You must administer surgical prophylaxis at the time of the first incision or as close as possible. Redose if surgery is longer than four hours. No need for post-op, except in cardiac procedures. Usually use cefazolin 2 g (3 g for patients above 120 kg), ceftriaxone, cefotetan, cefoxitin 2 g, clindamycin 900 mg, vancomycin 15 mg/kg Cefazolin 2g is […]
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Seizures: Epilepsy
*See the seizure medication table for quick reference.*Seizure Emergencies Epilepsy Treatment Options: Know doses for narrow therapeutic index drugs like phenytoin, but mostly need to know what kind of seizure and major side effects that would cause you to choose a different therapy. Also know REMS programs. Benzos can be used as adjunctive, short-term therapy (clorazepate, clonazepam, diazepam […]
Multiple Sclerosis
Acute Relapses: Methylprednisone 1g/day in divided doses for 3-5 days. Oral prednisone 1250 mg every other day for 5 days Intravenous adrenocortical hormones. DMARDs- Alemtuzumab – Can cause thyroid disorder, infusion reactions, increased infections (screen for herpes and TB before giving), may risk some cancers, vaccinate 6 weeks prior to therapy, avoid live vaccines during treatment. B – interferon […]
Schizophrenia
Diagnosis: Brief Psychiatric Rating Scale (BPRS) Positive and Negative Symptom Scale (PANSS) – 7-point, 30 item scale. Requires a 45-minute interview Positive Symptom Rating Scale (PSRS) – 1-7 scale Brief Negative Symptoms Assessment (BNSA) 1-6 scale Treatment: Antipsychotics are the first line The Joint Commission recommends 1 antipsychotic unless: 3 failed attempts at monotherapy A plan […]