The Elective Rotation - A Critical Care Pharmacy Podcast: Recent Episodes
Pharmacy Joe
The Elective Rotation - the number 1 ranked Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers unbiased critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.
Show notes at pharmacyjoe.com/episode1036.
In this episode, I'll discuss sodium bicarbonate to treat metabolic acidosis in ICU patients.
The post 1036: Proof That Sodium Bicarbonate Actual Does Something Meaningful? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1035.
In this episode, I'll discuss things a pharmacist should keep in mind when managing a patient with a caustic ingestion.
The post 1035: Don’t Let IV Medications Shift A Patient Out of Ketosis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1034.
In this episode, I'll discuss things a pharmacist should keep in mind when managing a patient with a caustic ingestion.
The post 1034: Pharmacy Considerations When Managing Caustic Ingestion appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1033.
In this episode, I'll discuss outcomes with doxycycline vs azithromycin for community-acquired pneumonia.
The post 1033: Doxycycline Might Not Be As Good As We Thought… appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1032.
In this episode, I'll discuss five circumstances that should make an ICU pharmacist stop what they are doing to investigate further.
The post 1032: Five ICU Signals That Should Make Your Pharmacy Spidey-Sense Tingle appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1031.
In this episode, I'll discuss expectations for the onset of action of IM medications used for acute agitation.
The post 1031: How Long Does it Take for IM Medications to Work in Acute Agitation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1030.
In this episode, I’ll discuss adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation of thyroidectomy patients.
The post 1030: Adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1029.
In this episode, I’ll discuss a systematic review of the ketorolac dose ceiling for ED analgesia.
The post 1029: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1028.
In this episode, I'll discuss three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome.
The post 1028: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1027.
In this episode, I’ll discuss probiotic-associated central venous catheter bloodstream infections in the ICU.
The post 1027: Probiotics in the ICU – How Bad Can It Get? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1026.
In this episode, I’ll discuss hallucinations from low-dose ketamine use in the ICU.
The post 1026: Is the Low-Dose Ketamine In the Room With Us Right Now? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1025.
In this episode, I'll discuss an alternative definition of oliguria.
The post 1025: Does the Definition of Oliguria Need to Change? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1024.
In this episode, I'll discuss the use of adjuvant midodrine in patients with septic shock.
The post 1024: Adjuvant Midodrine Lowers Norepinephrine Dose But Not Length of Stay in Patients With Septic Shock appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1023.
In this episode, I'll discuss the dose of inhaled tranexamic acid used for nonmassive hemoptysis.
The post 1023: The Dose of Inhaled Tranexamic Acid For Nonmassive Hemoptysis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1022.
In this episode, I'll discuss animal data on the rate of correction for acute hypernatremia.
The post 1022: Can Animal Data Inform the Ideal Rate of Correction for Acute Hypernatremia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1021.
In this episode, I'll discuss the duration of DOAC interference with heparin anti-Xa levels.
The post 1021: How Long Is the Duration of DOAC Interference With Heparin Anti-Xa Levels? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1020.
In this episode, I'll discuss how to predict failure of insulin transition in critically ill patients with diabetic ketoacidosis.
The post 1020: How to Predict Which Critically Ill DKA Patients Will Fail the Transition from IV to SubQ Insulin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1019.
In this episode, I'll discuss whether the composition of the first few liters of resuscitation fluid is most important for patients with sepsis.
The post 1019: Normal Saline Vs. Balanced Crystalloids Could the First Few Liters Be the Ones That Matter Most? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1018.
In this episode, I'll discuss andexanet vs. prothrombin complex concentrate for reversal of factor Xa inhibitor-related intracranial hemorrhage.
The post 1018: Balancing Risk vs Benefit – Andexanet vs. Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitor-Related Intracranial Hemorrhage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1017.
In this episode, I'll discuss 10 tips for providing effective feedback to PGY-1 residents.
The post 1017: Tips for providing effective feedback to PGY-1 residents appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1016.
In this episode, I'll discuss the use of melatonin in ICU patients.
The post 1016: Melatonin for Sleep Disruption in the ICU But You Pick the Dose appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1015.
In this episode, I'll discuss mannitol extravasation.
The post 1015: What To Do If Mannitol Extravasates appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1014.
In this episode, I'll discuss using thrombin time to transition patients from dabigatran to unfractionated heparin.
The post 1014: Using Thrombin Time to Transition Patients from Dabigatran to Unfractionated Heparin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1013.
In this episode, I'll discuss inhaled sedation for ICU patients with acute respiratory distress syndrome.
The post 1013: A Setback For the Use of Inhaled Sedation in the ICU appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1012.
In this episode, I’ll discuss 7 vs 14 days of antibiotic therapy for gram-negative bacteremia.
The post 1012: Strong evidence in support of 7 days antibiotics for gram negative bacteremia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1011.
In this episode, I'll discuss high-dose insulin euglycemic therapy in the treatment of a patient with massive caffeine overdose.
The post 1011: High Dose Insulin For Massive Caffeine Overdose appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1010.
In this episode, I’ll discuss the use of dexmedetomidine to reduce vasopressor resistance in refractory septic shock.
The post 1010: Does Dexmedetomidine Improve Vasopressor Sensitivity in Refractory Septic Shock? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1009.
In this episode, I'll discuss the dose of methylene blue for the treatment of acquired methemoglobinemia.
The post 1009: The Dose For Methylene Blue to Treat Acquired Methemoglobinemia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1008.
In this episode, I’ll discuss the time to delivery of sedation and analgesia after RSI using rocuronium vs succinylcholine.
The post 1008: Why Does This Problem With Rocuronium Keep Coming Up? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1007.
In this episode, I’ll discuss the SCCM’s updated guidelines on pain, agitation, delirium, immobility, and sleep and the new recommendation regarding melatonin.
The post 1007: The New SCCM Sedation Guidelines Recommend Melatonin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1006.
In this episode, I'll discuss a review article on the safety of peripheral vasopressors and hypertonic saline.
The post 1006: Any Port in a Storm (For a Little While At Least) – The Safety of Peripheral Vasopressors and Hypertonic Saline appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1005.
In this episode, I'll discuss whether a pacemaker or implanted cardiac defibrillator (ICD) protects from medication-induced torsades.
The post 1005: Does a pacemaker or implanted cardiac defibrillator suggest a higher or lower risk of medication-induced torsades? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1004.
In this episode, I'll discuss oral sedation strategies for young patients presenting to the ED with acute severe behavioral disturbance.
The post 1004: An Example of a Study Where the Forest is More Informative Than the Trees appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1003.
In this episode, I’ll discuss 3 types of ICU patients and why they matter for making patient-focused risk:benefit assessments.
The post 1003: The 3 Types of ICU Patients and Why They Matter for Making Patient Focused Risk:Benefit Assessments appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1002.
In this episode, I’ll discuss some possible negative effects of using low-dose ketamine to achieve an opioid-sparing effect in critically ill patients.
The post 1002: Less Opioid Consumption With Low-Dose Ketamine But at What Cost? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1001.
In this episode, I’ll discuss the impact of compounded oral vancomycin liquid on hospital readmission for C diff infection.
The post 1001: Saving Money on Oral Vancomycin Is Great For Inpatients But Can Cause Problems On Discharge appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1000.
In this episode, I’ll discuss time to positivity as a predictor of catheter-related bacteremia and mortality in adults with Pseudomonas aeruginosa bloodstream infection.
The post 1000: Should Pharmacists Be paying Attention to This Bacteremia Metric? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode999.
In this episode, I'll discuss whether delayed broad-spectrum antibiotics have an impact on clinical outcomes.
The post 999: Is This Study a Breakthrough for Antimicrobial Stewardship? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode998.
In this episode, I’ll discuss why the NKF says its OK to use race-free eGFR to make renal dose adjustments.
The post 998: Why the NKF Says Its OK to Use Race-Free eGFR to Make Renal Dose Adjustments appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode997.
The post 997: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode996.
In this episode, I’ll discuss whether the Tisdale Risk Score can be used to identify ICU patients at risk of QTc prolongation.
The post 996: Tisdale Risk Score For Identifying ICU Patients at Risk of QTc Prolongation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode995.
In this episode, I’ll discuss when dialysis is recommended to be used to treat ethylene glycol poisoning.
The post 995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode994.
In this episode, I’ll discuss when octreotide can be discontinued in patients with variceal bleeding.
The post 994: When can octreotide be discontinued in patients with variceal bleeding? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode993.
In this episode, I'll discuss ketamine vs ketorolac for pain management in ED patients with chest trauma.
The post 993: Ketamine vs Ketorolac for Pain Management in ED Patients with Chest Trauma appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode992.
In this episode, I'll discuss whether recent laxative use should preclude testing for C diff.
The post 992: Should A C Diff Test Be Auto-Canceled With Recent Laxative Use? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode991.
In this episode, I’ll discuss what dose of steroids can prevent post-extubation stridor.
The post 991: What Dose of Steroids Prevents Post-Extubation Stridor and Re-Intubation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode990.
In this episode, I’ll discuss the lowest effective dose of IV or IM haloperidol for elderly hospitalized patients with agitation.
The post 990: Lowest Effective Dose of Haloperidol for Agitation in Elderly Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode989.
In this episode, I'll discuss delayed QTc prolongation in overdose patients.
The post 989: How to Identify an ED Toxicology Patient at Risk of Delayed QTc Prolongation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode988.
In this episode, I'll discuss neostigmine plus anticholinergics vs sugammadex and the incidence of postoperative delirium.
The post 988: Sugammadex vs. Neostigmine and Postoperative Delirium – If the Findings Were Reversed, There’s No Way This Abstract Would Be Written the Same Way appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode987.
In this episode, I'll discuss recommendations on the dose of cefazolin for a CNS infection.
The post 987: What Is the Recommended Dose of Cefazolin For a CNS infection? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode986.
In this episode, I'll discuss whether the beta-lactam should be given before vancomycin in patients with sepsis that need both antibiotics.
The post 986: Give the Beta-Lactam First Until an RCT Says Otherwise appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode985.
In this episode, I'll discuss the IV vs nebulized route for tranexamic acid to treat hemoptysis.
The post 985: Is the IV or Nebulized Route Better When Giving Tranexamic Acid for Hemoptysis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode984.
In this episode, I'll discuss N-acetylcysteine in non-acetaminophen-induced acute liver failure.
The post 984: N-acetylcysteine in Acute Liver Failure Not Caused by Acetaminophen appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode983.
In this episode, I'll discuss four potential reasons for a false heparin anti-Xa level.
The post 983: Four Potential Reasons for a False Heparin Anti-Xa Level appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode982.
In this episode, I'll discuss whether psychotropic medications other than benzodiazepines enhance respiratory depression from opioids.
The post 982: Do Non-Benzo Psychotropic Medications Enhance Respiratory Depression From Opioids? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode981.
In this episode, I'll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy.
The post 981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode980.
In this episode, I'll discuss adjunctive inhaled antibiotics for ICU patients with pneumonia and invasive ventilation.
The post 980: Adjunctive Inhaled Antibiotics for ICU Patients with Pneumonia and Invasive Ventilation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode979.
In this episode, I'll discuss why the CAP guidelines do not recommend treating most cases of suspected aspiration pneumonia with broadening antibiotic therapy.
The post 979: Does aspiration pneumonia require different antibiotics than community acquired pneumonia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode978.
In this episode, I'll discuss the 4 clinical teaching roles for residency preceptors.
The post 978: The 4 Clinical Teaching Roles for Preceptors appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode977.
In this episode, I'll discuss whether milrinone can be used in patients on CRRT.
The post 977: The Problem with Milrinone in CRRT appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode976.
In this episode, I'll discuss peripheral IV administration of 3% sodium chloride solution.
The post 976: Can 3% (hypertonic) sodium chloride ever be given via a peripheral IV? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode975.
In this episode, I'll discuss how to become a peer reviewer for a medical journal.
The post 975: 3 Steps to Become a Journal Peer Reviewer appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode974.
In this episode, I’ll discuss diffuse alveolar hemorrhage due to bupropion nasal inhalation.
The post 974: It Turns Out Snorting Bupropion Is a Really Bad Idea appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode973.
In this episode, I’ll discuss a tip to predict pharmacotherapy needs in rapid response or emergent situations.
The post 973: A tip for predicting the pharmacotherapy needs of your patient in rapid response or emergent situations appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode972.
In this episode, I'll discuss an article comparing IV acetaminophen with IV hydromorphone for acute pain in elderly ED patients.
The post 972: Two equally bad ways of treating acute pain in elderly ED patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode971.
In this episode, I'll discuss whether a quinolone is really superior to a macrolide for legionella pneumonia.
The post 971: Is a Quinolone Really Superior to a Macrolide for Legionella Pneumonia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode970.
In this episode, I'll discuss paralytic first vs sedative first RSI and the chance of first attempt success.
The post 970: Does it matter whether you give the paralytic or the sedative first during RSI? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode969.
In this episode, I'll discuss how a pharmacist can ensure the best possible outcomes for status epilepticus.
The post 969: How a pharmacist can ensure the best possible outcomes for status epilepticus appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode968.
In this episode, I'll discuss linezolid vs clindamycin for toxin inhibition in patients with invasive group A streptococcus infections.
The post 968: Linezolid Instead of Clindamycin for Toxin Inhibition appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode967.
In this episode, I'll discuss moderate vs low and high volume IV fluid resuscitation in sepsis and septic shock.
The post 967: Goldilocks and the Three Fluid Resuscitation Strategies for Sepsis and Septic Shock appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode966.
In this episode, I'll discuss the use of succinylcholine vs rocuronium for tracheal intubation in emergency department patients.
The post 966: Study Proves Sux vs Roc Debate Is Pointless appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode965.
In this episode, I'll discuss whether the bispectral index (BIS) correlates well to commonly used sedation scales.
The post 965: Does the bispectral index correlate well to commonly used sedation scales? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode964.
In this episode, I'll discuss subcutaneous insulin therapy for patients with low to moderate severity DKA.
The post 964: The SQuID Protocol for DKA Treatment Sounds cool but how well does it work? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode963.
In this episode, I'll discuss what works best for toxin-related status epilepticus.
The post 963: What Works Best for Toxin-Related Status Epilepticus? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode962.
In this episode, I'll discuss the antibiotics that inhibit bacterial toxin production.
The post Episode 962: What Antibiotics Are Best At Toxin Inhibition? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode961.
In this episode, I'll discuss the continuation of newly prescribed gabapentin for acute pain management after hospital discharge.
