CEFEPIME vs CEFTRIAXONE

Bill has not been paid. BCBS has also not reimbursed us for any care in 90 days. We’re about to go full hunger games for Zosyn and cefepime. How do I get this to have as much news coverage as a bunch of tik tok stars striking in Minnesota?

69M My dad is critically ill — the hospital keeps changing his diagnosis and refusing to document what’s actually happening. I don’t know what else to do. My dad has Addison’s disease, a rare autoimmune condition that makes him extremely vulnerable to stress and infection. He is considered malnouris

I’ve noticed that even if someone has anaphylaxis to penicillin, they will get a cephalosporin and be fine on it (cefepime for example because it has low cross reactivity?). Are 3rd and 4th generation a good alternative to suggest for anaphylaxis to penicillin? Or should I go with a carbapenem (I.e.

Patient put on IV Cefepime empirically 2/2 fever, congestion, leukocytosis. Tested positive for Influenza A. Pharmacist asked MD to dc antibiotics since...patient has the flu.. MD started Tamiflu and wants to keep IV cefepime to “prevent secondary pneumonia” -insert pikachu face-

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You have a patient with confirmed C. Diff with symptoms and positive PCR. Precious chemo. Central line in place. ANC 400 Previous admission for kleb bacteremia. Pt is febrile and clinically stable. Team adds oral vanc, IV vanc and cefepime. Questions: 1. Cultures still arent back in 48 hours, pt st

Hello all of you lovely people! I'm just tossing this out there and need insight. In the world of cephalosporins, I know that Keflex and Rocephin are different gens. If a person's culture shows a resistance to cefazolin but was prescribed Keflex. Will the Keflex cover the organism? The organism is

People who work in hospitals: what do you do for those drugs that are sensitive to light in powder form but not in reconstituted form? I'm talking about cefepime and ceftriaxone, but if there are ones that I don't know about, please feel free to enlighten me. For instance, we keep our piggybacks cov

[My original post is here.](https://www.reddit.com/r/AskDocs/comments/1aqmzfy/5_year_old_has_had_a_high_fever_for_6_days_i_am/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button) It is now February 28th, and we are finally being discharged from th

Surgical intern here. I feel like I call my pharmacists an ungodly amount of times a day, and wanted to know if maybe I was missing some basic knowledge (or basic ways to get to that knowledge). My hospital has Micromedex for free, so I'll always try to give it a cursory glance or Google quickly bef

15 y/o healthy male, UTD vaccinations, NKDA, no medications. 5'8", 125 lbs. Was waiting for the school bus (very early so still partially dark outside) and neighbor pulled quickly into her driveway. She ran over him with front tire, he was wedged under and drug 20 feet until the back tire ran him ov

FINAL UPDATE: after his final IV antibiotics appointment today we met with an awesome doctor. Essentially he said that when we first went into the ER to get him looked at the other doctor fucked up by not draining the hematoma or whatever it is on the front of his leg and he probably has phlebitis.

I had this situation come up the other day, and was curious how other people would/have handle(d) it. This is specifically regarding a vanco consult, but I’m also curious about other types! I got one the other day that was clearly not indicated. Without going into too much detail, basically this pat

Good afternoon. Kind of a long story. I am 26F with no drug or alcohol use. Five foot three inches tall and weigh 194 lbs. Daily medications include corlanor (IST), buspirone (anxiety), singulair (allergies), qulipta (migraines), and cymbalta (anxiety). I carry an albuterol inhaler and an epi pen. O

A patient is on ceftriaxone 1 gm q24h for pneumonia, and the sputum culture comes back with a bacteria sensitive to both ceftriaxone and cefazolin. Assuming normal renal function, when would you start the cefazolin? When the next dose of ceftriaxone is due or start cefazolin immediately? Technicall

Reading the instructions for Ceftriaxone 500mg/vial, the vial states: For IM administration- “reconstitute with 1ml 1% lidocaine or sterile water. Each 1ml of solution contains approximately 350mg equivalent of ceftriaxone”. For IV administration- “reconstitute with 4.8ml of an IV diluent... for eac