Category: Sign Out Pearls

When are you concerned about HIT?

When are you concerned about HIT?

You are reviewing your morning labs and the platelet count is awfully low. You start working through your differentials for thrombocytopenia and as you go through your list, you consider Heparin-induced thrombocytopenia (HIT). You glance over the medication administration record and there it is, your patient has been getting heparin. So should you be concerned … Continue reading When are you concerned about HIT? →

How do you manage C. Difficile Infections?

How do you manage C. Difficile Infections?

Diagnosis Q. When do you suspect a Clostridium Difficile Infection (CDI)? Symptoms of unexplained and new onset ≥3 unformed stools in 24 hours plus high clinical suspicion. ex. Recent use of certain antibiotics increases risk for CDIs. https://media.giphy.com/media/lOgyStVYDNPwqoonVG/giphy.gif Q. What is the best diagnostic test/method for C Difficile? Stool toxin + NAAT; GDH + toxin … Continue reading How do you manage C. Difficile Infections? →

How are we managing Asthma in 2019?

How are we managing Asthma in 2019?

A study published in NEJM May 2019, Controlled Trial of Budesonide-Formoterol as Needed for Mild Asthma, contributed to a major change in the Global Initiative of Asthma (GINA) recommendations. Brief Study Overview This was a 52-week, randomized, open-label, parallel-group, controlled trial which was conducted at 16 trial centers in New Zealand, UK, Italy and Australia.It … Continue reading How are we managing Asthma in 2019? →