The post 961: Is that gabapentin just temporary? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode960.
In this episode, I'll discuss a titrated morphine algorithm that worked well in ED patients.
The post 960: A titrated morphine algorithm that worked well in ED patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode959.
In this episode, I'll discuss whether there is a benefit from switching to dexmedetomidine when sedation is started with midazolam.
The post 959: Is there a benefit from switching to dexmedetomidine when sedation is started with midazolam? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode958.
In this episode, I'll discuss differences in heart rate in patients with sepsis and AFib between phenylephrine and norepineprhine.
The post 958: Sepsis and AFib heart rate differences with phenylephrine vs norepinephrine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode957.
In this episode, I'll discuss a recent practice guideline on ketamine use for analgosedation in critically ill patients.
The post 957: Not every professional critical care society is high on ketamine for analgosedation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode956.
In this episode, I'll discuss the possibility of vancomycin treatment failure with old CVVHDF dosing regimens.
The post 956: Beware of vancomycin treatment failure with old CVVHDF dosing regimens appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode955.
In this episode, I'll discuss the use of phenobarbital in severe alcohol withdrawal.
The post 955: Has Everyone Gotten the Mechanism of Phenobarbital in Alcohol Withdrawal Wrong? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode954.
In this episode, I'll discuss the ICU pharmacist’s role in recognizing and treating malignant hyperthermia.
The post 954: Why should an ICU pharmacist be concerned about recognizing and treating malignant hyperthermia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode953.
In this episode, I'll discuss an article about the side effects of sugammadex vs neostigmine.
The post 953: Sugammadex Versus Neostigmine Side Effects appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode952.
In this episode, I'll discuss the optimal urine output cutoff point to identify acute kidney injury in critically Ill patients.
The post 952: What is the optimal urine output cutoff point to identify acute kidney injury in critically Ill patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode951.
In this episode, I'll discuss how getting the depth of sedation correct in the ED might reduce mortality rates by half.
The post 951: Getting the depth of sedation correct in the ED might reduce mortality rates by half appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode950.
In this episode, I'll discuss clevidipine vs nicardipine and the time to reach goal BP in a hypertensive crisis.
The post 950: Is clevidipine no faster than nicardipine to reach goal BP in a hypertensive crisis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode949.
In this episode, I'll discuss subcutaneous insulin for the treatment of diabetic ketoacidosis (DKA).
The post 949: How well does subcutaneous insulin work for DKA treatment? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode948.
In this episode, I'll discuss postintubation hypotension following rapid sequence intubation with full vs. reduced-dose induction agent.
The post 948: Does reducing the induction agent dose lessen the chance of postintubation hypotension? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode947.
In this episode, I'll discuss anaphylaxis to sugammadex.
The post 947: If anaphylaxis to sugammadex is so rare, why make such a big deal about it? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode946.
In this episode, I'll discuss the effects of calcium during treatment of hyperkalemia.
The post 946: Animal data suggest calcium does not stabilize the cardiac membrane in hyperkalemia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode945.
In this episode, I'll discuss how the use of dopamine for shock affects mortality rates.
The post 945: How does the use of dopamine for shock affect mortality rates? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode944.
In this episode, I'll discuss the new SCCM and ASHP joint guidelines on stress ulcer prophylaxis in critically ill patients.
The post 944: Stress Ulcer Prophylaxis – A Guideline Update 25 Years in the Making appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode943.
In this episode, I'll discuss the risk factors associated with the development of venous thromboembolism in ICU patients.
The post 943: Risk Factors Associated With the Development of Venous Thromboembolism in ICU Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode942.
In this episode, I'll discuss the administration of mannitol for elevated intracranial pressure.
The post 942: Mannitol administration for elevated intracranial pressure appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode941.
In this episode, I'll discuss whether non-verbal ICU pain scales can indicate the severity of pain.
The post 941: Can non-verbal ICU pain scales indicate the severity of pain? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode940.
In this episode, I'll discuss whether tranexamic acid has a role in the treatment of aneurysmal subarachnoid hemorrhage.
The post 940: Does Tranexamic Acid Have a Role In Aneurysmal Subarachnoid Hemorrhage? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode939.
In this episode, I'll discuss the dosing of lipid rescue therapy for LAST vs enteral drug toxicity.
The post 939: Lipid Rescue Dosing for LAST vs Enteral Drug Toxicity appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode938.
In this episode, I'll discuss the chance of cardiovascular toxicity from bupropion overdose.
The post 938: Can you predict the chance of cardiovascular event from bupropion overdose? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode937.
In this episode, I'll discuss the suppression of antimicrobial susceptibility results.
The post 937: Is your micro lab hiding susceptibility data from you? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode936.
In this episode, I'll discuss why ketamine can sometimes cause post-induction hemodynamic instability when it is used for rapid sequence intubation.
The post 936: Why does ketamine for RSI sometimes cause post-induction hemodynamic instability? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode935.
In this episode, I'll discuss an article about which vasopressor is best in early traumatic brain injury patients.
The post 935: What vasopressor is best to use in traumatic brain injury? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode934.
In this episode, I'll discuss an article about using fondaparinux in critically ill patients with severe renal dysfunction.
The post 934: Fondaparinux in critically ill patients with severe renal dysfunction appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode933.
In this episode, I'll discuss tenecteplase for stroke from 4.5 to 24 hours after the time last know well.
The post 933: Can tenecteplase be used for acute ischemic stroke beyond 4.5 hours from time last know well? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode932.
In this episode, I'll discuss recent articles regarding stress ulcer prophylaxis.
The post 932: Major Developments in Stress Ulcer Prophylaxis Evidence appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode931.
In this episode, I'll discuss an alternative to a dextrose-based purge solution for patients with an Impella ventricular assist device that also need a PET scan.
The post 931: Non-dextrose purge solution for patients with an Impella that require a PET scan appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode930.
In this episode, I’ll discuss how obesity affects SC and IM medication administration.
The post 930: How does obesity affect SC and IM medication administration? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode929.
In this episode, I'll discuss the incidence of torsades from low-dose ondansetron in peri-operative patients.
The post 929: What is the incidence of torsades from low-dose ondansetron in peri-operative patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode928.
In this episode, I’ll discuss what vasopressor to use in post-resuscitation shock.
The post 928: What is the best vasopressor to use in post-resuscitation shock? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode927.
In this episode, I'll discuss the use of tetanus immune globulin.
The post 927: Tetanus immune globulin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode926.
In this episode, I’ll discuss an article about nebulized vs IV ketamine for analgesia in the ED.
The post 926: How well does nebulized ketamine work for pain compared with IV? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode925.
In this episode, I'll discuss an article about risk factors for serious and general opioid-related adverse drug events.
The post 925: What are the risk factors for serious and general opioid-related adverse drug events? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode924.
In this episode, I'll discuss if antibiotic exposure intensity affects the risk of clostridioides difficile infection.
The post 924: Does Antibiotic Exposure Intensity Affect the Risk of Clostridioides Difficile Infection? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode923.
In this episode, I’ll discuss if phentolamine the only thing you can use for vasopressor extravasation.
The post 923: Is phentolamine the only thing you can use for vasopressor extravasation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode922.
In this episode, I’ll discuss assessing the risk of bias in a review of nonrandomized studies.
The post 922: How can you assess risk of bias in a review of nonrandomized studies? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode921.
In this episode, I’ll discuss what if it is not the sedative class that causes delirium – just the depth of sedation?
The post 921: What if it is not the sedative class that causes delirium – just the depth of sedation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode920.
In this episode, I’ll discuss what blood gas parameters can make you suspect methemoglobinemia.
The post 920: What blood gas parameters indicate possible methemoglobinemia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode919.
In this episode, I’ll discuss the problem with hypo-osmolar solutions in neurological patients.
The post 919: The problem with hypo-osmolar solutions in neurological patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode918.
In this episode, I’ll discuss the impact of giving a full-dose cephalosporin challenge to patients with a moderate, severe, or unknown beta-lactam allergy.
The post 918: What Happens If You Give a Cephalosporin to a Patient With Moderate, Severe, or Unknown Beta-Lactam Allergy? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode917.
In this episode, I’ll discuss the impact of achieving an aggressive PK/PD target for beta lactams in critically ill patients.
The post 917: What is the impact of achieving an aggressive PK/PD target for beta lactams in critically ill patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode916.
In this episode, I’ll discuss the 4 categories of interventions to treat medication overdose and why antidote is not #1.
The post 916: The 4 categories of interventions to treat medication overdose and why antidote is not #1 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode915.
In this episode, I’ll discuss the rare case when a very hypotonic solution may be indicated.
The post 915: The rare case when a very hypotonic solution may be indicated appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode914.
In this episode, I’ll discuss oral vs IV phosphate replacement for critically ill patients with mild to moderate hypophosphatemia.
The post 914: Does Oral Phosphate Replacement Work as Well as IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode913.
In this episode, I’ll discuss the efficacy tradeoff when reducing apixaban dose in patients with end-stage renal disease.
The post 913: Is there an efficacy tradeoff when reducing apixaban dose in patients with end-stage renal disease? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode912.
In this episode, I’ll discuss whether standard doses of apixaban are as effective as warfarin in severe obesity.
The post 912: Are Standard Doses of Apixaban as Effective as Warfarin in Patients With Severe Obesity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode911.
In this episode, I’ll discuss the risk of bacteremia in patients with asymptomatic bacteriuria and altered mental status.
The post 911: But They Have Altered Mental Status So We Have To Treat appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode910.
In this episode, I’ll discuss how to judge whether a journal is reputable.
The post 910: How to judge whether a journal is reputable? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode909.
In this episode, I’ll discuss a novel metric for antibiotic stewardship.
The post 909: Is this a better metric for antibiotic stewardship? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode908.
In this episode, I’ll discuss the consolidated CHEST guidelines on antithrombotic therapy for venous thromboembolism disease.
The post 908: Finally, All the VTE Recommendations In One Document! appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode907.
In this episode, I’ll discuss what predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?
The post 907: What predicts critical care pharmacist intervention – patient acuity or medication regimen complexity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode906.
In this episode, I’ll discuss the mortality rate for critically ill patients when ketamine vs etomidate is used as an induction agent for intubation.
The post 906: Does Using Ketamine for Induction Have a Lower Mortality Rate Than Etomidate? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode905.
In this episode, I’ll discuss which antibiotic should be given first in sepsis – the beta-lactam or the vancomycin?
The post 905: Does It Matter Which Antibiotic You Give First? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode904.
In this episode, I’ll discuss whether patients taking beta-blockers require increased doses of epinephrine for anaphylaxis.
The post 904: Do Patients Taking Beta-Blockers Require Increased Doses of Epinephrine for Anaphylaxis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode903.
In this episode, I’ll discuss the association between number of learners trained per year and rates of burnout among inpatient pharmacists.
The post 903: Does the Number of Learners Trained Per Year Influence the Chances of an Inpatient Pharmacist Experiencing Burning Out? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode902.
In this episode, I’ll discuss the analgesic ceiling dose of ibuprofen in ED patients.
The post 902: The analgesic ceiling dose of ibuprofen applies to ED patients too appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode901.
In this episode, I’ll discuss why I think ketamine and propofol don’t belong in the same syringe.
The post 901: Why Ketamine and Propofol Don’t Belong in the Same Syringe appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode900.
In this episode, I’ll discuss uisng fixed-dose PCC for warfarin reversal.
The post Episode 900: The Benefits of Using Fixed-Dose Prothrombin Complex Concentrate for the Emergent Reversal of Vitamin K Antagonists appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode899.
In this episode, I’ll discuss why glucocorticoids have no role in reversing the acute symptoms of anaphylaxis.
The post 899: Glucocorticoids Have No Role Reversing the Acute Symptoms of Anaphylaxis. Here’s Why: appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode898.
In this episode, I’ll discuss the impact of giving epinephrine before defibrillation to in-hospital cardiac arrest (IHCA) patients with shockable rhythms.
The post 898: Knowing When Non-Medication Therapies Are First-Line Is Critical appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode897.
In this episode, I’ll discuss whether ICU patients benefit from daily QTc interval monitoring during antipsychotic use for delirium.
The post 897: Is It Necessary To Monitor QTc of ICU Patients Receiving Antipsychotics for Delirium? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode896.
In this episode, I’ll discuss the effect of unnecessary long-term continuation of newly initiated stress ulcer prophylaxis in the ICU on morbidity and mortality after hospital discharge.
The post Episode 896: Just How Bad Are PPIs When Continued Post-ICU Stay Without Indication? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode895.
In this episode, I’ll discuss why glucagon is not recommended in the calcium channel blocker poisoning guidelines.
The post 895: Why is glucagon not recommended in the calcium channel blocker poisoning guidelines? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode894.
In this episode, I’ll discuss how correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely.
The post 894: Correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode893.
In this episode, I’ll discuss adding fludrocortisone to hydrocortisone to treat patients with septic shock.
The post 893: Should Fludrocortisone Always Be Added to Hydrocortisone in Patients With Septic Shock? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode892.
In this episode, I’ll discuss when to use a cold or warm compress to treat extravasation.
The post 892: Should hot or cold compresses be used to treat extravasation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode891.
In this episode, I’ll discuss an article comparing half-dose to full-dose alteplase for pulmonary embolism.
The post 891: The Half-Dose Alteplase Study You’ve Always Wanted appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode890.
In this episode, I'll discuss how to guarantee you pick a great article for the journal club.
The post 890: How to Succeed at Journal Club Without Really Trying appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode889.
In this episode, I’ll discuss which beta-blockers should be dialyzed to treat toxicity.
The post 889: Which beta-blockers should be dialyzed to treat toxicity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode888.
In this episode, I’ll discuss how fluid overload affects the pharmacokinetics of extended infusion meropenem in critically ill patients with sepsis.
The post 888: The Effects of Fluid Overload On the Pharmacokinetics of Extended Infusion Meropenem in Critically Ill Patients with Sepsis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode887.
In this episode, I'll discuss a pre-planned analysis of long term outcomes of haloperidol use in the Agents Intervening against Delirium in the ICU Trial.
The post 887: Long Term Outcomes of Haloperidol Use in the Agents Intervening against Delirium in the ICU Trial appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode886.
In this episode, I'll discuss the ACEP clinical policy on adult patients presenting to the ED with severe agitation.
The post Episode 886: The ACEP Clinical Policy For Severe Agitation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode885.
In this episode, I'll discuss whether it is ever appropriate for a patient to be on oral and IV vancomycin.
The post 885: Don’t Automatically Assume This When Oral Vancomycin is Prescribed appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode884.
In this episode, I'll discuss whether the reversal of anticoagulants is necessary for neurologically intact patients with traumatic intracranial hemorrhage.
The post 884: Do All Patients With Traumatic ICH on Anticoagulants Need to be Reversed? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode883.
In this episode, I'll discuss what phenotype of patients are most affected by delays in antibiotic therapy.
The post 883: What Are Characteristics of Patients That Are More Likely To Die If Antibiotic Therapy Is Delayed? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode882.
In this episode, I'll discuss the change in serum potassium after supplementation.
The post 882: Does 10 mEq of Potassium Actually Increase Serum Potassium Levels By 0.1 mEq/L? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode881.
In this episode, I'll discuss the unwarranted continuation of antipsychotics after ICU and hospital discharge.
The post 881: Don’t let the antipsychotics out of the ICU! appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode880.
In this episode, I'll discuss anti-Xa monitoring of enoxaparin in VTE prophylaxis.
The post 880: Anti-Xa Monitoring In VTE Prophylaxis: Just Because We Can Doesn’t Mean We Should appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode879.
In this episode, I'll discuss the bioavailability of methadone.
The post 879: What is the conversion of oral methadone to IV? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode878.
In this episode, I'll discuss the prediction of hypotension from propofol when used as an ICU sedative.
The post 878: Here Is How You Can Predict Hypotension From Propofol appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode877.
In this episode, I'll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest.
The post 877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode876.
In this episode, I'll discuss IV levothyroxine in unstable brain-dead heart donors.
The post 876: Does IV Levothyroxine Increase the Number of Hearts Transplanted? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode875.
In this episode, I'll discuss whether diuretics are safe for reducing fluid balance in critically ill patients.
The post 875: The Safety of Diuretics to Reduce Fluid Balance in Critically Ill Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode874.
In this episode, I’ll discuss what Impella purge solution can be used if the patient has a contraindication to heparin.
The post 874: How Well Does a Bicarb-Based Impella Purge Solution Work for Patients With Contraindications to Heparin? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode873.
In this episode, I'll discuss 5 steps an ED or ICU pharmacist can take to prevent awareness with paralysis.
The post 873: 5 Steps an ED or ICU pharmacist can take to prevent awareness with paralysis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode872.
In this episode, I’ll discuss how to obtain penicillin G benzathine during a national shortage.
The post 872: What Happens If You Run Out of Penicillin G Benzathine? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode871.
In this episode, I’ll discuss whether a nasal MRSA screen is useful for choosing antibiotics in critically ill patients with an intraabdominal infection.
The post 871: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode870.
In this episode, I’ll discuss a case of antidepressant discontinuation syndrome in the ICU.
The post 870: A case of antidepressant discontinuation syndrome in the ICU and how it was handled. appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode868.
In this episode, I’ll discuss haloperidol for ICU delirium.
The post 869: Three Recent Studies About Haloperidol and ICU Delirium appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode868.
In this episode, I'll discuss a pharmacist-driven deprescribing protocol for negative urine and sexually transmitted infection cultures in the emergency department.
The post 868: One Weird Trick Let These ED Pharmacists Double Antibiotic-Free Days appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode867.
In this episode, I’ll discuss the frequency of awareness with paralysis in the ED.
The post 867: How common is awareness with paralysis in the ED after RSI? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode866.
In this episode, I’ll discuss inhaled amikacin to prevent VAP.
The post 866: Can 3 Days of Inhaled Amikacin Prevent VAP? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode865.
In this episode, I’ll discuss predicting the success of dexmedetomidine as a sedative.
The post 865: Predicting Success of Dexmedetomidine as a Sedative appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode864.
In this episode, I’ll discuss what happened to the “ISMP’s Do Not Crush List.”
The post 864: Why Did ISMP Remove the Do Not Crush List from Their Website? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode863.
In this episode, I’ll discuss an article about cefepime vs piperacillin-tazobactam in adults hospitalized with acute infection.
The post 863: Does This Randomized Trial Settle the Increased AKI from Piperacillin-Tazobactam Question? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode862.
In this episode, I’ll discuss why hypokalemia can result from digoxin immune fab fragment administration.
The post 862: Why hypokalemia can result from digoxin immune fab fragment administration appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode861.
In this episode, I’ll discuss a case report of seizures precipitated by esmolol in sterile water formulation.
The post 861: When Diluents Attack! A Case Report of Seizure From Esmolol In Sterile Water appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode860.
In this episode, I'll discuss the 4 factors that predict agitation in lightly sedated ventilated patients.
The post 860: 4 Factors That Can Predict Agitation in Lightly Sedated Ventilated Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode859.
In this episode, I’ll discuss the SCCM Rapid Sequence Intubation Guidelines.
The post 859: SCCM Rapid Sequence Intubation Guidelines appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode858.
In this episode, I’ll discuss the optimal dosing of levetiracetam for seizure prophylaxis in critically ill patients.
The post 858: Keppra Not Preventing Post-Op Seizures? Maybe the Dose is too Low! appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode857.
In this episode, I’ll discuss two doses of ketamine for analgesia in the ED.
The post 857: How low can the dose of ketamine for analgesia in the ED go? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode856.
In this episode, I’ll discuss the consensus statement published in CHEST on the Treatment of Community-Acquired Pneumonia in immunocompromised patients.
The post 856: Treatment of Community-Acquired Pneumonia in immunocompromised patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode855.
In this episode, I’ll discuss the effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock.
The post 855: Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode854.
In this episode, I’ll discuss the danger of intubation in the setting of salicylate toxicity.
The post 854: The Danger of Intubation in the Setting of Salicylate Toxicity appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode853.
In this episode, I’ll discuss how to predict hypotension from dexmedetomidine.
The post 853: Can hypotension from dexmedetomidine be predicted? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode852.
In this episode, I’ll discuss a study about the safety of apixaban in patients with renal insufficiency.
The post 852: Does Europe Do Apixaban Renal Dosing Better (Safer) Than the US? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode851.
In this episode, I’ll discuss how racemic epinephrine via nebulization is thought to help treat stridor.
The post 851: Why Is Racemic Epinephrine Nebulized To Help Treat Stridor? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode850.
In this episode, I ll discuss a pharmacy-driven rapid bacteremia response program.
The post 850: A Pharmacy-Driven Rapid Bacteremia Response Program appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode849.
In this episode, I’ll discuss the treatment of norepinephrine extravasation.
The post 849: Should apixaban’s loading dose duration ever be shortened? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode848. In this episode, I’ll discuss the treatment of norepinephrine extravasation. The post 848: Treatment of norepinephrine extravasation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode847. In this episode, I ll discuss a clinical prediction model for augmented renal clearance in adult mixed critically ill patients. The post 847: A Clinical Prediction Model for Augmented Renal Clearance in Adult Mixed Critically Ill Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode846. In this episode, I ll discuss a case report of enoxaparin overdose. The post 846: A Massive Enoxaparin Overdose and How it Was Handled appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode845. In this episode, I ll discuss how aggressively extremely high blood pressure should be managed in patients with ICH. The post 845: How aggressively should extremely high blood pressure be managed in patients with ICH? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode844. In this episode, I ll discuss the pharmacist’s role in predicting the need for intubation. The post Episode 844: Why A Pharmacist Should Learn to Predict the Need for Intubation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode843. In this episode, I ll discuss the risk factors for not attaining target beta-lactam levels in ICU patients. The post 843: What are the risk factors for not attaining target beta-lactam levels in ICU patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode842. In this episode, I ll discuss opportunities for antibiotic stewardship before hospital discharge. The post 842: Antibiotic Stewardship Before Discharge? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode841. In this episode, I ll discuss 3 reasons to consider holding lithium in critically ill patients. The post 841: Should Lithium Be Resumed in Critically Ill Patients While Still in the ICU? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode840. In this episode, I ll discuss a resource for taking care of patients with a rare disease. The post Episode 840: A Rare Disease Resource Every Hospital Pharmacist Should Know About appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode839. In this episode, I ll discuss the management of suspected propofol dependence with phenobarbital in an adult patient with COVID-19. The post 839: A Rare Case of Propofol Dependence and How it Was Managed appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode838. In this episode, I ll discuss whether there is an association between the sedative dose and postintubation hypotension and rapid sequence intubation. The post 838: Hypotension After Intubation – Is It the Sedative Dose That Matters? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode837. In this episode, I ll discuss parenteral medication considerations for the ketogenic diet. The post 837: Don’t Let IV Medications Shift A Patient Out of Ketosis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode836. In this episode, I ll discuss whether meropenem should be given by continuous infusion in critically ill patients. The post 836:Should Meropenem Be given Routinely as a Continuous Infusion in the Critically Ill? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode835. In this episode, I ll discuss the results of a pilot trial of sodium bicarbonate for metabolic acidosis in the ICU. The post 835: Results of a Pilot Trial of Sodium Bicarbonate for Metabolic Acidosis in the ICU appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode834. In this episode, I ll discuss expectations for the onset of action of IM medications used for acute agitation. The post 834: Expectations for the onset of action of IM medications used for acute agitation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode833. In this episode, I ll discuss three tips for inpatient medical emergencies. The post 833: Three tips for inpatient medical emergencies appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode832. In this episode, I ll discuss a cost-avoidance study of a redistribution process to reduce waste of emergency medications in drug boxes. The post 832: Savings realized by the redistribution of short-dated emergency medications appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode831. In this episode, I ll discuss the role for ketamine in status epilepticus. The post 831: What is the role for ketamine in refractory status epilepticus? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode830. In this episode, I ll discuss using heparin anti-Xa levels to evaluate apixaban, rivaroxaban, fondaparinux, and danaparoid levels. The post 830: Using Heparin Anti-Xa Levels to Evaluate Apixaban, Rivaroxaban, Fondaparinux, or Danaparoid Levels appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode829. In this episode, I ll discuss three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome. The post 829: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode828. In this episode, I’ll discuss a systematic review of the ketorolac dose ceiling for ED analgesia. The post 828: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode827. In this episode, I ll discuss early as compared with later initiation of direct oral anticoagulants (DOACs) in patients with atrial fibrillation who have had an acute ischemic stroke. The post 827: Early vs Late Anticoagulation in Stroke Due to Atrial Fibrillation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode826. In this episode, I’ll discuss probiotic-associated central venous catheter bloodstream infections in the ICU. The post 826: Just How Bad Are Probiotics in the ICU? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode825. In this episode, I’ll discuss an alternative definition of oliguria. The post 825: Are We Using the Wrong Definition of Oliguria? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode824. In this episode, I ll discuss torsemide vs furosemide for symptoms and quality of life among patients hospitalized for heart failure. The post 824: Torsemide vs Furosemide – Which Is Better For Symptoms and Quality of Life Among Patients Hospitalized for Heart Failure? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode823.
In this episode, I ll discuss the Management of muscle relaxation with rocuronium and reversal with neostigmine or sugammadex guided by quantitative neuromuscular monitoring.
The post 823: Quantitative Neuromuscular Monitoring To Guide Sugammadex Use appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode822.
In this episode, I ll discuss the dose of IV levothyroxine used for myxedema coma.
The post 822: How Much IV levothyroxine is Enough for Myxedema Coma? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode821.
In this episode, I ll discuss the dose of inhaled tranexamic acid used for nonmassive hemoptysis.
The post 821: What dose of inhaled tranexamic acid is used for nonmassive hemoptysis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode820.
In this episode, I ll discuss the duration of DOAC interference with heparin anti-Xa levels.
The post 820: In Septic Shock, How Soon Should Hydrocortisone Be Added? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode819.
In this episode, I ll discuss the duration of DOAC interference with heparin anti-Xa levels.
The post Episode 819: Duration of DOAC interference with heparin anti-Xa levels appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode818.
In this episode, I ll discuss norepinephrine vs hydrocortisone as an adjunct to norepinephrine in sepsis.
The post 818 : What Is Better to Add to Norepinephrine – Hydrocortisone or Vasopressin? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode817.
In this episode, I ll discuss how to predict failure of insulin transition in critically ill patients with diabetic ketoacidosis.
The post 817: How to Predict Failure of Insulin Transition in Critically Ill Patients with Diabetic Ketoacidosis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode816.
In this episode, I ll discuss a randomized controlled trial about delayed sequence intubation.
The post Episode 816: Delayed Sequence Intubation With Ketamine RCT Results appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode815.
In this episode, I ll discuss lactic acidosis from epinephrine.
The post Episode 815: Does Lactic Acidosis From Epinephrine Always Mean a Poor Outcome? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode814.
In this episode, I ll discuss 10 tips for providing effective feedback to PGY-1 residents.
The post 814: Tips for providing effective feedback to PGY-1 residents appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode813.
In this episode, I ll discuss giving lactated ringer’s solution to a patient with elevated lactate.
The post 813: Can you give lactated ringer’s solution to a patient with elevated lactate? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode812.
In this episode, I ll discuss an article about IV push piperacillin-tazobactam.
The post 812: Can You IV Push Piperacillin/Tazobactam? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode811.
In this episode, I ll discuss mannitol extravasation.
The post 811: What To Do If Mannitol Extravasates appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode810.
In this episode, I ll discuss the use of sugammadex in myasthenia gravis patients undergoing thymectomy.
The post Episode 810: Sugammadex To Reduce Postoperative Myasthenic Crisis After Thymectomy appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode809.
In this episode, I ll discuss high-dose insulin euglycemic therapy in the treatment of a patient with massive caffeine overdose.
The post 809: A Novel Treatment For Massive Caffeine Overdose appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode808.
In this episode, I ll discuss the dose of methylene blue for the treatment of acquired methemoglobinemia.
The post 808: How To Dose Methylene Blue For the Treatment of Acquired Methemoglobinemia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode807.
In this episode, I ll discuss whether a pacemaker or implanted cardiac defibrillator (ICD) protects from medication-induced torsades.
The post 807: Does a pacemaker or implanted cardiac defibrillator protect from medication-induced torsades? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode806.
In this episode, I ll discuss a review article on the safety of peripheral vasopressors and hypertonic saline.
The post 806: Updating Beliefs On the Safety of Peripheral Vasopressors and Hypertonic Saline appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode805.
In this episode, I ll discuss the pharmacist’s role if malignant hyperthermia is suspected outside of the operating room.
The post 805: The pharmacist’s role if malignant hyperthermia is suspected outside of the operating room appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode804.
In this episode, I ll discuss an article about timing of amiodarone for out-of-hospital, shock-refractory cardiac arrest.
The post 804: Faster Amiodarone is Better For Survival in Shock-Refractory Out-of-Hospital Cardiac Arrest appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode802.
In this episode, I ll discuss an article about IVP antibiotic safety.
The post 803: Safety of IV push antibiotics appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode802.
In this episode, I’ll discuss the use of methylene blue for the treatment of refractory anaphylaxis without hypotension.
The post 802: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode801.
In this episode, I’ll discuss the 6th edition of the European guideline on management of major bleeding and coagulopathy following trauma.
The post 801: 7 Pharmacotherapy-Related Recommendations from the 6th European Guideline on Management of Major Bleeding and Coagulopathy Following Trauma appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode799.
In this episode, I’ll discuss an article about intranasal dexmedetomidine for procedural sedation in the ED.
The post Episode 800: Intranasal Dexmedetomidine for Procedural Sedation in the ED appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode799.
In this episode, I’ll discuss whether the Tisdale Risk Score can be used to identify ICU patients at risk of QTc prolongation.
The post 799: Can the Tisdale Risk Score be used to identify ICU patients at risk of QTc prolongation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode798.
In this episode, I’ll discuss an article about using bivalirudin for anticoagulation during ECMO.
The post 798: Bivalirudin: Better AND Cheaper Than Heparin for ECMO? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode797.
In this episode, I’ll discuss empiric dosing of vancomycin for patients on CRRT.
The post 797: What is a good empiric dose of vancomycin for patients on CRRT? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode796.
In this episode, I’ll discuss when dialysis is recommended to be used to treat ethylene glycol poisoning.
The post 796: When should dialysis be used to treat ethylene glycol poisoning? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode795.
In this episode, I’ll discuss when octreotide can be discontinued in patients with variceal bleeding.
The post 795: When can octreotide be discontinued in patients with variceal bleeding? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode794.
In this episode I ll discuss a pilot study of protocolized diuresis for deresusciation of septic patients.
The post 794: Protocolized diuresis for deresuscitation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode793.
In this episode, I ll discuss topical lidocaine for wound VAC dressing changes.
The post 793: Topical lidocaine for wound vac dressing changes appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode792.
In this episode, I ll discuss whether recent laxative use should preclude testing for C diff.
The post 792: Should recent laxative use preclude testing for C diff? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode791.
In this episode, I’ll discuss what dose of steroids can prevent post-extubation stridor.
The post 791: What dose of steroids can prevent post-extubation stridor and re-intubation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode790.
In this episode, I ll discuss how well a negative nasal MRSA screen rules out infection with MRSA.
The post 790: How well does a negative nasal MRSA screen rule out infection with MRSA? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode789.
In this episode, I ll discuss an article comparing different methods of administering adenosine.
The post 789: There’s more than one way to properly administer adenosine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode788.
In this episode, I ll discuss persistent MRSA bacteremia after vancomycin therapy.
The post 788: Persistent MRSA bacteremia after vancomycin therapy appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode787.
In this episode, I ll discuss 6 ways to develop a clinical pharmacist s mindset.
The post 787: The Mindset of a Clinical Pharmacist appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode786.
In this episode, I’ll discuss the effect of a sepsis huddle on identifying sepsis and compliance with the sepsis bundle in an Emergency Department setting.
The post 786: One Simple Intervention to Raise ED Sepsis Identification and Bundle Compliance appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode785.
In this episode, I’ll discuss the lowest effective dose of IV or IM haloperidol for elderly hospitalized patients with agitation.
The post 785: Haloperidol for Agitation in Elderly Patients – How Low Can You Go? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode784.
In this episode, I’ll discuss the dose response of intravenous calcium in surgical ICU patients.
The post 784: Is it Possible to Predict How Much Free Calcium Will Rise After a Replacement Dose? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode783.
In this episode, I’ll discuss why the administration of glucose without thiamine might precipitate or worsen Wernicke’s encephalopathy.
The post 783: Why Might the Administration of Glucose Without Thiamine Precipitate or Worsen Wernicke’s Encephalopathy? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode782.
In this episode, I will discuss how I would treat Wernicke s Encephalopathy if I were completely out of IV thiamine.
The post 782: Wernicke s Encephalopathy Treatment During an IV Thiamine Shortage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode781.
In this episode, I ll discuss an article about clinical outcomes when dexmedetomidine is given to patients who have agitation from drug overdose or withdrawal.
The post 781: Do Patients Who Have Agitation From Drug Overdose or Withdrawal Improve When Dexmedetomidine is Given? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode780.
In this episode, I ll discuss delayed QTc prolongation in overdose patients.
The post 780: How to Identify an ED Toxicology Patient at Risk of Delayed QTc Prolongation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode779.
In this episode, I ll discuss when to use octreotide for upper GI bleeding.
The post 779: When to use octreotide for upper GI bleeding appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode778.
In this episode, I ll discuss an article about the storage and safety of hypertonic saline.
The post 778: Not all concentrated electrolytes are equally dangerous appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode777.
In this episode, I ll discuss famotidine as a potential cause of delirium.
The post 777: Can famotidine cause ICU delerium? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode776.
In this episode, I ll discuss recommendations on the dose of cefazolin for a CNS infection.
The post 776: What dose of cefazolin is recommended for a CNS infection? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode775.
In this episode, I ll discuss a web-based program to estimate vancomycin AUC from a single trough value.
The post 775: A web-based program to estimate vancomycin AUC from a single trough value appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode774.
In this episode, I ll discuss oral antihypertensive timing for hypertensive urgency.
The post 774: Is sooner better for starting oral antihypertensives after hypertensive urgency? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode773.
In this episode, I ll discuss the therapeutic monitoring of cefepime to avoid neurotoxicity.
The post 773: Finally a clear-cut use for therapeutic monitoring of a beta lactam? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode772.
In this episode, I ll discuss the IV vs nebulized route for tranexamic acid to treat hemoptysis.
The post 772: What is the best route to give tranexamic acid for hemoptysis IV or nebulizer? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode771.
In this episode, I ll discuss a scenario where phenylephrine may be a preferred vasopressor.
The post 771: When phenylephrine might not be so bad… appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode770. In this episode, I ll discuss what dose of norepinephrine is safe for patient mobilization.The post 770: What dose of norepinephrine is safe for patient mobilization? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode769. In this episode, I ll discuss alternatives to etomidate during the shortage. The post 769: Alternatives to etomidate during the shortage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode768. In this episode, I ll discuss how propofol appears to interfere with monitoring heparin using aPTT. The post 768: Propofol appears to interfere with monitoring heparin using aPTT appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode767. In this episode, I ll discuss N-acetylcysteine in non-acetaminophen-induced acute liver failure. The post 767: N-acetylcysteine in non-acetaminophen-induced acute liver failure appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode766. In this episode, I ll discuss why vaccines aren t given in the 14 days after non-elective splenectomy. The post 766: This is why vaccines are held for 14 days after non-elective splenectomy appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode765. In this episode, I ll discuss amiodarone vs lidocaine for in-hospital cardiac arrest. The post 765: Move Over Amiodarone , Here Comes Lidocaine? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode764. In this episode, I ll discuss what an inpatient pharmacist needs to know about the outpatient CDC opioid guidelines. The post 764: What an Inpatient Pharmacist Needs to Know About the Outpatient CDC Opioid Guidelines appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode762. In this episode, I ll discuss four potential reasons for a false heparin anti-Xa level. The post 763: Four possible causes of a false heparin anti-Xa level appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode762. In this episode, I ll discuss haloperidol for the treatment of delirium in ICU patients. The post 762: Haloperidol for the Treatment of Delirium in ICU Patients – NEJM misses the point??? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode761. In this episode, I ll discuss cefazolin and ertapenem combination therapy for refractory MSSA bacteremia. The post 761: Cefazolin and ertapenem combination therapy for refractory MSSA bacteremia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode760. In this episode, I ll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy. The post 760: Can You Use Tranexamic Acid For Controlling Iatrogenic Bleeding During Flexible Bronchoscopy? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode759. In this episode, I ll discuss whether phenobarbital offers a clinically meaningful advantage over benzodiazepines for alcohol withdrawal in the ED. The post 759: Does phenobarbital offer a clinically meaningful advantage over benzodiazepines for alcohol withdrawal in the ED? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode758. In this episode, I ll discuss whether psychotropic medications other than benzodiazepines enhance respiratory depression from opioids. The post 758: Do Psychotropic Medications Other Than Benzos Enhance Respiratory Depression From Opioids? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode757. In this episode, I ll discuss an article about the reversal of apixaban and rivaroxaban with andexanet alfa prior to invasive or surgical procedures. The post 757: Reversal of Apixaban and Rivaroxaban with Andexanet Alfa Prior to Invasive or Surgical Procedures appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode756. In this episode, I ll discuss an opt-out protocol for antibiotic de-escalation. The post 756: Using an Opt-Out Protocol for Antibiotic De-escalation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode755. In this episode, I ll discuss an article about fecal microbiota transplantation for the first or second Clostridioides difficile infection. The post 755: Early Fecal Microbiota Transplantation for Clostridioides Difficile Infection appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode754. In this episode, I ll discuss an article about awareness with paralysis among critically ill emergency department patients. The post 754: Awareness With Paralysis Among Critically Ill Emergency Department Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode753. In this episode, I ll discuss an article about starting DOACs early vs late in ischemic stroke patients with AFib. The post 753: Should DOACs be Started Early or Late in Ischemic Stroke Patients with AFib? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode752. In this episode, I ll discuss an article about aggressive vs moderate fluid resuscitation in acute pancreatitis. The post Episode 752: Another Strike Against Aggressive Fluid Resuscitation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode751. In this episode, I ll discuss why the CAP guidelines do not recommend treating most cases of suspected aspiration pneumonia with broadening antibiotic therapy. The post 751: Does aspiration pneumonia require different antibiotics than community acquired pneumonia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode750. In this episode, I ll discuss medication-related causes of elevated serum lactate. The post 750: Medication-related causes of elevated serum lactate appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode749. In this episode, I ll discuss three reasons why 1 clinical pharmacist on the unit = 2 in the office. The post 749: Three reasons why 1 clinical pharmacist on the unit = 2 in the office appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode748. In this episode, I ll discuss how the use of drug-specific factor Xa inhibitor levels can reduce major bleeding. The post 748: The use of drug specific factor Xa inhibitor levels can reduce major bleeding appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode747. In this episode, I ll discuss the 4 clinical teaching roles for residency preceptors. The post Episode 747: The 4 clinical teaching roles for preceptors appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode746. In this episode, I ll discuss whether milrinone can be used in patients on CRRT. The post Episode 746: Can milrinone be used in patients on CRRT? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode745. In this episode, I ll discuss peripheral IV administration of 3% sodium chloride solution. The post 745: Are there times when 3% (hypertonic) sodium chloride can be given through a peripheral IV? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode744. In this episode, I ll discuss whether adding acetazolamide to loop diuretics improves the chance of successful decongestion in ADHF. The post 744: Does Adding Acetazolamide to Loop Diuretics Improve the chance of successful decongestion in ADHF? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode743. In this episode, I ll discuss how to become a peer reviewer for a medical journal. The post 743: How to become a peer reviewer for a medical journal appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode742. In this episode, I’ll discuss a tip to predict pharmacotherapy needs in rapid response or emergent situations. The post 742: A tip to predict pharmacotherapy needs in rapid response or emergent situations appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode741. In this episode, I ll discuss the safety of early antibiotic discontinuation in hematology patients with fever of unknown origin during chemotherapy-induced neutropenia. The post 741: Is it safe to use early antibiotic discontinuation in hematology patients with fever of unknown origin during chemotherapy-induced neutropenia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode740. In this episode, I ll discuss an article comparing IV acetaminophen with IV hydromorphone for acute pain in elderly ED patients. The post 740: Two equally bad ways of treating acute pain in elderly ED patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode739. In this episode I ll, discuss an article about using buprenorphine as an antidote in methadone overdose. The post 739: Can buprenorphine be used as an antidote for methadone overdose? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode738. In this episode, I ll discuss nebulized tobramycin for bronchiectasis from pseuduomonas. The post 738: Nebulized Tobramycin Vs Pseudomonas Gets an Evidence Boost appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode737. In this episode, I ll discuss whether a quinolone is really superior to a macrolide for legionella pneumonia. The post 737: Is a Quinolone Really Superior to a Macrolide for Legionella Pneumonia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode736. In this episode, I ll discuss empiric vs pre-emptive antifungal therapy. The post 736: Empiric vs Diagnostic Approach to Antifungal Therapy for High-Risk Neutropenic Patients with Persistent Fever appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode735. In this episode, I ll discuss a study about a restrictive fluid strategy for patients with sepsis presenting to the emergency department. The post 735: Will restrictive fluid strategies make it into standard sepsis care? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode734. In this episode, I ll discuss whether the manner of tranexamic acid application changes the effectiveness for epistaxis. The post 734: Does the manner of tranexamic acid application change the effectiveness for epistaxis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode733. In this episode, I ll discuss how a pharmacist can ensure the best possible outcomes for status epilepticus. The post 733: How a pharmacist can ensure the best possible outcomes for status epilepticus appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode732. In this episode, I ll discuss an article that suggests the vancomycin piperacillin-tazobactam AKI interaction just pseudotoxicity. The post 732: Is the vancomycin piperacillin-tazobactam AKI interaction just pseudotoxicity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode731. In this episode, I ll discuss a company-sponsored indirect comparative study looking at andexanet alfa vs 4 factor prothrombin complex concentrate (4FPCC) for the reversal of apixaban- or rivaroxaban-associated intracranial hemorrhage. The post 731: Company sponsored indrect comparison concludes the company’s product is better for the reversal of apixaban- or rivaroxaban-associated intracranial hemorrhage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode730. In this episode, I ll discuss whether the bispectral index correlates well to commonly used sedation scales. The post 730: Does the bispectral index correlate well to commonly used sedation scales? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode729. In this episode, I ll discuss what works best for toxin-related status epilepticus. The post 729: What Works Best for Toxin-Related Status Epilepticus? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode728. In this episode, I ll discuss dealing with and preventing negative interactions with other professionals. The post 728: Acetazolamide as a respiratory stimulant appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode727. In this episode, I ll discuss dealing with and preventing negative interactions with other professionals. The post 727: Dealing with and preventing negative interactions with other professionals appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode726. In this episode, I ll discuss Paxlovid and other novel dosage forms that should not be crushed but look like they can be. The post 726: Why can t Paxlovid be crushed? