The document provides guidelines for diagnosing and treating various medical conditions. It recommends alpha blockers for passing kidney stones, and that maternal age over 35 decreases the chance of a successful vaginal birth after cesarean. It also lists blood pressure goals and first-line treatments for hypertension in different populations, including thiazides, calcium channel blockers, ACE inhibitors, and ARB's. Finally, it advises against over-the-counter cough and cold medications in young children, and provides alternatives to treat colds.
The document provides guidelines for diagnosing and treating various medical conditions. It recommends alpha blockers for passing kidney stones, and that maternal age over 35 decreases the chance of a successful vaginal birth after cesarean. It also lists blood pressure goals and first-line treatments for hypertension in different populations, including thiazides, calcium channel blockers, ACE inhibitors, and ARB's. Finally, it advises against over-the-counter cough and cold medications in young children, and provides alternatives to treat colds.
The document provides guidelines for diagnosing and treating various medical conditions. It recommends alpha blockers for passing kidney stones, and that maternal age over 35 decreases the chance of a successful vaginal birth after cesarean. It also lists blood pressure goals and first-line treatments for hypertension in different populations, including thiazides, calcium channel blockers, ACE inhibitors, and ARB's. Finally, it advises against over-the-counter cough and cold medications in young children, and provides alternatives to treat colds.
Diagnosis of septic thrombophlebitis is suggested by continued fever after antibiotic
therapy. Topical Cicloporox , in the tx of seborrheic dermatitis can causes burning and contact dermatitis. Ciclopirox 0.77% gel & Ketoconazole 2% cream are 1st line therapy for seborrheic dermatitis of the face and body. Alpha blockers are better than placebo at helping patients pass ureteral stones. Maternal age >35 decreases the likelihood of a successful VBAC. Goal: Diastolic B/P <90 in patients over 30 (no systolic recommendation) Goal: Systolic B/P < 150 in patients older than 60. Goal: B/P < 140/90 in patients with CKD or DM Thiazides, CCB, ACE-I, & ARBs are first line in non-black patients for tx of HTN CCBs and thiazides (Not ace-I OR ARB) are first line in blacks. All races with CKD, initial treatment with ACE-I or ARB. Patients with CAD-BB & ACE-I ARB Patients with CVA/TIA: ACE Patients with CHF: BB & ACE-I if EF <40% DM: Initial tx with ACE or ARB (thiazide/CCB in blacks) Over-the-counter cough and cold medications should not be used in children younger than four years because of potential harms and lack of benefit. Treatment with buckwheat honey, Pelargonium sidoides (geranium) extract (Umcka Coldcare), nasal saline irrigation, vapor rub, or zinc sulfate may decrease cold symptoms in children. The cut off most often used for COPD diagnosis on a spirometry test while the patient is stable = < 70% of predicted Tramadol should be avoided in patients with a history of seizures 7/13/2015 10:14:00 PM 7/13/2015 10:14:00 PM