82 year old woman presents to the emergency department after…
82 year old woman presents to the emergency department after a fall at home. She reports that she woke up feeling fine this morning, but when she tried to rise from bed, her right leg was not responding- she can’t feel it or move it (weakness and numbness). Her right leg gave out from under her and she fell to the ground. She did not hit her head, but appears to be confused. You examine the patient and notice the following symptoms: loss of pain, temperature, and pressure sensation to the right leg, weakness to the right leg, and difficulty tracking your finger with her eyes (she displays gaze preference to one side of the room). (1 point each) c. Which hemisphere is affected?
Read DetailsAn adherent patient is receiving 400 mg/day of phenytoin sod…
An adherent patient is receiving 400 mg/day of phenytoin sodium capsules in divided doses and his total phenytoin concentration at steady state is [C1] mg/L. He becomes NPO and requires IV dosing. Assuming a KM of 4mg/L, what do you expect the steady state phenytoin concentration to be if he is switched to fosphenytoin IV and the daily dose of phenytoin equivalents is decreased by 25mg? (Fosphenytoin is dosed in units of phenytoin base equivalents, so should be considered phenytoin base. Phenytoin sodium is 92% phenytoin.)
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