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Marsatron

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  1. Looking for advice on what track to take for my AG-ACNP program starting this fall. I'm deciding between the 3 year and 4 year track, with the 3 year having around 4 classes per semester vs the 4 year track of around 3 per semester. For background I work weekends only (sat & sun) in a med-surg ICU. I don't have any children and live with my SO and two cats. Do you think it's realistic to try and maintain my weekend position and pursue the 3 year track? I prefer the course progression of the 3 year track and obviously faster clear time, but I'm going back and forth. Thoughts?
  2. So an issue I've been having is the general reluctance of some doctors follow CIWA protocol in regards to the treatment of withdrawal with benzos. For example: Pt brought in under the influence of alcohol/meth/thc 3 days ago and is still disoriented to person/place/time with hypertension/tachycardia/diaphoresis. To my eye it seems the sx are related to the withdrawal and continued treatment with benzos is appropriate, while to the doc the sx are related to the benzos and neuro status will be improved by backing off administration. Mind you, patient in question is only recieving 0.5 mg ativan q4h to begin with, and in my view is the withdrawal is being undertreated if anything. Thoughts? Am I off base here?

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