I love the anxiety clown

slowly gonna start posting more on here again - starting with crossposting sketches and doodles i did from last week!

sarah/beth parallels 5, 6, 7/?

The Mad Prince

Picking away at my little Suikoden project again to dust off some cobwebs.

would you guys be interested in a summer themed animatronic fandom daily drawing prompt list for this summer? vote if yes or no!

~sbp sketchbook tour

JUMP初心者 #Rapha #Rapha_mtb #rapha_rcc #rcctyo #japan #tokyo #Smilebikepark #SBP #fuse29 #fuse #iamspecialized #iamspecialized_mtb #japan #bicycle #Mountainbike #マウンテンバイク #マウンテンバイク初心者 #自転車 #mtb #instacycling #cyclinglife #cycling https://www.instagram.com/p/CqjhiBcyCGM/?igshid=NGJjMDIxMWI=

"Naw, Zee, all that tourist stuff's lame. You wanna really see a city, you gotta schmooze with the locals."

PLEEEEEAAAAASEEEEEEE let the cali plot be an actual story line and not just a comedic addition... PLEASEEEE!!

Did you know Dragonfruit are easy to start from seed, taken straight from the fruit?

[ID: two images, both showing the same black fabric grow bag filled partially with soil from different angles, which has bright green, small and skinny Dragonfruit cactus seedlings growing in it, each about the width of a pencil, with the camera focused on a cactus that has started to branch out at the top into four branches, all covered in bright white spines which are currently still soft. End ID ]

These Jerks

If a pt with liver failure has varices, you automatically prophylax against SBP with ceftriaxone. It's 1 g IV q24 x7 days.

If pt has renal failurem be cautious regarding K+ repletion--the kidneys remove excess K+ so if your kidneys are failing, then your body has a harder time removing K+. So instead of repleting a K+ of 3.2 with potassium chloride 40 mEq x2, you would give like 50-75% of that so you don't make the pt hyperkalemic.

Anti-pseudomonal: piperacillin-tazobactam, fluoroquinolones (e.g., levofloxacin), aminoglycosides (e.g., gentamicin, amikacin).

Osteomyelitis is usually diagnosed by MRI. But if you see it on a CT scan, that is sufficient.

A pt with renal failure and liver failure went into AFib with RVR this morning. Her BPs are low with SBP in the 90s. You don't give metoprolol 5 mg in somone with a low BP. You don't give diltiazem either. Our attending suggested amiodarone (dose for AFib is 150 mg IV x1 over 10 minutes, then 1 mg/min IV x6 hours, then 0.5 mg/min IV x18 hours). We consulted cardiology, who said amiodarone is not a good choice in the setting of hepatic dysfunction; sotalol would complicate management of hypotension. They recommended anticoagulation given her CHADSVasc of 3. Echo is pending and it's worth checking serial troponins. Also check TSH.

Smallest Bell Pepper is alive!!! I read that a plant could come back using just the chlorophyll in the stem but I thought it was too good to be true. Welcome back, little guy! 😁🫑

sarah/beth parallels 4/?

Eyes swollen, nose chapped, no sign of these tears stopping, my heart is devastated.