Let's start with a patient case. A patient on
hemodialysis (M/W/F) is admitted to the hospital with cellulitis who also meets
sepsis criteria. He has a history of an
MRSA infection during a previous admission so you want to initiate vancomycin
at this time. The patient is 76 kg and
still makes some urine. What dosing
strategy should you choose and when/should vancomycin concentrations be
monitored?
HughesMedicine - Pharmacotherapy Pearls from the Internal Medicine Clinical Pharmacist
Sunday, February 23, 2014
Sunday, February 9, 2014
Drug interaction between warfarin and acetaminophen?
The management of
anticoagulant therapy is an important component of the treatment of various disease
states. Maintaining the narrow therapeutic range required for the safe and
effective use of warfarin is essential to avoid suboptimal dosing and adverse
events. Numerous drug interactions with warfarin are present due to alterations
in absorption, distribution, and metabolism.
The severity of interactions with warfarin varies greatly and dictates
very different recommendations for management and monitoring. In the most
insignificant interactions, no change in dosage or monitoring is necessary, whereas
some interactions require a significant empiric reduction in warfarin dosage
and close monitoring of INR.
Recommended for you
-
Let’s start with a patient case. Patient is an 80 year old female hospitalized for pneumonia with sepsis who during this admission expe...
-
Bleeding risk with anticoagulant and antiplatelet medications is something that we struggle with on a regular basis. Should we fully anti...
-
Since it's the time of year again when Lyme disease is a concern for patients in many parts of the United States, I thought it would b...
-
A 65 year old male is being treated for an infection on his forearm that developed purulent drainage within the last few days. He denies ...
-
Let’s start with a patient case. A patient is being treated with methylprednisolone 20 mg IV q6 hours for some inflammatory process and...
-
The American Geriatrics Society recently published their Alternative Treatments to Selected Medications in reference to the most recent upd...
-
Thrombocytopenia is a notable adverse effect of linezolid. Some of the evidence behind the onset, duration, and the extent of platelet de...
-
A 55 year old business executive is being discharged from the hospital after a brief admission for cellulitis. His only PMH is HTN and o...
-
A 48 year old male is admitted to the hospital after experiencing a fever and malaise for several days. He states that he has some shortn...
-
The management of anticoagulant therapy is an important component of the treatment of various disease states. Maintaining the narrow ther...

