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Sequentially reduce pressure support by 2- to 3-cm H2O increments, maintaining minute volume until a pressure support of 5 cm H2O is met. The thin epithelium of serous mem- A more detailed discussion of nervous tissue and the branes is a smooth, glistening kind of tissue called nervous system can be found in Chapters 9 and 10. A vailable evidence indicates that these slow- The three principal potassium -sparing diuretic release form s of KCl are occasionally capable of causing agents produce sim ilar effects on urinary electrolyte local tissue dam age and therefore probably should be com position. Pain from the kidney is often referred to the scrotum and, con- versely, testicular pain may radiate to the loin. With the patient supine, place a roll behind the shoulders to gently hyperextend the neck. However, there are a myriad of perspectives with regard to the meaning, significance, and interrelation of the terms privacy, security, and health knowledge system, which shall be discussed throughout the chapter. Vision to Achieve The ultimate goal is to provide patient-specific, evidence-based, clinical diagnostic and therapeutic guidance to clinicians at the point of care; this guidance should be available within the clinical information system (CIS) that defines their current workflow. Stimulates the release of insulin from the pancreas; increases insulin sensi- tivity at peripheral sites; reduces glucose output from the liver DOSAGE: 500–1000 mg bid SUPPLIED: Tabs 500 mg NOTES: May require dosage adjustment in hepatic impairment Tolmetin (Tolectin) COMMON USES: Arthritis and pain ACTIONS: NSAID; inhibits prostaglandin synthesis DOSAGE: 200–600 mg tid, to a max of 2000 mg/d SUPPLIED: Tabs 200, 600 mg; caps 400 mg Tolnaftate [OTC] (Tinactin) COMMON USES: Tinea pedis, tinea cruris, tinea corporis, tinea manus, tinea versicolor ACTIONS: Topical antifungal DOSAGE: Apply to area bid for 2–4 wk SUPPLIED: OTC 1% liq; gel; powder; cream; soln Tolterodine (Detrol, Detrol LA) COMMON USES: Management of overactive bladder (frequency, urgency, urge incontinence) ACTIONS: Anticholinergic DOSAGE: Detrol 1–2 mg PO bid; Detrol LA 2–4 mg/d SUPPLIED: Detrol tabs 1, 2 mg; Detrol LA tabs 2, 4 mg NOTES: Do not administer to patients with urinary retention, gastric retention, or uncontrolled nar- row-angle glaucoma; dry mouth common side effect Topiramate (Topamax) COMMON USES: Partial onset seizures ACTIONS: Anticonvulsant DOSAGE: Total dose 400 mg/d. Use the following equation to determine the dose of iron: Total replacement dose (mL) = 0. Although some collagen is produced by instructions from the normal gene, an overall Scoliosis—An abnormal, side-to-side curvature of decrease in the total amount of collagen produced the spine. Additionally order 75 mg triamterene mastercard, the US Veterans Administration health-care system will be incorporating chiropractors, although the precise nature of this involvement is still being established. Since min B12–deficient patients receive cyanocobalamin sup- iron is conserved by the body, deficiency usually results plements. Some experimental especially when voluntary movements are drugs and treatments under development for other neuro- attempted, such as grasping or walking.