The Hip - book

Total Knee Replacement: A Guide for Patients

What Should You Know Before Your Surgery?          How We Protect You From Infection         How We Protect You From  Blood Clots:         Your laboratory results                 – your hematocrit should be between 30 and 45%                 – if your hematocrit drops below 25-26% during your surgery, we may recommend a blood transfusion.                 – nasal swab: Your nasal swab should be … Read more

Total Knee Replacement – Day 4 and Beyond:

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>         strong>blood draw/strong>: A blood drawing technician will draw your blood at 6 AM (will test for your red blood cell levelbr/>          – hematocrit – and possibly chemitry level).  Ask your nurse about your hematocrit (should be above 30 and ifbr/>          the hematocrit is below 26 we may recommend … Read more

Ticarcillin/Ticar

– See:       – Timentin       – Pen Family       – AntiPseudo – There are small differences in the pattern of activity of these agents against gram-negative organisms. Ticarcillin is two to four times more active than carbenicillin against P. aeruginosa; – less active against gram positive organisms; – Dose: … Read more

Thrombocytopenia/Platlet Dysfunction

– See: – Bld Prod Menu / – Platlet Transfusion – Discussion:   – manifestations: – vessel or platlet abnormalities: – these present with petechiae, purpura, or easy bruising; – bleeding characteristically occurs superficially (bleeding from mucus membranes or from IV sites); – bleeding from scury shows perifolicular hemorrhages, gingival bleeding, and intramuscular hematomas;     … Read more

Theophylline

– See: Theophylline Preparations: Drug Interactions and Toxicities: Aminophylline;  – Discussion:  – for prevention of bronchial Asthma, reversible bronchospasm assoc w/ chronic bronchitis and emphysema;  – is direct relaxant of smooth muscle of bronchial airway & pulmonary blood vessels (bronchodilator and smooth muscle relaxant);  – Adult Dose:  – can only begiven PO;  – 24mg/kg/24hrs PO … Read more

Tetracycline

– Discussion:     – for streptococcus and staph when penicillin is contraindicated;     – tetracycline works by inhibiting the 70s bacterial ribosomes;     – adult:250-500 mg PO bid/qid (taken between meals);     – IM/IV routes not recommended;     – peds: RMSF: 25-50 mg/kg/day q6 hr for 7 to 10 days; … Read more

Sulindac/Clinoril

– for rheumatoid and osteoarthritis, and anlkylosing spondylitis; – Acute gouty arthritis; – Acute bursitis/subacromial buritis or tendinitis/supraspinatus tendinitis; – NSAIA; Dose:150-200mg PO bid with food; – increase as needed to maximum 400mg/day; – Should be administered with food; – Contraindicated with: patients w/ h/o asthma, urticaria, or rhinitis precipitated by ASA or NSAIA; – Contra … Read more

Subluxation / Dislocation of the Patella

– Discussion – Examination of Patellofemoral Joint – exam considerations: – generalized hyperlaxity – femoral anteversion – vastus medialis obliquus atrophy – genu valgum – external tibial torsion – patellar dysplasia – trochlear dysplasia – patella alta – pes planus – Radiographic Features: (see: radiographic evaluation of the knee) – lateral view – look for … Read more

Steroids: for Rheumatoid Arthritis

– See:       – Rheumatoid Arthritis       – Steroids – Discussion:     – corticosteroids may occassionally be used to alleviate intractable joint inflammation or vasculitis in RA;           – however, there is a risk of iatrogenic Cushing’s syndrome;     – intraarticular instillation of steroids is … Read more

Sporotrichum schenckii

– See: Anti-Fungal Agents – Discussion:     – is a fungus that may be introduced into the extremity thru abrasions caused by splinters or thorns (rose bushes);     – incubation period is 1-12 weeks;     – may start as a red papular lesion and then develops into an abscess and spreads to … Read more