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode725. In this episode, I ll discuss the final 4 questions of a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. This is part 3 of a 3 part series that began with episode 723. The post 725: Clinically relevant pharmacokinetic knowledge on antibiotic dosing (part 3 of 3) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode724. In this episode, I ll discuss questions 6, 7 and 8 of a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. This is part 2 of a 3 part series that began with episode 723. The post 724: Clinically relevant pharmacokinetic knowledge on antibiotic dosing (part 2 of 3) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode723. In this episode, I ll discuss a survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. The post 723: Clinically relevant pharmacokinetic knowledge on antibiotic dosing (part 1) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode722. In this episode, I ll discuss whether a urine dipstick test can identify patients with clinically significant amounts of plasma DOAC levels. The post 722: Can a urine dipstick test identify patients with clinically significant amounts of plasma DOAC levels? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode721. In this episode, I ll discuss the benefits of a pharmacy-driven medication history. The post 721: The benefits of a pharmacy-driven medication history appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode720. In this episode, I ll discuss strategies to reduce the cost of using vasopressin. The post 720: Strategies to reduce the cost of using vasopressin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode719. In this episode, I ll discuss the feasibility of peripheral vasopressors. The post 719: Peripheral Vasopressor Feasibility appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode718. In this episode, I ll discuss the continuation of newly prescribed gabapentin for acute pain management after hospital discharge. The post 718: Is that gabapentin just temporary? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode717. In this episode, I ll discuss the case for continuing statins for patients admitted to the ICU. The post 717: The case for continuing statins for patients admitted to the ICU appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode716. In this episode, I ll discuss whether the duration of treatment for pseudomonas VAP can be shortened to 8 days. The post 716: Can the duration of treatment for pseudomonas VAP be shortened to 8 days? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode715. In this episode, I ll discuss 4 alternative routes of administration for dexmedetomidine. The post 715: Four Alternative routes of administration for dexmedetomidine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode714. In this episode, I ll discuss a titrated morphine algorithm that worked well in ED patients. The post 714: A titrated morphine algorithm that worked well in ED patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode713. In this episode, I ll discuss whether there is a benefit from switching to dexmedetomidine when sedation is started with midazolam. The post 713: Is there a benefit from switching to dexmedetomidine when sedation is started with midazolam? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode712. In this episode, I ll discuss differences in heart rate in patients with sepsis and AFib between phenylephrine and norepineprhine. The post 712: Sepsis and AFib heart rate differences with phenylephrine vs norepinephrine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode711. In this episode, I ll discuss the possibility of vancomycin treatment failure with old CVVHDF dosing regimens. The post 711: Beware of vancomycin treatment failure with old CVVHDF dosing regimens appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode710. In this episode, I ll discuss what I feel is the most important thing in hospital pharmacy practice. The post 710: The Most Important Thing in Hospital Pharmacy Practice appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode709. In this episode, I ll discuss an article about the side effects of sugammadex vs neostigmine. The post 709: Sugammadex Versus Neostigmine Side Effects appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode708. In this episode, I ll discuss how getting the depth of sedation correct in the ED might reduce mortality rates by half. The post 708: Getting the depth of sedation correct in the ED might reduce mortality rates by half appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode707. In this episode, I ll discuss the effects of giving both andexanet alfa AND 4-factor prothrombin complex concentrate. The post 707: What are the effects of giving both andexanet alfa AND 4-factor prothrombin complex concentrate? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode706. In this episode, I ll discuss whether gram stain guided initial antibiotic therapy for VAP is better than guideline recommended therapy. The post 706: Is gram stain guided initial antibiotic therapy for VAP better than guideline recommended therapy? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode705. In this episode, I ll discuss subcutaneous insulin for the treatment of diabetic ketoacidosis (DKA). The post 705: How well does subcutaneous insulin work for DKA treatment? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode704. In this episode, I ll discuss a recent retrospective review that has implications for fixed-dose 4FPCC. The post 704: Are there some patient populations that should not receive fixed dose 4FPCC? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode703. In this episode, I ll discuss how the use of dopamine for shock affects mortality rates. The post 703: How does the use of dopamine for shock affect mortality rates? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode702. In this episode, I ll discuss the risk factors associated with the development of venous thromboembolism in ICU patients. The post 702: Risk Factors Associated With the Development of Venous Thromboembolism in Critically Ill Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode701. In this episode, I ll discuss the administration of mannitol for elevated intracranial pressure. The post Episode 701: Mannitol administration for elevated intracranial pressure appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode700. In this episode, I ll discuss whether melatonin can prevent ICU delirium. The post 700: Can melatonin prevent ICU delirium? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode699. In this episode, I ll discuss whether non-verbal ICU pain scales can indicate the severity of pain. The post 699: Can non-verbal ICU pain scales indicate the severity of pain? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode698. In this episode, I ll discuss whether tranexamic acid has a role in the treatment of aneurysmal subarachnoid hemorrhage. The post 698: Does Tranexamic Acid Have a Role In Aneurysmal Subarachnoid Hemorrhage? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode697. In this episode, I ll discuss the dosing of lipid rescue therapy for LAST vs enteral drug toxicity. The post 697: Lipid Rescue Dosing for LAST vs Enteral Drug Toxicity appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode696. In this episode, I ll discuss the suppression of antimicrobial susceptibility results. The post 696: Is your micro lab hiding susceptibility data from you? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode695. In this episode, I ll discuss why ketamine can sometimes cause post-induction hemodynamic instability when it is used for rapid sequence intubation. The post 695: Why does ketamine for RSI sometimes cause post-induction hemodynamic instability? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode694. In this episode, I ll discuss an article about which vasopressor is best in early traumatic brain injury patients. The post 694: What vasopressor is best to use in traumatic brain injury? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode693. In this episode, I ll discuss an article about using fondaparinux in critically ill patients with severe renal dysfunction. The post 693: Fondaparinux in critically ill patients with severe renal dysfunction appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode692. In this episode, I’ll discuss the use of vitamin C in critically ill patients. The post 692: Is the story for vitamin C in critically ill patients over? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode691. In this episode, I’ll discuss how obesity affects SC and IM medication administration. The post 691: How does obesity affect SC and IM medication administration? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode690. In this episode, I’ll discuss the incidence of torsades from low-dose ondansetron in peri-operative patients. The post 690: What is the incidence of torsades from low-dose ondansetron in peri-operative patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode689. In this episode, I’ll discuss what vasopressor to use in post-resuscitation shock. The post 689: What is the best vasopressor to use in post-resuscitation shock? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode688. In this episode, I’ll discuss the 4 categories of interventions to treat medication overdose and why antidote is not #1. The post 688: The 4 categories of interventions to treat medication overdose and why antidote is not #1 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode687. In this episode, I’ll discuss when is rabies immune globulin is indicated. The post 687: How to decide when to give rabies immune globulin? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode686. In this episode, I ll discuss an article about serious and general opioid-related adverse drug events. The post 686: What are the risks for serious and general opioid-related adverse drug events? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode685. In this episode, I’ll discuss an article about low-concentration peripheral norepinephrine infusion. The post 685: What is the feasibility of low-concentration peripheral norepinephrine infusion? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode684. In this episode, I’ll discuss an article about patiromer for hyperkalemia in hospitalized patients. The post 684: The hyperkalemia article we’ve all been waiting for appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode683. In this episode, I’ll discuss if phentolamine the only thing you can use for vasopressor extravasation. The post 683: Is phentolamine the only thing you can use for vasopressor extravasation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode682. In this episode, I’ll discuss what happens if you add fentanyl to ketamine+rocuronium for rapid sequence intubation? The post 682: What happens if you add fentanyl to ketamine+rocuronium for RSI? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode681. In this episode, I’ll discuss what if it is not the sedative class that causes delirium – just the depth of sedation? The post 681: What if it is not the sedative class that causes delirium – just the depth of sedation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode680. In this episode, I ll discuss what blood gas parameters can make you suspect methemoglobinemia. The post 680: What blood gas parameters can make you suspect methemoglobinemia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode679. In this episode, I’ll discuss the problem with hypo-osmolar solutions in neurological patients. The post 679: The problem with hypo-osmolar solutions in neurological patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode678. In this episode, I’ll discuss the rare case when a very hypotonic solution may be indicated. The post 678: The rare case when a very hypotonic solution may be indicated appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode677. In this episode, I’ll discuss the efficacy tradeoff when reducing apixaban dose in patients with end-stage renal disease. The post 677: Is there an efficacy tradeoff when reducing apixaban dose in patients with end-stage renal disease? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode676. In this episode, I ll discuss whether standard doses of apixaban are as effective as warfarin in severe obesity. The post 676: Are standard doses of apixaban as effective as warfarin in severe obesity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode675. In this episode, I’ll discuss how to judge whether a journal is reputable. The post 675: How to judge whether a journal is reputable? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode674. In this episode, I ll discuss why I think a recent study about 3 days of outpatient remdesivir is probably not going to catch on. The post 674: Why 3 days of outpatient remdesivir is probably not going to catch on appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode673. 673: Is this a better metric for antibiotic stewardship? The post 673: Is this a better metric for antibiotic stewardship? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode672. In this episode, I’ll discuss ketamine vs etomidate for RSI. The post 672: Is there finally a clinically relevant reason to choose ketamine over etomidate for RSI? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode671. In this episode, I’ll discuss what predicts critical care pharmacist intervention – patient acuity or medication regimen complexity? The post 671: What predicts critical care pharmacist intervention – patient acuity or medication regimen complexity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode670. In this episode, I’ll discuss how to answer a question like an experienced pharmacist, even if you’re brand new. The post 670: How to answer a question like an experienced pharmacist, even if you’re brand new appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode669. In this episode, I’ll discuss a recent article about vancomycin monitoring. The post 669: Is this the most important article on vancomycin ever published? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode668. In this episode, I’ll discuss whether oral valganciclovir is really as good as IV ganciclovir for the treatment of CMV infection. The post 668: Is oral valganciclovir really as good as IV ganciclovir for the treatment of CMV infection? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode667. In this episode, I’ll discuss the compatibility of nebulized formoterol with other common nebulized medications. The post 667: If Nebulized Formoterol is Compatible with Most Other Nebulized Medications, Why Are They Not Recommended To Be Mixed? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode666. In this episode, I’ll discuss what happens if you accidentally get rocuronium in your eye. The post 666: What happens if you accidentally get rocuronium in your eye? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode665. In this episode, I’ll discuss when using IV bicarb in the ICU is actually helpful. The post 665: When is using IV bicarb in the ICU actually helpful? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode664. In this episode, I ll discuss the effects of ED length of stay when using either midazolam+haloperidol or lorazepam+haloperidol for acute agitation. The post 664: Does the shorter duration of midazolam vs lorazepam persist when combined with haloperidol? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode663. In this episode, I’ll discuss the effects of morbid obesity on filgrastim pharmacokinetics. The post 663: What are the effects of morbid obesity on filgrastim pharmacokinetics? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode662. In this episode, I’ll discuss one hospital’s evolution of the U-500 insulin use process. The post 662: One hospital’s evolution of the U-500 insulin use process appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode661. In this episode, I’ll discuss new orders for fentanyl patches in the hospital setting. The post 661: Fentanyl Patch Safety in Hospitals appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode660. In this episode, I’ll discuss colchicine in patients admitted to hospital with COVID-19. The post 660: Does colchicine work in patients admitted to hospital with COVID-19? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode659. In this episode, I ll discuss the dose of dexamethasone for patients with COVID-19. The post 659: If 6 mg dexamethasone is good then why not 12? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode658. In this episode, I’ll discuss the risk factors for invasive candida infection in critically ill patients. The post 658: What are the risk factors for invasive candida infection in critically ill patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode657. In this episode, I’ll discuss the European Society of Intensive Care Medicine’s recommendations on using PCC in bleeding critically ill adults. The post 657: What is the current recommendation on using PCC in bleeding critically ill adults? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode656. In this episode, I’ll discuss why I think the journal Intensive Care Medicine is of high quality. The post Episode 656: The mark of a high-quality journal appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode655. In this episode, I’ll discuss 4 changes to vasopressor recommendations in the 2021 Sepsis Guidelines. The post 655: Four changes to vasopressor recommendations in the 2021 Sepsis Guidelines appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode654. In this episode, I’ll discuss the effects of oral chlorhexidine vs an oral care bundle on mortality for mechanically ventilated patients in the ICU. The post 654: Does oral chlorhexidine do anything (good or bad)? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode653. In this episode, I’ll discuss how 5 units of insulin works for hyperkalemia instead of 10. The post 653: How well does 5 units of insulin work for hyperkalemia instead of 10? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode652. In this episode, I’ll discuss which antibiotic should be given first in sepsis – the beta-lactam or the vancomycin? The post 652: Which should be given first – the beta-lactam or the vancomycin? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode651. In this episode, I’ll discuss the Sepsis-Induced Coagulopathy (SIC) Score. The post 651: What is the Sepsis-Induced Coagulopathy (SIC) Score? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode650. In this episode, I’ll discuss whether vasopressin should be started sooner rather than later in septic shock. The post 650: Should vasopressin be started sooner rather than later in septic shock? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode649. In this episode, I’ll discuss prehospital antibiotics for severe sepsis. The post 649: Do albumin infusions improve outcomes in hospitalized patients with decompensated cirrhosis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode648. In this episode, I’ll discuss prehospital antibiotics for severe sepsis. The post Episode 648: Prehospital antibiotics for severe sepsis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode647. In this episode, I’ll discuss whether patients taking beta-blockers require increased doses of epinephrine for anaphylaxis. The post 647: Do Patients Taking Beta-Blockers Require Increased Doses of Epinephrine for Anaphylaxis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode646. In this episode, I’ll discuss a possible syndrome that might herald vaccine-induced immune thrombotic thrombocytopenia. The post 646: Does vaccine-induced immune thrombotic thrombocytopenia have a pre-VITT syndrome ? