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Stress Ulcer Prophylaxis Choices
- For stress ulcer prophylaxis, famotidine is a good initial choice unless PPIs are specifically indicated.
- PPIs may be used for high-risk patients or those with prior GI bleeding but have unclear outcome benefits over H2 blockers.
DVT Prophylaxis Preferences
- Use subcutaneous heparin routinely for DVT prophylaxis, especially in neuro and surgical ICUs.
- Consider low molecular weight heparin in surgical patients or those without renal issues for convenience and efficacy.
IV Fluid Maintenance Strategy
- Prefer to avoid maintenance IV fluids routinely; use bolus fluids for volume indications.
- Choose Lactated Ringer's for maintenance if needed, except in neuro ICU where normal saline is preferred.