Family Medicine 2000 (Cd-Rom for Windows & Macintosh) [CD-ROM]

Paul D., M.D. Chan (Author)

Book Description

Publication Date: June 1999 | ISBN-10: 1881528804 | ISBN-13: 978-1881528807 | Edition: Cdr

CD-ROM containing management guidelines for medicine, pediatrics, and obstetrics and gynecology. Includes guidelines for admitting orders for all common problems. System requirements: Windows 3.1 or higher or Macintosh and 1MB free space.

Editorial Reviews

From the Inside Flap

Family Medicine
Year 2004 Edition
Paul D. Chan, MD
Christopher R. Winkle, MD
Peter J. Winkle, MD
Current Clinical Strategies Publishing --This text refers to an out of print or unavailable edition of this title.

Excerpt. © Reprinted by permission. All rights reserved.

INTERNAL MEDICINE

If witnessed arrest, give precordial thump and check pulse. If absent, continue CPR Assess Responsiveness Unresponsive Call for code team and Defib illator Assess breathing (open the airway, look, listen and feel for breathing) If Not Breathing, give two slow breaths. Assess Circulation PULSE NO PULSE Initia te CPR Give oxygen by bag mask Secure IV access Determine probable etiology of arrest based on history, physical exam, cardiac monitor, vital signs, and 12 lead ECG. Ventricular fibrillation/tachycardia (VT/VF) present on monitor? Hypotension/shock, acute pulmonary edema. Go to fig 8 NO YES Intubate Confirm tube placement Determine rhythm and cause. VT/VF Go to Fig 2 Arrhythmia Bradycardia Go to Fig 5 Tachycardia Go to Fig 6 Electrical Activity? YES NO Pulseless electrical activity Go to Fig 3 Asystole Go to Fig 4 Fig 1 - Algorithm for Adult Emergency Cardiac Care EMERGENCY CARDIAC CARE Cardiology Advanced Cardiac Life Support Continue CPR Persistent or recurrent VF/VT Epinephrine 1mg IV push, repeat q3-5min or 2mg in 10 ml NS via ET tube q3-5min or Vasopressin40U IVP x 1 dose only Defibrillate 360 J Amiodarone (Cordarone) 300 mg IVP or Lidocaine 1.5mg/kg IVP, and repeatq3-5 min,up to total max of 3 mg/kg or Magnesium sulfate (if Torsade de pointes or hypomagnesemic) 2 gms IVP or Procainamide (if above are ineffective) 30 mg/min IV infusion to max 17 mg/kg Continue CPR Secure IV access Intubate if no response Defibrillate immediately, up to 3 times at 200 J, 200-300 J, 360 J. Do not delay defibrillation Return of spontaneous circulation Pulseless Electrical Activity Go to Fig 3 Monitor vital signs Support airway Support breathing Provide medications appropriate for blood pressure, heart rate, and rhythm Note: Epinephrine, lidocaine, atropine may be given via endotracheal tube at 2-2.5 times the IV dose. Dilute in 10 cc of saline. After each intravenous dose, give 20-30 mL bolus of IV fluid and elevate extremity. Fig2 - Ventricular Fibrillation and Pulseless Ventricular Tachycardia Assess Airway, Breathing, Circulation, Differential Diagnosis Administer CPR until defibrillator is ready (precordial thump if witnessed arrest) Ventricular Fibrillation or Tachycardia present on defibrillator Asystole Go to Fig 4 Check pulse and Rhythm VENTRICULAR FIBRILLATION AND PULSELESS VENTRICULAR TACHYCARDIA Continue CPR Defibrillate 360 J, 30-60 seconds after each dose of medication Repeat amiodarone (Cordarone) 150 mg IVP prn (if recurrent VF/VT) ,up to max cumulative dose of 2200 mg in 24 hours Continue CPR. Administer sodium bicarbonate 1 mEq/kgI VP if long arrest period Repeat pattern of drug-shock, drug-shock PULSELESS ELECTRICAL ACTIVITY Epinephrine1.0mgIVbolusq3-5min, or high dose epinephrine0.1mg/kgIVpushq3-5min;maygivevia ET tube. Continue CPR If bradycardia(<60beats/min), giveatroprine1mgIV, q3-5 min, up to total of 0.04mg/kg Consider bicarbonate, 1mEq/kg IV(1-2amp, 44mEq/amp), if hyperkalemia or other indications. Determine differential diagnosis and treat underlying cause: Hypoxia(ventilate) Hypovolemia(infuse volume) Pericardial tamponade(perform pericardiocentesis) Tension pneumothorax(perform needle decompression) Pulmonary embolism(thrombectomy, thrombolytics) Drug overdose with tricyclics, digoxin, beta, or calcium blockers Hyperkalemia or hypokalemia Acidosis(give bicarbonate)

