![]() The name sounds harmless but there are some pretty serious drugs in it, including the active ingredient in Benadryl. I had a course of influenza in medical school and I got prescribed magic swizzle, it works great but I never know what it had in it. Nieves: Magic Swizzle is a combination medication that helps relieve pain and helps patients swallow. Lown: What is “Magic Swizzle”? It doesn’t sound like a serious medication…ĭr. Then after looking at her chart we realized she was receiving a combination medication called “Magic Swizzle” multiple times over the course of a given day. The condition team evaluated her, we got blood work, a CT, and MRI.įrom the tests we could tell she hadn’t had a stroke, so we were wondering why a patient like her would be altered all of a sudden. A stroke code was called and from there, one thing rolled into another. She was a 78-year-old with chronic chest pain and esophagitis (enflamed esophagus) and became unresponsive during the night. Ricardo Nieves: Tariq and I were the night team called to respond to a patient’s altered mental status. Lown Institute: Tell me about how this case played out.ĭr. Casey McQuade, are also residents at UPMC. Their vignette, The Devil is in the Details: Combination Medications, Oversedation, and Unnecessary Testing in the Geriatric Population explores what can happen when a commonly used combination drug is not adjusted to an elderly patient’s existing medication regime. Ricardo Nieves, second-year resident at the University of Pittsburgh Medical Center. We spoke with vignette competition winner, Dr. This year, we received vignette submissions from students and trainees all over the country (and internationally!) on topics from avoiding polypharmacy to inappropriate stenting to navigating clinical guidelines. ![]() Sharing stories of the downstream consequences of overuse can be a powerful counterbalance to the ‘more is better’ culture and can help clinicians recognize and avoid overuse. The Lown Institute Vignette Competition challenges medical students and trainees to shine a light on everyday overuse and underuse – common practices that either give patients unnecessary tests and procedures, or that fail to give patients necessary care. ![]()
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