Clinical Question: What is the dose of Nebulized Tranexamic Acid for Pediatric Post-tonsillectomy Hemorrhage? How do we administer it?
Mariam Isa, PharmD and Joanne Routsolias, PharmD
Read MorePharm & Cheese: Asymptomatic Hyperglycemia
Imagine. You're on a busy red team shift. A clinic calls to send a patient with asymptomatic hyperglycemia to the ED. You roll your eyes, transfer it to the attending. The patient of course lands in the resus bay and you go to evaluate them. Their sugar is 450 mg/dL, they have no symptoms and their vitals are normal. You mindlessly order a VBG, basic labs and a liter of fluid and move on with your day. However, is this all necessary? What should our end goal be? What should I choose as my intervention if necessary? Do I even need labs?
Kathryn McGregor MD, Joanne Routsolias PharmD, and Eric Leser MD
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Figure 1. Index EKG
Heart of the Matter: Don't Forget to Look for the Delta
A 25-year-old male with no medical history presents to the emergency department with intermittent chest pain and palpitations. The chest pain is not exertional, positional, or radiating and the patient denies shortness of breath or syncope. The patient does note palpitations associated with lightheadedness.. He denies family history of sudden cardiac deaths. Initial vital signs are notable for BP 129/58, HR 76, RR 18, and O2 saturation of 98% on room air. The patient’s initial EKG (Figure 1) is shown.
Abish Kharel MD and Ari Edelheit MD
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