Oral vs iv corticosteroids for in hospital treatment of copd exacerbations

Elevations of blood hepatic enzyme valuesalanine aminotransferase ( ALT ), aspartate aminotransferase ( AST ), and gamma-glutamyl transferase (GGT)are seen commonly in patients with immediately life-threatening VT/VF. Interpreting elevated AST activity can be difficult because the values may be elevated in patients who have had recent myocardial infarction , congestive heart failure , or multiple electrical defibrillations. Approximately 54% of patients receiving Cordarone . in clinical studies had baseline liver enzyme elevations, and 13% had clinically significant elevations. In 81% of patients with both baseline and on-therapy data available, the liver enzyme elevations either improved during therapy or remained at baseline levels. Baseline abnormalities in hepatic enzymes are not a contraindication to treatment.

For 18 months I saw dentists, oral surgeons, family doctors, ENT’s, and emergency medicine doctors (both in the USA and the UK). They all called it ‘burning mouth syndrome’ and prescribed antibiotics, mouthwashes and anti-fungal creams. After begging for a biopsy, I got the call – it was cancer. I had surgery on my tongue but no chemo, radiation or neck dissection was needed. It was 2005. In 2010, I had pain in the same area which was dysplasia and they performed laser surgery on the same spot to ensure they got it all. In 2012, I had the same complaint of pain and a new spot. Dysplasia was diagnosed again but required no further treatment. Two months later, I complained of a spot and discomfort. They lasered it again. We need more time and attention devoted to oral cancer research. My story is not over!

Clinical experience has shown that early vital sign and/or blood gas changes characteristic of malignant hyperthermia may appear during or after anesthesia and surgery despite the prophylactic use of dantrolene and adherence to currently accepted patient management practices. These signs are compatible with attenuated malignant hyperthermia and respond to the administration of additional . dantrolene (see DOSAGE AND ADMINISTRATION ). The administration of the recommended prophylactic dose of intravenous dantrolene to healthy volunteers was not associated with clinically significant cardiorespiratory changes.

Education and training requirements to administer sedation vary by state. The ADA has set forth general sedation guidelines that have been adopted or modified by many states. There are typically dosing limitations involved with anxiolysis , usually a single dose the day of treatment not to exceed the maximum recommended dose (MRD) of the medication in order to achieve the intended level of sedation. However, these sedation laws vary from state to state. Anxiolysis protocols are designed to treat healthy ASA I & II patients ages 18 and up for one to four hours of treatment. Some states now require a permit even for nitrous oxide administration and/or anxiolysis . [8]

Oral vs iv corticosteroids for in hospital treatment of copd exacerbations

oral vs iv corticosteroids for in hospital treatment of copd exacerbations

Education and training requirements to administer sedation vary by state. The ADA has set forth general sedation guidelines that have been adopted or modified by many states. There are typically dosing limitations involved with anxiolysis , usually a single dose the day of treatment not to exceed the maximum recommended dose (MRD) of the medication in order to achieve the intended level of sedation. However, these sedation laws vary from state to state. Anxiolysis protocols are designed to treat healthy ASA I & II patients ages 18 and up for one to four hours of treatment. Some states now require a permit even for nitrous oxide administration and/or anxiolysis . [8]

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