Data Trace Editor – First Generation Ceph – 1-2gm q4hr IV or 125mg/kg/4-6hr,t1/2=40min;Inject; – Decrease dose with renal failure; – 60-70 % of dose will be excreted in urine (w/ nl R F(x)) – Contra with cephalo allergy, caution with penicillin allergy; – Good diffusion from blood into CSF only with inflammation; – Note: Ratio of … Read more
Adult: 0.5 gm PO q6hr Good diffusion from blood into CSF only with inflammation; 80-95 % of dose will be excreted in urine (w/ nl R F(x))
– 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
– 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 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 6 mm Hg augmentation … 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
First Generation: Cefadroxil (Duricef, Ultracef) Cephalothin (Keflin) Cephapirin (Cefadyl) Cephalexin (Keflex) Cephradine (Velocef, Anspor) Cefazolin (Ancef, Kefzol) Second Generation … 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
– See: Addition of Antibiotics to Cement – Discussion: – full discussion of technique for cementing femoral stems – mixing under vacuum reduces retained air & incr cement strength; – typically 2 bags are needed; – slower mixing of cement over a shorter time decreases air voids within cement and … Read more
– Discussion: – once femoral and acetabular components have been removed, residual cement can be removed from the femoral canal; – it is better to move onto to the acetabular revision prior to cement removal since the cement will prevent blood loss from the canal; – … Read more