Data Trace Editor – Acidosis consider HCO3, if hypoCa, then give IV Ca first; – limit protein intake w/ renal diet (organic acids); – non dietary sources of a sudden increase in sodium intake include the administration of sodium bicarbonate or Shohl’s solution in metabolic acidosis or the use of cation exchange resins for hyperkalemia; … Read more
– Discussion: – anti-depression medication: – is a selective serotonin uptake inhibitor; – adult: 20mg / 24 hr PO qAM initially; titrate to max dose of 80 mg/24hr; – note nausea, nervousness, weight loss common; – note side effects: sedation: +; insomnia: +++; anticholinergic: 0; … Read more
– for pyschotic disorders; phenothiazine is a tranquilizer; – Adult: 2.5-10mg/day in divided doses PO q6-8hr; – average maintainance 5.0mg/day or 1.25mg IM initially then 2.5-10mg in divided doses q6-8hr prn; – Note extreme Range: 0.5-30mg; or try Single IM dose: 1.25-2.5mg (decanoate or enanthate: 12.5-50 mg every 1-3 wks); – Sedative: +; EPS: +++; … Read more
– for insomnia; – benzodiazepine, sedative hypnotic; – Adults: 15-30mg PO qhs prn; must reduce dose in elderly; Note has 1 active metabolite; and that one (Desalkylflurazepam) has t/2== > 96hr
– Macrocytic (folate deficiency) anemia; pregnancy; – Adult: Supplement: 0.4mg PO qd; – Pregnancy: 0.8mg PO qd; – Folate defficiency: 1 mg PO qd/tid; – Peds: Supplement: 0.04-0.4 mg PO/24 hr; – Folate def: 0.5-1.0 mg/24 hr; – Supplied tabs: 0.1mg, 0.4mg, 0.8mg, 1.0mg; – Injection: 5mg/ml; 10 mg/ml
– Increased – Macrocytic – Decreased: – Malnutrition, Cancer, Psoriasis, Hemolytic Anemia, Megaloblastic anemia, Malabsorption – B12 deficiency: 140-700 pg/mL – Increased: Leukemia, Polycythemia vera; – Decreased: Pernicious anemia, Malabsorption, Pregnancy
– Discussion: – for treatment of Candida infections; – bioavailability of orally administered fluconazole is over 90% compared with intravenous administration – dose 200 to 400 mg per day – Cautions: – Dosing Regimens for Patients w/ Renal Insufficiency: (Dose for 70 kg Adult (gm/dosing interval in hours) CrCl:>80: 0.1-0.2/24; … Read more
– For adrenocortical insufficiency; – Adult: .05-.10 mg/24hr; – Used in conjuction w/ glucocorticoid supplement; – Peds: Infants: 0.1-0.2 mg/24hr period
– See: – F & E in the Head Injured Pt – References – Hetastarch/Hespan – Adult Trauma Patient: – initially the adult trauma pt should rapidly be given 2 liters of balanced salt solution w/ observation of response; – if there is no improvement in vital functions, than additional fluid load … Read more
– See: – Transfusion Menu / Blood Product Menu – Subclavian Vein Catheterization and Internal Jugular Approach – Assessment of perfusion: damage control orthopaedics – normal blood pressure (systolic), heart rate, urine output (30 mL/hr); – labs: base deficit, bicarbonate, and lactate – Initial Fluid Resusitation in the Adult Trauma Patient: … Read more