How many MD errors do you catch every day?

[PharmdA07]

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It was for an ear infection (dosed at 90mg/kg/day)but a tdd of 2.7g is way high. Just about double the adult dose and a far cry from 1.9 grams. It was obviously an error becaue then PA admitted to it when I talked to her.

Hi, thanks for the reply. So what did you change it to? So you used a cut off max daily dose for kids at 2g per day? This is interesting for me to learn more as I usually use max dose of 90mg/kg/day to calculate first and then compared my number with what they write and if mine is higher than theirs and theirs is below 2g (sometimes I allow it to be 2.5g), I am OK to let it go. I only saw a few cases of CAP by Strep Pneumo and for these I let it go up to 4g max daily. When parents tell me it's Strep throat, I use 50mg/kg/day. Please elaborate more on your experience as I'm willing to learn from you. To be honest, I didn't learn that much about amoxil dosing in kids in school until I got out and started practicing. I was lucky to have my pharmacist trainer as a hospital-turn-retail guy who showed me on my first day these amoxil issues and that's why I'd appreciate it a lot to learn more from you. thanks 🙂

Here we have an MD who usually uses the formula of weight (lbs) x 20 = single dose (mg) of amoxil, then use this number BID; he uses this for the range of 80-90mg/kg/day dosing in acute otitis media and sinusitis. I used to "discuss" with him regarding this high dosing and for only 2 cases he refused to go down.

 

[npage148]

It was like 900 bid because it worked out best for dosing the suspension. I usually just have them use the adult mdd

 

[PharmdA07]

It was like 900 bid because it worked out best for dosing the suspension. I usually just have them use the adult mdd

What adult mdd do you usually use?

 

[Houmd]

Patient was overusing both. Don't remember the details since it was a while ago, but she was filling both flovent and albuterol every 20ish days. She was on therapy for a long time and was gradually deteriorating. Also wasn't a peds patient, she was in her 40-50s.

okay well this is a different story then. A vast majority of RAD patients I have seen that progress usually aren't using their steroid properly or according to schedule

 

[npage148]

~1750 mg/day

 

[Dalteparin]

I work hospital and I probably catch 3-4 MD errors a day. Sometimes it's easy stuff, like renal dosing (and sometimes our MDs renal dose drugs when they don't need to) and less frequently, it's something that could do serious harm to a patient (e.g. Zosyn for a penicillin allergic patient).

 

[tompharm]

I was wondering how do you catch the errors?... Are you alerted to them by the computer system or is it something you just recognize is an error?

 

[owlegrad]

I was wondering how do you catch the errors?... Are you alerted to them by the computer system or is it something you just recognize is an error?

Because I was sarcastic in the other thread I will try to be helpful here. The computer can only alert you to DUR type problems. But >90% of DUR messages are worthless. So no, the computer will not do the job of catching errors for us.