THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[07-06-2025 17.31] PPM 1: Afternoon session:
60M with a non healing ulcer from a shoe bite 5 years back although he used to walk normally and recently an ulcer at the back since 10 days due to which he became bedridden. On evaluation has renal failure necessitating dialysis.
[11-06-2025 09:57] PPM 1: Update?
Can someone describe the history of the abdominal pain which led to this CT abdomen by the surgeons and what is the current status of his abdominal pain?
[11-06-2025 10.11] PPM 1: His initial sketchy history. Who's handwriting? @PPM5
[11-06-2025 10.34] PPM 5: It is written by me sir.
[11-06-2025 15:04] PPM 1: What are we doing for his peritonitis, guarding, rigidity? Why haven't we done an ascitic tap yet? @PPM6
[11-06-2025 15:06] PPM 5: Diagnostic Ascitic tap done sir yesterday
[11-06-2025 15:38] PPM 6: Can you please share the reports without identifiers.??
[11-06-2025 16:13] PPM 1 @PPM7 please collect the TLC DLC of his ascitic fluid. With only cytology we won't be able to decide if it's peritonitis or not.
The fact that his ascitic fluid SAAG is also borderline at 1.1 doesn't help here.
[11-06-2025 17.11] PPM 7: Okay sir
[11-06-2025 17.20] PPM 1: Afternoon abdominal imaging after the Cardiac:
Just bowel edema
[13-06-2025 20.15] PPM 1: Linezolid being administered to this patient was wrapped up to protect from sunlight.
[13-06-2025 20:16] PPM 1: @Meta AI @PPM3 does linezolid need protection from sunlight during iv administration?
[13-06-2025 20:16] Meta AI: Linezolid for IV administration doesn't typically require special protection from sunlight. It's usually administered in a clinical setting where it's handled and protected appropriately by healthcare staff. If you have specific concerns or questions about handling or administration, consult the manufacturer's guidelines or a healthcare professional for guidance.
[13-06-2025 20:17] PPM 1: 👆@PPM7?
[13-06-2025 20:18] Rakesh Biswas Sir: @PPM7 @PPM8 please pm me his IP number so that I can get the EMR discharge summary from the staff.
[13-06-2025 20:42] PPM 3: No, *linezolid intravenous (IV) solution does not require protection from normal room light or sunlight during administration.*
Here's why:
1. *Manufacturer's Stability Data:* Studies conducted by the manufacturer (as outlined in the prescribing information) demonstrate that linezolid IV solution remains stable and potent under normal lighting conditions during the recommended infusion period (typically 30-120 minutes).
2. *Standard Practice:* Linezolid IV bags and infusion lines are *not* routinely protected with light-blocking materials (like amber bags or covers) in clinical practice. This is standard based on the stability data.
3. *Focus on Other Sensitivities:* While linezolid doesn't require light protection during infusion, it's important to note:
* *Storage:* Concentrated linezolid injection (before dilution) should be protected from light and stored in its carton until use, as light can degrade it over longer periods.
* *Dilution and Compatibility:* The diluted infusion solution must be prepared correctly (commonly in 5% Dextrose, 0.9% Sodium Chloride, or Lactated Ringer's) and administered within the specified timeframe. It's incompatible with certain additives and other drugs.
*In summary:*
* *During IV Administration:* No special light protection (amber bags, covers) is needed. Normal room or ambient light is fine.
* *Storage (Concentrated Vial):* Protect from light until dilution.
* *Always Consult:* While standard guidelines don't require light protection during infusion, *always follow the specific instructions provided with the product you are using and your institution's pharmacy policies.* If there's any doubt, consult the product insert or your pharmacist.
The key takeaway is that you can administer linezolid IV without worrying about covering the bag or tubing for light sensitivity during the infusion time.
No comments:
Post a Comment