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[CK] headache regimen

1.
Recommend acute headache treatment with headache cocktail involving Benadryl 25mg IV(ANTI HISTAMINE) + Compazine 10mg IV(DOPAMINE BLOCKADE).

2.
Can also start low dose tizanidine at 2mg PO every 8 hours for tension headache(An alpha2-adrenergic agonist agent which decreases spasticity by increasing presynaptic inhibition; effects are greatest on polysynaptic pathways; overall effect is to reduce facilitation of spinal motor neurons.). Continue home Topamax for headache preventive.

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[CK] STEMI_EKG learning.

892 × 548 저작권 보호를 받는 이미지일 수 있습니다.    자세히 알아보기 ECG - Common STEMI Mimics | Grays Integrative Physiology Grays Integrative Physiology Mimics will not produce reciprocal changes. If RCs in related leads, should consider it a STEMI. 방문 추가 컬렉션 공유

[CK] [ ] IM NARLOXONE 1MG IVP(0.4 - 2MG) REPEATING 2-3MINUTES (UPTO 10MG, MAY REPEAT 20-60MINS AS WELL)

IV, IM, SubQ: Initial: 0.4 to 2 mg; may need to repeat doses every 2 to 3 minutes. A lower initial dose (0.1 to 0.2 mg) should be considered for patients with opioid dependence to avoid acute withdrawal or if there are concerns regarding concurrent stimulant overdose (Mokhlesi 2003). After reversal, may need to readminister dose(s) at a later interval (ie, 20 to 60 minutes) depending on type/duration of opioid. If no response is observed after 10 mg total, consider other causes of respiratory depression. PEAK: 15MINUTES  HALF: 3 HOURS.