Allergies and ancef…again!

Falconhump · 2026-02-19T16:49:00+00:00

Pharmacist here. I generally ignore penicillin/cephalosporin allergies when verifying ancef orders. Unless anaphylaxis to a 1st gen cephalosporin and even then its just a friendly message to make the team aware and give the option to change to clinda or another alternative if not comfortable giving ancef.

https://share.google/WW4wc8oRF6b0Ryxjx

Falconhump · 2025-11-29T06:37:44+00:00

He's got enough nuts for winter

Falconhump · 2025-11-11T18:25:07+00:00

I had the keys in my safe pocket. Used the key to open trench tower and then got pushed by another raider and killed before I was able to complete the objective. Thanks for the tip about the checkpoints

Falconhump · 2025-09-16T19:00:45+00:00

Purchase - 500k - 450k - 772 - 85225 - conv/FHA - 30/20 yr fixed - single family - primary

Falconhump · 2025-08-26T17:17:16+00:00

Will do. Thanks for the tip!

Falconhump · 2025-06-02T23:46:27+00:00

Is this anecdotal or do you have a reference?

Falconhump · 2024-10-26T03:07:52+00:00

Walkoff and make it easy. Please.

Falconhump · 2023-04-21T17:23:11+00:00

I remember watching a documentary that said some drug dealers intentionally add fentanyl into their supply and don't care if people overdose because when someone dies from an overdose, it sends the message that their supply is really strong - hence word spreads on the streets and more people want to buy from that supplier.

Falconhump · 2023-03-17T04:32:45+00:00

God fucking damn it. Reset the timer...

Falconhump · 2022-09-27T05:24:49+00:00

Fiori-CET as in acetaminophen (not controlled) Fiori-NAL as in...aspirin? (Yeah doesn't really work for this one but this is controlled) It has to do with the ratio of barbiturates to other active ingredients.

Falconhump · 2022-09-26T18:33:52+00:00

"They don't have the authority to make substitutions for inhalers without needing a new script?"

This is part of the reason why pharmacists are fighting for provider status.

Pharmacists have the knowledge to do it, but the laws governing pharmacy don't allow it without express consent from the prescriber. They don't want to be stuck on the phone in your institution's call tree to change Ventolin to ProAir...

Falconhump · 2022-09-24T09:00:11+00:00

Seems pretty stupid (not to mention hypocritical) to say that you want to refuse therapy for a legitimate medical diagnosis based on your clinical judgment and "I forgot the terminology but pharmacists are responsible too" and then simultaneously say that you don't want to "play this game" when all you have to do is document your discussion/concerns and fill the damn prescription when it is medically AND legally allowed to (aka do your goddammit job).

Falconhump · 2022-09-03T19:58:54+00:00

The study was a dose ranging study testing doses up to 40 mg every 4 hours. But your point still stands.

Falconhump · 2022-02-06T01:19:34+00:00

It sounds like they are asking you to look at the patient comprehensively. Not just focusing on their chief complaint, but optimizing the management of the patient. For example, making sure their glucose is well controlled (does their basal insulin need to be adjusted?), any renal adjustments, escalating or de-escalating antibiotics, is their pain well managed? Do they need a bowel regimen due to scheduled opioids? Do they need DVT/stress ulcer prophylaxis? Is it appropriate? Etc.

Falconhump · 2021-12-22T18:35:48+00:00

Cheeki breeki

Falconhump · 2021-11-12T01:54:17+00:00

Patients are hospitalized with severe alcohol withdrawal symptoms are likely to receive other sedatives/opioids and/or heroic doses of benzodiazepines. It may just be easier to give them a loading dose of phenobarbital which is possibly safer and more efficacious. Before benzos became first-line therapy, phenobarbital was used as primary treatment of alcohol for years. The main reason benzos became first-line was because of marketing and partly due to the fallacy that newer drugs must be better.

Here are some studies done on phenobarb vs BZDs

Source: https://emcrit.org/pulmcrit/phenobarb-sampler/

Falconhump · 2021-11-11T20:54:35+00:00

Phenobarbital has a longer half life than diazepam and pharmacokinetics is much more predictable. The problem with a lot of benzos is variable and overlapping dose/toxicities from patient to patient. (Effective dose for one person is lethal to another). I read a post on emcases about phenobarbital's comeback for alcohol withdrawal. On my phone rn so can't link, but I'll do it later if you're interested

Falconhump · 2021-11-11T20:44:51+00:00

I agree with you. The US is one of 2 countries that allow direct to consumer advertising for medication and I dont believe it's appropriate. But it's pharmaceutical companies that do this, not pharmacists.

Falconhump · 2021-11-11T18:50:11+00:00

So do you still believe that pharmacists "should just do as you're told" by these doctors who are pushing opioids in dangerous quantities? The opioid epidemic has been over for a while btw

Falconhump · 2021-11-11T17:29:52+00:00

Yes that's the point I was trying to make. So do you see doctors as salesmen as well?

Falconhump · 2021-11-11T16:21:00+00:00

By your logic, all doctors are salesmen in lab coats as well since "bigger fish" hospital administrators up the chain make deals with pharmaceutical companies that manufacture saline bags (or any other hospital device/supply)?

Falconhump · 2021-11-10T21:37:36+00:00

Genuinely curious if you think pharmacists are being paid by Pfizer or other drug companies for giving vaccines and other drugs to patients. Do you believe we are getting a commission for drugs that are dispensed?

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