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156) to be compared with Eq. 373 Mp 79-818. On the other hand, Pneumococcus, hemolytic Streptococcus SSx: headache, lethargy, nuchal rigidity, fever, Kernigs sign (with hip in flexion, pain is elicited with leg extension), Brudzinskis sign (flexion at neck causes a reflexive flexion of the legs), seizures, photophobia Dx: initial CTMRI with contrast or gadolinium (evaluate for mass effects that may risk herniation with a lumbar puncture), lumbar puncture for cells and culture Rx: parenteral antibiotics, sinus surgery with exposure of diseased dura (if present) Other Complications Osteitis: diagnose initially with technetium bone scan (osteoblastic activity) and gallium bone scan (inflammation), follow with gallium scans; Rx: parenteral antibiotics, surgical debridement, sinus surgery Pots Puffy Tumor: frontal bone osteomyelitis, soft doughy swelling of forehead, high risk of intracranial extension; Rx: parenteral antibiotics, trephination, may require surgical debridement Superior Orbital Fissure Syndrome: fixed globe, dilated pupil (CN III, IV, VI), ptosis, hypesthesia of upper eyelid (CN V1); Rx: urgent surgical decompression Orbital Apex Syndrome: similar to Superior Orbital Fissure Syndrome with added involvement of optic nerve (papilledema, vision changes) Sinocutaneous Fistula: usually begins as a frontal osteomyelitis Sinus Surgery Functional Endoscopic Sinus Surgery (FESS) Advantages: superior visualization, better precision, preserves function (recognizes normal mucociliary flow pattern at the osteomeatal complex), completeness, no external scar Chapter 9 Surgical Techniques for Kidney and Pancreas Procurement Henkie P.
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Motion. Johns wort (Hypericum perforatum), 134 valerian (Valeriana officinalis), 134 yarrow (Achillea millefolium), 134 dos and donts about herbs, 130131 forms of, 127128 hazards of, 128129 nursing process and, 129130 overview, 125126, 135 quiz, 135136 Heroin, 69t Histamine2 blockers, 342343 HIV, 317319 fusion inhibitors, 319 nonnucleoside reverse transcriptase inhibitors, 319 nucleoside reverse transcriptase inhibitors, 319 postexposure prophylaxis, 320, 320t during pregnancy, 320 protease inhibitors, 319 Humulin, 394 Hydantoins, 294 Hydrochlorothiazide (HydroDIURIL), 356357, 360 Hydrocortisone (Westcort), 379t Hydroflumethiazide (Saluron, Diucardin), 360 Hydromorphone (Dilaudid), 310t Hydroxyzine (Atarax, Vistaril), 259t Hypercalcemia, 173174 Hyperkalemia, 164165, 214 Hypermagnesemia, 176177 Hypernatremia, 168170 Hyperphosphatemia, 178179 Hyperthyroidism, 390391 Hypertonic fluids, 160 Hypocalcemia, 174176 Hypokalemia, 165168 Hypomagnesemia, 177 Hyponatremia, 170171 Hypophosphatemia, 179180 Hypothyroidism, 389390 Hypotonic fluids, 160 I Ibuprofen, 70t, 199 Idoxuridine, 404t Imipenem-cilastatin (Primaxin), 230t231t Imipramine (Tofranil), 299t Immunologic agents HIV mediation fusion inhibitors, 319 nonnucleoside reverse transcriptase inhibitors, 319 nucleoside reverse transcriptase inhibitors, 319 postexposure prophylaxis, 320, 320t during pregnancy, 320 protease inhibitors, 319 immunity antibody-mediated immunity, 316 cell-mediated immunity, 317 HIV, 317319 inflammation, 316 overview, 315316 immunosuppressants, 324325 overview, 315, 325 quiz, 326327 vaccinations adult immunizations, 322 adverse events of vaccine, 322323 nursing actions, 323324 overview, 321323 patient education, 324 Immunosuppressants, 324325 Inamrinone (Inocor), 350 Indanedione interaction with cephalosporins, 217 Indapamide (Lozol), 360 Indinavir (Crixivan, IDV), 319 Inflammation, 316 combating, 199 common types of arthritis, 200 delayed phase, 198 overview, 197198, 201 quiz, 201202 vascular phase, 198 Inhalants, 77 Inhalation route, 102103 Inhalers, 102 Instillation route, 101102 Insulin, 393394 Interferonβ-1B (Betaseron) and interferonβ-1a (Avonex), 291 International normalized ratio (INR), 365 Intracellular fluid (ICF), 158 28 Part I: Applying Physics 3.
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