Current Clinical Strategies Outpatient and Primary Care by Paul D. Chan, David M. Thomas, Eric W. McKinley, Elizabeth

By Paul D. Chan, David M. Thomas, Eric W. McKinley, Elizabeth K. Stanford

<Current scientific Strategies>Pocket-sized reference in define layout. Lists laboratory and diagnostic assessments, treatments, and different crucial details for universal difficulties. For scientific scholars and citizens. earlier variation: c1997. Trim dimension: 7.5 x four inches. Softcover.

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Extra resources for Current Clinical Strategies Outpatient and Primary Care Medicine (2001 Edition) (Current Clinical Strategies Series)

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References: See page 255. The initial evaluation of the HIV-infected adult should include an assessment of the patient's past medical history, current symptoms and treatments, a complete physical examination, and laboratory testing. Prior medical conditions related to HIV infection should be assessed. Mucocutaneous candidiasis, oral hairy leukoplakia, hepatitis, pneumonia, sexually transmitted diseases, and tuberculosis should be sought. Past episodes of varicella-zoster, herpes simplex virus lesions, and opportunistic infections should be assessed.

Theophylline preparations with 24-hour action may be administered once a day in the early evening. Theo-24, 100-400 mg qd [100, 200, 300, 400 mg]. Pneumococcal and influenza vaccination are recommended for all COPD patients. Both vaccines can be given at the same time at different sites. Oxygen. Patients in respiratory distress should receive supplemental oxygen therapy. Oxygen therapy usually is initiated by nasal cannula to maintain an O2 saturation greater than 90%. Patients with hypercarbia may require controlled oxygen therapy using a Venturi mask.

Target groups for immunization. In addition, vaccination is recommended for individuals who might transmit influenza to persons at high risk, such as health-care workers, workers at chronic healthcare facilities, providers of home care to persons at high risk, and household members of persons in high-risk groups. The Advisory Committee on Immunization Practices (ACIP) of the CDC also recommends vaccination for household contacts and caretakers outside of the home of children between the ages of 0 to 23 months since young children are more likely to be hospitalized with influenza.

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