Vancomycin and Zosyn Can Cause Elevated Creatinine

Vancomycin and Zosyn combination can cause elevated creatinine. In one case on ID, on a patient who was still intubated and recovering from septic shock on Vancomycin, Zosyn, and Clindamycin whose creatinine was rising from 1.8 to 3.1, we discontinued Zosyn and...

Urticaria (Hives), Chronic

#Urticaria (Hives), Chronic Chronic =  it is recurrent, with signs and symptoms recurring most days of the week, for six weeks or longer.     References Am Fam Physician. 2017 Jun 1;95(11):717-724. http://www.aafp.org/afp/2013/0501/p626.html Am Fam...

Frostbite Management

“Because of an increased risk of infection, simple non-tense areas of clear blistering in a frostbitten patient are best left intact. Tense or hemorrhagic blisters may be carefully aspirated, but only under sterile conditions. Rapid rewarming of affected areas...

Bisphosphonates, Side Effects

“The use of bisphosphonates is associated with a small increase in the risk of atypical femoral shaft fractures. The risk increases with the duration of use (SOR B). These drugs are also associated with an increased risk of osteonecrosis of the jaw, esophagitis,...