La tétracycline, connue sous le nom commercial Sumycin, agit en bloquant la fixation de l’ARNt sur la sous-unité 30S ribosomale, interrompant l’élongation de la chaîne protéique bactérienne. Ce mécanisme confère une activité sur un spectre large, incluant bactéries Gram positives, Gram négatives, rickettsies et spirochètes. Sa biodisponibilité digestive varie selon la prise alimentaire et les interactions avec les ions divalents comme calcium et magnésium. Sa diffusion tissulaire est importante, notamment dans les voies respiratoires et génito-urinaires. L’élimination se fait par voie rénale et biliaire. Les effets indésirables incluent photosensibilisation, troubles digestifs et coloration dentaire en cas d’administration précoce. Les guides thérapeutiques mentionnent sumycin prix, en soulignant la nécessité de restreindre son utilisation afin de limiter les résistances acquises.
Microsoft word - chemo%20orders[1]
Mohamed S. Ahmed, MD,PhD,PC 3117 Military Road Suite #2 MOHAMED S AHMED, MD, PHD, PC Niagara Falls, NY 14304 Phone: 716-298-4869 HEMATOLOGY-ONCOLOGY Fax: 888-847-3060 CHEMOTHERAPY ORDERS Patient Name: __________________________________________ Diagnosis: _________________________________ Protocol: _______________________________________________ Course # _____________ Cycle # _______________ Height: ________inches Dosing Weight: ________lbs/kg [ ] Actual [ ] Ideal [ ] Adjusted BSA* ________m2
Ideal weight in kg = (inches >5’ x 2.3) + 45.5 (females) or 50 (males)
Adjusted weight in kg = (total weight – ideal weight) x 0.25 + ideal weight
BSA is calculated in Meditech using the Haycock equation
Parameters: ANC > 1500, PLTS > 100,000, Creatnine < 1.5 Pre-Chemotherapy Orders [ ] Zofran 16mg IV and Dexamethasone 20mg IV [ ] PACLITAXOL PREMEDS: Dexamethasone 20mg IV, Zantac 50mg [ ] Benadryl 25mg IV [ ] Solucortef 100mg IV IV, Zofran 16mg IV, Benadryl 25mg IV Chemotherapy Orders: Pharmacist may round dose by ≤5% to nearest vial size in order to minimize waste. Calculated Diluent/Volume/ Frequency weight/BSA Modification Duration (if IVPB) [ ] IV Push [ ] One Time _______mg/kg Diluent: ___________ [ ] Daily x _____________________________ ________mg Volume:___________ [ ] ___________________________________ _______mg/m2 [ ] ______% [ ] ________ Duration:__________ ______________________________________ [ ] IV Push [ ] One Time _______mg/kg Diluent: ___________ [ ] Daily x _____________________________ ________mg Volume:___________ [ ] ___________________________________ _______mg/m2 [ ] ______% [ ] ________ Duration:__________ ______________________________________ [ ] IV Push [ ] One Time _______mg/kg Diluent: ___________ [ ] Daily x _____________________________ ________mg Volume:___________ [ ] ___________________________________ _______mg/m2 [ ] ______% [ ] ________ Duration:__________ ______________________________________ Carboplatin Only: Target AUC _____ GFR _____ ml/min Dose = Target AUC x (GFR + 25) = _________mg ALLERGIES: _________________________________________ Post-Chemotherapy Orders: ______________________________________________ ICD Codes ______________________ ____________________________________________________ __________________ ______________________ ____________________________________________________ _____________ _____ ______________________ Physician’s signature ______________________________________________ Date ____________________________
Prostate Enlargement BENIGN PROSTATIC HYPERPLASIA The Prostate Gland The prostate is a walnut-sized gland that forms part of the male productive system. The gland is made of two lobes, or regions, enclosed by an outer layer of tissue. As the diagrams show, the prostate is located in front of the rectum and just below the bladder, where urine is stored. The prostate also surroun
Innocent Man by John Grisham The Summer Reading program, sponsored by the English Department at Padua Franciscan High School, is designed to entice students to read and recognize notable contemporary literature. We wish to engage student interest, encourage critical thinking, and challenge our students as readers. As such, some titles on the list may contain sensitive material and deal