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INDEX 389 Captopril in blood pressure, 41in CHF, 38 Carbamazepine, in alcohol with-drawal, 293 Carbapenem(s), 17-18 for Pseudomonas aeruginosa in HIV infection, 151 Carbon monoxide, antidote to, 330Carbon monoxide poisoning, 304-305 diagnosis of, 304 management of, 305signs and symptoms of, 305 Cardiology, 21-68. See also spe-cific disorders Carvedilol, in CHF, 37, 38Cascara sagrada, in constipation, 355 Caspofungin for aspergillosis in HIV infec-tion, 144 for Candida spp. in HIV infec-tion, 145 Castor oil, in constipation, 355Catheter(s), Epistat, in epistaxis, 366 Cautery, chemical, in epistaxis, 366 Cefadroxil, in cellulitis, 131Cefazolin in cellulitis, 131in infective endocarditis, 139-140 in osteomyelitis, 158in septic arthritis, 173 Cefepime, in acute complicated pyelonephritis, 171 Cefotaxime in septic arthritis, 174for Streptococcus pneumoniae in HIV infection, 151Cefoxitin for Mycobacterium chelonae in HIV infection, 149 in peritonitis, 108in PID, 160 Cefpodoxime, in COPD, for acute exacerbation, 262 Cefprozil, in COPD, for acute exacerbation, 262 Ceftazidime in septic arthritis, 174 in septic shock/sepsis, 176 Ceftizoxime, in peritonitis, 108Ceftriaxone in acute pyelonephritis in preg-nancy, 171 in acute uncomplicated pyelone-phritis, 170 in bacterial meningitis, 155in cellulitis, 131in infective endocarditis, 139in meningococcal infection chemoprevention, 156-157 metronidazole and, in peritoni-tis, 108 in peritonitis, 108in septic arthritis, 174for Streptococcus pneumoniae in HIV infection, 151 in UTI, 181 Cefuroxime in COPD, for acute exacerba-tion, 262 for Haemophilus influenzae in HIV infection, 147 Cellulitis, 130-132 conditions related to, 132diagnosis of, 130facial, 132 Central nervous system (CNS) dis-ease, SLE and, 281
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390 INDEX Cephalexin in cellulitis, 131for Staphylococcus aureus in HIV infection, 151 Cephalosporin(s), 16 first-generation, for Staphylo-coccus aureus in HIV infection, 151 second-generation, for Haemo-philus influenzae in HIV infection, 147 third-generation clindamycin and, in osteomy-elitis, 159 for Haemophilus influenzae in HIV infection, 147 metronidazole and in cholangitis, 94in cholecystitis, 91 in septic arthritis, 174 Cephradine, in cellulitis, 131Cetirizine, in anaphylaxis reaction, 337 Charcoal, activated. See Activated charcoal Charcoal hemoperfusion, in poi-soning, 284-285 Chemical cautery, in epistaxis, 366Chest congestion, 352Chest pain, 18-26, 339-341 causes of, 24diagnosis of, 22-23, 339-340 stress test in, 26 management of, 23-24, 340-341 thrombolysis and, 25 Chest physiotherapy, in COPD, 262 CHF. See Congestive heart failure Chlordiazepoxide, in alcohol with-drawal, 293 Chlorpromazine, in hiccups, 372Chlorthalidone, in nephrolithiasis, 221 Cholangitis, 93-94 diagnosis of, 93 Cholecystitis, 90-92Cholestyramine, in Clostridium difficile , 133 Cholinergic agents, in constipa-tion, 356 Cholinergic drugs, in myasthenic crisis, 235 Chronic obstructive pulmonary disease (COPD), 259-262 acute exacerbation of, 262diagnosis of, 259disease severity determination in, 260 global initiative for, 260 treatment modalities for, 260-261 management of, 261-263stages of, 260-261 Cidofovir for CMV in HIV infection, 146 for JC virus in HIV infection, 148 Cimetidine, in anaphylaxis reac-tion, 338 Ciprofloxacin in acute complicated pyelone-phritis, 171 in acute uncomplicated pyelone-phritis, 170 in COPD, for acute exacerba-tion, 262 in diverticulitis, 134, 135for Mycobacterium kansasii in HIV infection, 149 in meningococcal infection chemoprevention, 157
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INDEX 391 metronidazole and in cholangitis, 94in cholecystitis, 91 for Mycobacterium avium com-plex in HIV infection, 149 in peritonitis, 108in PID, 161in pneumonia, 166in prostatitis, 168, 169for Pseudomonas aeruginosa in HIV infection, 151 for Salmonella spp. in HIV infection, 151 in UTI, 180, 181 Cisapride, in constipation, 356Clarithromycin for Mycobacterium avium com-plex in HIV infection, 149 for Mycobacterium chelonae in HIV infection, 149 Clindamycin in osteomyelitis, 159for Pneumocystis carinii in HIV infection, 150 in pneumonia, 166in septic arthritis, 174for Staphylococcus aureus in HIV infection, 151 third-generation cephalosporin and, in osteomyelitis, 159 for Toxoplasma gondii in HIV infection, 151, 152 Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised, 294-296 Clonidine in aortic dissection, 68in blood pressure, 41in opioid withdrawal, 323Clopidogrel, in stroke, 243 Clostridium difficile, 133 Clotrimazole, for vaginitis in HIV infection, 145 Clotrimazole oral troches, for thrush in HIV infection, 145 Clozapine, in delirium, 359CMV. See Cytomegalovirus CNS disease. See Central nervous system (CNS) disease Cocaine abuse, 306-308 diagnosis of, 306 management of, 306-307signs and symptoms of, 307-308 Coccidioides immitis, HIV infec-tion and, 145 Codeine in dyspnea, 365in pain, 375 dosage of, compared with fentanyl patch, 378 onset of action of, 377 Codeine elixir, in pain, 375Colace in CHF, 37in MI, 33 Colchicine in constipation, 356in gout, 275in pseudogout, 275 Colitis, ulcerative, 109-110Coma, myxedema, 84-85Coma/brain death, 227-230 apnea test in, 229-230brain dead criteria in, 229brainstem reflexes in, 229clinical features of, 229confirmatory tests in, 230diagnosis of, 227-228Glasgow Coma Scale in, 228LP and tube contents in, 230
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392 INDEX Coma/brain death ( Cont. ) management of, 228medical record documentation in, 228 Compression, intermittent pneu-matic, in DVT preven-tion, 8 Congestion, chest, 352Congestive heart failure (CHF) diagnosis of, 35-36management of, 36-38 Constipation, 354-356 Contraceptive(s), oral, in shortness of breath, 343 Cooling blanket, in fever, 368COPD. See Chronic obstructive pulmonary disease Copper, antidote to, 330Corticosteroid(s), in septic shock/ sepsis, 176 Cosyntropin, in adrenal crisis, 67Cough/throat irritation, 353Coxsackie spp., pancreatitis asso-ciated with, 105 Crohn's disease, 95-96 diagnosis of, 95management of, 95-96 Cryptococcus neoformans, HIV infection and, 145-146 Cryptosporidium parvum, HIV infection and, 146 Cyanide, antidote to, 330Cyclophosphamide, in SLE, 281Cyclosporine, in SLE, 281Cyclosporine/azathioprine, in giant cell arteritis, 277 Cyclosporin/methotrexate, in giant cell arteritis, 277 Cytomegalovirus (CMV), HIV infection and, 146-147D Dalteparin, in DVT prevention, 8, 9, 124 Dapsone, for Pneumocystis carinii in HIV infection, 150 Darvocet, in pain, 376, 377Death (pronouncing of ), 357-358Death, brain, 227-230. See also Coma/brain death De Bakey classification, of aortic dissection, 66, 66f Decontamination, GI in digoxin toxicity, 310in organophosphate intoxica-tion, 325 Deep venous thrombosis (DVT), 122-125. agents in, 8-9 Deferoxamine, in iron overdose, 315 Delirium. See also Altered mental status management of, 359-360risk factors for, 333 Delirium tremens, 293Demerol, in pain, 377Department of Health and Human Services guidelines, in HIV, 143 Dermatomal map, 19f Dexamethasone in adrenal crisis, 67in thyroid storm, 83 Diabetes mellitus, cellulitis associ-ated with, 132 Diabetic ketoacidosis (DKA), 73-76 calculation of replacement of total body weight deficit in, 74-75 diagnosis of, 73-74management of, 75-76
