- Joined
- Jan 2, 2012
- Messages
- 598
- Reaction score
- 187
I work at a large teaching hospital.
One doctor yesterday ordered amoxil 1,000 mg po q12 hours however the patient was an HD patient. I called to change it to 500 mg q 24 and he actually didn't understand why I wanted to decrease the schedule. he actually said "her kidneys are already gone so it doesn't matter if we renally adjust". sigh
Another doctor had ordered heparin 5,000 units subq q8 hours however the patient was on warfarin with an INR of 2.5. I called to get the heparin d/c'd and the doctor said "I was taught that a patient on warfarin even with a therapeutic INR still needs dvt ppx because warfarin doesn't prevent dvt's". double sigh. I did an ADE on that one.
One doctor yesterday ordered amoxil 1,000 mg po q12 hours however the patient was an HD patient. I called to change it to 500 mg q 24 and he actually didn't understand why I wanted to decrease the schedule. he actually said "her kidneys are already gone so it doesn't matter if we renally adjust". sigh
Another doctor had ordered heparin 5,000 units subq q8 hours however the patient was on warfarin with an INR of 2.5. I called to get the heparin d/c'd and the doctor said "I was taught that a patient on warfarin even with a therapeutic INR still needs dvt ppx because warfarin doesn't prevent dvt's". double sigh. I did an ADE on that one.
Last edited: