CEFTRIAXONE vs DOXYCYCLINE

[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

I posted about this last night. I didn't get any responses with helpful information, so I'm reposting the relevant info I gave then below. Since I made my first post, I've lost **ALL HEARING** in my right ear. I'm sorry if this isn't kosher, I'm just so afraid and frustrated and helpless. I'm a whi

37M, 175cm/63kg. Caucasian-latino ethnic background, born in the US and lived in South Asia for 11 years. I have no real long term medical history, I only take naproxen sometimes for muscle pain from work. Over the past few months though, I have had some +medical issues pop up. MRSA skin infection

Hey all! 11 YO female, 5 ft, 91 pounds. No preexisting health conditions. You may remember me from a month ago. My daughter was the one with severe head and eye pain and super high fevers that were hard to break. Someone told me, in the middle of the night, to take her to the ER. I got flamed becaus

***Update 9/20*** All of his pending tests were negative, the last one we were waiting for was Rocky Mountain spotted fever and it too, was negative. We did follow up labs today though and his WBC dropped in half. At its peak it was 20.5 and now it’s 10.4, well within the limits of normal. The only

Just got done with a bizarre encounter with a patient and since we’ve had issues with this patient in the past, I’m actually wondering if she’s making the whole thing up. Apparently, her doctor specifically told her to **ignore any recommendations or advice from the pharmacist that works at this sp

Hospital pharmacist here, just here to vent as I found this incredibly frustrating and even scary. I was working from home today when my wife had a tele-health visit with her PCP. She’s pending Covid results and often suffers from sinusitis. She’s also allergic to penicillin (true allergy- anaphylax

What was I thinking?! I’m panicking bc I knew better. I was getting ready to give a COVID vaccine and the pt casually mentions he’s got double pneumonia…. I was like what? I asked did the MD clear him for vaccines and did he have a fever. He said yes then no, in that order and insisted on getting it

I was sent an RX for doxycycline with no dx code. I faxed the doctor, noting that doxycycline can cause permanent teeth staining in children. He literally faxed me a study where kids who took it for Rocky Mountain Spotted fever had no teeth staining and said to dispense it. What are your thoughts o