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode645. In this episode, I’ll discuss the analgesic ceiling dose of ibuprofen in ED patients. The post 645: The analgesic ceiling dose of ibuprofen applies to ED patients too appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode644. In this episode, I’ll discuss whether epinephrine infusions are associated with worse mortality. The post 644: Are epinephrine infusions associated with worse mortality? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode643. In this episode, I ll discuss why I think ketamine and propofol don t belong in the same syringe. The post 643: Why Ketamine and Propofol Don t Belong in the Same Syringe appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode642. In this episode, I’ll discuss new data on intermediate-risk PE treatment. The post 642: New data on intermediate-risk PE treatment appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode641. In this episode, I ll discuss how pharmacists can improve their working relationships with physicians and nurses. The post 641: How Pharmacists Can Improve Their Working Relationships With Physicians (and Nurses) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode640. In this episode, I’ll discuss why glucocorticoids have no role in reversing the acute symptoms of anaphylaxis. The post 640: Why Glucocorticoids Have No Role Reversing the Acute Symptoms of Anaphylaxis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode639. In this episode, I’ll discuss the optimal timing of remdesivir initiation in hospitalized COVID-19 patients administered with dexamethasone. The post 639: What is the optimal timing of remdesivir initiation in hospitalized COVID-19 patients administered with dexamethasone? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode638. In this episode, I’ll discuss the fastest way to sedate an aggressive or violent patient in the ED. The post 638: What is the fastest way to sedate an aggressive or violent patient in the ED? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode637. In this episode, I’ll discuss checking DOAC activity before reversal agent administration. The post 637: Another way to check DOAC activity besides heparin anti-Xa levels appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode636. In this episode, I’ll discuss why glucagon is not recommended in the calcium channel blocker poisoning guidelines. The post 636: Why is glucagon not recommended in the calcium channel blocker poisoning guidelines? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode635. In this episode, I ll discuss prehospital tranexamic acid (TXA) for trauma patients. The post 635: How Well Does Prehospital Tranexamic Acid (TXA) Work for Trauma? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode634. In this episode, I ll discuss milrinone vs dobutamine for cardiogenic shock. The post 634: Which is better for cardiogenic shock milrinone or dobutamine? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode633. In this episode, I’ll discuss how rifampin affects hydromorphone levels. The post 633: How much does rifampin affect hydromorphone levels? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode632. In this episode, I ll discuss how correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely. The post 632: Correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode631. In this episode, I’ll discuss whether kinetic GFR equations can be used in patients with shock. The post 631: Can Kinetic Glomerular Filtration Rate Equations Be Used in Patients With Shock? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode630. In this episode, I ll discuss when to use a cold or warm compress to treat extravasation. The post 630: Should hot or cold compresses be used to treat extravasation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode629. In this episode, I’ll discuss which beta-blockers should be dialyzed to treat toxicity. The post 629: Which beta-blockers should be dialyzed to treat toxicity? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode628. In this episode, I ll discuss how fluid overload affects the pharmacokinetics of extended infusion meropenem in critically ill patients with sepsis. The post 628: Does fluid overload affect the pharmacokinetics of extended infusion meropenem in critically ill patients with sepsis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode627. In this episode, I ll review the 2021 Top 100 Drug Interaction Handbook. The post 627: Top 100 Drug Interactions Book Review 2021 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode626. In this episode, I ll discuss a recent trial of nebulized ketamine for analgesia in the ED. The post 626: What is the minimum effective dose of nebulized ketamine for analgesia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode625. In this episode, I ll discuss the recent updates to the IDSA and ACG C diff guidelines. The post 625: Something Stinks with These Two New C Diff Guidelines appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode624. In this episode, I ll discuss the importance of external validation. The post 624: The importance of external validation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode623. In this episode, I ll discuss the connection (or lack thereof) between respiratory drive and sedation depth. . The post 623: The connection between respiratory drive and sedation depth might not be what we thought it was… appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode622. In this episode, I ll discuss early dexmedetomidine use and body temperature elevation. . The post 622: Early dexmedetomidine use and body temperature elevation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode621. In this episode, I ll discuss whether subcutaneous VTE prophylaxis should be given during therapeutic hypothermia. . The post 621: Should subcutaneous VTE prophylaxis be given during therapeutic hypothermia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode620. In this episode, I ll discuss whether 3 days of beta-lactam use is enough to treat CAP in non-ICU hospitalized patients. . The post 620: Is 3 days of beta-lactam use enough to treat CAP in non-ICU hospitalized patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode619. In this episode, I ll discuss the management of antiretrovirals in critically ill patients. . The post 619: Management of Antiretrovirals in Critically Ill Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode618. . In this episode, I ll discuss whether resistance against 1 antipseudomonal beta lactam means the others can’t be used. The post 618: Does resistance against 1 antipseudomonal beta lactam mean the others can’t be used? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode617. . In this episode, I ll discuss when prophylactic anticoagulation, is not prophylactic anticoagulation. The post 617: When is Prophylactic Anticoagulation, Not Prophylactic Anticoagulation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode616. . In this episode, I ll discuss whether it is ever appropriate for a patient to be on oral and IV vancomycin. The post 616: Is it ever appropriate for a patient to be on oral and IV vancomycin? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode615 . In this episode, I ll discuss aspirin for VTE prophylaxis in orthopedic surgery. The post 615: Does aspirin work for VTE prophylaxis in orthopedic surgery? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode614 . In this episode, I ll discuss which works better for agitation in the ED droperidol, ziprasidone, or lorazepam? The post 614: Which works better for agitation in the ED Droperidol, Ziprasidone, or Lorazepam? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode613 . In this episode, I ll discuss using Andexanet Alfa vs Prothrombin Complex Concentrate for factor Xa inhibitor reversal in acute major bleeding. The post 613: Andexanet Alfa vs Prothrombin Complex Concentrate for Factor Xa Inhibitor Reversal in Acute Major Bleeding appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode612 . In this episode, I ll discuss the dose of insulin to use when treating hyperkalemia. The post 612: Does less than 10 units of insulin for hyperkalemia work as good as giving 10 units? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode611 . In this episode, I ll discuss what phenotype of patients are most affected by delays in antibiotic therapy. The post 611: How well does Bayesian Vancomycin Monitoring Work in the Critically Ill? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode610 . In this episode, I ll discuss what phenotype of patients are most affected by delays in antibiotic therapy. The post 610: What subphenotype of patients are most affected by delays in antibiotic therapy? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode609 . In this episode, I ll discuss whether remdesivir can be used in patients with COVID-19 and Myasthenia Gravis. The post 609: Can remdesivir be used in patients with COVID-19 and Myasthenia Gravis? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode608 . In this episode, I ll discuss Low dose versus standard dose four-factor prothrombin complex concentrate for factor Xa inhibitor reversal in spontaneous and traumatic intracranial hemorrhage. The post 608: Low dose versus standard dose four factor prothrombin complex concentrate for factor Xa inhibitor reversal in spontaneous and traumatic intracranial hemorrhage appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode607 . In this episode, I ll discuss the unwarranted continuation of antipsychotics after ICU and hospital discharge. The post 607: Don’t let the antipsychotics out of the ICU! appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode606 . In this episode, I ll discuss the bioavailability of methadone. The post 606: What is the conversion of oral methadone to IV? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode605 . In this episode, I ll discuss the protamine shortage. The post 605: Protamine Shortage Options appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode604 . In this episode, I ll discuss why warfarin needs overlap with another anticoagulant when treating VTE. The post 604: Why does warfarin need overlap with another anticoagulant when treating VTE? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode603 . In this episode, I ll discuss the incidence of anaphylaxis to sugammadex. The post 603: What is the incidence of anaphylaxis to sugammadex? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode602 . In this episode, I ll discuss whether using haloperidol for ICU delirium reduces mortality. The post 602: Does using haloperidol for ICU delirium reduce mortality? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode601 . In this episode, I ll discuss the prediction of hypotension from propofol when used as an ICU sedative. The post 601: Can hypotension from propofol be predicted? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode600 . In this episode, I ll discuss the mechanism of interaction between ACE inhibitors and angiotension II. The post 600: What is the mechanism of interaction between ACE inhibitors and angiotension II? appeared first on Pharmacy Joe.
Show note at pharmacyjoe.com/episode599 . In this episode, I ll discuss an article that compares mortality in COVID-19 patients who received enoxaparin vs those who received unfractionated heparin. Evidence linked at pharmacyjoe.com/episode599. The post 599: Enoxaparin is associated with lower rates of mortality than unfractionated Heparin in hospitalized COVID-19 patients appeared first on Pharmacy Joe.
In this episode, I ll discuss a review article that identifies the most significant rifamycin-opioid interactions. Evidence linked at pharmacyjoe.com/episode598. The post Episode 598: What rifamycin-opioid interactions are most significant? appeared first on Pharmacy Joe.
In this episode, I ll discuss an article about hypotension from ketamine for rapid sequence intubation. Evidence linked at pharmacyjoe.com/episode597. The post 597: Hypotension from ketamine for rapid sequence intubation appeared first on Pharmacy Joe.
In this episode, I ll discuss an article about TOF monitoring vs clinical assessment only in ARDS patients on NMBAs. Evidence linked at pharmacyjoe.com/episode596. The post 596: Do all patients who receive NMBAs for ARDS require TOF monitoring? appeared first on Pharmacy Joe.
In this episode, I ll discuss the optimal sedation strategy in patients with ARDS who receive NMBAs. Evidence linked at pharmacyjoe.com/episode595. The post 595: What is the optimal sedation strategy in patients with ARDS who receive NMBAs? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode594. In this episode, I ll discuss whether the sugammadex-contraceptive interaction is being adequately considered in practice. The post 594: Is the sugammadex-contraceptive interaction adequately being considered? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode593. In this episode, I ll discuss whether diuretics are safe to reduce fluid balance in critically ill patients. The post 593: Are diuretics safe to reduce fluid balance in critically ill patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode592. In this episode, I ll discuss 5 steps an ED or ICU pharmacist can take to prevent awareness with paralysis. The post 592: 5 Steps an ED or ICU pharmacist can take to prevent awareness with paralysis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode591. In this episode, I ll discuss recent expert recommendations regarding the use of dialysis to treat isoniazid poisoning. The post 591: The problem with using dialysis to treat isoniazid toxicity appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode590. In this episode, I ll play an excerpt from one of my Hospital Pharmacy Academy trainings on using the Seagull Sign to identify a patient at risk of clinical deterioration. The post Episode 590: The Seagull Sign to identify patients in shock appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode589. In this episode, I’ll discuss the latest trial on vitamin C, thiamine, and hydrocortisone for sepsis. The post 589: Triple disappointment in the latest vitamin C, thiamine, and hydrocortisone for sepsis trial appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode588. In this episode, I’ll discuss bacterial density as a therapeutic indicator for ventilator-associated tracheobronchitis due to pseudomonas. The post 588: Bacterial density as a therapeutic indicator for ventilator-associated tracheobronchitis due to pseudomonas? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode587. In this episode, I ll discuss the effects of haloperidol and clonidine on the resolution of delirium in critically ill patients. The post 587: What are the effects of haloperidol and clonidine on resolution of delirium in critically ill patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode586. In this episode, I’ll discuss the CDC Recommendations if a patient develops COVID-19 before receiving the 2nd vaccine dose. The post 586: CDC Recommendations if a patient develops COVID-19 before 2nd vaccine dose appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode585. In this episode, I’ll discuss whether tranexamic acid reduces the need for nasal packing in epistaxis. The post 585: Does Tranexamic Acid Reduce the Need for Nasal Packing in Epistaxis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode584. In this episode, I’ll discuss whether a nasal MRSA screen is useful for choosing antibiotics in critically ill patients with an intraabdominal infection. The post 584: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode583. In this episode, I’ll discuss the first update to the Surviving Sepsis Campaign Guidelines on the Management of Adults With Coronavirus Disease 2019 (COVID-19) in the ICU. The post 583: The first update to the SCCM Guidelines on the Management of Adults With COVID-19 in the ICU appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode582. In this episode, I’ll discuss why hypokalemia can result from digoxin immune fab fragment administration. The post 582: Why hypokalemia can result from digoxin immune fab fragment administration appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode581. In this episode, I’ll discuss a case of antidepressant discontinuation syndrome in the ICU. The post 581: How common is paralysis with awareness in the ICU? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode580. In this episode, I’ll discuss awareness with paralysis in the ICU. The post 580: How common is paralysis with awareness in the ICU? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode579. In this episode, I ll discuss 3 Alternative routes of administration for dexmedetomidine. The post 579: Three Alternative routes of administration for dexmedetomidine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode578. In this episode, I’ll discuss the frequency of awareness with paralysis in the ED. The post 578: How common is awareness with paralysis in the ED after RSI? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode577. In this episode, I ll compare succinylcholine vs rocuronium with magnesium pretreatment. The post 577: Succinylcholine vs rocuronium with magnesium pretreatment appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode576. In this episode, I’ll discuss predicting the success of dexmedetomidine as a sedative. The post 576: Predicting Success of Dexmedetomidine as a Sedative appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode575. In this episode, I’ll discuss novel dosage forms that should not be crushed but look like they can be. The post 575: Novel dosage forms that should not be crushed (but look like they can be) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode574. In this episode, I ll discuss the 4 factors that predict agitation in lightly sedated ventilated patients. The post 574: The 4 factors that predict agitation in lightly sedated ventilated patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode573. In this episode, I’ll discuss the ceiling dose of ketorolac for renal colic in the ED. The post 573: Ceiling dose of ketorolac for renal colic in the ED appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode572. In this episode, I’ll discuss whether meropenem could theoretically work as an antidote for medications metabolized by UGT. The post 572: Could meropenem work as an antidote for medications metabolized by UGT? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode571. In this episode, I’ll discuss two doses of ketamine for analgesia in the ED. The post 571: How low can the dose of ketamine for analgesia in the ED go? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode570. In this episode, I ll discuss the possibility of euglycemic DKA occurring after stopping canagliflozin. The post 570: Euglycemic Diabetic Ketoacidosis After Stopping Canagliflozin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode569. In this episode, I’ll discuss the evidence for gastrointestinal cation exchangers other than sodium polystyrene sulfate in acute hyperkalemia. The post 569: Evidence for gastrointestinal cation exchangers other than sodium polystyrene sulfate in acute hyperkalemia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode568. In this episode, I’ll discuss whether balanced crystalloid therapy could lead to faster resolution of DKA than normal saline. The post 568: Could balanced crystalloid therapy lead to faster resolution of DKA than normal saline? