaction of glipizide may be potentiated by drugs that are highlyprotein … Read more

Glimepride / Amaryl

– Discussion:                   – glimepiride tablets are an oral blood-glucose-lowering drug of the sulfonylurea class;     – adult dosage:            – patients are started at 1-2 mg PO qd;            – maintenance dose ranges from 1 to 4 … Read more