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INDEX 393 Dialysis in ethylene glycol overdose, 313in hypercalcemia, 88, 207in hyperparathyroidism, 88in hyperphosphatemia, 211in methanol overdose, 319in rhabdomyolysis, 224 Diarrhea diagnosis of, 116-117management of, 117 Diazepam in alcohol withdrawal, 293 in organophosphate intoxica-tion, 325 in seizure, 237 Diclofenac, in pain, 375Dicloxacillin in cellulitis, 131for Staphylococcus aureus in HIV infection, 151 Digibind, in digoxin toxicity, 310Digitalis, antidote to, 330Digitalis glycosides, in CHF, 38Digoxin, in CHF, 37, 38Digoxin toxicity, 309-311 diagnosis of, 309management of, 310-311signs and symptoms of, 309-310 Digoxin-specific Fab antibody fragments (DSAF), in digoxin toxicity, 310-311 Dilaudid, in pain, 377 dosage of, compared with fenta-nyl patch, 378 onset of action of, 377 Dimenhydrinate in ACS, 29in CHF, 37in MI, 33 Dimercaprol, in lead overdose, 316Diphenoxylate, in diarrhea, 361 Dipyridamole, in stroke, 243Diuresis in ethylene glycol overdose, 313mannitol-alkaline, in rhabdomy-olysis, 224 in methanol overdose, 319saline, in hypermagnesemia, 202 Diuretic(s) loop, in CHF, 36-38 thiazide, in stroke, 244 Diverticulitis, 134-135 diagnosis of, 134management of, 134-135 Dizziness, 362DKA. See Diabetic ketoacidosis Dobutamine, in CHF, 37Docusate sodium in ACS, 29in constipation, 355in DVT, 123in hypocalcemia, 205in SAH, 249in stroke, 244in TIA, 251 Dopamine in CHF, 37in hypotension, 45in sinus pause, 379 Doxycycline for Bartonella spp. in HIV infection, 144 in COPD, for acute exacerba-tion, 262 for Mycobacterium chelonae in HIV infection, 149 in PID, 160in prostatitis, 169in tension pneumothorax, 266 Droperidol, in agitation/anxiety, 351
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394 INDEX Drug(s) interstitial nephritis and, 217in myasthenic crisis, 235pancreatitis related to, 104rhabdomyolysis due to, 224 Drug abuse, IV, cellulitis associ-ated with, 132 Dry nose, 363DSAF. See Digoxin-specific Fab antibody fragments Duke criteria, in infective endo-carditis diagnosis, 137-138 DVT. See Deep venous thrombosis Dyspepsia/heartburn, 364Dyspnea, 365 E ECG leads, in MI diagnosis, 31Edetate calcium disodium, in lead overdose, 316, 317 Edrophonium test, in myasthenic crisis, 234 Elastic anti-embolism stockings, graduated, in DVT pro-phylaxis, 8 Electric activity, pulseless, 63-64Electrolyte(s) in constipation, 354disturbances in, 183-214. See also specific imbal-ances, e. g., Hypo-natremia hypercalcemia, 206-207hyperkalemia, 195-198hypermagnesemia, 202hypernatremia, 189-191hyperphosphatemia, 210-211hypocalcemia, 203-205hypokalemia, 192-194hypomagnesemia, 199-201hyponatremia, 184-188hypophosphatemia, 208-209 metabolic acidosis, 212-214 urine, in acute renal failure, 219 Electrolyte monitoring table, sam-ple of, 76, 80 Electromyography (EMG), in myasthenic crisis, 234 EMB, in tuberculosis, 178, 179Embolectomy, pulmonary, in PE, 264 EMG. See Electromyography Enalapril in blood pressure, 42in CHF, 38 Encephalitozoon intestinalis, HIV infection and, 148 Encephalopathy(ies) hepatitis, 97-100. See also Hep-atitis encephalopathy stages of, 99 End of life, 365Endocarditis, 136-140. See also Infective endocarditis Endocrinology, 69-88. See also specific disorders Enema(s) lactulose, in hepatitis encepha-lopathy, 98 mineral oil retention, in consti-pation, 355 phosphate, in constipation, 355rectal, in constipation, 355soapsuds, in constipation, 355tap water, in constipation, 355in ulcerative colitis, 110 Enoxacin, in acute uncomplicated pyelonephritis, 171 Enoxaparin in DVT, 123in DVT prevention, 8, 9, 124, 125 in PE, 265
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INDEX 395 Entamoeba histolytica, HIV infec-tion and, 147 Enteroclysis, described, 119Enterocytozoon bieneusi, HIV infection and, 148 Environment(s), nursing home, pneumonia in, 167 Epinephrine in anaphylaxis reaction, 338in asthma, 257in asystole, 47 in hypotension, 45 in sinus pause, 379 Epistat catheter, in epistaxis, 366Epistaxis, 366Eptifibatide, in ACS, 28Ergot(s), in headache, 371Ertapenem in diverticulitis, 135in peritonitis, 108 Erythromycin for Bartonella spp. in HIV infection, 144 for Mycobacterium chelonae in HIV infection, 149 Esmolol in blood pressure, 42in MI, 32in thyroid storm, 83 Estrogen, pancreatitis associated with, 104 Etanercept, in Crohn's disease, 96 Ethanol in ethylene glycol overdose, 313in methanol overdose, 319 Ethylene glycol, antidote to, 330Ethylene glycol overdose, 312-313 Etidronate in hypercalcemia, 87, 207in hyperparathyroidism, 87Etoricoxib in gout, 275in pseudogout, 275 Exchange transfusion, in iron over-dose, 315 F Facial cellulitis, 132Fall(s), 367Famciclovir for HSV in HIV infection, 147for HZV in HIV infection, 148 Famotidine in acute pancreatitis, 106in hemoptysis, 272 Fenoldopam, in blood pressure, 42Fentanyl in acute pancreatitis, 106in dyspnea, 365 Fentanyl overdose, 320-321 diagnosis of, 320management of, 321signs and symptoms of, 320-321 Fentanyl patch, in pain, 377 dosage of, compared with other narcotics, 378 Fentanyl withdrawal, 322-323Fermentable fibers, in hepatitis encephalopathy, 98 Fever, 368Fibers(s), fermentable, in hepatitis encephalopathy, 98 Fibrinolytic therapy, in MI, 33-34 Flovent, in COPD, 262Fluconazole for Candida spp. in HIV infec-tion, 144 for Coccidioides immitis in HIV infection, 145 for Cryptococcus neoformans in HIV infection, 146
