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Carafate, or sucralfate will bind up ciprofloxacin
2008-04-24 17:29:00 Carafate, or sucralfate will bind up ciprofloxacin, norfloxacin, and phenytoin. The Carafate or sucralfate and ciprofloxacin doesn?t work to separate them by two to three hours. They?ve done some studies looking at it and they still found about 95% to 98% absorption of ciprofloxacin even with dosage separation of three hours. So what I would ...
The first type
2008-04-23 19:49:00 The first type, or the first sub-category if you will, within the pharmacokinetic is altered absorption through gastric pH. We know that the H2 receptor antagonists increase gastric pH. Cimetidine, ranitidine and also famotidine and nizatidine all will do that and with those drugs they will cause an increase in aspirin absorption. Now you may ... More About: Type
Specific examples with the drug/drug interactions
2008-04-22 22:30:00 Lets move on to some more specific examples with the drug/drug interactions. The first ones we are going to talk about are the pharmacodynamic drug/drug interactions. We talked about that and kind of told you what that was. That?s when you have two or more drugs when given together that have action at the same ... More About: Examples , Drug , Specific
The pharmacokinetic drug interactions
2008-04-21 23:42:00 The pharmacokinetic drug/drug interactions actually start over on this side, on the left side, and move all the way through to the right side. And that is when you have drugs administered simultaneously and because of something that happens - either through absorption or distribution or metabolism - you have a change in the plasma ... More About: Drug
Drug Interactions
2008-04-21 23:40:00 Clinically important drug/drug interactions. A drug/drug interaction is a pharmacologic response which cannot be explained by the action of a single drug alone, but rather it is due to two or more drugs acting simultaneously. I made absolutely no comments as to whether or not it was beneficial or harmful. The reason for that is ... More About: Drug
Management of iron deficiency. Part 2
2008-04-15 18:07:00 3. Parenteral iron. Parenteral iron in the form of iron-dextran may be given intramuscularly or intravenously, but does not lead to a more rapid hematologic response than oral iron and rare anaphylactic reactions have been reported. In general it should be reserved for individuals with malabsorption or intractable non-compliance with oral therapy. Female pink viagra 4. Blood ... More About: Management , Part , Iron
Management of iron deficiency
2008-04-15 18:05:00 1. Identify the cause. Iron deficiency as the cause of anemia is suspected on epidemiologic grounds. As discussed above, the condition is a common cause of low hemoglobin in infants, adolescents, women of childbearing age, individuals with hookworm infestation and patients with chronic blood loss from the gastrointestinal tract or other sites. Before treatment, consideration ... More About: Management
Causes of iron deficiency
2008-04-08 18:55:00 Inadequate dietary iron for high physiologic requirements. Iron deficiency is the most common nutritional deficiency in the world. Infants, adolescents and women of child bearing age are at the highest risk of iron deficiency and may become iron deficient because of inadequate dietary iron to meet physiologic needs. Infants one to two years of age ...
Iron Deficiency
2008-04-08 18:52:00 Iron deficiency is the most common cause of anemia in many parts of the world and is usually the result of blood loss, often combined with inadequate dietary iron. Iron deficiency occurs most commonly in menstruating women. When iron deficiency occurs in men or non menstruating women, the most likely site of blood loss is ... More About: Iron
This is not in your handout. Don?t panic
2008-04-04 17:16:00 Canadian pharmacy generic viagra This is not in your handout. Don?t panic. I made up a new sheet that?s on the back table, but I thought you might need to know this. Symptoms; when do you start prophylaxis? These are the guidelines. If you need to use a beta agonist more than twice a week for ... More About: Asthma , Panic
Leukotriene modifiers
2008-04-03 22:09:00 Leukotriene modifiers; this was real exciting when these first came out, and unfortunately they are not ending up quite as powerful as we had hoped. Leukotrienes are chemical mediators that are released by leukocyte?s mast cells. They break down products of arachidonic acid. And different leukotrienes will do different things. Certain ones will cause mucus ... More About: Asthma
Inhaled steroids
2008-04-03 22:06:00 Inhaled steroids; still far and away the best long-term preventive agent for asthma, period. The problem is potential side effects. If basically decreases the late response. It doesn?t stop the initial bronchoconstriction but also deals with the hyper-responsiveness and you can see improvement within a few days in lung function, on inhaled steroids. Maxing out ... More About: Asthma , Steroids
Chronic asthma
2008-04-02 21:55:00 Okay, let?s talk real quickly about chronic asthma. The National Heart/Lung Institute has had two documents out over the last about five or six years. The Expert Panel?s Report on Asthma . If you guys are actually general pediatricians and take care of asthmatics, get on their web site and download the Expert Panel II. A ...
