Data Trace Editor – for short term management of of CHF if patient to respond to Digitalis, Diuretics, and vasodilators; – used for patients w/ severe CHF refractory to diuretics, vasodilators, and conventional inotropic agents. – potent inotropes and vasodilators; – amrinone & milrinone decr systemic, pulmonary, & coronary vascular resistance; – this effect can lead to decreases … Read more
– See: – diabetic foot menu – amputation menu – osteomyelitis in the diabetic patient – Discussion: – amputation should be considered for any diabetic patient w/ advanced changes (Charcot joints, multiple ulcers, vascular pathology) who has who has undergone a surgical debridement which could not logically leave the patient w/ a functional foot; – vascular considerations: … Read more
– See: – Phalangeal Menu: – finger tip injuries – replantation of the digits – soft tissue replacement in the hand and forearm: – upper extremity amputations: … Read more
– Amputations in the Diabetic Patient – Above the Knee Amputation: – AKA prosthetics – Basic Science: – Below Knee Amputation: – amputation following fractures of the tibia – pediatric BKA: – BKA prosthetics – prosthetic feet – Foot and Ankle Amputation – Syme’s Amputation – Transmetatarsal Amputation – Chopart Amputations – Pediatric Amputations – … Read more
– Amputation Level: Wound Healing and Basic Science References: – Outcome in 282 lower extremity amputations. Knee salvage and survival. – The assessment of skin viability using fluorescein angiography prior to amputation. – Prospective comparison of noninvasive techniques for amputation level selection. – Arterial systolic pressures in critical ischemia. – Improvement of amputation level by … Read more
for severe systemic fungal infections; dose: 0.25mg/kg IV over 6hrs initially (infusion .1mg/ml); gradually increase dose as tolerated up to 1-1.5mg/kg/24hrIV over 6hr; note hypersensitivity, caution with nephrotoxic/antineoplastic agents; monitor blood, liver, and renal function, discontinue therapy if BUN >40mg/dl, Creatinine >3.0mg/dl, or if liver function test abnormalities are noted; should be delivered via Central … Read more
– for endogenous depression; – initially 150mg PO hs or 50mg PO tid; increase to 300mg daily; – reduce dose in elderly, taper dose if d/c ing -Side Effects: Sedation: +; Insomnia: ++; Anticholinergic: +; Orthostatic Hypotension: ++; Nausea: 0
– Discussion: – long acting calcium channel blocking agent; – indicated for the prevention of angina and HTN; – initial dose is 5 mg PO qd and maximum dose is 10 mg PO qd
– Tricyclics – for depression, peripheral neuropathy, chronic pain adjunct; – Adult: begin 50-100mg PO qhs; can increase to 300mg qhs; – Strong anticholenergic effects, urinary retension, sedation; – Contraindicated with hypersensitivity, concomitant use of MAO inhibitors, disulfiram, use during acute recovery phase of MI, use of ETOH or other CNS depressants; – use with … Read more
– for treatment of recurrent Ventricular Fibrillation or hemodynamically unstable ventricular Tachycardia; – Adult: Loading: 800-1600 mg/day for 1-3 weeks; – Maintenance dose: 600-800 mg/day for 1 month, then 200-400 mg/day; – Peds: 10 mg/kg/day divided q12hr PO for 7-10 days then reduce to 5 mg/kg/day divided q12hr if effective; – Average half life of … Read more