A Lange Medical Book Pediatrics on call - part 10 pot

... Concomitant analgesia or sedation is required. VERAPAMIL (CALAN, ISOPTIN) Indications: Angina; essential hypertension; arrhythmias (paroxysmal supraventricular tachycardia [PSVT], atrial fibrillation, 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 Ent...

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: ... Hypokalemia. Associated with diarrhea, ureteral diversion, proximal renal tubular acidosis (RTA), type I RTA and hyper- alimentation. b. Hyperkalemia. Can be found in hyperald...

Ngày tải lên: 11/08/2014, 11:22

... Myocardial ischemia or infarction. Conditions that place chil- dren at risk of angina or myocardial infarction include anom- alous coronary arteries, long-standing diabetes mellitus, past medical ... 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 a...

Ngày tải lên: 11/08/2014, 11:22

... 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

... 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 hepatome...

Ngày tải lên: 11/08/2014, 11:22

... 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

... 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. Blood chemistries, hematologic and ... severe headache and ague (fever and chills), lethargy, and nausea. Inflammatory reaction is most common in repeated transfusions and will disappear once transfusion is discontinued. 2....

Ngày tải lên: 11/08/2014, 11:22

... hyperpigmentation, radiation recall phenom- enon, phlebitis, and tissue damage with extravascular extravasation and hepatic dysfunction. DANTROLENE (DANTRIUM) Indications: Clinical spasticity resulting ... nebulizer. DOXORUBICIN (ADRIAMYCIN) Indications: Ovarian, breast, and bladder tumors; various lymphomas and leukemias (ALL, AML); soft tissue sarcomas; neuroblastoma; osteosarcoma. Actions:...

Ngày tải lên: 11/08/2014, 11:22

... 282, 282n; and two -part appraisal process, 321; and valuation, 281–82; Zweig’s comments about, 302–9, 339–46. See also case histories; financial analysts; per-share earnings; selection, stock; ... Copyright Conventions. By payment of the required fees, you have been granted the non-exclusive, non-transferable right to access and read the text of this e -book on- screen. No part of this...

Ngày tải lên: 04/07/2014, 15:20