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Propyliodone is an iodinated organic compound which is used for the examinaton of the bronchial tract buy isoptin 120mg otc blood pressure high bottom number. Hypersensitvity: Anaphylactoid reactons to iodinated radiocontrast media are more common with ionic buy isoptin toronto blood pressure on leg, high osmolality compounds. Patents with a history of asthma or allergy, drug hypersensi- tvity, adrenal suppression, heart disease, previous reacton to contrast media, and those receiving beta-adrenoceptor antag- onists (beta-blockers) are at increased risk. Non-ionic media are preferred for these patents and beta-blockers should be discontnued if possible. Dose Adult and Child- Radiographic examinaton of gastrointestnal tract: route and dosage depend on procedure and preparaton used (consult literature). Contraindicatons Intestnal obstructon; conditons such as pyloric stenosis or lesions which predispose to obstructon; intestnal perforaton or conditons with risk of perforaton; such as acute ulceratve colits; divertculits; or afer rectal or colonic biopsy; sigmoidoscopy or radiotherapy; hypersensitvity; gastrointestnal haemorrhage; infammaton. Adverse Efects Constpaton or diarrhoea; abdominal cramps and bleeding; perforaton of bowel resultng in peritonits; adhesions; granulomas and high mortality rate; electrocardiographical changes-may occur with rectal administraton; pneumonits or granuloma formaton-following accidental aspiraton into lungs; bloatng; constpaton; stomach pain; ringing in ears; nausea; vomitng; pale skin; weakness. Contraindicatons Severe renal disease and hepatc disease; jaundice caused by biliary-tract obstructon; impaired absorpton due to acute gastrointestnal disorders. Precautons Hypersensitvity to iodine-containing compounds or other contrast media; severe hyperthyroidism; hyperuricaemia or cholangits; may interfere with thyroid- functon tests; adequate resuscitaton facilites must be immediately available when radiographic procedures are carried out; interactons (Appendix 6c). Adverse Efects Nausea and vomitng; abdominal pain and diarrhoea; mild stnging on micturiton; rashes and fushing; acute renal failure; thrombocytopenia and hypersensitvity reactons reported; also uricosuric and antcholinesterase efects. Meglumine Iotroxate* Pregnancy Category-D Indicatons Examinaton of the gallbladder and biliary tract. Dose Intravenous injecton Adult- Examinaton of gallbladder and biliary tract: 100 ml of meglumine iotroxate 10. Adverse Efects Nausea, vomitng, metallic taste; fushing; sensatons of heat; weakness; dizziness; headache; cough; rhinits; sweatng; sneezing; lacrimaton; visual disturbances; pruritus; salivary gland enlargement; pallor; cardiac disorders, haemodynamic disturbances and hypotension or hypertension; convulsions; paralysis; coma; rigors; arrhythmias; pulmonary oedema; circulatory failure and cardiac arrest; occasionally anaphylactoid or hypersensitvity reactons; hyperthyroidism; pain on injecton; extravasaton may result in tssue damage; thrombophlebits; thrombosis; venospasm and embolism. Dose Instllaton into the lungs Adult-Examinaton of bronchial tract: consult literature. Contraindicatons Hypersensitvity to iodine-containing compounds; severe heart disease. Precautons Asthma; bronchiectasis; pulmonary emphysema or reduced pulmonary functon; use of excessive volume or too rapid administraton may result in lobar collapse; may interfere with thyroid-functon tests; important: because of risk of hypersensitvity reactons; adequate resuscitaton facilites must be immediately available when radiographic procedures are carried out. Adverse Efects Pyrexia; malaise; arthralgia; cough; occasionally; dyspnoea; atelectasis; pneu- monia; rarely,; hypersensitvity reactons. Dialysis Fluids Solutons for peritoneal dialysis are preparatons for intraperi- toneal use which contain electrolytes in a similar concentra- ton to that in plasma, and also contain glucose or another suitable osmotc agent.

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Parameters to monitor • Response of tumor to therapy increased appetite and weight gain buy genuine isoptin on-line blood pressure chart height and weight. Contraindications: Failure to respond to previously administered drug trusted isoptin 240mg arterial network on the dorsum of the foot, hypersensitivity to melphalan and related drugs. If nausea and vomiting persist, it may be necessary to administer an antiemetic, eg, droperidol or prochlorperazine. Sit at the edge of the bed for several minutes before standing, and lie down if feeling faint or dizzy. Adverse reactions • Common: constipation, lightheadedness, dizziness, sedation, nausea, vomiting, sweating, dyspnea. Parameters to monitor • Signs and symptoms of pain: restlessness, anorexia, elevated pulse, increased respiratory rate. If rate falls below 12/min, withhold drug unless patient is receiving ventilatory support. Encourage postoperative patient to change position frequently (at least every 2 hours), breathe deeply, and cough at regular intervals, unless coughing is con- traindicated. Determine whether patient is attempting to obtain more drug than prescribed as this may indicate onset of tolerance and possibility of dependence. If toler- ance develops to one opiate, there is generally cross-tolerance to all drugs in this class. If systolic pressure falls below 90 mm Hg, do not admin- ister the drug unless there is ventilatory support. If the mother has received an opiate just prior to deliv- ery, the neonate may experience severe respiratory depression. Alternatively, the neonate may experience severe withdrawal symptoms 1–4 days after birth. If patient is on drug longer than 2–3 days, administer a bulk or fiber laxative, eg, psyllium, 1 teaspoon in 240 mL liquid/d. Editorial comments • The following considerations should be noted by the clinician. Breakthrough pain: use a sustained-release morphine prepara- tion along with one that provides rapid release. Classified by American Academy of Pediatrics as potentially causing major adverse effects on infant when breastfeeding. Mechanism of action: Reversibly inhibits initiation and conduc- tion of nerve impulses near site of injection. Contraindications: Hypersensitivity to amide-type local anes- thetic (eg, lidocaine), sensitivity to sodium metabisulfate (in preparations containing epinephrine).