EPINEPHRINE 0.3 ADULTS vs LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE

Received a script for fluoxetine 90mg 3 capsules weekly, never seen that dose before in 4 years of practice, for a pediatric patient (prepubescent). Called and left a voicemail asking for any literature on it, as clinical pharmacology says max is 90mg per week for adults, let alone children. Was pol

Young(18-24) Adult Male arrived in the ED by EMS this afternoon for anaphylaxis this afternoon after calling 911 for trouble breathing following 0.9 mg(3 doses) im epi administered, 50mg iv diphemhydramine, 2 bags of iv famotodine, 125mg iv solu-medrol) administed by EMS. Pt stable upon arrival in E

I typed in this question, “What's the dose of IV Vancomycin to give a burn patient with 30% full thickness burns assuming your treating for MRSA coverage in a 60 year old female with scr 0.7?” Here was the answer generated: According to the **UC Davis** guidelines, the adult intravenous vancomycin d

I am so fucking tired of the discrimination that women face when it comes to medical treatment. From being gaslighted, denied therapy or misdiagnosed, this discrimination often costs women their lives. One particular horrible mistreatment of women is the performance of gynecological procedures witho

So I was telling an acquaintance about this and he thought it was pretty interesting, so I thought I would share it with you guys. About 6 years ago my friend and I were on our way to pick up another friend from work at around 10pm. He was the driver and I was the passenger. We approach the intersec

I need some advice/ guidance. I am a male in my mid 20s and I went to a dentist to have a filling done on my back molar. The dentist applied lidocaine and did an injection into my gums on the upper right side. That was the last thing I remember. The next thing I know I am being pushed out in a gurne

I’ve been wanting to write this out and share my story for a while. I finally did. Here’s the very true and very real story: It was February 15th. 2018. The day after Valentine’s Day (which fell on a Thursday.) I was a little depressed during that whole week. But that is beyond the point of this sto

Ten years ago I got a copper IUD inserted. I did it at Planned Parenthood because, at the time, I worked for a school that relied on that bullshit Hobby Lobby stuff to not cover any birth control. This is no way a knock against Planned Parenthood, which is out here doing vital work, but the experien

I was curious if anyone working on the hospital side of things would be willing to share any ideas or solutions for managing the lidocaine/epinephrine drug shortage? Currently playing with the idea of compounding the product from stock epinephrine and lidocaine with the intent of packaging and stor

Basically, it’s compounded as a cream or gel, 6%lidocaine : 0.02% epinephrine: 4% tetracaine The epinephrine is essential in this compound as it leaves a “halo” of “numbing” but also aids in the procedure. Apparently there’s a shortage and there seems to be no conclusive answer, what does the phar