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396 INDEX Fluconazole ( Cont. ) for Histoplasma capsulatum in HIV infection, 148 for thrush in HIV infection, 145 Fludrocortisone in adrenal crisis, 67in syncope, 346 Fluid(s), in cocaine abuse, 307Fluid and electrolyte replacement, in NKHS, 79 Fluid replacement, in diarrhea, 361 Flumazenil in benzodiazepine overdose, 303in hepatitis encephalopathy, 99in unresponsive patient, 377 Fluoroquinolone(s) for Haemophilus influenzae in HIV infection, 147 in pneumonia, 166, 167for Staphylococcus aureus in HIV infection, 151 for Streptococcus pneumoniae in HIV infection, 151 5-Fluorouracil, for Toxoplasma gondii in HIV infection, 152 Fluticasone, in asthma, 257Folate. See Folic acid Folic acid in alcohol withdrawal, 292in Crohn's disease, 95in ethylene glycol overdose, 313in hepatitis encephalopathy, 98in methanol overdose, 319in sickle cell crisis, 127in ulcerative colitis, 109 Fomepizole, in ethylene glycol overdose, 313 Foscarnet for CMV in HIV infection, 146, 147 for HZV in HIV infection, 148Fosfomycin, in UTI, 180 Fosinopril, in CHF, 38Fosphenytoin, in seizure, 237, 238Fumagillin, for Enterocytozoon bieneusi in HIV infec-tion, 148 Fumidil, for microsporidia in HIV infection, 149 Furosemide in blood pressure, 42in CHF, 37 in hypermagnesemia, 202 in shortness of breath, 343 G Gallium nitrate in hypercalcemia, 88, 207in hyperparathyroidism, 88 Ganciclovir, for CMV in HIV infection, 146, 147 Ganciclovir implant, for CMV in HIV infection, 146 Gas-forming infections, cellulitis associated with, 132 Gastric lavage in acetaminophen overdose, 287 in iron overdose, 315in theophylline overdose, 327 Gastroenterology, 89-119. See also specific disorders Gastrointestinal (GI) bleeding, 118-119 diagnosis of, 118-119management of, 119 Gatifloxacin in acute complicated pyelone-phritis, 171 in acute uncomplicated pyelone-phritis, 171 in peritonitis, 108in PID, 161
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INDEX 397 in pneumonia, 166 in prostatitis, 169 Gentamicin in acute complicated pyelone-phritis, 171 in acute pyelonephritis in preg-nancy, 171 ampicillin and in cholangitis, 93, 94in cholecystitis, 91 in cholangitis, 94 in cholecystitis, 91 first-generation, for Staphylo-coccus aureus in HIV infection, 151 in infective endocarditis, 139, 140 in prostatitis, 168in septic arthritis, 174in septic shock/sepsis, 176for Staphylococcus aureus in HIV infection, 151 in UTI, 180 Geri chair, in delirium, 359GI bleeding. See Gastrointestinal (GI) bleeding GI cocktail, in dyspepsia/heart-burn, 364 GI decontamination in digoxin toxicity, 310in organophosphate intoxica-tion, 325 GI stress ulcer prophylaxis, 10Giant cell arteritis, 277-278 diagnosis of, 277management of, 277-278patient history in, 278physical examination in, 278symptoms of, 278 Glasgow Coma Scale, in coma/ brain death, 228 Glucagon, in low glucose, 370Glucose high, 369insulin and, in hyperphos-phatemia, 211 low, 370in poisoning, 284-285 Glycerin bisacodyl suppository, in constipation, 355 Glycopeptide, 18Glycoside(s), digitalis, in CHF, 38 Gold, antidote to, 330Gout, 274-276 diagnosis of, 274-275management of Graduated elastic anti-embolism stockings, in DVT pro-phylaxis, 8 Guaifenesin in chest congestion, 352in COPD, 262 Guaifenesin/brompheniramine, in cough/throat irritation, 353 Guaifenesin/potassium guaiacol-sulfonate, in chest con-gestion, 352 Guide tables, 1-16 abbreviations, 2-7antibiotic spectrum, 13-18bilevel positive airway pressure settings, 10 dermatomal map, 19f DVT prophylaxis, 8-9GI stress ulcer prophylaxis, 10initial ventilator settings, 11-12MIVF, 7near vision testing, 20f Guillain-Barré syndrome, 231-233 clinical features of, 231described, 231
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398 INDEX Guillain-Barré syndrome ( Cont. ) diagnosis of, 231, 232management of, 232prognosis of, 232-233 H H 2 blocker for diarrhea with or without abdominal pain, 117 in dyspepsia/heartburn, 364 HAART for Cryptosporidium parvum in HIV infection, 146 for JC virus in HIV infection, 148 Haemophilus influenzae, HIV infection and, 147 Haemophilus influenzae vaccine, in sickle cell crisis, 127 Haloperidol in agitation/anxiety, 351in alcohol withdrawal, 293in altered mental status, 336in delirium, 359in hiccups, 372 Headache(s), 371Heartburn, 364Hematology/oncology, 121-127 DVT, 122-125sickle cell crisis, 126-127 Hemodialysis in acetylsalicylic acid (aspirin) overdose, 301 in poisoning, 284 Hemoperfusion charcoal, in poisoning, 284-285 in theophylline overdose, 327 Hemoptysis, 271-272 diagnosis of, 271-272management of, 272Hemorrhage, subarachnoid. See Subarachnoid hemor-rhage (SAH) Hemothorax, cocaine abuse and, 307 Heparin antidote to, 330in DVT, 123in DVT prevention, 8, 9, 124, 125 in PE, 264, 265 in stroke, 243 exclusion criteria, 246, 252 in TIA, 251 Heparin drip, in MI, 32Hepatitis encephalopathy, 97-100 in cirrhosis patients, causes of, 99-100 diagnosis of, 97-98management of, 98-99stages of, 99 Hernia(s), intestinal obstruction due to, 102 Heroin overdose, 320-321 diagnosis of, 320management of, 321signs and symptoms of, 320-321 Heroin withdrawal, 322-323Herpes simplex virus (HSV), HIV infection and, 147 Herpes zoster virus (HZV), HIV infection and, 148 Hiccups, 372Histoplasma capsulatum, HIV infection and, 148 HSV. See Herpes simplex virus Human bites, cellulitis associated with, 132
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INDEX 399 Human immunodeficiency virus (HIV), 141-152 diagnosis of, 141management of Department of Health and Human Services guide-lines in, 143 International AIDS Soci-ety-USA guidelines in, 142 International AIDS Soci-ety-USA initial regi-men in, 144 opportunistic infections, 144-152. See also spe-cific infections aspergillosis, 144Bartonella spp., 144 Candida spp., 144-145 CMV, 146-147Coccidioides immitis, 145 Cryptococcus neoformans, 145-146 Cryptosporidium parvum, 146 Encephalitozoon intestinalis, 148 Entamoeba histolytica, 147 Enterocytozoon bieneusi, 148 Haemophilus influenzae, 147 Histoplasma capsulatum, 148 HSV, 147HZV, 148Isospora belli, 148 JC virus, 148microsporidia, 148-149Mycobacterium spp., 149-150 Nocardia asteroids, 150 Penicillium marneffei, 150Pneumocystis carinii, 150 Pseudomonas aeruginosa, 150-151 Salmonella spp., 151 Staphylococcus aureus, 151 Streptococcus pneumoniae, 151 thrush, 145Toxoplasma gondii, 151-152 Treponema pallidum, 152 vaginitis, 145 pancreatitis associated with, 105 prophylactics in, 141-142 Hydralazine in blood pressure, 42, 43in cocaine abuse, 307 Hydrochlorothiazide, in nephroli-thiasis, 221 Hydrocodone acetaminophen and in nephrolithiasis, 221in pain, 376 in acute pancreatitis, 106in dyspnea, 365 Hydrocortisone in hypercalcemia, 207in myxedema coma, 85in septic shock/sepsis, 176in ulcerative colitis, 110 Hydrocortisone retention enema, in ulcerative colitis, 110 Hydromorphone in nephrolithiasis, 221in pain, 376 Hydroxychloroquine, in SLE, 281Hydroxyurea, in sickle cell crisis, 127 Hydroxyzine, in agitation/anxiety, 351 Hydroxyzine pamoate, in sickle cell crisis, 127
