Do you write liquid prescriptions as mg/kg? If you do, the Angry Pharmacist has some words for you.
I write Lovenox in the hospital as a 1 mg/kg dose all the time. I wonder if should I round to the nearest 10mg. Come to think of it, I don't even know what doses the prefilled syringes come in for writing liquid scripts upon discharge.
I live in fear of phone calls from the Angry Pharmacist. Round up, baby, round up!
ReplyDeleteYou could just be like our doctors. Everyone gets 40mg of Lovenox, unless they actually have a history of DVTs. Then they get 100 bid. Every. One. Regardless. Of. Weight.
ReplyDeleteBut I'm sure they're critically thinking it through ;)
most hospitals have policies for rounding of enoxaparin doses - pharmacy just takes care of it.
ReplyDeleteHi Happy-your friendly Pharm. Tech again-
ReplyDeletehere you go!
Prefilled Syringes - all ten syringes per box-
30 mg / 0.3 mL
3000 IU
40 mg / 0.4 mL
4000 IU
60 mg / 0.6 mL
6000 IU
80 mg / 0.8 mL
8000 IU
100 mg / 1 mL
10,000 IU
a hospitalist that does not know what dose of lovenox comes in prefilled syringes is out of touch with the nursing staff and case management(for those that go home with lovenox bridging). go ahead an order 81 mg SQ Q12 hrs and see what happens...
ReplyDeleteWhat, exactly, is a "twatmuffin mother?" Is it like a MILF? Do "twatmuffin fathers" exist (I suspect not).
ReplyDelete