Read e-book online Medicine, 2005 Edition PDF

By Paul D., M.D. Chan

ISBN-10: 1929622538

ISBN-13: 9781929622535

This necessary instruction manual has been beneficial to hundreds and hundreds of scholars, citizens, and physicians. This e-book stories scientific therapeutics and administration for all clinical difficulties. remedy and laboratory checks for every sickness are indexed in a well-organized demeanour.

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5°C. Nursing: Guaiac stools. Diet: NPO 48h, then regular diet, no caffeine. IV Fluids: D5 1/2 NS with 20 mEq KCL at 125 cc/h. NG tube at low intermittent suction (if obstructed). 5 mg/h (300 mg in 250 mL D5W at 11 mL/h over 24h) or 50 mg IV q8h OR -Cimetidine (Tagamet) 300 mg IV bolus, then continuous infusion at 50 mg/h (1200 mg in 250 mL D5W over 24h) or 300 mg IV q6-8h OR -Famotidine (Pepcid) 20 mg IV q12h OR -Pantoprazole (Protonix) 40 mg PO/IV q24h OR -Nizatidine (Axid) 300 mg PO qhs OR -Omeprazole (Prilosec) 20 mg PO bid (30 minutes prior to meals) OR -Lansoprazole (Prevacid) 15-30 mg PO qd prior to breakfast [15, 30 mg caps].

Diet: NPO except medications for 24 hours, then dysphagia ground diet with thickened liquids. 45% normal saline at 100 cc/h. Oxygen at 2 L per minute by nasal cannula. Special Medications: Ischemic Stroke <3 hours: a. 9 mg/kg (max 90 mg) over 60 min. Give 10% of the total dose as an initial bolus over 1 minute. b. Repeat CT scan or MRI 24 hours after completion of tPA. Begin heparin if scan results are negative for hemorrhage. c. Heparin 12 U/kg/h continuous IV infusion, without a bolus. 5 x control.

0 mEq Acetate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82-104 mEq Multi-trace element formula . . . . . . . . . . . . . . . . . . . . . . 1 mL/d (zinc, copper, manganese, chromium) Regular insulin (if indicated) . . . . . . . . . . . . . . . . . . . . . 10-60 U/L Multivitamin(12)(2 amp) . . . . . . . . . . . . . . . . . . . . .

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Medicine, 2005 Edition by Paul D., M.D. Chan


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