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I went home early from rotation today because I've been hit with a summer death flu. Preceptor has small children so I'm blaming him - he just doesn't want my germs. I promised I would look up my "learning issues" from home today.
It looks like over the weekend one of my complicated GI patients (I think advanced Crohn's) had an ex-lap and his post-op abx are Zosyn 3.375g q4h. Never seen Zosyn q4h before (and this is not an ID order - I rounded with ID this morning and this patient was not on the list). Of course no cultures.
So I found this article but of course it's about 6 months too early to be online where I'd have access to it, can anyone else please, please get it? My school doesn't have the world's best journal access:
Comparative Pharmacokinetic and Pharmacodynamic Profile of Piperacillin/Tazobactam 3.375G Q4H and 4.5G Q6H
Holly M. Mattoesa, Blair Capitanoa, Myo-Kyoung Kima, Dawei Xuana, Richard Quintiliania,c, Charles H. Nightingalea,b, David P. Nicolaua,
Chemotherapy 2002;48:59-63
Also: Clopidogrel 150mg QDay came up last week. I think I may do my journal club on it. Has anyone else seen this? There are a handful of papers and it looks like it might help certain patient populations (but I'm pretty underwhelmed by the data).
It looks like over the weekend one of my complicated GI patients (I think advanced Crohn's) had an ex-lap and his post-op abx are Zosyn 3.375g q4h. Never seen Zosyn q4h before (and this is not an ID order - I rounded with ID this morning and this patient was not on the list). Of course no cultures.
So I found this article but of course it's about 6 months too early to be online where I'd have access to it, can anyone else please, please get it? My school doesn't have the world's best journal access:
Comparative Pharmacokinetic and Pharmacodynamic Profile of Piperacillin/Tazobactam 3.375G Q4H and 4.5G Q6H
Holly M. Mattoesa, Blair Capitanoa, Myo-Kyoung Kima, Dawei Xuana, Richard Quintiliania,c, Charles H. Nightingalea,b, David P. Nicolaua,
Chemotherapy 2002;48:59-63
Also: Clopidogrel 150mg QDay came up last week. I think I may do my journal club on it. Has anyone else seen this? There are a handful of papers and it looks like it might help certain patient populations (but I'm pretty underwhelmed by the data).