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400 INDEX Hyoscyamine, in dyspepsia/heart-burn, 364 Hyperbaric oxygen in carbon monoxide poisoning, 305 in osteomyelitis, 159 Hypercalcemia, 206-207 causes of, 206-207diagnosis of, 206management of, 207severe, 86-88 diagnosis of, 86 management of, 87-88 Hyperkalemia, 195-198 causes of, 195-196diagnosis of, 195treatment of, 197-198 Hypermagnesemia, 202Hypernatremia, 189-191 causes of, 189-190diagnosis of, 189hypervolemic, 190hypovolemic, 190isovolemic, 190 Hyperparathyroidism, 86-88 diagnosis of, 86management of, 87-88signs and symptoms of, 87 Hyperphosphatemia, 210-211 causes of, 210diagnosis of, 210management of, 211 Hypertension, cocaine abuse and, 307 Hypertensive emergency, 39-43. See also Blood pressure (BP), high diagnosis of, 39-40management of, 41-43signs and symptoms of, 40 Hyperthermia, cocaine abuse and, 306Hypocalcemia, 203-205 causes of, 203-204diagnosis of, 203management of, 204-205symptoms of, 204 Hypokalemia, 192-194 causes of, 193diagnosis of, 192transtubular potassium gradient in, 192-193 treatment of, 194 Hypomagnesemia, 199-201 causes of, 200diagnosis of, 199management of, 200-201 Hyponatremia, 184-188 assessment of, 186-188causes of, 186diagnosis of, 184-186hypovolemic, sodium deficit in, calculation of, 187 management of, 186-188pseudohyponatremia, 185-186 Hypophosphatemia, 208-209 causes of, 208-209diagnosis of, 208management of, 209 Hypotension, 44-45 diagnosis of, 44-45management of, 45 HZV. See Herpes zoster virus I Ibuprofen in gout, 275in headache, 371in pain, 375in pseudogout, 275in SLE, 281 Ice packs, in cocaine abuse, 306Ice water baths, in cocaine abuse, 306
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INDEX 401 Ileus, paralytic, 102 Imipenem for Mycobacterium chelonae in HIV infection, 149 in peritonitis, 108in septic shock/sepsis, 176 Imipenem/cilastatin in acute complicated pyelone-phritis, 171 in acute pyelonephritis in preg-nancy, 171 in diverticulitis, 135 Immunoglobulin(s) (IMs) IV, in Guillain-Barré syndrome, 232 in myasthenic crisis, 235tetanus, in laceration, 373 Imodium, for diarrhea, 117IMs. See Immunoglobulin(s) Indapamide, in nephrolithiasis, 221 Indomethacin in gout, 275in pseudogout, 275in SLE, 281 Infection(s). See also specific types gas-forming, cellulitis associ-ated with, 132 pancreatitis associated with, 105rhabdomyolysis due to, 224 Infectious diseases, 129-181. See also specific diseases Infective endocarditis diagnosis of Duke criteria in, 137-138Von Reyn criteria in, 138-139 management of, 139-140 Inferior vena cava filter, in PE, 265INH. See Isoniazid Initial ventilator settings, 11-12Insomnia, 380Insulin in DKA, 75glucose and, in hyperphos-phatemia, 211 in high glucose, 369in hyperkalemia, 198in NKHS, 79 Integrelin in ACS, 29in MI, 32 Interferon alpha, for JC virus in HIV infection, 148 Intermittent pneumatic compres-sion, in DVT prophy-laxis, 8 International AIDS Society-USA guidelines, in HIV, 142 International AIDS Society-USA initial regimen, in HIV, 144 Interstitial nephritis, drugs associ-ated with, 217 Intestinal obstruction, 101-102 causes of, 102diagnosis of, 101management of, 101paralytic ileus, 102 Intrapleural talc, in tension pneu-mothorax, 266 Intravenous (IV) drug abuse, cellu-litis associated with, 132 Intravenous (IV) IMs, in Guillain-Barré syndrome, 232 Intubation, in shortness of breath, 343 Ipecac syrup, in iron overdose, 315Ipratropium albuterol and, in asthma, 257in COPD, 262 Iron, antidote to, 330Iron overdose, 314-315
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402 INDEX Irrigation, whole-bowel, in iron overdose, 314 Irritation, throat, 353Isoniazid (INH) antidote to, 330for Mycobacterium kansasii in HIV infection, 149 rifampin and, for Mycobacte-rium tuberculosis in HIV infection, 150 in tuberculosis, 178, 179 Isospora belli, HIV infection and, 148 Itraconazole for Candida spp. in HIV infec-tion, 145 for Coccidioides immitis in HIV infection, 145 for Cryptococcus neoformans in HIV infection, 146 for Penicillium marneffei in HIV infection, 150 for thrush in HIV infection, 145 IV. See Intravenous IVF, in hypercalcemia, 207 J JC virus, HIV infection and, 148 K Kaopectate, for diarrhea with or without abdominal pain, 117 Kayexalate, in hyperkalemia, 198KCl, in CHF, 36Ketoacidosis, diabetic. See Dia-betic ketoacidosis (DKA) Ketoconazole, for vaginitis in HIV infection, 145 Ketolide, 18Ketorolac in gout, 275in pseudogout, 275 Ketorolac tromethamine, in sickle cell crisis, 127 L Labetalol in aortic dissection, 67in blood pressure, 41-43in SAH, 249in stroke, 244 in TIA, 251 Laceration(s), 373β-Lactam(s), antipseudomonal, aminoglycoside and, for Pseudomonas aeru-ginosa in HIV infection, 150 Lactobillus SF 68, in hepatitis encephalopathy, 98 Lactulose in constipation, 354in hepatitis encephalopathy, 98 Lactulose enema, in hepatitis encephalopathy, 98 Lavage, in TCA overdose, 328Laxative(s) bulk, in constipation, 354osmotic, in constipation, 354stimulant, in constipation, 355 Lead overdose, 316-317 diagnosis of, 316management of, 316-317 Lead poisoning, intestinal obstruc-tion due to, 102 Leptospira spp., pancreatitis asso-ciated with, 105 Leucovorin, for Toxoplasma gon-dii in HIV infection, 151
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INDEX 403 Levalbuterol, in shortness of breath, 343 Levofloxacin in acute complicated pyelone-phritis, 171 in acute uncomplicated pyelone-phritis, 170 in cholangitis, 94in cholecystitis, 91, 92in COPD, for acute exacerba-tion, 262 in diverticulitis, 134, 135 for Mycobacterium avium com-plex in HIV infection, 149 in peritonitis, 108in PID, 161in pneumonia, 166in prostatitis, 169in UTI, 180 Levorphanol, in pain, onset of action of, 377 Lidocaine in cocaine abuse, 307in TCA overdose, 329viscous, in dyspepsia/heartburn, 364 Light's criteria, in pleural effu-sion exudate diagnosis, 270 Linezolid in cellulitis, 131in osteomyelitis, 158for Staphylococcus aureus in HIV infection, 151 Lisinopril in ACS, 28in CHF, 38 Liver, toxicity of, acetaminophen overdose and, 286f Liver transplantation, in hepatitis encephalopathy, 99Lomefloxacin, in acute uncompli-cated pyelonephritis, 171 Lomotil, for diarrhea with or with-out abdominal pain, 117 Loop diuretics, in CHF, 36-38Loperamide in diarrhea, 361in ulcerative colitis, 110 Lopressor in ACS, 28 in blood pressure, 43 in MI, 32 Loracarbef, in COPD, for acute exacerbation, 262 Loratadine, in anaphylaxis reac-tion, 337 Lorazepam in ACS, 28in agitation/anxiety, 351in alcohol withdrawal, 293in altered mental status, 336in MI, 32in seizure, 237 Lovenox in DVT, 123in MI, 32in stroke, 244in TIA, 252 Lugol's solution, in thyroid storm, 83 Lumbar puncture, in meningitis evaluation, 154 M Maalox in chest pain, 340in dyspepsia/heartburn, 364 Macrolide(s), 17 in pneumonia, 166, 167for Streptococcus pneumoniae in HIV infection, 151
