MJ JO

just need a place to archive my OTILTs while on rotations

[MJ JO @_bluevoid_]

#OTILT
-use of famotidine as stress ulcer prophylaxis in PICU
-PIV/CVL/A-line
-O/N G/J tubes
-low dose continuous heparin to maintain line patency and prevent occlusion

[MJ JO @_bluevoid_]

#OTILT
-hyperbilirubinemia in newborns and phototherapy
-calculating IV bolus and maintenance fluid rates
- types of IV fluids and when they’re used (NS/D5/LR/Alb/plasmalyte)
-medications used to close PDA in newborns: indomethacin, ibuprofen, acetaminophen

[MJ JO @_bluevoid_]

Urine output also very good indicator of kidney function in the pediatric population. Target range usually 1.5~2ml/kg/hr.

[MJ JO @_bluevoid_]

#OTILT neonatal serum creatinine levels are initially reflective of maternal serum creatinine levels. The level decreases during the first week of life to reach equilibrium.

https://t.co/ivqFLzx4no.

[MJ JO @_bluevoid_]

@BWDionne @jeffpears0n @davidwkubiak @garcia_va_ @NathanChungP4

Thank you for an amazing rotation experience everyone🥺 I enjoyed it so much that I’m almost a bit sad it’s come to an end. I’ll miss everyone.

[MJ JO @_bluevoid_]

@BWDionne @jeffpears0n @davidwkubiak @garcia_va_ @NathanChungP4

[MJ JO @_bluevoid_]

#OTILT continuous kidney/renal replacement therapy (CKRT or CRRT) can lower patient’s body temperature which can make it challenging to detect infections based on patient’s body temperature alone.

https://t.co/9Ejy3Q5K24

[MJ JO @_bluevoid_]

@BWDionne @jeffpears0n @davidwkubiak @garcia_va_ @NathanChungP4

[MJ JO @_bluevoid_]

#OTILT In addition to posing a high risk of ototoxicity and nephrotoxicity, aminoglycosides are also associated with neuromuscular blockade and should be avoided in patients with myasthenia gravis.

https://t.co/jIKR14Hn2G

[MJ JO @_bluevoid_]

@BWDionne @jeffpears0n @davidwkubiak @NathanChungP4 @garcia_va_

[MJ JO @_bluevoid_]

#OTILT Due to higher MIC thresholds and rising resistance, fluconazole is not an optimal treatment choice for Candida glabrata fungemia. Echinocandins are the preferred treatment for C. glabrata.

https://t.co/kqvzqs1O4l

[MJ JO @_bluevoid_]

@BWDionne @davidwkubiak @jeffpears0n @garcia_va_ @NathanChungP4

[MJ JO @_bluevoid_]

#OTILT skeletal myopathy with associated elevation of serum creatinine kinase (CK) is a clinically significant adverse effect associated with daptomycin. Patients on daptomycin should have their CK level monitored frequently.

https://t.co/FaLwdhdwIB

[MJ JO @_bluevoid_]

My infectious disease preceptor getting progressively more unhinged and excited about his topic discussion. @NathanChungP4 @garcia_va_ @BWDionne

[MJ JO @_bluevoid_]

@BWDionne @davidwkubiak @jeffpears0n @garcia_va_ @NathanChungP4

[MJ JO @_bluevoid_]

#OTILT for patients who take metformin and are starting (or stopping) dolutegravir coadministration, dose adjustment should be made since dolutegravir significantly increases metformin levels in plasma.

https://t.co/XhyfIiWhg5

[MJ JO @_bluevoid_]

@BWDionne @jeffpears0n @davidwkubiak @garcia_va_ @NathanChungP4

[MJ JO @_bluevoid_]

#OTILT voriconazole has non-linear pharmacokinetics because of its capacity-limited CYP elimination. This requires dose increase to be made in smaller increments as it will show a super- proportional increase in AUC.

https://t.co/WDDcpyEGxN

[MJ JO @_bluevoid_]

@BWDionne @jeffpears0n @davidwkubiak @NathanChungP4 @garcia_va_

[MJ JO @_bluevoid_]

#OTILT inoculum effect is a phenomenon where there is a significant increase in MIC of an antibiotic when the number of inoculated organisms is increased. This is seen often with beta-lactamase producing bacteria in relation to beta-lactam antibiotics.

https://t.co/NPSiRtkL56