A Lange Medical Book Pediatrics on call - part 5 ppt
... intubation is frequently nec- essary, and antibiotic therapy should target S aureus, GABHS, Moraxella catarrhalis, and S pneumoniae. VI. Problem Case Diagnosis. On physical examination, the 8-year-old boy ... nasal cannula, face mask, or rebreather mask to maintain oxygen saturation > 92%. B. Pain Control. Administer appropriate pain medication for age and weight to control pain without...
Ngày tải lên: 11/08/2014, 11:22
... than or equal to b : decrease(d) a : increase(d) l : leads to ABCs: airway, breathing, and circulation ABG: arterial blood gas ABPA: allergic bronchopulmonary aspergillosis ACE: angiotensin-converting enzyme ACLS: ... duration. B. A 1 5- year-old girl is brought to the pediatrician because of lower abdominal pain that has lasted 2 days. II. Immediate Questions A. How old is patient? Many...
Ngày tải lên: 11/08/2014, 11:22
... trauma. 6. Anal exam. Specific anal findings are rare. Erythema is a common nonspecific finding, often associated with hygiene problems. Anal fissures, perianal abrasions, midline anal tags, and anal ... (eg, abdominal pain, bloating, dis- tention)? Patients with severe constipation have decreased 11. BRADYCARDIA 53 C. Intracranial Hypertension 1. Bradycardia is part of Cushing triad, along...
Ngày tải lên: 11/08/2014, 11:22
A Lange Medical Book Pediatrics on call - part 3 ppsx
... an associated pneumonia, appropriate antibiotics are indicated. VI. Problem Case Diagnosis. The 2-year-old patient had aspirated a Barbie doll shoe. A chest x-ray revealed right middle lobe air ... suggestive of allergic colitis. E. If school-aged, has patient had any extraintestinal manifes- tations? Symptoms such as rash, arthralgias, anorexia, and weight loss are all indicative of infla...
Ngày tải lên: 11/08/2014, 11:22
A Lange Medical Book Pediatrics on call - part 4 ppsx
... corticosteroids. Also consider ethanol withdrawal and neonatal narcotic withdrawal. 52 . HYPOTENSION 243 4. ABGs. This evaluation is essential in determining acid-base balance. Metabolic acidosis reflects inadequate ... fainting, narcolepsy, and anxiety attack. IV. Database A. Physical Exam Key Points 1. Assess airway, breathing, and circulation (ABCs) and vital signs. 2. Evaluate for hepato...
Ngày tải lên: 11/08/2014, 11:22
A Lange Medical Book Pediatrics on call - part 8 ppsx
... ASA class 1 and class 2 patients. B. ASA Class 3. For patients identified as ASA class 3 or greater, preoperative evaluation laboratory studies and imaging are obtained on a case-by-case basis. ... Considerations A. Sedation and Analgesia. Provide sedation and analgesia ade- quate to manage the stress and discomfort associated with an in situ ETT, mechanical ventilation, and underlying di...
Ngày tải lên: 11/08/2014, 11:22
A Lange Medical Book Pediatrics on call - part 9 docx
... prn. Supplied: Many different combinations; specify hydrocodone/acetaminophen dose: capsules 5/ 500; tablets 2 .5/ 500, 5/ 3 25, 5/ 400, 5/ 500, 7 .5/ 400, 10/400, 7 .5/ 500, 7 .5/ 650 , 7 .5/ 750 , 10/3 25, 10 /50 0, 10/ 650 ; ... nebulizer. DOXORUBICIN (ADRIAMYCIN) Indications: Ovarian, breast, and bladder tumors; various lymphomas and leukemias (ALL, AML); soft tissue sarcomas; neurobl...
Ngày tải lên: 11/08/2014, 11:22
A Lange Medical Book Pediatrics on call - part 10 pot
... dysfunction. Concomitant analgesia or sedation is required. VERAPAMIL (CALAN, ISOPTIN) Indications: Angina; essential hypertension; arrhythmias (paroxysmal supraventricular tachycardia [PSVT], atrial ... synthesis. c Notes: Less active against gram-positive cocci than first- and second-generation agents. Increased activity against gram-negative aerob es (Enterobacteriaceae including Enterobact...
Ngày tải lên: 11/08/2014, 11:22