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode567. In this episode, I’ll discuss the recent consensus statement published in CHEST on the Treatment of Community-Acquired Pneumonia in immunocompromised patients. The post 567: Treatment of Community-Acquired Pneumonia in immunocompromised patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode566. In this episode, I’ll discuss the available safety and efficacy data of Pfizer’s Covid-19 vaccine. The post 566: Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode565. In this episode, I’ll discuss the available safety and efficacy data of Pfizer’s Covid-19 vaccine. The post 565: Available Safety and Efficacy Data of the BNT162b2 mRNA Covid-19 Vaccine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode564. In this episode, I’ll discuss the danger of intubation in the setting of salicylate toxicity. The post 564: The Danger of Intubation in the Setting of Salicylate Toxicity appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode563. In this episode, I’ll discuss how to predict hypotension from dexmedetomidine. The post 563: Can hypotension from dexmedetomidine be predicted? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode562. In this episode, I’ll discuss how racemic epinephrine via nebulization is thought to help treat stridor. The post 562: How does racemic epinephrine via nebulization help treat stridor? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode561. In this episode, I’ll discuss the use of rivaroxaban in patients with atrial fibrillation and a bioprosthetic mitral valve. The post 561: Rivaroxaban, mitral valves, and atrial fibrillation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode560. In this episode, I’ll discuss whether apixaban’s loading dose duration should ever be shortened. The post 560: Should apixaban’s loading dose duration ever be shortened? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode559. In this episode, I’ll discuss how to prevent unnecessary vancomycin use if your ICU draws routine admission blood cultures. The post 559: How to prevent unnecessary vancomycin use if your ICU draws routine admission blood cultures appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode558. In this episode, I’ll discuss the use of haloperidol vs ondansetron for Cannabis Hyperemesis Syndrome. The post 558: Which is better for Cannabis Hyperemesis Syndrome – haloperidol or ondansetron? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode557. In this episode, I’ll discuss the use of droperidol for acute agitation in the ED. The post Episode 557: Droperidol for Acute Agitation – A Comeback Story? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode556. In this episode, I’ll discuss the treatment of norepinephrine extravasation. The post 556: Treatment of norepinephrine extravasation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode555. In this episode, I ll discuss stress ulcer prophylaxis recommendations from the AHA s recent statement on Prevention of Complications in the Cardiac Intensive Care Unit. The post 555: Does this count as updated stress ulcer prophylaxis guidelines? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode554. In this episode, I ll discuss a yet-to-be-published study of chlorhexidine for oral hygiene in ICU patients. The post 554: The Chlorhexidine Oral Hygiene Study that Could Change ICU Practice appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode553. In this episode, I ll discuss a study of the treatment of dyspepsia in patients who present to the emergency department. The post 553: Will this finally be the end of the “GI Cocktail”? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode552. In this episode, I ll discuss why remdesivir is not indicated in patients with an eGFR below 30 mL/min. The post 552: Why is remdesivir not indicated in patients with an eGFR below 30 mL/min? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode551. In this episode, I ll discuss a clinical prediction model for augmented renal clearance in adult mixed critically ill patients. The post 551: A Clinical Prediction Model for Augmented Renal Clearance in Adult Mixed Critically Ill Patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode550. In this episode, I ll discuss a recent trial on surgery vs antibiotics for appendicitis. The post 550: Surgery vs Antibiotics for Appendicitis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode549. In this episode, I ll discuss what medications should be stocked on a malignant hyperthermia cart. The post 549: What medications should be stocked on a malignant hyperthermia cart? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode548. In this episode, I ll discuss why the quadrivalent meningococcal vaccine was used as a control for a COVID-19 vaccine. The post 548: Why was the quadrivalent meningococcal vaccine used as a control for a COVID-19 vaccine? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode547. In this episode, I ll discuss how to predict the pharmacotherapy needs of your patient and team during an inpatient medical emergency. The post 547: How to predict the pharmacotherapy needs of your patient and team during an inpatient medical emergency appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode546. In this episode, I ll discuss how top-performing resuscitation teams are more likely to include pharmacists. The post 546: Top performing resuscitation teams are more likely to include pharmacists appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode545. In this episode, I ll discuss how aggressively extremely high blood pressure should be managed in patients with ICH. The post 545: How aggressively should extremely high blood pressure be managed in patients with ICH? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode544. In this episode, I ll discuss the pharmacist s role in predicting the need for intubation. The post 544: Predicting the need for intubation: A pharmacist s role appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode543. In this episode, I ll discuss the risk factors for not attaining target beta-lactam levels in ICU patients The post 543: What are the risk factors for not attaining target beta-lactam levels in ICU patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode542. In this episode, I ll discuss opportunities for antibiotic stewardship before hospital discharge. The post 542: Antibiotic Stewardship Before Discharge? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode541. In this episode, I ll discuss 3 reasons to consider holding lithium in critically ill patients. The post 541: 3 reasons to consider holding lithium in critically ill patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode540. In this episode, I ll discuss a tip for taking care of patients with a rare disease. The post 540: A tip for taking care of patients with a rare disease appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode539. In this episode, I ll discuss the first randomized controlled trial of midodrine for weaning vasopressors. The post 539: Midodrine s first RCT for weaning vasopressors appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode538. In this episode, I ll discuss lab interference from the supplement biotin. The post 538: What ED-focused lab tests does Biotin interfere with? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode537. In this episode, I ll discuss expectations for the onset of action of IM medications used for acute agitation. The post 537: Expectations for the onset of action of IM medications used for acute agitation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode536. In this episode, I ll discuss using heparin anti-Xa levels to evaluate apixaban, rivaroxaban, fondaparinux, and danaparoid levels. The post 536: Using Heparin Anti-Xa Levels to Evaluate Apixaban, Rivaroxaban, Fondaparinux, or Danaparoid Levels appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode535. In this episode, I ll discuss the use of tetanus immune globulin. The post 535: Tetanus immune globulin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode534. In this episode, I ll discuss three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome. The post 534: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode533. In this episode, I ll discuss three tips for inpatient medical emergencies. The post 533: Three tips for inpatient medical emergencies appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode532. In this episode, I ll discuss a cost-avoidance study of a redistribution process to reduce waste of emergency medications in drug boxes. The post 532: Savings realized by the redistribution of short-dated emergency medications appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode531. In this episode, I ll discuss the role for ketamine in status epilepticus. The post 531: What is the role for ketamine in refractory status epilepticus? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode1. In this episode, I ll discuss how pharmacists improve patient outcomes when they are part of the cardiopulmonary response team. The post 530: Pharmacist code response encore episode 1 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode529. In this episode, I ll discuss the dose of IV levothyroxine used for myxedema coma. The post 529: What dose of IV levothyroxine is used for myxedema coma? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode528. In this episode, I ll discuss the dose of inhaled tranexamic acid used for nonmassive hemoptysis. The post 528: What dose of inhaled tranexamic acid is used for nonmassive hemoptysis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode527. In this episode, I ll discuss the duration of DOAC interference with heparin anti-Xa levels. The post 527: Duration of DOAC interference with heparin anti-Xa levels appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode526. In this episode, I ll discuss an injection technique for lidocaine that reduces pain. The post 526: Lidocaine technique to reduce injection pain appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode525. In this episode, I ll discuss the incidence of hypotension for etomidate vs ketamine during rapid sequence intubation. The post 525: Does ketamine for RSI really have a lower risk of hypotension? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode524. In this episode, I ll discuss Bayesian dosing. The post 524: What is Bayesian dosing? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode523. In this episode, I ll discuss why the vancomycin guidelines made the switch to AUC/MIC based dosing. The post 523: Why did the vancomycin guidelines make the switch to AUC/MIC based dosing? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode522. In this episode, I ll discuss alternatives to ampicillin for empiric listeria coverage. The post 522: Alternatives to ampicillin for empiric listeria coverage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode521. In this episode, I ll discuss a case of drug-induced liver injury in a COVID-19 patient taking remdesivir and a PGP inhibitor. The post 521: Drug-induced liver injury in a COVID-19 patient – a remdesivir and PGP inhibitor interaction? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode520. In this episode, I ll discuss whether immediate vs early antibiotic administration improves outcomes in severe sepsis. The post 520: Does immediate vs early antibiotic administration improve outcomes in severe sepsis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode519. In this episode, I ll discuss new compatibility information for IV hydrocortisone infusions. The post 519: Additional compatibility information for IV hydrocortisone infusions appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode518. In this episode, I ll discuss lactic acidosis from epinephrine. The post 518: Lactic acidosis from epinephrine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode517. In this episode, I ll discuss 10 tips for providing effective feedback to PGY-1 residents. The post 517: 10 Tips for providing effective feedback to PGY-1 residents appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode516. In this episode, I ll discuss giving lactated ringer’s solution to a patient with elevated lactate. The post 516: Can you give lactated ringer s solution to a patient with elevated lactate? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode515. In this episode, I ll discuss an article about IV push piperacillin-tazobactam. The post 515: IV Push Piperacillin/Tazobactam appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode514. In this episode, I ll discuss mannitol extravasation. The post 514: Mannitol Extravasation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode513. In this episode, I ll discuss an article about hydroxychloroquine for prophylaxis after high-risk Covid-19 exposure. The post 513: Does hydroxychloroquine work for prophylaxis after high-risk Covid-19 exposure? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode512. In this episode, I ll discuss the use of sugammadex in myasthenia gravis patients undergoing thymectomy. The post 512: Can sugammadex reduce postoperative myasthenic crisis in myasthenia gravis patients undergoing surgery? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode511. In this episode, I ll discuss the Chest authors’ guidelines on the prevention, diagnosis, and treatment of venous thromboembolism in patients with COVID-19. The post 511: Treatment and Prevention Highlights from the Chest Guidelines on VTE in patients with COVID-19 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode510. In this episode, I ll discuss high-dose insulin euglycemic therapy in the treatment of a patient with massive caffeine overdose. The post Episode 510: High-Dose Insulin Euglycemic Therapy in the Treatment of a Massive Caffeine Overdose appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode509. In this episode, I ll the two scenarios where asymptomatic bacteriuria (ASB) is treated with antibiotics in adult patients. The post 509: Two scenarios where asymptomatic bacteriuria is treated in adult patients without symptoms appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode508. In this episode, I ll discuss whether a pacemaker or implanted cardiac defibrillator (ICD) protects from medication-induced torsades. The post 508: Does a pacemaker or implanted cardiac defibrillator protect from medication-induced torsades? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode507. In this episode, I ll discuss why you can t use the Naranjo algorithm in the setting of drug overdose. The post 507: Why can’t you use the Naranjo algorithm in the setting of drug overdose? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode506. In this episode, I ll discuss the pharmacist’s role if malignant hyperthermia is suspected outside of the operating room. The post 506: The pharmacist’s role if malignant hyperthermia is suspected outside of the operating room appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode505. In this episode, I ll discuss a new observation study on hydroxychloroquine and Covid-19. The post 505: New observational data on hydroxychloroquine and Covid-19 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode504. In this episode, I ll discuss whether the dose of enoxaparin for VTE prophylaxis can be reduced in low weight patients. The post 504: Can the dose of enoxaparin for VTE prophylaxis be reduced in low weight patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode503. In this episode, I ll discuss an article about IVP antibiotic safety. The post 503: Safety of IV push antibiotics appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode502. In this episode, I’ll discuss macrolides vs. fluroquinolones for legionella pneumonia. The post Episode 502: Azithromycin vs. levofloxacin for legionella pneumonia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode501. In this episode, I ll discuss the remdesivir emergency use prescribing information as it pertains to adult patients. The post 501: Highlights of the remdesivir emergency use prescribing information appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode500. In this episode, I’ll discuss the recent reports by the NIH and Gilead on the efficacy of remdesivir. The post 500: Is this Tamiflu 2.0? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode499. In this episode, I ll discuss an article about using prothrombin complex concentrates for the treatment of factor Xa inhibitor-related intracranial hemorrhage. The post 499: What is the Clinical Effectiveness of PCC in Factor Xa Inhibitor-Related Intracranial Hemorrhage? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode498. In this episode, I’ll discuss the new NIH guidelines on therapeutic options for COVID-19. The post 498: NIH Guidelines on Therapeutic Options for COVID-19 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode497. In this episode, I’ll discuss whether the Tisdale Risk Score can be used to identify ICU patients at risk of QTc prolongation. The post 497: Can the Tisdale Risk Score be used to identify ICU patients at risk of QTc prolongation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode496. In this episode, I’ll discuss whether alteplase can be used to treat COVID-19 patients with thrombotic disseminated intravascular coagulation. The post 496: Can alteplase be used to treat COVID-19 patients with thrombotic disseminated intravascular coagulation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode495. In this episode, I ll discuss advice given by AHA and ACC Presidents on QTc interaction between hydroxychloroquine and azithromycin. The post 495: AHA and ACC Presidents offer advice on QTc interaction between hydroxychloroquine and azithromycin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode494. In this episode, I’ll discuss what to use for acute asthma exacerbation if you run out of MDIs and can’t use nebulizers. The post 494: What to use for acute asthma exacerbation if you run out of MDIs? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode493. In this episode, I’ll discuss whether hydromorphone can be used as a continuous infusion in place of fentanyl for ICU patients on a ventilator. The post 493: Can hydromorphone infusion be used in ventilated ICU patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode492. In this episode, I’ll discuss the CDC Guideline for Disinfection and Sterilization in Healthcare Facilities and how it may pertain to unused and unopened medications that have been in COVID-19 patient rooms. The post 492: Do unused and unopened medications that have been in COVID-19 patient rooms need to be discarded? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode491. In this episode, I’ll discuss pharmacy-related COVID-19 updates. The post 491: Pharmacy-related COVID-19 updates appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode490. In this episode, I’ll discuss the discontinuation order of vasopressors. The post 490: Which vasopressor should be discontinued first? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode489. In this episode, I ll discuss pharmacy-related recommendations from the surviving sepsis COVID-19 critical care guidelines. The post 489: Pharmacy-related recommendations from the surviving sepsis COVID-19 critical care guidelines appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode488. In this episode, I ll discuss evaluating the unknown QTc/torsades risk of hydroxychloroquine and azithromycin. The post 488: Evaluating the unknown QTc/torsades risk of hydroxychloroquine and azithromycin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode487. In this episode, I ll discuss the difference between DKA and HHS. The post 487: What is the difference between DKA and HHS? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode486. In this episode, I ll discuss medications that have in vitro but otherwise unproven activity against COVID-19. The post 486: Medications that have in vitro but otherwise unproven activity against COVID-19 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode485. In this episode, I ll discuss whether etomidate can be given as a continuous infusion. The post 485: Can etomidate be given as a continuous infusion? