A Lange Medical Book Pediatrics on call - part 2 pdf

... intracellularcompartment, renal losses, or GI losses. Changes can be acute,chronic, or a combination. 22 8 I: ON CALL PROBLEMSloss have an associated acid-base disturbance. Finally, ananion gap ... corticosteroids. Also considerethanol withdrawal and neonatal narcotic withdrawal. 52. HYPOTENSION 24 34. ABGs. This evaluation is essential in determining acid-basebalance. Metabolic acidosis reflects inadequate ... fainting,narcolepsy, and anxiety attack.IV. Database A. Physical Exam Key Points1. Assess airway, breathing, and circulation (ABCs) and vitalsigns. 2. Evaluate for hepatomegaly, pigmentation, short...

... nasal cannula, facemask, or rebreather mask to maintain oxygen saturation > 92% .B. Pain Control. Administer appropriate pain medication for ageand weight to control pain without sedation ... 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-oldboy ... many situa-tions, but not in acute pain.6. Epidural analgesia. Specialized technique, and only indicatedwhen pain is severe and refractory to oral and parenteral anal-gesics.F. Nonpharmacologic...

... ASA class 1 andclass 2 patients.B. ASA Class 3. For patients identified as ASA class 3 or greater,preoperative evaluation laboratory studies and imaging areobtained on a case-by-case basis. ... severe headache and ague (fever and chills),lethargy, and nausea. Inflammatory reaction is most common in repeatedtransfusions and will disappear once transfusion is discontinued. 2. Anaphylactoid ... modality may be needed. 2. Advantages. As with negative pressure ventilation, the advan-tages of mask ventilation include avoidance of tracheal intuba-tion and the opportunity to allow patients...

... hyperpigmentation, radiation recall phenom-enon, phlebitis, and tissue damage with extravascular extravasation andhepatic dysfunction.DANTROLENE (DANTRIUM)Indications: Clinical spasticity resulting ... β-blockeroverdose.Notes: Anticholinergic side effects and drowsiness are common.CYTARABINE (CYTOSAR-U, ARA-C)Indications: Leukemias; Hodgkin lymphoma; non-Hodgkin lymphoma.Actions: Antineoplastic antimetabolite agent.Dosage: ... (AEROBID, NASALIDE)Indications: Chronic treatment of asthma; seasonal or perennial allergicrhinitis.Actions: Topical steroid.Dosage: Metered-dose inhaler: Children >6 years: 2 inhalations...

... dysfunction. Concomitant analgesiaor sedation is required.VERAPAMIL (CALAN, ISOPTIN)Indications: Angina; essential hypertension; arrhythmias (paroxysmalsupraventricular tachycardia [PSVT], atrial ... synthesis.cNotes:Less active against gram-positive cocci than first- and second-generation agents. Increased activity against gram-negative aerobes (Enterobacteriaceae includingEnterobacter and Serratia) due ... (TIMENTIN)Indications: Serious gram-negative infections caused by Pseudomonas,Proteus, E coli, and Enterobacter.Actions: Antipseudomonal penicillin and beta-lactamase combinationantibiotic.Dosage: Infants...

... the faculty.He was all of 20 years old.Instead of academia, Graham decided to give Wall Street a shot.He started as a clerk at a bond-trading firm, soon became an analyst,then a partner, and ... Introduction* Raskob (1879–1950) was a director of Du Pont, the giant chemical com-pany, and chairman of the finance committee at General Motors. He alsoserved as national chairman of the Democratic Party ... relevant—and how liberating—Graham’s principles remain today.grateful to Walter Schloss for providing data essential to estimating Graham-Newman’s returns. The 20 % annual average return that Grahamcites...