The Hip - book

Data Trace Editor

Amphotericin B Mixture Interactions

– should not be mixed with the following medications: Amikacin Ca Cl and Ca gluconate Carbenicillin CIMETIDINE DOPAMINE Gentamicin KANAMYCIN LIDOCAINE METARAMINOL METHYLDOPA Penicillin G Potassium Cl RANITIDINE Tetracycline VERAPAMIL Original Text by Clifford R. Wheeless, III, MD.

Ampicillin (Amcil, Omnipen)

(see also: Penicillin Family) Discussion ampicillin is usually given IV as unasyn vs. amoxicillin which is given orally; for treatment of suseptible gram negatives (Shigella, Salmonella, E. coli, H. influenza, P.mirabilis, N. gonorrhea) and gram positives (streptococci); adult: 500mg – 2gm PO, IM, or IV q6hr; peds: term infants: 150-200 mg/kg/24hr divided q6-8hr IV or IM; … Read more

Ampicillin Sulbactam/Unasyn

(see also: Penicillin Family / Ampicillin / Aumentin) Discussion for beta lactamase producing Staph aereus, Eneterococcus, H. influenza, Klebsiella, Proteus mirablis, Bacteroides adult: 1.5-3 gm IM/IV q6hr (2:1 ampicillin sodium:sulbactam) adjust w/ Renal failure; good diffusion from blood into CSF only with inflammation; inflammed meninges: 5-10; peds: Dosed as Ampicillin; supplied: Powder for Injection 1.5 gm, 3.0 … Read more

Amyotrophic Lateral Sclerosis

– See: – El Escorial Revisited: Revised Criteria for the Diagnosis of Amyotrophic Lateral Sclerosis – Disorders of Nerves: – Anterior Horn Cell Disorders: – ALS Society Homepage – Discussion: – amyotrophic lateral sclerosis is a syndrome characterized by both upper and lower motor neuron disease; – destruction of anterior horn cells & descending corticospinal tracts; … Read more

ALGORITHM for VENTRICULAR ECTOPY

– See: Discussion V tach Acute Suppressive Therapy: Assess for Need for Acute Suppressive Rx: |________________________ r/o Treatable Causes | lidocaine, 1mg/kg | If not suppressed Procainamide 20 mg/min Until No Ectopy, or upto 1000 mg Given | If not suppressed and not contraindicated Bretylium, 5-10mg/kg over 8-10 min Once Ectopy Resolved, Maintain as Follows: … Read more

ALGORITHM for VF and PULSELESS VT

See VT/QT Widening Asystole may resemble V. fib: if ? then consider conversion. Witnessed arrest Unwitnessed arrest | | check pulse-if No PULSE – if no pulse | | precordial thump only if | defibrillator not present | | | check pulse-if No pulse | |___________________________| | 100% O2 + Ventilate w/ Mask + Suction … Read more

Amantidine

for Parkinsonism, drug induced extrapyramidal reactions, prophylaxis of Influenza A and treatment of Influenza if seen < than 20hrs after onset of illness;; has ability to release dopamine; Adult: for drug induced etrapyradimal reactions:100 mg PO bid; for parkinsonism: 100mg PO qd initially, then may increase gradually to maximum of 400 mg qd in divided … Read more

Amoxicillin/K+ & Clavulic acid/Augmentin

(see also: penicillin family) Discussion combination of clavulanic acid and amoxicillin (augmentin – 250 or 500 mg of amoxicillin plus 125 mg of clavulanic acid) provides oral preparation with enhanced activity against beta-lactamase-producing strains of Staph, Branhamella catarrhalis, H. influenza, N gonorrhoeae, and bacteroides; oral administration of amoxicillin and clavulanic acid (every 8 hours) is effective … Read more

Acumed Small Bone Fixator

This lightweight, versatile, rigid fixation system provides stability in areas which would otherwise be difficult to treat, like open or comminuted injuries of the metacarpals and metatarsals. – Key features: 1. No custom pin inventory – The Acumed small bone fixator used standard K wires to gain fixation. Each housing assembly will accommodate wire sizes … Read more