Agree, you walk into the ER with swollen lips and face like this, you are getting EPI and then I will figure out whether this is angioedema or anaphylaxis

Also how adm/obs status force you to “treat” a UTI that you don’t necessarily believe exists because you just can’t send the patient home before figuring out what’s going on

One of the main prblm w/ asymptomatic bacteriuria over treatment is the vague symptoms some elderly patients present with and get blamed on UTI.

A small pearl: Last chest meeting few cases were presented on CEP treated with anti-IL5 biologics with excellent results, I think there might be a study underway

Agree, trend monitoring and adjusting accordingly is much better than strict numbers.

It’s probably a reasonable general goal in underserved ICUs where pocus and other advanced monitoring or personnel are not available, don’t you think?

I have seen 5-6 cases of confirmed metformin toxicity by blood level. None of them had hypoglycemia. Majority look surprisingly better than their labs until they don’t. Dump as much bicarb in them as you can while placing your HD line