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DVT ultrasound

on July 28, 2026

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Vancomycin Dosing

hi this is Elissa critical care pharmacy resident and my clinical pearl today we'll cover vancomycin monitoring and the transition from traful new monitoring to monitoring of the AUC or area under the curve briefly vancomycin Vancomycin is a glycol pop type antibiotic and it's been FDA approved now for more than five decades banco Meissen is used mainly for broad-spectrum gram-positive coverage especially of more resistant microorganisms such as methicillin-resistant Staph aureus the main side effect I want to pull out is nephrotoxicity and this generally occurs when vancomycin is used at higher doses so when we target a trough of 15 to 20 when vancomycin is used for a long period of time or when a patient is also receiving other nephrotoxic medications such as pepper cilenti's of Actium we're all familiar with vancomycin trough only monitoring as this is really what we've done in recent years targeted trough anywhere from 10 to 20 but typically 15 to 20 when we...

TEG

Basics of TEG: thromboelastography entire life cycle of a clot FCCP - fried chicken plate RKAM Reaction time 5-10 minutes 1-3 minutes alpha angle 50 - 70 MA - 55 - 73 minutes K - R / K / alpha angle / MA

Right Heart Cath, Swan Ganz

https://www.youtube.com/watch?v=26aec9AM8kA&ab_channel=RobAttaran this is an introduction to right heart catheterization during a right heart catheterization you are passing a catheter from the right atrium into the right ventricle pulmonary artery and subsequently into the wedge position each chamber and segment has a typical and normal pressure range there are all Indications sorts of indications for right heart catheterization a key one is to determine the cause of shock it can also be used to evaluate hemodynamics and valvular heart disease extent of shunting pre heart transplant evaluation and let's not forget evaluation of pulmonary hypertension whether there is a true absolute contraindication to right heart catheterization is open to debate certainly if there is significant endocarditis thrombus or mass in the right heart caution must be exercised there are a number of relative contraindications that you will see here some may argue that a significant pulmonary embol...

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DVT ultrasound

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