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404 INDEX Magnesium in NKHS, 80in TCA overdose, 329 Magnesium citrate in constipation, 354in TCA overdose, 328 Magnesium hydroxide, in consti-pation, 354 Magnesium sulfate, in DKA, 76Magnetic resonance imaging (MRI) in stroke assessment, contrain-dications to, 246-247 in TIA assessment, contraindi-cations to, 252-253 Mannitol in constipation, 354in ethylene glycol overdose, 313in methanol overdose, 319 Mannitol-alkaline diuresis, in rhabdomyolysis, 224 Mechanical ventilation, in myas-thenic crisis, 234-235 Melatonin, in hepatitis encephalo-pathy, 99 Meningitis, 153-157 bacterial, empiric treatment of, 155-156 diagnosis of, 153-154HIV infection and, 145lumbar puncture in, 154signs and symptoms of, 154-155suspicion of, empiric therapy for, 155 Meningococcal infection, chemo-prophylaxis for expo-sure to, 156-157 Mental status, altered. See Altered mental status Menthol, in cough/throat irritation, 353 Menthol/benzocaine, in cough/ throat irritation, 353Meperidine in acute pancreatitis, 106in aortic dissection, 68in nephrolithiasis, 221in sickle cell crisis, 127 Meperidine overdose, 320-321 diagnosis of, 320management of, 321signs and symptoms of, 320-321 Meperidine withdrawal, 322-323 diagnosis of, 322 management of, 323signs and symptoms of, 322-323 Merocel nasal tampon, in epistaxis, 366 Meropenem in cholangitis, 94in cholecystitis, 91, 92in diverticulitis, 135in peritonitis, 108 Mesalamine, in Crohn's disease, 96Metabolic acidosis, 212-214 causes of, 213-214diagnosis of, 212-213osmolal gap, 214 Metamucil, in diarrhea, 361Metaproterenol, in COPD, 262Methadone in opioid withdrawal, 323in pain, 377 Methanol, antidote to, 330Methanol overdose, 318-319 diagnosis of, 318management of, 319signs and symptoms of, 318 Methemoglobin, antidote to, 330Methimazole, in thyroid storm, 83Methotrexate, in SLE, 281Methylcellulose, in constipation, 354
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INDEX 405 Methyldopa, in aortic dissection, 67 Methylprednisolone in anaphylaxis reaction, 338in asthma, 257in COPD, 261in Crohn's disease, 96in giant cell arteritis, 277in gout, 275in pseudogout, 275in shortness of breath, 343in SLE, 280 Metoclopramide in dyspepsia/heartburn, 364in hiccups, 372 Metoprolol, in aortic dissection, 67Metoprolol succinate, in CHF, 38Metoprolol tartrate, in CHF, 38Metronidazole aztreonam and in cholangitis, 94in cholecystitis, 91 ceftriaxone and, in peritonitis, 108 ciprofloxacin and in cholangitis, 94in cholecystitis, 91 in Clostridium difficile, 133 in Crohn's disease, 96for Entamoeba histolytica in HIV infection, 147 in hepatitis encephalopathy, 98 for microsporidia in HIV infec-tion, 149 pancreatitis associated with, 104third-generation cephalosporins and in cholangitis, 94in cholecystitis, 91 MI. See Myocardial infarction Miconazole, for vaginitis in HIV infection, 145Microsporidia, HIV infection and, 148-149 Midazolam, in seizure, 238Midodrine, in syncope, 346Milrinone, in CHF, 37Mineral oil, in constipation, 355Mineral oil retention enema, in constipation, 355 Mineralocorticoid challenge, hyperkalemia not responding to, 196-197 Minocycline, for Nocardia aster-oids in HIV infection, 150 Misoprostol, in constipation, 356MIVF, 7Montelukast, in asthma, 257Morphine in ACS, 28in acute pancreatitis, 106in aortic dissection, 68in chest pain, 340in CHF, 36in dyspnea, 365in MI, 32in nephrolithiasis, 221in pain, 376 dosage of, compared with fentanyl patch, 378 onset of action of, 377 in SAH, 249in sickle cell crisis, 127 Morphine overdose, 320-321 diagnosis of, 320management of, 321signs and symptoms of, 320-321 Morphine withdrawal, 322-323 diagnosis of, 322management of, 323signs and symptoms of, 322-323
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406 INDEX Moxifloxacin in peritonitis, 108in PID, 161in pneumonia, 161 MRI. See Magnetic resonance imaging MS Contin, in pain, onset of action of, 377 Multivitamin(s) in alcohol withdrawal, 292in Crohn's disease, 95 in hepatitis encephalopathy, 98 in ulcerative colitis, 109 Myasthenic crisis, 234-235 acetylcholine receptor antibod-ies in, 234 clinical features of, 234clinical syndrome of, 234-234diagnosis of, 234edrophonium test in, 234EMG in, 234management of, 234-235 Mycobacterium spp. HIV infection and, 149-150. See also specific agent M. chelonae, HIV infection and, 149 M. fortuitum, HIV infection and, 149 M. kansasii, HIV infection and, 149 M. scrofulaceum, HIV infection and, 149 M. tuberculosis, HIV infection and, 149-150 Mycobacterium avium complex, HIV infection and, 149 Mycophenolate, in SLE, 281Mylanta, in dyspepsia/heartburn, 364Myocardial infarction (MI) acute, 31-33diagnosis of, 30-34 arterial supply associations in, 31 ECG leads in, 31ST elevation in, 31f ruling out, chest pain and, 22-26. See also Chest pain ST elevation, 31f Myxedema coma, 84-85 N Na phosphate, in hypophos-phatemia, 209 Na + polystyrene, in hyperkalemia, 198 NAC. See N-Acetylcysteine Nadroparin, in DVT prevention, 8, 9, 124, 125 Nafcillin in cellulitis, 131in infective endocarditis, 139for Staphylococcus aureus in HIV infection, 151 Nafcillin/oxacillin, in osteomyeli-tis, 158 Na HCO 3, in TCA overdose, 329 Nalmefene, in opioid intoxication, 321 Naloxone in opioid intoxication, 321pentazocine and, in pain, 376in poisoning, 284-285 Naproxen, in pain, 375Narcan, in unresponsive patient, 382 Narcotics antidote to, 330in headache, 371 Nasal packing, in epistaxis, 366Nasal sprays, in dry nose, 363
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INDEX 407 Nasal tampon, Merocel, in epistaxis, 366 National Institutes of Health Stroke Scale, 240-242 percent with favorable outcome, 242-243 Nausea and vomiting, 374Near vision testing, 20f Neomycin, in hepatitis encephalo-pathy, 98 Nephritis interstitial, drugs associated with, 217 SLE and, 281 Nephrolithiasis, 220-221 diagnosis of, 220management of, 221 Nephrology, 215-224. See also specific disorders Nesiritide, in CHF, 36Neurology, 226-253Neutral phosphate, in nephrolithia-sis, 221 Neutra-Phos capsule, in hypophos-phatemia, 209 Nicardipine in blood pressure, 42, 43in stroke, 244 Nifedipine, in hiccups, 372Nimodipine, in SAH, 249Nitazoxanide for Cryptosporidium parvum in HIV infection, 146 for microsporidia in HIV infec-tion, 149 Nitrate(s), antidote to, 330Nitrofurantoin, in UTI, 180Nitroglycerin in chest pain, 340in cocaine abuse, 307Nitroglycerin paste in GI bleeding, 119in hemoptysis, 272 Nitropaste, in ACS, 28Nitroprusside in aortic dissection, 67in blood pressure, 41, 43in cocaine abuse, 307in SAH, 249 NKHS. See Nonketotic hyperos-molar syndrome Nocardia asteroids, HIV infection and, 150 Nonketotic hyperosmolar syn-drome (NKHS), 77-80 calculation of replacement of total body weight deficit in, 78-79 diagnosis of, 77-78management of, 79-80 Nonrebreather mask, in shortness of breath, 343 Norfloxacin in acute uncomplicated pyelone-phritis, 171 in UTI, 181 Nose, dry, 363NSAIDs. See Anti-inflammatory drugs, nonsteroidal NTG in ACS, 28in blood pressure, 42in MI, 31-32 Nursing home environment, pneu-monia in, 167 Nystatin, for thrush in HIV infec-tion, 145 O Occupational therapy, in Guillain-Barré syndrome, 232
