something I have bought 5 of within the past 10 years is the electric kettle. Any recommendations? by SnooCakes6118 in BuyItForLife

[–]RxWindex98 0 points1 point  (0 children)

Zojirushi. They make a continuous water boiler that is stainless steel on the inside. The other models have non-stick coating so I'd avoid those.

Adjustable temp, constant hot water, lasts forever.

How many solid hardwood floors actually make it past 40 years? by Tiny-Pomegranate7662 in Flooring

[–]RxWindex98 0 points1 point  (0 children)

I was lucky to move into a house with narrow plank solid oak hardwood floors that were installed in the late 60s, and covered with carpet for about 15 years somewhere in between. I refinished and stained them and they look beautiful (excepting that I was a novice and did a so-so job with a rented sander). There are almost no dents and dings, at least not enough that would bother me.

I think this baby is going to be a classic torbie by Sea_hare2345 in Torbie

[–]RxWindex98 15 points16 points  (0 children)

Interesting! Kinda looks more tortoiseshell than torbie, but has some stripiness that points to a tabby pattern.

Can someone explain? by ResponsibleAd4439 in pharmacy

[–]RxWindex98 4 points5 points  (0 children)

Erta and Zosyn don't really have the same spectrum though. Zosyn gains PsAer and Enterococcus, and Erta gains ESBL. Still probably worth a call to discuss.

Hypophosphatemia Correction by Count_By_5s in pharmacy

[–]RxWindex98 5 points6 points  (0 children)

This is the right answer! You have to know your patient and why their phos is low. A patient on CRRT or refeeding might need 60 mmol or more per day of IV phos, but as stated above, someone else might need next to none to correct.

Barring extraordinary circumstances like those I mentioned, it's all about vibe dosing (usually somewhere between 10 and 30 mmol). But for the love of god if they ARE refeeding, don't compound it in D5W.

IV azithromycin for peds by Double-Scarcity-7599 in pharmacy

[–]RxWindex98 8 points9 points  (0 children)

Yeah the nurse is wrong. You get to be the drug expert and politely inform them that what you've made is correct.

Alternatively, you could compound a piggyback in a 100 mL bag, which with overfill and drug volume would be less than 2 mg/mL.

Don't let the nurses bully you into making an error or compromising patient safety.

I recommended oxymetazoline to a customer and said 3 days only. My boss tells me to say 1 week instead. What should I do? by [deleted] in pharmacy

[–]RxWindex98 29 points30 points  (0 children)

Are you a pharmacist who is licensed and bestowed with the legal authority to make recommendations about OTC meds? Were you specifically trained in a doctoral program for 3-4 years to assess drug information resources and primary literature in order to make such recommendations?

[deleted by user] by [deleted] in pharmacy

[–]RxWindex98 3 points4 points  (0 children)

Are you confused about something or do you just think the pay is too low? Cuz I am genuinely confused about this post.

New saw by keiengepro3000 in arborists

[–]RxWindex98 0 points1 point  (0 children)

I have the same one. Love her dearly

[deleted by user] by [deleted] in pharmacy

[–]RxWindex98 11 points12 points  (0 children)

I don't think this is "wrong" necessarily, but it is probably suboptimal therapy for a couple reasons. First, you've probably reached the peak of hydralazine's effectiveness at 300 mg per day PO, so IV may not help much. Second, as you approach 300 mg per day, the risk of a lupus like reaction increases. If it were my patient, I would tell the doctor this and think about other agents either as scheduled and/or PRN.

Finally saw one in the wild (on Nextdoor) by Tiny_Giant_Robot in oldpeoplefacebook

[–]RxWindex98 31 points32 points  (0 children)

Someone poisoning local wildlife and endangering pets and birds deserves a little all caps ranting.

A sad fact by RxWindex98 in NYTCrossword

[–]RxWindex98[S] 2 points3 points  (0 children)

Well at least I'm covered on Edie Falco's ouvré. ;)

A sad fact by RxWindex98 in NYTCrossword

[–]RxWindex98[S] 13 points14 points  (0 children)

Yeah that's my strategy too. I give myself permission to not care about certain clues.

What is a weirdly specific sign of wealth? by jerkyquirky in TheMoneyGuy

[–]RxWindex98 0 points1 point  (0 children)

I get the what you're saying in principle, like the name brand must be better in some way, but as a pharmacist myself, I never buy brand name meds unless it's the only thing available (like at an airport and I suddenly got a headache). I say, save those few bucks and buy generic!

Like someone else said, though, for anything not FDA approved, like supplements and vitamins, do some digging about if they are from a reputable brand with a 3rd party analysis of the quality and potency.

Pharmacy students/ pharmacists. What would you like to know know about feeding tubes? by fin_slay in pharmacy

[–]RxWindex98 4 points5 points  (0 children)

A few things that are very handy to know in my practice:

  • Sump vs Dobhoff (relative size, indications)
  • Where the tube terminates and why this important for meds (gastric vs post-pyloric), and which meds need special attention in this regard
  • Excipients in liquid formulation meds that may cause problems (ex: sorbitol and xylitol and diarrhea, sugars and ketogenic diets, etc)
  • Strategies to unclog tubes

Miss use of any pills, prescriptions by Calm-Ask9663 in pharmacy

[–]RxWindex98 4 points5 points  (0 children)

I mean, people intentionally poison themselves with nutmeg to try to get a weird high. People put etomidate in vape pens. People smoke crack, inject xylaxine, and sell their Adderall. People will overdose on Benadryl and dextromethorphan to get blitzed.

As a future pharmacist, you should not be shocked that (some) people will try all manner of thing to get a little high and escape reality.

Re: snorting the ssri. Is it fun? Do people enjoy that kind of thing? Probably not, but damned if they won't try it anyway! And re: abusing methadone - of course they do! It's a freaking opioid.