Switch from Hydrocortisone to Dexamethasone if the Cosyntropin Stimulation Test is to be Administered Meghan C. Tadel MD Patients diagnosed with adrenal insufficiency are generally treated with hydrocortisone in the…
Do not Administer the Cosyntropin test within 24 Hours of Using Etomidate Meghan C. Tadel MD Hypoadrenalism is a life-threatening syndrome in critically ill patients. It can be found in…
Administer Empiric Broad-Spectrum Antibiotics when a Patient may be in Septic Shock William R. Burns III MD Sepsis is a state of physiologic derangement attributed to either known or suspected…
Consider Empiric Helicobacter Pylori Treatment when Gastric or Duodenal Ulcers are Found Anthony D. Slonim MD, DRPH Peptic ulcer disease is a common condition that manifests its changes on either…
Remember if there is a Normal Platelet Count it Cannot be Hantavirus Pulmonary Syndrome Anthony D. Slonim MD, DRPH Several species of Hantavirus (family Bunyaviridae) can cause disease in humans,…
Be Alert for Seizures with Imipenem Use Anthony D. Slonim MD, DRPH Imipenem, meropenem, and ertapenem are members of the class of antibacterial agents named carbapenems. Carbapenems are one of…
Recognize that Vancomycin has very Poor Central Nervous System Penetration Eliahu S. Feen MD Jose I. Suarez MD Watch Out For Until the late 1960s, penicillin was considered optimal antibiotic…
Consider Ventriculoperitoneal Shunt Infection in Patients with Sepsis Jose I. Suarez MD Hydrocephalus is a common problem in patients with intracranial diseases. Under normal circumstances, cerebrospinal fluid (CSF) production and…
Wash Your Hands Sandra Swoboda MSN “Wash your hands!” Most health care providers have heard these simple words over and over again their entire lives—whether from their mother in childhood…
Be Cautious in Using Antibiotics for Uninfected Pancreatitis Benjamin Braslow MD The best way to think about acute pancreatitis is to equate it to an internal chemical burn. The acute…
