Warfarin and Kionex Patient

Discharge Diagnoses:

1. Gram negative septic shock, E.coli

2. Hypotensive syncope, GLF, C2 fx, rib fx

3. C2 cervical fracture due to GLF/syncope due to hypotension/shock

4. Metabolic Encephalopathy 5. Atrial fibrillation with RVR

6. Right heart failure

7. Pulmonary hypertension

8. Urinary tract infection, present on admission

9. Hyperkalemia

10. Rib fractures, right 6-8

11. Acute kidney injury

12. Aortic stenosis, Mild

13. Mitral stenosis, Mild

14. Scalp laceration

15. Oral thrush

16. Cellulitis of left foot

My input:

Would it have been better to prescribe Macrobid 100 mg because of DD interaction of bactrim with warfarin, (Her INR went up from 2.4 to 2.6 in one day) informed the ID doctor about the possibility of switching the medication. Will look in to sensitivtiy labs

Little bit about Kionex:

FDA use: Hyperkalemia

Hyperkalemia Adult Dose

Average dosage, 15 to 60 g/day given as 15 g orally once to 4 times daily; dosage and duration dependent on the severity and resistance of hyperkalemia (Oral suspension)
Average dosage, 30 to 50 g rectally every 6 hours; dosage and duration dependent on the severity and resistance of hyperkalemia (Rectal suspension)

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