Data Trace Editor – treatment of infections: 500mg-1gm IV/IM q4-6hr; – may use doses up to 12 gm per day for serious life threatening infections; – pre operative prophylaxis to prevent postoperative infections with potentially contaminated surgery: – 1-2gm IM/IV 30min-1hr before start surgery, 1-2gm during surgery, 1-2gm IM/IV q6hr for 24hr postoperatively; – decrease dosage with renal … Read more
– Discussion: – most common incomplete cord lesion – frequently associated w/ extension injury to osteoarthritic spine (cervical spondylosis) in middle aged person who sustains hyperextension injury; – cord is injured in central gray matter, & results in proportionally greater loss of motor function to upper extremities than lower extremities w/ variable sensory sparing; – Anatomy: – fibers responsible … Read more
First Generation: Cefadroxil (Duricef, Ultracef) Cephalothin (Keflin) Cephapirin (Cefadyl) Cephalexin (Keflex) Cephradine (Velocef, Anspor) Cefazolin (Ancef, Kefzol) Second Generation … Read more
– See: first generation ceph – Discussion: – adult: 1-4 gm/day PO given in 4-6 hr intervals; Max 4gm per 24 hrs; – 250 to 500mg PO q6hr for UTI; t1/2=1hr; – may give with Probenicid w/ osteomylitis for 2-4wks IV; – contra with cephalo allergy; … Read more
– Discussion: – rapid fluid infusion should be slowed when right atrial or central venous pressure reaches 12 to 15 mm Hg. – in most patients, when atrial pressures are approximately 15 mm Hg, further increases do not seem to increase Cardiac Output; – thus, when central venous or right atrial pressure is less than … Read more
– See: – Jug wave pattern – CVP – Swan Ganz – Internal Jugular Vein Approach – Subclavian approach Catheter-related sepsis in patients on intravenous nutrition: a prospective study of quantitative catheter cultures and guidewire changes for suspected sepsis. Hickman catheter … Read more
– Discussion: – central stenosis produces compression of the thecal sac in contrast to lateral stenosis which involves compression of individual nerve roots; – may be congenital (idiopathic or developmental in achondroplastic dwarfs) or acquired; – acquired stenosis: – due to degenerative hypertrophic facets … Read more
– Discussion: – central frx/dislocation is crippling injury with a poor prognosis; – extensive degree of concomitant articular injury occurs; – 22% incidence of sciatic nerve injury; – distal and occassionally, lateral traction of proximal femur may be necessary to effect and maintain reduction of the femoral head; – total … Read more
– See: Total Hip Replacement Menu: – Addition of Antibiotics to Cement: – Cemented Femoral Component Loosening: – Insertion of Cemented Femoral Stems: – Discussion: – first generation technique: – finger packing … Read more
– See: Total Hip Replacement Menu: – Cemented Femoral Component: Loosening: – Collar: in THR – Optimal Cementing Technique – Removal of Cemented Femoral Stems: – Indications: – cemented femoral stems probably remain gold standard for total … Read more