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Strzyga
10.5K posts
Strzyga
@Strzyaga
Mother. Nerd. Animal lover and theropod enthusiast. ER/ICU nurse. Easily bored and petty AF.
Your mom Katılım Temmuz 2016
1.2K Takip Edilen1.3K Takipçiler
Also what I look like trying to get into my car after working four 12s in a row
Science girl@sciencegirl
Capybaras have long legs and they kept it a secret
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Minimal sentence for a convicted pedophile who has hurt at least one child should be total castration.
Minimal sentence for a convicted rapist who has hurt at least one woman should be total castration.
Chances of reoffending are extremely high so lets make consequences hurt.
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When I call RT because I don’t know what else to do and they show up and also don’t know what else to do…..dude please just breathe 🙃🙃🙃
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@pathlesstaken4 I doubt it. The Heparin we use comes in single use packaging. It does have a shorter shelf life (according to google) but thats still a couple of years.
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@Strzyaga A reasonable theory. Any reason they might want to keep their usage higher because of shelf-life/turnover/multi-use vials?
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Eliquis: One pill, once a day.
Heparin: A continuously running drip that takes up a line and requires aPTT/ Xa blood draws, order changes and dual sign off every 6 hours.
Hospitalists, if a patient is STABLE on elequis and can take pills WHY ARE YOU CHANGING IT TO HEPARIN
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But also Ofirmev... Why the fuck doesnt this hospital carry Ofirmev.
It's a PROBLEM when hospital policy is dictated more by COST than CARE
Strzyga@Strzyaga
Eliquis: One pill, once a day. Heparin: A continuously running drip that takes up a line and requires aPTT/ Xa blood draws, order changes and dual sign off every 6 hours. Hospitalists, if a patient is STABLE on elequis and can take pills WHY ARE YOU CHANGING IT TO HEPARIN
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@pathlesstaken4 Maybe. Capacity to modulate Heparin also increases risk though.
My working theory is that it makes the hospital more money since Heparin is cheaper.
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@Strzyaga Policy/liability management move since there is more capacity to modulate heparin dosage and type?
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@justplainken Fine. One pill, twice a day.
*On a 12 hour shift, I administer it once*
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@lkharvey15 I've seen Heparin ordered (many times) because of history of afib *instead* of their regular Eliquis. Im an absolute pest when it comes to confirming orders and understanding exactly why I'm doing what they order and "Well they have history of afib" is an answer I get frequently
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@Strzyaga If the patient is on a Heparin drip, I'd say there is concern for a PE or a blockage, in which Eliquis would not be beneficial.
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Dudu Cat King is a Chinese artist who paints expressive cats with a few effortless sumi ink strokes.
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