dose, 400mg/kg for 5 days. pt 70kg, total 30g per day. how to infuse? try 0.6ml/min, if after 30mins no reaction, increase by 0.2ml/min til max 4.8ml/min.
and then, it was infused at 0.6ml/h, increased to a grand total of 1.6ml/h 12 hours later. i didnt check. i know how the infusion pump works. it should have struck my brain. i deserve to be cut down by lightning.
patient not responding to the ivig.
2. ivi pantoprazole for ugih.
dose, 8mg/h for 72h. i dont know how i calculated, i told them to dilute 80mg in 100ml, infuse at 0.8ml/h. padahal it's nowhere near what it should be of 10ml/h. sn asked me whether i was sure, two shifts later. luckily the patient hasnt bled out.
3. vinblastine 10mg for abvd
prp supplied vincristine 2mg, and like the hero i am i didnt check. oh gosh i didnt check. this is the first thing you learn as a prp, countercheck, countercheck, countercheck. actually what i learnt first was the pen is your best friend... but anyway. i didnt countercheck. luckily the mo did. no bonus points for me from her, though.
3 damn fucked up stupid mistakes in 2 days. i hope the itp guy responds to the ivig soon. or not rm10k per day down the drain. how do i reverse this? i cant take leave, the ward is too messed up. but my brain is tired, and i am not even finishing the work i should be doing. and the work that i do end up doing is worse than cannot pakai, it's a downright liability. i need to get out of this walking dead frame of mind and actually function. i need to disregard all the stress i feel about research and the resentment i feel about the department and the demotivation i get looking at mr surgical, and just focus. please Lord help me focus for the next week. please help me focus.
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