Data Trace Editor – provides an assessment of alveolar-capillary gas exchange. – normal gradient is 20 – 65; Gradients > than 400 = severe Resp distress; – calculation requires: paO2 & PAO2; – place on 100% O2 for 20 min; PAO2 then = 673 (pCO2 = 47) – then get @O3.HLX^LABABG[ABG and calc difference; 673 – pO2. – … Read more
– Discussion: – for hyperacidity in PUD, hiatial hernia, esophagitis, gastritis by neutralizing gastric acid; and hyperphosphatemia; acts as Antacid; – Adult: 10-30ml or 1-2 tab (.6gm) PO 4-6x qd; – Side Effects: – Poor Choice with Renal Insufficiency (Aluminum toxicity) – Do not use with patients taking tetracycline; – may cause hypokalemia; – Peds: … Read more
Discussion for anxiety disorders, benzodiazepine, cross tolerant w/ ETOH; Adult: 0.25-0.5mg PO tid; max dose= 4mg/day; reduce dose in elderly; Peak plasma PO [ in 1-2hr w/ t/2== 6-20 hr
– Discussion: – for established gout (Not acute Gout), hyperuricemia of malignancy (or increased cell turnover); – is useful for established gout with urolithiasis (both for uric acid stones and calcium oxalate stones); – adult: Initially 100mg PO qd; – increase by 100mg at weekly intervals until serum uric acid of < 6mg/dl is attained … Read more
Hypersensitivity Decrease dose with renal insufficiency Interaction w/ Dicumarol (prolonged PT) Thiazide diruretics (increased allopurinol toxicity) Ampicillin/amoxicillin (skin rashes) Chlorpropamide (increased hypoglycemia) Cyclophosphamide and other cytotoxic agents (bone marrow suppression); the allopurinol hypersensitivity syndrome is characterized by fever, eosinophilia, leukocytosis, impaired renal function, hepatocellular injury and rash; these reactions are severe and may be fatal; … Read more
– see bone graft menu – Discussion of Allografts: – see autograft menu and bone healing: – allografts are most indicated when bone grafting is required along with need for mechanical structural support; – morselized bone graft: – structural bone grafts: – fresh allografts – generally … Read more
– Discussion: – general discussion of allograft tissue: – as pointed out by Harner et al. (1996), subjective knee scores were slightly better for knees having ACL – bone patellar bone allograft (as compared to BPB autograft patients) – objective ratings included normal (or nearly normal) … Read more
Gravity Method of Stimson Bigelow’s Maneuver: for Posterior Hip Dislocation Closed Reduction Discussion patient is placed in the supine position; knee is flexed to relax the hamstrings; assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh; longitudinal traction is applied in line w/ axis of femur, and the hip is … Read more
– Normal Values: Adult: 45-125 U/L, Child 20-150 U/L; – Increased: – increased calcium deposition in bone – hyperparathryroidism – pagets disease – osteomalacia / rickets: in both cases there is failure of mineralization; – caffey’s syndrome (infantile cortical hyperostosis) – osteoblastic bone tumors (metastatic or osteogenic sarcoma) – alk phos level is high in … Read more
Clinical Stage Clinical Findings Treatment Newborn Dislocated Dislocatable < 6 mo Dislocatable Unreducible > 6 mo Unreducible Failed Reduction > 3 yr Dislocated + Ortolani + Barlow + Ortolani + Ortolani + Ortolani > 5 mm medial die pool Trendelenburg gait Pavlik harness Pavlik harness Pavlik harness … Read more