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408 INDEX OCEAN nasal spray, in dry nose, 363 Octreotide in GI bleeding, 119in hemoptysis, 272 Ofloxacin in acute complicated pyelone-phritis, 171 in acute uncomplicated pyelone-phritis, 171 in PID, 161 in UTI, 180 Oil(s) castor, in constipation, 355mineral, in constipation, 355 Olanzapine in agitation/anxiety, 351in altered mental status, 336in delirium, 359 Olsalazine, in Crohn's disease, 96Omeprazole, in dyspepsia/heart-burn, 364 Ondansetron in nausea and vomiting, 374in sickle cell crisis, 127 Opioid(s). See Pain, management of Opioid agonist(s), in pain, 375-376 Opioid agonist-antagonist, in pain, 376 Opioid combination, in pain, 376Opioid intoxication, 320-321 diagnosis of, 320management of, 322signs and symptoms of, 320-321 Opioid withdrawal, 322-323 diagnosis of, 322management of, 323signs and symptoms of, 322-323Orange juice, in low glucose, 370 Organophosphate(s), antidote to, 330 Organophosphate intoxication, 324-325 diagnosis of, 324management of, 325signs and symptoms of, 324-325 Osmotic laxatives, in constipation, 354 Osteomyelitis, 158-159 diagnosis of, 158management of, 158-159 Overdose. See specific drugs Oxacillin in infective endocarditis, 139for Staphylococcus aureus in HIV infection, 151 Oxycodone acetaminophen and in nephrolithiasis, 221in pain, 376 acetylsalicylic acid and, in pain, 376 in dyspnea, 365in pain management dosage of, compared with fentanyl patch, 378 onset of action of, 377 Oxygen in carbon monoxide poisoning, 305 hyperbaric in carbon monoxide poison-ing, 305 in osteomyelitis, 159 in poisoning, 284-285in shortness of breath, 343 Oxygenation, in shortness of breath, 343
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INDEX 409 P Pacer(s) in sinus pause, 379in TCA overdose, 329 Pain abdominal acute, symptoms of, 111-115. See also Acute abdominal pain, symptoms of diarrhea, 116-117 chest, 339-341. See also Chest pain management of, 375-378 drugs in, onset of action of, 377 mild to moderate pain, 375moderate pain, 375-376moderate to severe pain, 376-377 Pamidronate in hypercalcemia, 87, 207in hyperparathyroidism, 87 Pancreatic enzyme supplement, in acute pancreatitis, 106 Pancreatitis acute, 103-106 causes of, 104diagnosis of, 103-104management of, 106medications associated with, 104 prognosis for, 105Ranson's criteria for, 105 infections associated with, 105 Pantoprazole in dyspepsia/heartburn, 364in GI bleeding, 119in hemoptysis, 272 Paralytic ileus, 102Paromomycin for Cryptosporidium parvum in HIV infection, 146 for Entamoeba histolytica in HIV infection, 147 PCNs, 15-16PE. See Pulmonary embolism Pelvic inflammatory disease (PID), 160-161 diagnosis of, 160 management of, 160-161 Penciclovir, topical, for HSV in HIV infection, 147 Penicillamine, in nephrolithiasis, 221 Penicillin(s) allergic reaction to, cellulitis associated with, 132 aqueous, for Treponema palli-dum in HIV infection, 152 benzathine, for Treponema pal-lidum in HIV infection, 152 in infective endocarditis, 139for Streptococcus pneumoniae in HIV infection, 151 Penicillium marneffei, HIV infec-tion and, 150 Pentamidine, for Pneumocystis carinii in HIV infection, 150 Pentazocine naloxone and, in pain, 376in pain, 376 Peritonitis, 107-108 diagnosis of, 107-108management of, 108 Phenergan, in nausea and vomit-ing, 374
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410 INDEX Phenobarbital in alcohol withdrawal, 293in dyspepsia/heartburn, 364in seizure, 237 Phenothiazine(s) in alcohol withdrawal, 293antidote to, 330 Phentolamine, in cocaine abuse, 307 Phenytoin in SAH, 249 in seizure, 237, 238 Phosphate Na, in hypophosphatemia, 209neutral, in nephrolithiasis, 221 Phosphate enema, in constipation, 355 Phospho-Soda, in hypophos-phatemia, 209 Physical therapy in Guillain-Barré syndrome, 232in septic arthritis, 174 Physiotherapy, chest, in COPD, 262PID. See Pelvic inflammatory dis-ease Piperacillin/tazobactam in acute complicated pyelone-phritis, 171 in acute pyelonephritis in preg-nancy, 171 in cholangitis, 93in cholecystitis, 91in diverticulitis, 134in peritonitis, 108 Plasma exchange, in myasthenic crisis, 235 Plasmapheresis, in Guillain-Barré syndrome, 232 Pleural effusion, 267-270 diagnosis of, 267-270pleural fluid analysis in, 268-269Pleural effusion exudate, diagnosis of, Light's criteria for, 270 Pleural fluid analysis, in pleural effusion assessment, 268-269 Pleurodesis, in tension pneumo-thorax, 266 Plicamycin, in hypercalcemia, 207 Pneumatic compression, intermit-tent, in DVT prevention, 4 Pneumococcal vaccine, in sickle cell crisis, 127 Pneumocystis carinii, HIV infec-tion and, 150 Pneumomediastinum, cocaine abuse and, 307 Pneumonia(s), 162-167 diagnosis of, 162management of, 166-167mortality due to, risk of, assess-ment of, 163 PORT criteria for, 164-165 Pneumonia Assessment Scale, 164-165 Pneumothorax cocaine abuse and, 307tension, 266 Poisoning, 284-285 carbon monoxide, 304-305lead, intestinal obstruction due to, 102 life-threatening, 284management of, 284-285signs and symptoms of, 285 Poisoning toxidrome, 285Polycarbophil, in constipation, 354 Polyethylene glycol, in constipa-tion, 354, 355
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INDEX 411 Polyneuropathy(ies), acute idio-pathic demyelinating, 231-233. See also Guil-lain-Barré syndrome PORT criteria, 164-165Posey vest in agitation/anxiety, 351in delirium, 359 Positive airway pressure settings, bilevel, 10 Potassium citrate, in nephrolithia-sis, 221 Potassium iodide, in thyroid storm, 83 Potassium phosphate in DKA, 76in NKHS, 80 Pralidoxime, in organophosphate intoxication, 325 Pravastatin, in MI, 32Prazosin, in blood pressure, 41Prednisolone in asthma, 257in COPD, 261 Prednisone in anaphylaxis reaction, 337, 338 in giant cell arteritis, 277in hyperparathyroidism and severe hypercalcemia, 87 for Pneumocystis carinii in HIV infection, 150 in SLE, 280 Pregnancy, acute pyelonephritis in, empiric treatment for, 171 Pressor(s), in TCA overdose, 329Primaxin, in acute pancreatitis, 106Probenecid in gout, 276in pseudogout, 276Prochlorperazine, in nausea and vomiting, 374 Prokinetic agents, in constipation, 356 Promethazine, in hiccups, 372Propionic acids, in pain, 375Propoxyphene, in pain, 376 onset of action of, 377 Propranolol in aortic dissection, 67in thyroid storm, 83 Prostatitis, 168-169 diagnosis of, 168management of, 168-169 Proton pump inhibitor, for diarrhea with or without abdomi-nal pain, 117 Pseudoephedrine in chest congestion, 352in cough/throat irritation, 353 Pseudogout, 274-276 diagnosis of, 274-275management of, 275-276 Pseudohyponatremia, 185-186Pseudomonas aeruginosa, HIV infection and, 150-151 Psyllium, in constipation, 354Psyllium hydrophilic mucilloid, for diarrhea with or without abdominal pain, 117 Pulmonary embolectomy, in PE, 264 Pulmonary embolism (PE), 263-265 diagnosis of, 263-264management of, 264-265Wells' criteria for, 264 Pulmonary rehabilitation, in asthma, 258 Pulmonology, 255-272Pulseless electric activity, 63-64
