Family Medicine 2006: Family Medicine (Current Clinical by Paul D. Chan

By Paul D. Chan

This crucial handbook brings jointly very important administration guidance for edicine, Pediatrics, Obstetrics, and Gynecology in a single compact ebook. it truly is concise and whole review of relations perform. 312 pages. Paul D. Chan, MD, Christopher R. Winkle, MD, and Peter J. Winkle, MD

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5 gm; monitor BP. Fosphenytoin (Cerebyx) 20 mg/kg IV/IM (at 150 mg/min), then 4-6 mg/kg/day in 2 or 3 doses (150 mg IV/IM q8h). Fosphenytoin is metabolized to phenytoin; fosphenytoin may be given IM. If seizures persist, administer phenobarbital 20 mg/kg IV at 50 mg/min, repeat 2 mg/kg q15min; additional phenobarbital may be given, up to max of 30-60 mg/kg. 7. 6 mg/kg/hr OR -Propofol (Diprivan) 2 mg/kg IV push over 2-5 min, then 50 mcg/kg/min; titrate up to 165 mcg/kg/min OR -Phenobarbital as above.

When bicarbonate level is >16 mEq/L and the anion gap is <16 mEq/L, decrease insulin infusion rate by half. -When the glucose level reaches 250 mg/dL, 5% dextrose should be added to the replacement fluids with KCL 20-40 mEq/L. -Use 10% glucose at 50-100 mL/h if anion gap persists and serum glucose has decreased to less than 100 mg/dL while on insulin infusion. -Change to subcutaneous insulin when the anion gap has cleared; discontinue insulin infusion 1-2h after subcutaneous dose. 10. Symptomatic Medications: -Famotidine (Pepcid) 20 mg IV q12h.

3. 4. 5. 6. 7. Admit to: Diagnosis: Hypomagnesemia Condition: Vital Signs: q6h Activity: Up ad lib Diet: Regular Special Medications: -Magnesium sulfate 4-6 gm in 500 mL D5W IV at 1 gm/hr. Hold if no patellar reflex. 3 mEq/tab) OR -Milk of magnesia 5 mL PO qd-qid. 8. Extras: ECG 9. Labs: Magnesium, calcium, SMA 7&12. Urine Mg, electrolytes, 24h urine magnesium, creatinine. Hypernatremia 1. 2. 3. 4. Admit to: Diagnosis: Hypernatremia Condition: Vital Signs: q2-8h. 5°C. 5. Activity: Bed rest; up in chair as tolerated.

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