So, hospitalized for a nasty cellulitis. On Vancomycin.
Creatinine higher today.
RN brings in next dose.
I ask: Vanco level first, please
Result: 2x desired trough
Plan: hold Vanco.
Yep. The patient knows best.
Where did the practice of expressing urine output in cc/kg/hr come from? Usually it's a meaningless number.
Make it stop!
Just tell me how many total mL in and how many total mL out. And even better, tell me the patient's weight compared to yesterday!
End of rant.
One of the most important things we can do in academics is help junior people advance. I'll gladly say yes to just about any request for a LOS for promotion - otherwise, what are we here for?