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412 INDEX Puncture(s), lumbar, in meningitis evaluation, 154 Pyelonephritis, 170-171 acute, in pregnancy, empiric treatment for, 171 complicated, acute, empiric treatment of, 171 diagnosis of, 170uncomplicated, acute, empiric treatment for, 170-171 Pyrazinamide, for Mycobacterium tuberculosis in HIV infection, 150 Pyridostigmine, in myasthenic cri-sis, 235 Pyridoxine in ethylene glycol overdose, 313 for Mycobacterium tuberculosis in HIV infection, 150 in methanol overdose, 319in tuberculosis, 179 Pyrimethamine for Isospora belli in HIV infec-tion, 148 for Toxoplasma gondii in HIV infection, 151 PZA, in tuberculosis, 178, 179 Q Quetiapine in agitation/anxiety, 351in delirium, 360 Quinapril, in CHF, 38Quinolone(s), 17 R Ramipril, in CHF, 38Ranitidine in acute pancreatitis, 106in anaphylaxis reaction, 338in GI bleeding, 119in hemoptysis, 272 in PE, 265 Ranson's criteria, for acute pancre-atitis, 105 Recombinant tissue plasminogen activator (rt-PA), in stroke, 243-244 exclusion criteria, 244-245 Rectal enema/suppository, in con-stipation, 355 Reflex(es), brainstem, in coma/ brain death, 229 Reglan, in nausea and vomiting, 374 Rehabilitation, pulmonary, in asthma, 258 Renal disease, SLE and, 281Renal failure, acute, 215-219 causes of, 216-217 intrarenal, 216-217postrenal, 216prerenal, 216 diagnosis of, 215-216physical examination findings in, 217-218 RTA in, 218-219urine anion gap in, 219urine electrolytes in, 219 Reserpine, in aortic dissection, 67 Restoril, in sleep disturbance/ insomnia, 380 Restraint(s) in altered mental status, 336in delirium, 359 Resuscitation, in septic shock/sep-sis, 175-176 Rhabdomyolysis, 223-224 causes of, 223-224cocaine abuse and, 307management of, 224 Rheumatology, 273-281
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INDEX 413 Rifabutin for Mycobacterium tuberculosis in HIV infection, 150 for Mycobacterium avium com-plex in HIV infection, 149 Rifampin in infective endocarditis, 139INH and, for Mycobacterium tuberculosis in HIV infection, 150 in meningococcal infection chemoprevention, 156-157 for Staphylococcus aureus in HIV infection, 151 in tuberculosis, 178, 179 Risperidone in agitation/anxiety, 351in altered mental status, 336in delirium, 359 Robitussin, in cough/throat irrita-tion, 353 rt-PA. See Recombinant tissue plasminogen activator S Saccharomyces boulardii, 133 SAH. See Subarachnoid hemor-rhage Salicylate, in pain, 375Salicylate overdose. See Acetylsal-icylic acid (aspirin) overdose Saline diuresis, in hypermagnese-mia, 202 Saline nasal spray, in dry nose, 363Salmeterol, in asthma, 257Salmonella spp. HIV infection and, 151pancreatitis associated with, 105 Salpingitis, 160-161Salsalate, in pain, 375 Scopolamine, in dyspepsia/heart-burn, 364 Sedation, in delirium, 359Seizure(s), 236-238 alcohol withdrawal-related, 293cocaine abuse and, 306diagnosis of, 236-237management of, 237-238 Senna, in constipation, 355Sepsis, septic/shock, 175-176 Septic arthritis, 172-174 diagnosis of, 172-173management of, 173-174 Septic shock/sepsis, 175-176 diagnosis of, 175management of, 175-176 Serevent, in COPD, 262Shock, septic. See Septic shock/ sepsis Shortness of breath, 342-344 diagnosis of, 342management of, 342-344Pa O 2 and saturation relationship in, 344 Sickle cell crisis, 126-127 diagnosis of, 126management of, 126-127 Silver nitrate, in epistaxis, 366Simvastatin, in MI, 32Sinus pause, 379Sitz bath, in prostatitis, 168SLE. See Systemic lupus erythe-matosus Sleep disturbance/insomnia, 380Soapsuds enema, in constipation, 355 Sodium bicarbonate, in methanol overdose, 319 Sodium iodine, in thyroid storm, 83Sodium phosphate, in constipation, 354
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414 INDEX Sodium picosulfate, in constipa-tion, 355 Solu-Medrol, in ulcerative colitis, 110 Sonata, in sleep disturbance/ insomnia, 380 Sorbitol in constipation, 354in hepatitis encephalopathy, 98 Spectinomycin, in septic arthritis, 174 Spironolactone, in CHF, 36 ST elevation, in MI diagnosis, 31f Stadol, in pain, 376Stanford classification, of aortic dissection, 66, 66f Staphylococcus aureus, HIV infec-tion and, 151 Statin(s) in ACS, 29in TIA, 252 Steroid(s) in adrenal crisis, 67high-dose, in myasthenic crisis, 235 Stibogluconate, pancreatitis asso-ciated with, 104 Stimulant laxatives, in constipa-tion, 355 Stockings, graduated elastic anti-embolism, in DVT pro-phylaxis, 8 Stool softener, in prostatitis, 168Streptococcus pneumoniae, HIV infection and, 151 Streptokinase, in PE, 264Streptomycin, in infective endo-carditis, 139 Stress test, in chest pain evalua-tion, 26 Stress ulcer prophylaxis, GI, 10Stroke, 239-247 diagnosis of, 239-240management of, 243-244MRI in, contraindications to, 246-247 National Institutes of Health Stroke Scale, 240-242 Subarachnoid hemorrhage (SAH), 248-249 diagnosis of, 248management of, 249 Succimer, in lead overdose, 317 Sucralfate, in diarrhea, 361Sugar, poorly absorbed, in consti-pation, 354-355 Sulfasalazine in Crohn's disease, 96in ulcerative colitis, 110 Sulfinpyrazone in gout, 276in pseudogout, 276 Sulindac, in pain, 375Suppository(ies), in constipation, 355 Supraventricular tachycardia (SVT), 52-54, 53f Symptoms, 331-347. See also spe-cific symptom, e. g., Altered mental status altered mental status, 332-336anaphylaxis reaction, 337-338chest pain, 339-341management of, 349-382. See also specific symptom, e. g., Agitation/anxiety agitation/anxiety, 351chest congestion, 352constipation, 354-356cough/throat irritation, 353death (pronouncing of), 357-358 delirium, 359-360
