Data Trace Editor – Discussion: – for iron defficiency anemia; – adult: 300mg PO qd/tid with meals; – will turn stools and urine dark; can cause GI upset; con-stipation; – sulfate form contains more elemental iron per dosage unit than gluconate (some tolerate gluconate better); – peds: prophylaxis: … Read more
* Adults: Parental: 0.001-0.002 mg/kg/dose IV, may repeat in 1 to 2 hrs; 1-2 micrograms/kg/dose IM/IV: 100 micrograms = 10 mg Morphine. Pre-op: 0.005-0.01 mg/kg IM 30-60 min before surgery; Children (2-12 yrs): Parental: 0.02-0.03 mg/20-25 lbs (10 kg); * IM: onset at … Read more
– B agonist for Rx of Brochospasm; – 0.5-1.0 mg in 3ml NS by Nebulizer q4-6hr; – Althoughstandard dosing intervals for Beta agonists are q4-6hr,they may be given almost continuously in severe bronchospasm, as long as potential side effects are noted: (SVT, PVC, Muscle Tremors)
– Discussion: – NSAIA (propionic acid group); – for Rheumatoid and Osteoarthritis, mild to moderate pain; – Arthritis: 300-600mg PO tid/qid (maximum daily dose is 3 gm) – Tab: 600mg, Cap: 200, 300mg; – Note may cause increased LFT’s; – No adjustment is … Read more
Discussion: – Trauma Work Up: – Assessment of Perfusion: Damage Control Orthopaedics – Preparation for Surgery – fat embolism syndrome – references: – Early unreamed intramedullary nailing of femoral fractures is safe in patients with severe thoracic trauma. – Thoracic trauma … Read more
– See: TKR Menu / Supracondylar Femur Frx – Discussion: – known risk factors include notching of the femur, osteoporosis, and excessive polyethylene wear (w/ subsequent osteolytic defect) – other risk factors include osteonecrosis of the femur; – ref: Morphologic analysis of periprosthetic fractures after hip resurfacing arthroplasty. – Radiographs: – often oblique radiographs are needs … Read more
– Discussion: – polyethylene liner: (traditional design) – references: – Effect of femoral head size on wear of the polyethylene acetabular component. – Independent contribution of elevated-rim acetabular liner and femoral head size … Read more
– references: – The effect of dynamization on slowing the healing of femur shaft fractures after interlocking nailing. – The treatment of nonunions following intramedullary nailing of femoral shaft fractures. – Healing of 56 segmental femoral shaft fractures after locked nailing. Poor results of dynamization. – Femoral-shaft fractures and nonunions treated with intramedullary nails: The … Read more
– Discussion: – most common error is non isometric anterior tunnel placement within intercondylar notch rather than at its normal posterior insertion; – ACL graft should pull up into tibial tunnel by about 2mm with extension when fixed on femoral side; – this represents the closest reconstitution of … Read more
– Discussion: – the two incision (“backdoor”) approach has remained the gold standard for ACL reconstruction, because it is the only technique which can reliably position the femoral tunnel at the 10 o’clock (or 2 o’clock) position (which is necessary for anatomic reconstruction); … Read more