Switching of medication from Intravenous to oral
The only source of knowledge is experience because we health care professionals learn revised memorize by books but forget , Once you get experience you will never forget.
So today I am going to share my experience that's not a big point for professionals but for you, the hardworking students it's very conceptual must grab it.
Today's a patient come in opd which get intravenous Meropenem and vancomycin (both are cell wall synthesis inhibitors) , oh yes also need to mention here patient had surgery of splenectomy 3 days before so he get coverage for gram positive aerobes, gram negative aerobes and anaerobes (Meropenem) , whereas vancomycin have coverage for cocci both positive and negative bacteria so both are broad spectrum antibiotics. But patient took intervenous medication for 5 days is it ok ??
Think
Thinkkk
Thinkkkkk
Ok I hope you all get the answer
No obviously its not ok because for coverage of microbes after splenectomy as patient discharge so medication shift to orally
Now recall the point , you learn several time in the first chapter of antimicrobial section switch the intravenous to oral medication for complete the dosage so bacteria not return back to your body.
Now next point come into your mind what's the medication and what's the dose ?
So we switch to augmentin 250 mg eight hourly
So that's it .
and how long he should use?
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