Morning Report: 7/10/2012

Today’s Morning Report is courtesy of Dr. Aherne: Supraclavicular Subclavian Central Venous Access Offers several advantages over infraclavicular approach: At the insertion site, the subclavian vein is closer to the skin Right sided approach provides a straighter path into the subclavian vein More accessible during CPR Less anatomical distortion in Read more…

Morning Report: 6/28/2012

Thank you to Dr. Melendez for today’s Morning Report! Tylenol Overdose   Pathophysiology Acetaminophen (APAP) is rapidly absorbed from the stomach and small intestine and primarily metabolized by conjugation in the liver to nontoxic, water-soluble compounds that are eliminated in the urine. In acute overdose or when the maximum daily Read more…

Morning Report: 6/26/2012

Today’s morning report is thanks to Dr. Willis!   Pradaxa: Dabigatran etexilate   Pharmacokinectics -Max effect in 2-3 hours -Excreted in 12-14 hours -Renally excreted (80%) -CrCl <30 prolonged excretion and elevated concentrations -No P450 interaction. Low plasma protein binding   Dosing -CrCl >30 150mg BID -CrCl 15-30 75mg BID Read more…

Morning Report: 6/11/2012

Today’s Morning Report is courtesy of Dr. Harriott: We begin with a case presentation, A 25-year-old man was transported to the emergency department (ED) by police after exhibiting unusual behavior. The patient was found with marked agitation and altered mental status. His girlfriend reported that he had injected bath salts Read more…

Morning Report: 6/5/2012

For today’s Morning Report, we have a review of Leptospirosis by Dr. Caputo:   Leptospirosis Morning Report When should we consider it? –>Leptospirosis should be considered when a patient has a flulike disease with aseptic meningitis or disproportionately severe myalgia. Travel history important.  Multi-organ involvement. Background: Leptospirosis is a disease Read more…

Morning Report: 6/4/2012

Today’s Morning Report is thanks to Dr. Semenovskaya:   (Sorry about the technical difficulties with the above slide, The Bugs are Staph including MRSA, Strep, Haemophilus The Drugs are Broad-spectrum penicillin or quinolone and remember clinda if there is concern for MRSA)