Medicine, 2007 Edition by Paul D., MD, Chan, M.D. Chan, Peter J., M.D. Winkle

Medicine, 2007 Edition by Paul D., MD, Chan, M.D. Chan, Peter J., M.D. Winkle

By Paul D., MD, Chan, M.D. Chan, Peter J., M.D. Winkle

This worthwhile guide has been priceless to 1000s of scholars, citizens, and physicians. This ebook experiences scientific therapeutics and administration for all scientific difficulties. remedy and laboratory exams for every illness are indexed in a well-organized demeanour.

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5. Activity: Up ad lib. 6. Nursing: Strain urine, measure inputs and outputs. Place Foley if no urine for 4 hours. 7. Diet: Regular, push oral fluids. 8. IV Fluids: IV D5 ½ NS at 100-125 cc/hr (maintain urine output of 80 mL/h). 9. 5-2 mg IV q3-4h. -Hydrocodone/acetaminophen (Vicodin), 1-2 tab q46h PO prn pain OR -Oxycodone/acetaminophen (Percocet) 1 tab q6h prn pain OR -Acetaminophen with codeine (Tylenol 3) 1-2 tabs PO q3-4h prn pain. -Ketorolac (Toradol) 10 mg PO q4-6h prn pain, or 3060 mg IV/IM then 15-30 mg IV/IM q6h (max 5 days).

Seizure precautions with bed rails up; padded tongue blade at bedside. EEG monitoring. 7. Diet: NPO for 24h, then regular diet if alert. 8. IV Fluids: D5 ½ NS at 100 cc/hr; change to heparin lock when taking PO. 9. Special Medications: Status Epilepticus: 1. Maintain airway. 2. Position the patient laterally with the head down. The head and extremities should be cushioned to prevent injury. 3. A bite block or other soft object may be inserted into the mouth to prevent injury to the tongue. 4. Give 100% O2 by mask.

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. 5EC. 5. Activity: Bed rest; up in chair as tolerated.

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