Podcast 734: Push Dose Antibiotics

Emergency Medical Minute

Contributor: Aaron Lessen, MD

Educational Pearls:

• Recent study at a hospital in Chicago with a shortage of normal saline decided to push IV ceftriaxone rather than the typical infusion of the antibiotic
• Retrospective chart analysis of about 800 patients to determine safety of giving a push dose of ceftriaxone
• Only 1 complication due to the ceftriaxone causing a patient to vomit

References

Agunbiade A, Routsolias JC, Rizvanolli L, Bleifuss W, Sundaresan S, Moskoff J. The effects of ceftriaxone by intravenous push on adverse drug reactions in the emergency department. Am J Emerg Med. 2021;43:245-248. doi:10.1016/j.ajem.2020.03.022

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

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