Monthly Archives: October 2007

Antibiotics 4

Amikacin is the best anti-Pseudomonal aminoglycoside that we have. However, the dose is higher, the recommended blood levels are higher and we usually recommend restricting this to treatment failures with tobramycin or Pseudomonas that is resistant to tobramycin because this

Antibiotics 3.

Dirithromycin was marketed a year or so ago as Dynabac. The advantage here is that it can be given once a day. It has uses in adverse reactions like erythromycin but it is more expensive. So if once a day

Antibiotics 2.

Imipenem cilastatin is the next product we will talk about. This is Primaxin. Hopefully you don’t have to use this drug too often but when you do you may find it to be quite useful. Basically imipenem is metabolized by


I would point out to you that the Physician’s Desk Reference does explain how to mix this product with a local anesthetic for injection to cut down on the IM pain. So if you have patients who are going to

Acid-Base Disorders 5

I have included in your syllabus a list of syndromes that have renal disease in them and I’m going to highlight some of them here, not all of them, but highlight a few of them and show you some pictures.

Acid-Base Disorders 4

Type II RTA is different than type I RTA. It’s not that you can’t excrete hydrogen ions. It’s that the kidneys leak bicarbonate. There is a low threshold in the blood for spilling bicarbonate in the urine. Normally you and

Acid-Base Disorders 3

Renal tubular acidosis. How do we recognize renal tubular acidosis? Number one, what I said before; first have a blood pH. You’ve got to have acidosis. I can’t tell you how often I have been consulted by some of you

Acid-Base Disorders 2

Metabolic alkalosis; you are alkalotic, you have a high CO2 with retained bicarbonate. The compensation is low ventilation. You decrease your ventilation and you drive up your PCO2. The respiratory alkalosis, the PCO2 is low as you are blowing PCO2

Acid-Base Disorders

Acidosis; first we evaluate the primary disorder, and the definitions of the primary disorder. If you think about acid-base balance in a logical stepwise fashion, you may be able to remember it and figure it out. If you don’t do