Oxis Turbohaler 1.0 Generic Drug Name; Preparation/Formulation Oxis (Formoterol); Oxis Turbuhaler; Oxis (Eformoterol fumarate dihydrate for inhalation) 1.1 Oxis Turbohaler 6, inhalation powder • Each delivered dose of Oxis Turbohaler 6 (i.e. the dose leaving the mouthpiece) contains 4.5 micrograms formoterol fumarate dihydrate which is derived from a metered dose of 6 micrograms. • Diluents: Lactose Monohydrate 895 micrograms per delivered dose, corresponding to 1005 micrograms per metered dose. 1.2 Oxis Turbohaler 12, inhalation powder • Each delivered dose of Oxis Turbohaler 12 (i.e. the dose leaving the mouthpiece) contains 9 micrograms formoterol fumarate dihydrate which is derived from a metered dose of 12 micrograms.
PRE-ECLAMPSIA Description Preeclampsia is a condition that occurs only during pregnancy. Some symptoms of preeclampsia may include high blood pressure and protein in the urine, occurring after week 20 of pregnancy. Preeclampsia is often precluded by gestational hypertension. While high blood pressure during pregnancy does not necessarily indicate preeclampsia, it may be a sign of another problem. Pre-eclampsia is one of the most common cause of maternal and perinatal morbidity and mortality.
The patient was kept in the propped up position with the head end elevated to 450. 2. He was initially given 60% oxygen via a venturi mask 3. His vital parameters were monitored ECG, Heart rate ,SPO2, NIBP, Hourly urine output, temperature, GCS score 4. His initial arterial blood gas with 60% oxygen was pH-7.39 pO2-385 mm Hg pCO2-32 mm Hg BE(Blood)- +1.2 HCO3 std20 meq/L 5.
It occurs few days following birth and is more common in premature infants than in term infants. 1.0. GROUP B STREPTOCCI (GBS) CAUSING NEONATAL MENIGITIS 1.1. CHARACTERISTIC FEATURES Group B Streptococcus (GBS or Streptococcus agalactiae) is an encapsulated gram-positive diplococcus that colonizes the gastrointestinal and genital tracts of pregnant women. GBS colonization is usually asymptomatic.
We then added 10cm3 ethanoic anhydride to the salicylic acid and swirled the contents, this mixes together the two chemicals. We then added 5 drops of concentrated sulphuric acid to the flask and thoroughly swirled the mixture, this creates the solution that makes the aspirin. We then warmed the flask for 20 minutes in a 400cm3 beaker of hot water which was approximately 60°C, we made sure the flask did not go above 65°C because this could have caused the contents to evaporate. Part 2: Using a 25cm3 measuring cylinder we measured out 15cm3 of ethanol into a boiling tube and then prepared a beaker half filled with hot water at approx. 75°C, we got this temperature by filling the beaker with cold water and slowly adding boiling water from a kettle until we reached the right temperature.
Patient gave past history of caesarean section 2 years back. On palpation it was tiny nodule, measuring about 3×2 cm, left side of the caesarean section scar. There was corresponding fluctuation in the size of the swelling during each cycle. The clinical diagnosis of scar endometriosis was made. FNAC smears show monolayered sheets and loosely cohesive clusters of polygonal to oval epithelial cells with bland chromatin, moderate amount of cytoplasm and inconspicuous nucleoli.
Diphtheria, tetanus and pertussis (DTaP) is a series of vaccinations that is given to infants starting at 2 months until the age of 4 to 6. Tetanus, diphtheria and pertussis (Tdap) is a booster shot administered to children ages 11 to 12. Pregnant women also receive a shot of Tdap during pregnancy to prevent whooping cough. Every ten years a booster shot of tetanus and diphtheria (Td) is given to adults (5). The tetanus vaccine is a toxoid vaccine that uses inactivated toxins to combat symptoms of the disease.
The respiratory rate increases when doing exercise to around 30-50 breaths per minute. Tidal Volume - this is the total of air breathed in (inhaled) and out (exhaled) in 1 breath. In normal circumstances around 500cm3 is breathed in and out. Roughly around 350cm3 reaches the alveoli and the lingering 150cm3 progresses to the pharynx, larynx, trachea and the bronchioles. During exercise the tidal volume always becomes greater.
