Peri-operative Antibiotics question
Hello all, I have a question I'm not sure about the answer or where to post on the forum. Patient is going to have knee replacement and has penicillin allergy, although he is stable on cephalexin. What would be the best antibiotic to use peri-operatively? Choice of antibiotics: cefazolin, vancomycin, clindamycin. I was thinking cefazolin because it's a 1st gen like cephalexin, but a friend argued for vancomycin. What do you guys think? (Source: Student Doctor Network)
Source: Student Doctor Network - January 19, 2020 Category: Universities & Medical Training Authors: pharmdguy18 Tags: Pharmacy Source Type: forums

Behold the Referral! "Just go to the ER"
Just had a shift full of referrals. Saw about 16 patients (slow day), and 10 of them were referrals of one sort or another. And ridiculous ones too: 1. 24 yo woman with a dental abscess in her mandibular cheek. She saw her dentist earlier today who prescribed clindamycin and sent her to the ED to have the abscess drained. I asked her "your dentist is sending you to a doctor who knows nothing about teeth to drain an abscess? I've done this about 20 times in my life. He's presumably done... Behold the Referral! "Just go to the ER" (Source: Student Doctor Network)
Source: Student Doctor Network - August 13, 2019 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums