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CLINICIAN’S POCKET REFERENCE - PART 9

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Cuộc khủng hoảng tuyến giáp, giảm vascularity trước khi phẫu thuật tuyến giáp, ngăn chặn tuyến giáp hấp thu của chất đồng vị phóng xạ i-ốt, mỏng tiết phế quản HÀNH ĐỘNG: bổ sung iốt CÁCH DÙNG: Người lớn & Peds. Preop tuyến giáp: 50-250 mg PO tid (06/02 GTT mạnh iốt film); quản lý 10 d preop | 592 Clinician s Pocket Reference 9th Edition Potassium Citrate and Citric Acid Polycitra-K COMMON uses Alkalinize urine prevention of urinary stones uric acid calcium stones if hypoci-traturic actions Urinary alkalinizer dosage 10-20 mEq PO tid with meals max 100 mEq d notes Soln 10 mEq 5 mL powder 30 mEq packet Potassium Idodide Lugol s Solution SSKI Thyro-Block COMMON uses Thyroid crisis reduction of vascularity before thyroid surgery block thyroid uptake of radioactive isotopes of iodine thin bronchial secretions actions Iodine supplement dosage Adults Peds. Preop thyroidectomy 50-250 mg PO tid 2-6 gtt strong iodine soln administer 10 d preop. Thyroid crisis Adults Peds 1 y. 300 mg 6 gtt SSKI q8h . Infants 1 y. V2 dose supplied Tabs 130 mg soln SSKI 1 g mL Lugol s soln strong iodine 100 mg mL syrup 325 mg 5 mL Potassium Supplements Kaon Kaochlor K-Lor Slow-K Micro-K Klorvess others . See Table 22-4 page 626. COMMON uses Prevention or Rx of hypokalemia often related to diuretic use actions Supplementation of potassium dosage Adult 20-100 mEq d PO qd-bid IV 10-20 mEq h max 40 mEq h and 150 mEq d monitor frequent potassium levels when using high-dose IV infusions . Peds. Calculate potassium deficit 1-3 mEq kg d PO qd-qid IV max dose 0.5-1 mEq kg h supplied Oral forms see Table 22-4 page 626 injectable forms notes Can cause GI irritation mix powder and liquid with beverage unsalted tomato juice etc use cautiously in renal insufficiency as well as with NSAIDs and ACE inhibitors. Cl salt recommended in coexisting alkalosis for coexisting acidosis use acetate bicarbonate citrate or gluconate salt. See also Chapter 9. Pramipexole Mirapex COMMON uses Parkinson s disease action Dopamine agonist dosage 1.5-4.5 mg d beginning with 0.375 mg d in 3 doses supplied Tabs 0.125 0.25 1 1.5 mg notes Titrate dosage slowly Pramoxine Anusol Ointment Proctofoam-NS others COMMON uses Relief of pain and itching from external and internal hemorrhoids and anorectal surgery topical for .