High-risk Allopurinol Carbamazepine Lamotrigine Nevirapine Oxicam nonsteroidal anti-inflammatory drugs (e.g., piroxicam) Phenobarbital Phenytoin Sulfasalazine Sulfonamide antibiotics Significant but lower risk Acetic acid nonsteroidal anti-inflammatory drugs (e.g., diclofenac) Other antibiotics (aminopenicillins,…
Fig. 3.1 A 36-year-old woman with metastatic thyroid cancer and no prior history of arrhythmia presented to the emergency room with a chief complaint of palpitations. Cardiac monitor tracings demonstrated…
Fig. 9.1 Phases of opportunistic infections in allogeneic hematopoietic stem cell transplant recipients. NK natural killer, HHV6 human herpesvirus 6, EBV Epstein-Barr virus, PTLD posttransplant lymphoproliferative disease. [Reprinted from Tomblyn…
Symptom/sign Incidence rate Overall severity Mild 58.2 % Moderate 32.8 % Severe 9.0 % Flushing 54.7 % Dyspnea 29.7 % Chest discomfort 26.2 % Pruritus 24.6 % Elevated blood pressure…
Fig. 2.1 Preprinted orders for potassium replacement The oral route is preferred over other routes if feasible. The intravenous route may be used in patients with profound hypokalemia or unable…
Procedure Fetal dose (cGy) Chest X-ray (2 views) 0.00002–0.00007 Abdominal film (single view) 0.1 Intravenous pyelography ≥1 Hip film (single view) 0.2 Mammography 0.007–0.020 Barium enema/small bowel series 2–4 CT…
Fig. 1.1 MRI scan of the thoracic spine. At the T6 level, the epidural tumor (outlined) is causing impending compression of the spinal cord (arrow) As a tumor invades the…
Fig. 14.1 Computed tomography scan of a 13-year-old patient presenting with persistent malaise, fever, and weakness. Decreased sensorium developed in the child while awaiting evaluation in an EC. His white…
• Talk to the patient in a nonthreatening tone • Allow the patient to express fears and concerns • Isolate the patient from other patients and visitors • Remove dangerous…
Opioid (route) Conversion from oral opioid to oral morphine Conversion from parenteral opioid to same oral opioid Initial rescue dose in an opioid-naïve adult Morphine (PO, IV) 1 1.0:2.5 PO…
