ok. so today is my first time ever working for the shift from 1-10pm. since now is Month of Ramadhan, basically the patients will started to reduce around 6.30pm, haha. I believe it will be another scene if it isnt bulan puasa.
So i received a TDM form around 5.50pm, for vancomycin therapeutic monitoring. I didnt check for the dose, so i didnt realize that it wasnt written.
after query was made, vancomycin given was 1.5g BD. FYI, sampling for vanco can only be done for pre-4th dose. which means, before the 4th dose of vanco, the SN have to take pt blood sample (abt half an hour before the next dose). As in today's case, the person incharge took the blood sample before the 3rd dose, which isnt correct, so that sample was rejected for the reason mentioned.
One more interest thing. That I jz found out that tab alendronate (fosamax) have to be taken 1 and half hour b4 food (preferably b4 b'fast), and the pt are required to not lie down for at least 30 min and until their 1st food of the day. This medication is given once per WEEK oh~
P/s.. i must rmbr to tell pt that tab MMT hv to be chewed ah~!!!! (2 tab tds, b4 ponstan or when gastric)
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