Guruofgas

I am an anesthesiologist and am alarmed at the rather cavalier attitude about Bicitra. For years I wondered why on the 30cc dose cups it said "dilute as directed". Well, on the bottle of Bicitra it says dilute the 30cc with 30cc of water in a 1:1 dilution. A much greater dilution as an antiacid. This is the manufacturers label. In my many years of experience with it many patients threw it up a while after ingestion. Since now I inform the nurses to dilute the Bicitra, it is better tolerated and not as many vomit. One nurse told me later she had called the pharmacy and they said it didn't matter. Well, yes it does and I'm currently addressing that matter. Addressing the quantity of stomach contents, NPO patients frequently have over 100-150cc of gastric fluid. The extra 30cc water will have minimal to no effect on the "NPO" status of the patient. To finish this off, it is probably just better to give a PPI with enough time and avoid the Bicitra altogether unless it is an emergency. Nuff said.:)