Ceftriaxone gonorrhea IV vs IM
CDC has recently updated their gonorrhea ceftriaxone from 250 mg IM to 500 mg IM. At no point in the guidance does it discuss giving it via IV. I have seen the product information packet where serum concentrations are compared and after 4 hrs it looks quite similar. It seems to me that IV can be used as a route. I also saw a few emergency medicine podcasts that supported the idea of giving it IV if patient has IV access. Does anyone know if the CDC has any comments about this issue...
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Source: Student Doctor Network - November 20, 2021 Category: Universities & Medical Training Authors: storyhill Tags: Pharmacy Source Type: forums
Dopesick
Not really my realm, but you all watching this? What are your impressions?
I very much remember the pervasiveness of drug reps in children's hospitals in the early 2000s (I still have my green Ceftriaxone pen) and very much remember MS Contin, but again, I don't do adult so my experience and recall is limited... (Source: Student Doctor Network)
Source: Student Doctor Network - October 24, 2021 Category: Universities & Medical Training Authors: SurfingDoctor Tags: Pain Medicine Source Type: forums
Abdominal pain in a 20 year old female, what could this case be?
20 year old female presents to the ER with abdominal pain. Afebrile and normal vitals.
Pregnancy test negative. Labs normal. Ultrasound normal, no stones.
CT (resident read) shows nonspecific inflammatory findings. Patient is sent home and her chlamydia test later returns positive. Attending CT read finds significant inflammatory findings in the mesentery and omentum, and she is told to return to the ER. Negative GU physical exam. But she is treated for PID with doxy and ceftriaxone. Later...
Abdominal pain in a 20 year old female, what could this case be? (Source: Student Doctor Network)
Source: Student Doctor Network - November 24, 2019 Category: Universities & Medical Training Authors: Medic_90x Tags: Medical Students - MD Source Type: forums
Abx question
I've got an ID question, however it doesn't appear there is a specific ID subforum. So hopefully this forum is OK.
I treated a patient in the ED for a complicated UTI / early pyelonephritis. She ended up being stable, not septic, gave one dose of Rocephin IV and discharged her with antibiotics. cefadroxil 500 mg PO BID x7 days.
Her urine culture returned a few days later
100,000 cfu/ml Pseudomonas aeruginosa
with pan-sensitivity
Think the cefadroxil...
Abx question (Source: Student Doctor Network)
Source: Student Doctor Network - October 13, 2019 Category: Universities & Medical Training Authors: thegenius Tags: Internal Medicine and IM Subspecialties Source Type: forums
Using Ceftriaxone to treat Acute Otitis Media
It seems in the last 3-6 months I’ve seen at least 1-2 kids a month that need a course of Ceftriaxone to treat ear infections that didn’t seem to respond to oral antibiotics.
I’m only 3 years post residency. And in residency I think I probably saw a max of three kids that needed Ceftriaxone.
I practice in the suburbs of an East Coast city. Maybe the number of cases I’m seeing aren’t that significant and so I’m wondering if anyone else is seeing anything similar in their practices? (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2019 Category: Universities & Medical Training Authors: Goneril Tags: Pediatrics Source Type: forums
Pharmacy Times Case Studies Question
So the latest Pharmacy Times has a case study concerning a woman who refuses vaccines due to religious beliefs, but wants a recommendation for prophylaxis treatment for meningitis. Interestingly, she is also on a BCP. The answer gives 3 choices, one of which is ceftriaxone, which Pharmacy Times says the woman can't take because her religion forbids all injections. Seriously? What religion forbids "all injections?" (I'm not a theologist, so maybe I'm ignorant, but I have never heard of any...
Pharmacy Times Case Studies Question (Source: Student Doctor Network)
Source: Student Doctor Network - September 10, 2017 Category: Universities & Medical Training Authors: BidingMyTime Source Type: forums
What do you do?
Patient presents to your office with a productive cough and occasional chest pain. Sats 90%, cxr shows LLL pneum. Confer with associate, admit to hosp. U note allergy to augmentin as it causes sob and facial swelling. Admitting orders keep sats >92%, Azithromycin 500 iv today and 250 dly, cbc cmp hscrp day, IV d51/2 ns @ 125/hr, rocephin 1 gram q 12h-aware pcn allergy, toradol iv 15mg q6h prn pain, ekg, trop. Shortly after initiation 2nd dose rocephin given patient becomes hypotensive and...
What do you do? (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2017 Category: Universities & Medical Training Authors: DrCurious2 Source Type: forums
Scary case - variceal bleed and possible intubation
So, we had a case today - GI bleed, likely (actually confirmed by GI) to be a variceal based on presentation of a lady w distended abd, etoh hx, scleral icterus. Found in our ER bathroom with a pint of blood in a bucket, bright red. HR 150, SBP 90.
So I did the usual - reglan 10 iv, zofran 4 iv, octreotide and protonix boluses and drips. IVF x2L, uncrossmatched blood x 2u, ceftriaxone 1g iv. Also, we got our airway cart ready and I had the OR bring down the glidescope. Also 2 canisters of suction ready and plugged in.
FFP ordered also.
PH was 7.5, hgb was 7.7, inr was 2.0.
Now - my question was when to intubate a...
Source: Student Doctor Network Forums - August 20, 2013 Category: Universities & Medical Training Authors: pinipig523 Tags: Emergency Medicine Source Type: forums