The cervix is one of the least common sites in genitourinary tract.We report a case of Cervical Rhabdomyosarcoma who was misdiagnosed as Vaginal RMS and was started on chemotherapy. We had to do an emergency excision of the mass,when she developed excessive bleeding per vaginum. Keywords Embryonal Rhabdomyosarcomas,Cervical Rhabdomyosarcomas, Background Rhabdomyosarcomas are malignant skeletal muscle tumors and account for about 50% of soft tissue sarcomas in children. The Intergroup Rhabdomyosarcoma Study Group divided it into three major histologic subtypes: Embryonal(ERMS), alveolar, and undifferentiated. The most common sites include head and neck(35%),extremities, trunk, retroperitoneum.
If fetal heart pattern does not improve in a reasonable period and delivery is not imminent, urgent delivery by cesarean is needed Pain control Agents given in intermittent doses for systemic pain control include the following: • Meperidine, 25-50 mg IV every 1-2 hours or 50-100 mg IM every 2-4 hours • Fentanyl, 50-100 mcg IV every hour • Nalbuphine, 10 mg IV or IM every 3 hours • Butorphanol, 1-2 mg IV or IM every 4 hours • Morphine, 2-5 mg IV or 10 mg IM every 4
A classic sign of approximately 50% of molar pregnancy cases is uterine enlargement. The enlargement is due to the proliferating trophoblastic tissue and the large amounts of clotted blood (Davidson et al., 2012 p. 378). “Absence of fetal sounds in the presence of other signs of pregnancy is another classic sign of molar pregnancy” (Davidson et al., 2012 p. 378). Because of the continued secretion of the trophoblastic tissue, the hCG levels will be elevated. As a result of the elevated hCG levels Hyperemesis gravidarum may occur.
Fractured Clavicle Occurs in during difficult birth due to unequal movement of the upper extremities Abdomen: Normal Finding A. Shape Round, dome shaped and nondistended B. Umbilical Cord Two arteries, one vein, whitish gray color, odorless C. Bowel sounds Present 1-2 hours after birth Abnormal Abdomen: Definition A. Distension: Fullness of the abdomen above the umbilicus caused by ruptured viscus or tumors. B. Imperforate Anus Blockage of the anus or missing of the anus C. Meconium Ileus Bowel obstruction caused by thick abnormal meconium Genitalia: (complete female and male) Normal finding or Definition A. Female (labia, clitoris, meatus, edema, pseudo-menstruation) 2pts Labia majora covers the labia minora and clitoris and are usually edematous Meatus is beneath the clitoris, difficult to see due to the edema A hymenal tag should be present Pseudo-menstruation, a blood tinged discharge caused by pregnancy hormones is common B. Male penis, scrotum, rugae, phimosis, testes circumcision, edema) 2pts Foreskin covers glans the meatus is at tip of penis and not retractable If circumcised the prepuce is removed Scrotum is covered in rugae and its large edematous and hangs low C. Anus Patent and not covered by a
Mr. Bates’ oxygen saturation is 94% so oxygen would be administered on 6 liters per minute via a Hudson mask. The patient oxygen saturation should be maintained at 95 % or above. If the oxygen saturation is not improving via Hudson mask then it would be replaced by non- rebreather masks on high flow oxygen, which delivers 100% oxygen concentration (NSW Health, 2012). Glyceryl Trinitrate (GTN): GTN Sublingual 300-600 mg or GTN Spray 400-800 mg is given if systolic blood pressure is greater than 90 mm of hg. (NSW Health 2012:20).
According to Ron Dagan, acute otitis media (middle ear infection) are most common in kids 3 months old to 3 years old. (Dagan p. 1). In Clinical Bacteriology of Recurrent Otitis Media with Effusion, it states, “antibiotic resistance has increased due to indiscriminate overuse and misuse of antibiotics.” The overuse of an antibiotic and/or using the wrong antibiotic to treat the sickness has made bacteria more resistant to the antibiotics. Later on in the passage, Dagan adds, “we collected nine hundred middle ear fluid samples for six hundred fifty four pediatric patients who underwent ventilation tube insertion due to OME…” “Antibiotic sensitivity tests showed that the two groups differed in sensitivity to penicillin and erythromycin, but no other antibiotics.” (Article abstract).Out of the nine hundred samples they took, the group showed the bacteria was defeated by the antibiotic penicillin and the antibiotic erythromycin but the other antibiotics didn’t touch the bacteria. The experiment showed people only two antibiotics were fighting off the bacteria.
(Chisholm-Burns, et al., p. 103). 3. What do you recommend to treat acute episodes of stable-angina-related chest discomfort? Nitroglycerine SL: “0.3 to 0.6 mg every 5 minutes for maximum of 3 tablets in 15 minutes; may also use prophylactically 5 to 10 minutes prior to activities which may provoke an attack.” (Lexicomp, Nitroglycerine, n.d.). 4.