Tuesday, January 3, 2017

Great Websites for doctors all over the world


http://www.openclinical.org/guidelines.html

http://pathways.nice.org.uk/

http://www.openclinical.org/clinicalpathways.html

http://nutritionfacts.org/

https://www.ncbi.nlm.nih.gov/

https://www.guideline.gov/

AHRQ's National Guideline Clearinghouse is a public resource for summaries of evidence-based clinical practice guidelines.



Thursday, December 22, 2016

Lifestyle Medicine


In Construction


1. Mental preparedness willingness:   Stages of Change  and Readiness for Change
2. Physical preparedness and safety:  Wellness- PAR Q, ECG
3. Barrier identifcation
4. Motivation
5. Monitoring 


Eight Doctors

PCOS



Follic 1.1 to 11.6
Lut 0-14.7
Midcycle 17-77

Clomiphene

Lower Limb Orthotics


In construction

Upper Limb Orthotics


Post in construction

Approach : Arthritis


Page being created

Tuesday, December 20, 2016

Drugs in PMR

Some drugs in PMR will be detailed here   
 (Antiallergic and antiasthmatics, Antiinfectious agents like antibiotics, antivirals and antifungal, antiepileptics, antiarrythmics, IV Fluids, and Electrolytes as well as vitamins are listed seperately)

This Page is being developed and updated

EMERGENT

Antiepileptics
Midaz
Phenytoin (Dilantin) 600mg 
CBZ
Leviteracetam

Antiarrythmics and drugs in cardiac arrest 
Adrenaline 0.5 to 1mg SC or IM (0,5 to 1ml of 1 in 1000 dilution) repeat q 20 min max 2mg 15 min
                  Other S/L or ET    1: 10,000
Atropine
Dopamine
Dobutamine
Nitroglycerine S/L 0.5mg every 3 min till pain subsides or S/E
   CI = Cerebral h'ge , head trauma, DCMY
Sorbitrate   SL 5-10mg (PO Chr 5-10mg tid)  40-80mg od 
Aspirin

Dyspnoea 
Lasix  Pulm edema 40 mg oral / IM/ IV
Deriphylline (Eto + Theo ) a/c attack 1-2 amp bd or tid at 2ml/min
or combined with dextrose SC/ IM/ IV
Hydrocort - also in anaphylactic shock and asthma 
Aminophylline

Analgesics and antiinflammatory
Acetaminophen / Paracetamol 10ml/kg/dose   125mg in 5ml
Amitriptyline
Combiflam =
Diclofenac sodium and pottassium
Gabapentin
Ibuprofen 400
Mefenamic acid  500mg for acute  250q6h with food 
Nortriptyline
Pregabalin
Venlafaxine
Tramadol
Migraine: Dihydroxyergotamine

Antihypertensives
Hydrochlorothiazide
Losartan
Nifedepine

NON EMERGENT
Antispastics
Baclofen     Gaba b analog ..dos 10tid  (max80 total)
Botox
Dantrolene  (Ca  reflux inhib)(uncouples contraction from depolarization) dos-maybe we don't need to know
Diazepam (Valium) 1 hs (max??)
Tizanidine    (central alpha 2 agonist)  (probably presynaptic inhibition of motor neuron)dos. 2 tid (max36 total)

Drugs acting on bladder and urinary tract, ED
Propantheline
Tropan
Citralka
Prazosin
Sildenafil
Tamsulosin


Bone and Calcium metabolism 
Alendronate
Etidronate
Indomethacin

Misc
Melatonin - Both 4mg and 8mg showed sleep latency vs placebo (outpatient sleep diaries 35 nights in chronic insomnia)
Modafinil
Moisol
Methylphenidate - ADHD
Haloperidol
Nimodipine

IV fluids and electrolytes and drugs for vomiting          Normal Saline   Hemaccel  Ringer's lactacte  KCl   Magnesium sulphate  Metoclopramide
Mannitol

Brand names:  Allegra (Fexofenadine)  Avil ( )    Becosules ( )  Celin Daonil (Glibenclamide)Metformin   Ritalin Sorbitrate Valium (Diazepam)    Zanax
Vaccine schedule      

Antibiotics:
Amikacin
Amoxycillin - see under penicillin
Doxycycline
Genta
Metronidazole
Macrolides-Azithromycin 250  500    Clarithromycin   Erythromycin
Penicillins- Ampicillin  Amoxicilin 500 tid (250 to 1 g tid, child 20mg/kg in 3div doses)
Augmentin 625 qid   Cloxacillin CP   Imipenem Meropenem
Cephalosporins - Cefazolin Cefixime Ceftazidime
Quinolones-  Ciproflox Levoflox   Ofloxacillin
PID
Tricho
Gono
Chlam


ATT
Antiviral
Antifungal

Antiallergics and antiasthmatics, antitussives and decongestants
Avil  1-2 ml bd IM 
Benadryl
Cetirizine 10 mg bd
Codeine
Desloratidine 2.5mg and 5 mg
Fexofenadine (Allegra) 60bd or 180 od for adults
Salbutamol
M??

Antihyperglycemic agents (OHA) 
Antidepressants
Sertraline - dont give sertraline for persons with seizures

Derm
Oint   Whitfields / Terbinafine / Miconazole / Clotrimazole
Tab Terbinafine 250 OD (4 wks skin and 6-12 wks nail)
Acne
Antiscabies

Antiparasitic
Albendazole
Mebendazole
Danazol
Dandruff
 Vit A      Vit B12    Vit C   Vit D     Vit E(Evion 200-600mg/day)   Vit K   Multivitamin
Iron
Dexorange 15-30ml bd
Livogen
Autrin