Oral steroids: these are the indications
2008-04-02 21:48:00 Oral steroids; these are the indications. These are pretty straightforward. If it?s a severe exacerbation, moderate to severe, you just go ahead and use them. If they are not responding well to the albuterol, if they are using steroids recently, the fourth one there. You always go home with one more medication than you came ... More About: Asthma , Steroids , Oral
Risk factors for fatal asthma
2008-04-01 22:01:00 Okay, risk factors for fatal asthma. These things are pretty self-evident most of the time. Previous life-threatening exacerbation. In adults, if you had almost died from asthma, 10% of those adults die within the following year from their asthma. It?s a big time, important problem if somebody gets intubated with asthma. Hospitalized more than once; ... More About: Asthma , Risk , Fatal
Lab studies
2008-04-01 21:58:00 Lab studies; one thing I try to tell our residents, don?t get a chest x-ray in kids with asthma, because then you will be forced to throw them on antibiotics because they are going to have mucus plugging and they are going to have infiltrates. The only reason to get an x-ray on a kid ... More About: Studies , Asthma
Alternative diagnosis. Asthma
2008-04-01 21:57:00 Alternative diagnosis; if these things are present, you have to think of something other than asthma. There?s an old adage that “all that wheezes is not asthma.” Well, the corollary to that is, “Almost all that wheezes is asthma” and it?s only in rare cases that you have to worry about other things. But obviously ... More About: Alternative , Asthma , Diagnosis
Common triggers
2008-03-24 17:10:00 Human growth hormone Common triggers; most common trigger, under about 3-5 years of age, RSV. Most common trigger after five-years-of-age that?s viral, is actually rhinovirus. Interestingly, a virus that primarily affects the nose - for reasons that are not clear - leads to exacerbations of asthma. Most bacterial infections do not exacerbate asthma with one big ... More About: Asthma , Triggers
A couple of terms from the allergy literature
2008-03-24 17:07:00 A couple of terms from the allergy literature that you have to know about, the early response to asthma. If you are allergic to cats and I throw you into a room with cats, you are going to start wheezing pretty quickly, within about five or ten minutes. If I then take the cats out ... More About: Literature , Asthma , Couple , Terms
Asthma
2008-03-24 17:05:00 Asthma is an inflammatory disorder. Even in mild asthma there is inflammation. Recurrent episodes of wheezing, shortness of breath, chest tightness, coughing. The key symptom in kids is coughing. Not wheezing. Prolonged cough in children, especially at night or in the morning, is asthma until proven otherwise. Asthma obviously has three main components, and ... More About: Asthma
Growth Disorders. Let?s look at the opposite situation for just a moment.
2007-12-26 16:43:00 Let?s look at the opposite situation for just a moment. That being tall stature. Causes of tall stature are as follows: the most common is familial tall stature, just like short parents tend to get short kids, tall parents tend to get tall kids. Another cause, which may not be well known to you, is ... More About: Growth , Moment , Opposite , Disorders , Situation
If one found growth hormone. Growth Disorders
2007-12-26 16:39:00 If one found growth hormone deficiency and still needed to look further, the MRI is a very beautiful tool. What you see here is the hypothalamic-pituitary stalk, the nose is out here and there is a transection. You see where it is black in the middle and this is where the MRI has helped to ... More About: Growth , Growth Hormone , Disorders
Growth Disorders. When you do the physical exam
2007-12-11 19:43:00 When you do the physical exam on these children it?s normal. If the child is typically around the age that puberty would be expected to start, it usually hasn?t. If you do the bone age - typically I would - you would find it to be delayed. Also remember, very importantly, the timing of puberty ... More About: Physical , Growth , Exam , Disorders , Diso
This is one of about ten growth charts
2007-12-11 19:41:00 This is one of about ten growth charts that are in your packet sort of as an appendix. What is shown here is a growth chart showing heights of a female child between the ages of about 3 all the way up to about 18, and I?ll sort of say it in words. You can ... More About: Growth , Charts
Growth Disorders
2007-12-10 21:51:00 The highest growth rate that occurs during life occurs in utero. You?ll all recall that an average birth length is 20 inches, or 51 centimeters, which is achieved in a nine-month period of fetal life, which translates out to 68 centimeters per year were it maintained. After birth the growth rate decreases rapidly over the ... More About: Growth , Disorders , Diso
Physical therapy modalities
2007-11-26 16:31:00 Rest. Two to three days of bed rest in a supine position may be recommended for patients with acute radiculopathy. Sitting raises intradiscal pressures and can theoretically worsen disc herniation and pain. Activity modification is recommended for patients with nonneurogenic pain. With activity restriction, the patient avoids painful arcs of motion and tasks that exacerbate ... More About: Physical , Back Pain , Therapy , Physical Therapy , Dalit
Pharmacologic Therapy
2007-11-26 16:29:00 The mainstay of pharmacologic therapy for acute low back pain is acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID). If no medical contraindications are present, a two- to four-week course of medication at anti-inflammatory levels is suggested. Naproxen ( Naprosyn) 500 mg followed by 250 mg PO tid-qid prn [250, 375,500 mg]. Naproxen sodium ( Aleve) 200 mg ... More About: Back Pain , Therapy , Logi , Arma , Thera
Laboratory tests
2007-11-26 16:25:00 Laboratory tests Evaluation may include a complete blood count, determination of erythrocyte sedimentation rate. Radiographic evaluation. Plain-film radiography is rarely useful in the initial evaluation of patients with acute-onset low back pain. Plain-film radiographs are normal or demonstrate changes of equivocal clinical significance in more than 75 percent of patients with low back pain. Views of the ... More About: Back Pain , Tests , Laboratory
Indications for Radiographs in the Patient with Acute Low Back Pain
2007-11-26 16:21:00 History of significant trauma Neurologic deficits Systemic symptoms Temperature greater than 38EC (100.4EF) Unexplained weight loss Medical history Cancer Corticosteroid use Drug or alcohol abuse Ankylosing spondylitis suspected Waddell Signs: Nonorganic Signs Indica ting the Presence of a Functional Component of Back Pain Superficial, nonanatomic tenderness Pain with simulated testing (eg, axial loading or pelvic rotation) Inconsistent responses with distraction ... More About: Back Pain , Patient
Cauda equina syndrome. Physical and neurologic examination of the lumbar sp
More articles from this author:2007-11-26 16:12:00 Cauda equina syndrome. Only the relatively uncommon central disc herniation provokes low back pain and saddle pain in the S1 and S2 distributions. A central herniated disc may also compress nerve roots of the cauda equina, resulting in difficult urination, incontinence or impotence. If bowel or bladder dysfunction is present, immediate referral to a specialist ... More About: Physical , Syndrome , Back Pain , Examination , Mina 1, 2 |
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