Myocardial infarction(thrombolytics) Hypothermia (active rewarming) Initiate CPR, secure IV access, intubate, assess pulse. Pulseless Electrical Activity Includes: Electromechanical dissociation(EMD) Pseudo-EMD Idioventricular rhythms Ventricular escape rhythms --This text refers to an out of print or unavailable edition of this title.

Product Details

• CD-ROM
• Publisher: Current Clinical Strategies Pub; Cdr edition (June 1999)
• Language: English
• ISBN-10: 1881528804
• ISBN-13: 978-1881528807
• Shipping Weight: 1.7 pounds (View shipping rates and policies)
• Average Customer Review: 4.4 out of 5 stars  See all reviews (9 customer reviews)
• Amazon Best Sellers Rank: #10,517,867 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews

14 of 14 people found the following review helpful:

4.0 out of 5 stars Must Have Pocket Reference for Family Medicine Residents!, May 21, 2000

By A Customer

This review is from: Family Medicine (Paperback)

This book has (almost) everything that a family physician needs in the hospital. I purchased the original edition a number of years ago, and recently bought the 2000 edition. I only carry two books with me in the hospital -- the Pocket Pharmacopea and this book.

This book continues the trend of high quality pocket publications from the Current Clinical Strategies series. If you're a resident in family medicine, get this book and the Pharmacopea -- you'll be set.

If you're a medical student, get this book, the Washington Manual (or Ferri), the Pharmacopea, and check out their H&P pocket book as well.

BTW, don't waste your time with the CD-ROM version of this book -- unless you expect to lug around your laptop all day!

12 of 12 people found the following review helpful:

3.0 out of 5 stars Good for residents, but not outpatient clinical use, April 4, 2003

By 

Primadogga (Topeka, KS United States) - See all my reviews

This review is from: Current Clinical Strategies: Family Medicine, 2002 Edition (Paperback)

I got this thinking it would contain useful guidelines for myself and my new ARNP (in an office practice), but found much of the book to consist of admitting orders, and the rest not particularly useful.

The discussion of hypertension, for example, consists of 3/4 page, does briefly discuss workup of newly dx HTN, and lists drugs and dosages - but NOT any recommendations for which drug to use in which patient, and no mention of guideline such as JNC-6.

The one page on active TB discusses workup and treatment regimens, but NOT possible hepatotoxicity of drugs, and NO discussion of which patients would be more likely to have resistant disease.

It seems to essentially be a FP version of the "Wash Manual" (Washington Manual of Therapeutics), and as such is appropriate for FP housestaff, but NOT for experienced clinicians, midlevel providers, or those doing only outpatient medicine.

3 of 3 people found the following review helpful:

5.0 out of 5 stars A must for Family Practice residents, February 14, 2002

By 

Victor Summers "vs11" (Fountain Valley, CA United States) - See all my reviews
(REAL NAME)   

This review is from: Current Clinical Strategies: Family Medicine, 2002 Edition (Paperback)

This book is a must if you're a family practice resident. Clear, concise and fits in your pocket. It's great!