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INDEX 415 diarrhea, 361 dizziness, 362dry nose, 363dyspepsia/heartburn, 364end of life, 365epistaxis, 366falls, 367fever, 368headache, 371hiccups, 372high glucose, 369 lacerations, 373 low glucose, 370nausea and vomiting, 374pain, 375-378sinus pause, 379sleep disturbance/insomnia, 380 tachycardia, 381unresponsive patient, 382 shortness of breath, 342-344syncope, 345-347 Syncope, 345-347 causes of, 346-347diagnosis of, 345management of, 345-346 Systemic lupus erythematosus (SLE), 279-281 classification criteria for, 280diagnosis of, 279-280diseases associated with, 281management of, 280-281 T Tachyarrhythmia(s), 50-64. See also specific types, e. g., Atrial fibrillation/atrial flutter atrial fibrillation/atrial flutter, 50-53, 51f, 53f cocaine abuse and, 307pulseless electric activity, 63-64SVT, 52-54 torsades de pointes, 61-62, 62f V-fib, 57-58, 58f VT, 55-56, 56f WPW syndrome, 59-60, 60f Tachycardia(s) management of, 381supraventricular, 52-54, 53f. See also Supraventricu-lar tachycardia (SVT) ventricular, 55-56, 56f unstable, 57-58, 58f Talc, intrapleural, in tension pneu-mothorax, 266 Tampon(s), nasal, Merocel, in epistaxis, 366 Tap water enema, in constipation, 355 TCA overdose. See Tricyclic anti-depressant (TCA) over-dose Tegaserod, in constipation, 356Temazepam, in agitation/anxiety, 351 Tensilon test, in myasthenic crisis, 234 Tension pneumothorax, 266Terbutaline in asthma, 257in COPD, 262 Tetanus immunoglobulin, in lacer-ation, 373 Tetanus toxoid, in laceration, 373Tetracycline(s), 17-18 pancreatitis associated with, 104 Theophylline overdose, 326-327 diagnosis of, 326management of, 327signs and symptoms of, 326-327
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416 INDEX Thiamine in alcohol withdrawal, 292, 293in altered mental status, 335in ethylene glycol overdose, 313in hepatitis encephalopathy, 98in methanol overdose, 319in poisoning, 284-285 Thoracostomy, in cocaine abuse, 307 Throat irritation, 353Thrombolysis chest pain and, 25 in MI, 32 Thrombolytic(s), in PE, 264Thrombosis(es), deep venous. See Deep venous thrombosis Thrush, HIV infection and, 145Thyroid storm, 81-83 diagnosis of, 81-82management of, 83 Thyroxine, in myxedema coma, 85 TIA. See Transient ischemic attack Ticarcillin/clavulanate in acute complicated pyelone-phritis, 171 in acute pyelonephritis in preg-nancy, 171 in cholecystitis, 91in diverticulitis, 135in UTI, 181 Ticlopidine in stroke, 243in TIA, 251 Timentin in acute pancreatitis, 106in cholangitis, 94 Tinzaparin, in DVT prevention, 8, 9, 124, 125 Tiopronin, in nephrolithiasis, 221TMP/SMX. See Trimethoprim/sul-famethoxazole Tobramycin for Mycobacterium chelonae in HIV infection, 149 in septic shock/sepsis, 176 Torsades de pointes, 61-62, 62f Torsemide, in CHF, 38Toxicology, 283-330. See also specific drugs and tox-ins and Poisoning Toxin(s), antidotes to, 330Toxoid(s), tetanus, in laceration, 373 Toxoplasma gondii, HIV infection and, 151-152 Tramadol, in pain, 376Transfusion(s) exchange, in iron overdose, 315in hemoptysis, 272 Transient ischemic attack (TIA), 250-253 diagnosis of, 250-251management of, 251-253MRI in, contraindications to, 252-253 Transplantation(s), liver, in hepati-tis encephalopathy, 99 Transtubular potassium gradient, in hypokalemia, 192-193 Trazodone, in sleep disturbance/ insomnia, 380 Trendelenburg's position, in iron overdose, 315 Treponema pallidum, HIV infec-tion and, 152 Trichloroacetic acid, in epistaxis, 366 Tricyclic antidepressant (TCA) overdose, 328-329 diagnosis of, 328management of, 328-329 Triiodothyronine, in myxedema coma, 85
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INDEX 417 Trimethaphan in aortic dissection, 67in blood pressure, 42 Trimethobenzamide, in nausea and vomiting, 374 Trimethoprim for Pneumocystis carinii in HIV infection, 150 for Salmonella spp. in HIV infection, 151 for Toxoplasma gondii in HIV infection, 152 Trimethoprim/sulfamethoxazole (TMP/SMX) in COPD, for acute exacerba-tion, 262 in diverticulitis, 134for Haemophilus influenzae in HIV infection, 147 for Isospora belli in HIV infec-tion, 148 for Nocardia asteroids in HIV infection, 150 in prostatitis, 169in UTI, 180, 181 Triptan(s), in headache, 371Trisulfapyridine, for Nocardia asteroids in HIV infec-tion, 150 Troponin, in chest pain, 340Tuberculosis, 177-179 diagnosis of, 177management of, 178-179PPD interpretation in, 177-178 Tuboovarian abscess, 160-161Tumor(s), intestinal obstruction due to, 102 Tylenol in ACS, 28in acute pancreatitis, 106in alcohol withdrawal, 293in headache, 371in MI, 32 in pain, 375in prostatitis, 168in thyroid storm, 83in TIA, 251 U Ulcerative colitis, 109-110 diagnosis of, 109management of, 109-110 Unasyn. See Ampicillin/sulbactam Unresponsive patient, 382 Urinary tract infections (UTIs), 180-181 Urine alkalization, in cocaine abuse, 307 Urine anion gap, in acute renal fail-ure, 219 Urine electrolytes, in acute renal failure, 219 UTIs. See Urinary tract infections V Vaccine(s) Haemophilus influenzae, in sickle cell crisis, 127 pneumococcal, in sickle cell cri-sis, 127 Vaginitis, HIV infection and, 145Valacyclovir for HSV in HIV infection, 147for HZV in HIV infection, 148 Valganciclovir, for CMV in HIV infection, 146, 147 Vancomycin in bacterial meningitis, 155, 156in cellulitis, 131in Clostridium difficile, 133 in infective endocarditis, 139, 140in osteomyelitis, 158in septic arthritis, 173, 174in septic shock/sepsis, 176
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418 INDEX Vancomycin ( Cont. ) for Staphylococcus aureus in HIV infection, 151 for Streptococcus pneumoniae in HIV infection, 151 Vasculitis, SLE and, 281Vasopressin in GI bleeding, 119in hemoptysis, 272 Ventilation, mechanical, in myas-thenic crisis, 234-235 Ventilator settings, initial, 11-12 Venti-mask, in shortness of breath, 343 Ventricular fibrillation (V-fib), 57-58, 58f Ventricular tachycardia (VT), 55-56, 56f unstable, 57-58, 58f Vest(s), Posey. See Posey vest V-fib. See Ventricular fibrillation Viscous lidocaine, in dyspepsia/ heartburn, 364 Vision testing, near, 20f Vitamin(s) D, in giant cell arteritis, 278D 2, in hypocalcemia, 205 K in anticoagulant overdose, 297in GI bleeding, 119in hemoptysis, 272 Volvulus, intestinal obstruction due to, 102 Vomiting, nausea and, 374Von Reyn criteria, in infective endocarditis diagnosis, 138-139 Voriconazole for aspergillosis in HIV infec-tion, 144 for Candida spp. in HIV infec-tion, 145VT. See Ventricular tachycardia W Warfarin antidote to, 330in CHF, 37in DVT, 123in PE, 265in stroke, 243 exclusion criteria, 246, 252 in TIA, 251 Warm packs, in DVT, 123 Well's criteria, in PE assessment, 264 Whole-bowel irrigation, in iron overdose, 314 Wolff-Parkinson-White (WPW) syndrome, 59-60, 60f WPW syndrome. See Wolff-Parkinson-White (WPW) syndrome X Xopenex, in COPD, 261 Z Zinc, in hepatitis encephalopathy, 99Ziprasidone in agitation/anxiety, 351in delirium, 359 Zoledronic acid in hypercalcemia, 207in hyperparathyroidism, 87 Zolpidem in sickle cell crisis, 127in sleep disturbance/insomnia, 380 Zosyn in osteomyelitis, 158in septic shock/sepsis, 176in UTI, 181 Zyvox. See Linezolid
Lange instant access Patel Anil - Lange instant access_ hospital admissions_ essential evidence-based orders for common clinical conditions-McGraw-Hill Medical Pub. Division 2007.pdf