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"...and to teach them this art, if they desire to learn it, without fee and covenant..." Hippocratic oath
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Top articles
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Featured Article
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Measuring Gentamicin levels can be confusing and local guidelines differ. These are guidelines from Yorkshire Hartford.
Take one blood sample (ideally 10mL) between 6 and 14 hours after the start of the first infusion. Document on the microbiology request form the EXACT time and date the infusion was set up and the EXACT time and date the sample was taken in addition to the patient details.
Selecting dose interval
Plot the level on the nomogram. If the level falls in the area designated 24hours, 36hours or 48hours the dosing interval is 24, 36 or 48 hourly respectively. If the level falls on a line between dosing intervals choose the longer interval. If the level is above the 48 hour line STOP the treatment. If the gentamicin is to be continued take daily levels but do not give any more gentamicin until the level falls below 2mg/L.
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Why Wardwiki?
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Wardwiki is a wiki designed to give free advice to foundation doctors (also know as interns) to help with practical issues as they arise on hospital wards. Despite the proliferation of medical websites and expensive courses there remains a large gap in provision of practical, experience based guidance to help foundation doctors survive the first two years on the wards. It is the responsibility of each foundation doctor to ensure their actions, referrals and prescriptions are accurate. These pages are written and maintained to the best ability of the contributing authors. We encourage any contributions be well founded, accurate, in good faith, without endorsement of medical products or opinions, and not to breach existing copyright. Wardwiki cannot accept liability for adverse events that may arise directly or indirectly from advice given.
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"Safe in practice, confident in ability and being so with quiet efficiency...putting the patient first The aim of any doctor
