Ortho Oracle - orthopaedic operative atlas

Clodronate

– Discussion:  – one of the first bisphosphonates used to treat patients with cancer-related hypercalcemia; – it can be administered either as an intravenous infusion in a dose of 4-6 mg per km given over a period of two to five hours qd for 3-5 days or as single IV infusion given over 2-9 hr … Read more

Clofibrate/Atromid S

– Indications:  – for types III, IV, V hyperlipoproteinemias not responding to dietary control;  – lowers very low density lipoproteins possibly by inhibiting cholesterol synthesis;  – Adult: 500mg PO qid;  – Monitor hepatic function  – may precipitate gallstone formation

Clonazepam / Klonopin

– benzodiazepine for Convulsions (petit mal akinetic & myoclonic seizures) and anxiety; – peak levels in 1-2hrs, and t 1/2 in 18-40hrs, excreted in the urine; – Adult: initially try, 1.5mg/day divided in 3 doses; – Dosage may be increased .5-1mg/3days to max dose of 20mg/day; – 2 step metabolizism + active metabolites; – Contraindicated … Read more

Clonidine/Catapres

– See: Transdermal  * For HTN, opioid & tobacco withdrawl; – Central alpha adrenergic receptor agonist;  * Adult: 0.05-0.10 mg PO bid-qid adjusted daily by 0.1-0.2 mg increments  – initial oral doses of 0.1 mg are given twice daily and adjusted to usual maintenance dose of 0.2 to 0.8 mg/day;  – maximum recommended oral doses … Read more

CLORAZEPATE/TRANXENE

– for acute anxiety, ETOH w/drawl; Benzodiazepine; – Adult:individualized: 15-60mg/day PO in single or divideddoses; – Monitor patients with renal and hepatic impairment since drug may accumulate; CNS depressant effects; may be habit forming; – Contraindicated with acute narrow angle glaucoma, depressive neuroses, psychotic reactions; Caution with renal or hepatic failure; Caution w/ concomitant use … Read more

Clindamycin/Cleocin

– Discussion:     – for serious infections with Gram Neg anaerobes (B. fragilis) or staph / streptococcus infections in patients allergic to penicillin;     – not good for gm neg aerobes;     – clindamycin binds exclusively to the 50 S subunit of bacterial ribosomes and suppresses protein synthesis; (bacterostatic not bacterocidal);   … Read more

Hintermann Series H2 Literature: Clinics Conceptor

Hintermann Series H2™ Literature   Clinics Conceptor Total ankle replacement Foot Ankle Clin. 2003 The HINTEGRA ankle: rationale and short-term results of 122 consecutive ankles Clin Orthop Relat Res. 2004 HINTEGRA total ankle replacement – preliminary results of the first 125 cases FussSprungg. 2004 Total ankle replacement—three-component prosthesis Tech Foot Ankle Surg. 2005 Sports and … Read more

Hintermann Series H2 Literature: Clinical Non-conceptor

Hintermann Series H2™ Literature   Clinical Non-conceptor 257 ankle arthroplasties performed in Norway between 1994 and 2005 Acta Orthop. 2008 The Swedish Ankle Arthroplasty Register: an analysis of 531 arthroplasties between 1993 and 2005 Acta Orthop. 2008 Perioperative complications of HINTEGRA total ankle replacement: our initial 50 cases Foot Ankle Int. 2008 Total ankle arthroplasty … Read more

Clinical entities requiring respiratory support

* Severe Pulmonary Edema: (See CHF) * Impending ARDS  – Sepsis – Shock – Prolonged Hypotension  – Massive Transfusion  – Severe Pancreatitis  – Head Trauma / Multiple Trauma * Severe Chest Trauma / Flail Chest / Pulmonary contusion; * COPD/Bronchospasm * Coma

Clinical Features of Osteoarthritis

– See: Predisposing Conditions – OA of Hip:     – pain on wt-bearing felt in the groin, buttock, or medial thigh;     – trendelenburg gait will decrease mechanical stress on joint and thereby lessen pain (forces acting on hip joint);     – pain during sleep results from loss of protective function of … Read more