Trimethobenzamide/Tigan
– for control of NAUSEA and VOMITING; acts on trigger zone in medulla oblongata, determine etiology of vomiting before using Antiemetics; – Dosage: 250mg PO tid to qid; Injection:200mg IM tid/qid
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TRIMETHAPHAN / ARFONAD
– See: After-Loading Agents: – Discussion: – for production of controlled hypotension during surgery; – treatment of HTN Crises, HTN, pulmonary hypertension; – note additive effect w/ other Antihypertensive agents; – Adults: 0.5-1mg/min IV infusion titrated to effect
TRIMEPRAZINE/TEMARIL
– for pruritis associatted with allergic and nonallergic conditions; – acts as antihistamine of phenothiazine type; – Adult: 2.5mg PO qid PRN or 5mg PO q12hr sustained realease; – Note that extrapyrimidal effects may occur in the elderly
Trimalleolar Fracture: (Cotton Fracture)
– See: Operative Treatment of Posterior Malleolar Fractures – Discussion: – involves frxs of medial malleolus & fibula, along w/ frx of posterior lip of articular surface of tibia is frxed & displaced, allowing posterior & lateral displacement and external rotation w/ supination of the foot; – medial malleolus may remain intact with a tear … Read more
TRIHEXYPHENIDYL/ARTANE
PARKINSONISM; drug induced EXTRAPYRAMIDAL DISORDERS; acts as Anticholinergic; Dose: 1-15mg/day PO divided qd/qid; Contraindicated in narrow angle glaucoma
Trigger Finger / Tenosynovitis
– See: – Phalangeal Injury – Congenital Trigger Thumb – Rheumatoid Trigger Finger – Discussion: – results from localized tenosynovitis of superficial and deep flexor tendons adjacent to A1 pulley at a metacarpal head; – inflammation causes nodular enlargement of tedon distal to pulley; – occurs most often in middle or ring fingers (occassionally in … Read more
Trigger Finger: Non Operative Treatment
– DIP Joint Immobilization: – immoblization of the DIP joint is extremely useful in preventing triggering in all of the fingers including the thumb; – DIP immobilization (leaving the PIP free), has minimal functional limitations and most patients can work without restrictions; – technique: consider applying two layers of … Read more
TRIFLUOPERAZINE/STELAZINE
for psychotic disorders; Phenothiazine; Adult:1-2mg PO bid initially; maintenance 15-20mg/day; Note must decrease dosage in elderly and debilitated patients; oral concentrate must be diluted to 60ml or more prior to administration; Side Effects: Sedative: +; EPS: +++; Hypotensive Effects: +; AntiCholinergic: +
Triceps Splitting Approach to the Elbow
– See: Posterior Approach to the Humerus; – Discussion: – the distal triceps can be split down the middle with the dissection carried straight down to bone over the olecranon; – care is taken to mobilize full thickness fascial and periosteal flaps both medially and laterally; – the dissection … Read more
Triceps Reflecting Approach to the Elbow
– See: Posterior Approach to the Humerus; – Positioning: – patient is in lateral position w/ arm brought across the chest; – plan on adusting flexion of elbow inorder to increase or decrease tension; – sterile tourniquet is required; – Technique: – straight longitudinal incision beginning 7-10 … Read more