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode484. In this episode, I ll discuss a recent discussion hosted by 2 editors of NEJM on treating Covid-19. The post 484: Top takeways for hospital pharmacists from the NEJM editors discussion on treating Covid-19 appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode483. In this episode I ll discuss a pilot study of protocolized diuresis for deresusciation of septic patients. The post 483: Protocolized diuresis for deresuscitation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode482. In this episode, I ll discuss an article about starting norepinephrine before fluid resuscitation is complete in septic shock. The post 482: Should norepinephrine be started before fluid resuscitation is complete? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode481. In this episode, I’ll discuss tips for implementing a PGY-1 rotation experience. The post 481: 10 tips for implementing a PGY-1 rotation experience appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode480. In this episode, I ll discuss an article about the effects of epinephrine infusion on survival in critically ill patients. The post 480: The effects of epinephrine infusion on survival in critically ill patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode479. In this episode I ll, discuss whether patients with antibiotic-impregnated bone cement should receive therapeutic drug monitoring. The post 479: Should patients with antibiotic-impregnated bone cement receive therapeutic drug monitoring? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode478. In this episode I ll, discuss an article about using buprenorphine as an antidote in methadone overdose. The post 478: Buprenorphine as an antidote in methadone overdose appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode477. In this episode, I ll discuss cefazolin underdosing and the risk of surgical site infection. The post 477: Underdosing cefazolin prophylaxis results in higher ortho infection rates appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode476. In this episode, I ll discuss dealing with and preventing negative interactions with other professionals. The post 476: Dealing with and preventing negative interactions with other professionals appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode475. In this episode, I ll discuss whether D-dimer results can be improved by adjusting cutoffs for renal dysfunction. The post 475: Can D-dimer results be improved by adjusting cutoffs for renal dysfunction? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode474. In this episode, I ll discuss a long-awaited randomized, controlled trial of vitamin C, thiamine, an hydrocortisone in sepsis. The post 474: Effect of Vitamin C, Hydrocortisone, and Thiamine vs Hydrocortisone Alone on Time Alive and Free of Vasopressor Support Among Patients With Septic Shock appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode473. In this episode, I ll discuss the discrepancy between the labeled dose and the analgesic ceiling dose of IV ketorolac. The post 473: The discrepancy between the labeled dose and the analgesic ceiling dose of IV ketorolac appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode472. In this episode, I ll discuss an article about using piperacillin-tazobactam for the treatment of ESBL pyelonephritis. The post 472: Is Piperacillin-Tazobactam Effective for the Treatment of Pyelonephritis Caused by ESBL Producing Organisms? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode471. In this episode, I ll discuss whether to use actual, ideal, or adjusted body weight when dosing gentamicin in pregnant patients. The post 471: What dosing weight is used for gentamicin in pregnant patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode470. In this episode, I’ll discuss whether patiromer can be used for acute hyperkalemia. The post 470: Can patiromer be used for acute hyperkalemia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode469. In this episode, I’ll discuss why dexamethasone is given for acute headache in the ED. The post Episode 469: Why is dexamethasone given for acute headache in the ED? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode468. In this episode, I ll discuss an article about relative hypoglycemia in the ICU. The post Episode 468: Relative Hypoglycemia in Diabetic Patients With Critical Illness appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode467. In this episode, I ll discuss why vaccines shouldn’t be given in the 14 days immediately post-splenectomy. The post 467: Why shouldn’t vaccines be given in the 14 days immediately post-splenectomy? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode466. In this episode, I ll discuss 6 ways to develop a clinical pharmacist s mindset. The post 466: The Mindset of a Clinical Pharmacist appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode465. In this episode, I ll discuss the use of alteplase for suspected Impella device thrombosis The post 465: Use of Alteplase for Suspected Impella Device Thrombosis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode464. In this episode, I ll discuss persistent MRSA bacteremia after vancomycin therapy. The post 464: Persistent MRSA bacteremia after vancomycin therapy appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode463. In this episode, I ll discuss whether levetiracetam, fosphenytoin, or valproate is better for status epilepticus unresponsive to benzodiazepines. The post 463: Which anticonvulsant is better for status epilepticus unresponsive to benzodiazepines? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode462. In this episode, I ll discuss an article about using thrombolysis during resuscitation for out-of-hospital cardiac arrest caused by pulmonary embolism. The post 462: Thrombolytics for out of hospital cardiac arrest appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode461. In this episode, I’ll discuss why beta-blockers should be tapered before clonidine. The post 461: Why should beta-blockers be tapered before clonidine? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode460. In this episode, I ll discuss cefazolin and ertapenem combination therapy for refractory MSSA bacteremia. The post 460: Cefazolin and ertapenem combination therapy for refractory MSSA bacteremia appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode459. In this episode, I ll discuss why IV phenytoin cannot be diluted lower than 5 mg/mL. The post 459: Why can IV phenytoin not be diluted lower than 5 mg/mL? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode458. In this episode, I ll discuss whether adult critically ill patients benefit from inline filters. The post 458: Do adult critically ill patients benefit from inline filters? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode457. In this episode, I ll discuss adjunctive cholestyramine therapy for thyroid storm. The post 457: Adjunctive cholestyramine therapy for thyroid storm appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode456. In this episode, I ll discuss whether results from trials that were stopped early are trustworthy. The post 456: Can you still use study results if the trial was stopped early? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode455. In this episode, I ll discuss the loading dose of dexamethasone for vasogenic edema. The post 455: What is the loading dose of dexamethasone for vasogenic cerebral edema? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode454. In this episode, I ll discuss an article comparing respiratory events with sugammadex vs neostigmine. The post 454: Fewer respiratory events with sugammadex vs neostigmine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode453. In this episode, I’ll discuss the use of ketamine in status asthmaticus. The post Episode 453: Ketamine in status asthmaticus appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode452. In this episode, I ll discuss an article comparing different methods of administering adenosine. The post Episode 452: What is the best way to administer adenosine? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode451. In this episode, I ll discuss using higher than normal doses of naloxone for opioid overdose. The post 451: Should higher than normal doses of naloxone be considered for opioid overdose? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode450. In this episode, I ll discuss why the new CAP guidelines do not recommend treating most cases of suspected aspiration pneumonia with broadening antibiotic therapy. The post 450: Does aspiration pneumonia require different antibiotics than community acquired pneumonia? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode449. In this episode, I ll discuss the most exciting part about the new Community Acquired Pneumonia guidelines! The post 449: The most exciting part about the new Community Acquired Pneumonia guidelines! appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode448. In this episode, I ll discuss the use of rabies immune globulin. The post 448: Rabies immune globulin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode447. In this episode, I’ll discuss whether dexmedetomidine prolongs the QTc interval. The post 447: Does dexmedetomidine prolong the QTc interval? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode446. In this episode, I ll discuss how well a negative nasal MRSA screen rules out infection with MRSA. The post 446: How well does a negative nasal MRSA screen rule out infection with MRSA? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode445. In this episode, I ll discuss whether N-acetylcysteine can be used in non-acetaminophen-induced acute liver failure. The post Episode 445: Can N-acetylcysteine be used in non-acetaminophen-induced acute liver failure? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode444. In this episode, I ll discuss an article about desmopressin effectiveness and safety in patients with antiplatelet-associated intracranial hemorrhage. The post 444: Desmopressin (DDAVP) in patients with antiplatelet-associated intracranial hemorrhage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode443. In this episode, I’ll discuss what dose of steroids can prevent post-extubation stridor. The post 443: What dose of steroids can prevent post-extubation stridor? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode442. In this episode, I ll discuss whether recent laxative use should preclude testing for C diff. The post 442: Should recent laxative use preclude testing for C diff? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode441. In this episode, I’ll discuss a tip to predict pharmacotherapy needs in rapid response or emergent situations. The post 441: A tip to predict pharmacotherapy needs in rapid response or emergent situations appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode440. In this episode, I’ll discuss the intraosseous route in critically ill adults. The post 440: The intraosseous (IO) route in critically ill adults appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode439. In this episode, I ll discuss the most common triggers for a rapid response call. The post 439: What are the most common triggers for a rapid response call? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode438. In this episode, I ll discuss whether DOACs ever require bridging. The post Episode 438: Do DOACs ever require bridging? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode437. In this episode, I ll discuss whether oral vancomycin use for C diff increases the risk of VRE. The post 437: Does oral vancomycin use for C diff increase the risk of VRE? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode436. In this episode, I ll discuss an article about rebound hypertension from dexmedetomidine. The post 436: A closer look at rebound hypertension from dexmedetomidine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode435. In this episode, I ll discuss what antibiotic to use in a patient with severe appendicitis and severe penicillin allergy. The post 435: What antibiotics for severe appendicitis and severe penicillin allergy? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode434. In this episode, I ll discuss the types and causes of drug-induced liver injury. The post 434: Drug-induced liver injury appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode433. In this episode, I ll discuss how often midodrine use continues after a patient leaves the ICU. The post 433: How often does midodrine use continue after a patient leaves the ICU? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode432. In this episode, I ll discuss how long patients need to be monitored in the ICU after receiving alteplase for acute ischemic stroke. The post 432: How long do patients need to be monitored in the ICU after receiving alteplase for acute ischemic stroke? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode431. In this episode, I’ll discuss when octreotide can be discontinued in patients with variceal bleeding. The post 431: When can octreotide be discontinued in patients with variceal bleeding? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode430. In this episode, I ll discuss how to become a peer reviewer for a medical journal. The post Episode 430: How to become a peer reviewer for a medical journal appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode429. In this episode, I ll discuss the treatment of fulminant C. diff. The post 429: Treatment of fulminant C. diff appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode428. In this episode, I’ll discuss the different types of statistical data. The post 428: Different types of statistical data appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode427. In this episode, I ll discuss topical lidocaine for wound vac dressing changes. The post 427: Topical lidocaine for wound vac dressing changes appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode426. In this episode, I ll discuss an article about the impact of total body weight on rate of acute kidney injury in patients treated with piperacillin tazobactam and vancomycin. The post 426: Impact of total body weight on rate of acute kidney injury in patients treated with piperacillin tazobactam and vancomycin appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode425. In this episode, I ll discuss why hypotonic or dextrose-based solutions are avoided in patients with acute ischemic stroke. The post 425: Why are hypotonic or dextrose-based solutions avoided in patients with acute ischemic stroke? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode424. In this episode, I ll discuss deresuscitation of patients in the ICU. The post 424: What is deresuscitation? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode423. In this episode, I ll discuss why the adenosine dose is reduced by 50% when it is given in a central line. The post 423: Why is the adenosine dose reduced by 50% when it is given in a central line? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode422. In this episode, I ll discuss an article about using gabapentin for severe alcohol withdrawal. The post 422: High Dose Gabapentin for the Treatment of Severe Alcohol Withdrawal Syndrome appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode421. In this episode, I’ll discuss why steroids are given in myxedema coma. The post 421: Why are steroids given in myxedema coma? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode420. In this episode, I ll discuss the paradox of steroids in rapidly worsening myasthenia gravis. The post 420: The paradox of steroids in rapidly worsening myasthenia gravis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode419. In this episode, I ll discuss when the acute ischemic stroke guidelines recommend stopping alteplase mid-infusion. The post 419: When do acute ischemic stroke guidelines recommend stopping alteplase mid-infusion? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode418. In this episode, I ll discuss an article about the adverse effects of medications given for acute agitation in the ED. The post 418: Risk Factors for Sedation Related Events During Acute Agitation Management in the Emergency Department appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode417. In this episode, I ll discuss why you don t need to know the cause of severe, symptomatic hyponatremia before treating it. The post 417: You don t need to know the cause of severe hyponatremia to decide first step of treatment appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode416. In this episode, I ll discuss the final 4 questions of a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. This is part 3 of a 3 part series that began with episode 414. The post 416: Clinically relevant pharmacokinetic knowledge on antibiotic dosing (part 3) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode415. In this episode, I ll discuss questions 6, 7 and 8 of a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. This is part 2 of a 3 part series that began with episode 414. The post 415: Clinically relevant pharmacokinetic knowledge on antibiotic dosing (part 2) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode414. In this episode, I ll discuss a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. The post 414: Clinically relevant pharmacokinetic knowledge on antibiotic dosing (part 1) appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode413. In this episode, I ll discuss why moxifloxacin doesn t cover urinary tract infections. The post 413: Why moxifloxacin doesn t cover urinary tract infections appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode412.
In this episode, I ll discuss famotidine as a potential cause of delirium.
The post 412: Famotidine as a cause of delirium appeared first on Pharmacy Joe.
As a reminder, to not lose the chance to lock in the lowest possible pricing for the Hospital Pharmacy Academy, join before it increases this Friday June 28, 2019 at pharmacyjoe.com/academy.
Show notes at pharmacyjoe.com/episode411.
In this episode, I ll discuss potential reasons for an unexpected positive urine barbiturate screen.
The post 411: Potential reasons for an unexpected positive urine barbituate screen appeared first on Pharmacy Joe.
As a reminder, to not lose the chance to lock in the lowest possible pricing for the Hospital Pharmacy Academy, join before it increases this Friday June 28, 2019 at pharmacyjoe.com/academy.
Show notes at pharmacyjoe.com/episode410.
In this episode, I ll discuss potential reasons for a false heparin anti-Xa level.
The post 410: Possible reasons for false heparin anti-Xa levels appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode409.
In this episode, I’ll discuss octreotide’s role in treating variceal bleeding.
The post 409: How does octreotide help in variceal bleeding? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode408.
In this episode, I ll discuss an article about using dexmedetomidine in critically ill patients.
The post 408: A study of how not to use dexmedetomidine appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode407.
In this episode, I’ll discuss the drug interaction between sugammadex and oral contraceptives.
The post 407: Drug interaction between sugammadex and oral contraceptives appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode406.
In this episode, I ll talk about how to use naloxone for opioid overdose in the inpatient setting.
The post 406: Update on naloxone for reversing opioid overdose appeared first on Pharmacy Joe.
In this episode, I will discuss whether intermittent boluses of pantoprazole be used to treat acute GI bleeding rather than continuous infusions.
Show notes at pharmacyjoe.com/episode405.
The post 405: Can intermittent boluses of pantoprazole be used to treat acute GI bleeding rather than continuous infusions? appeared first on Pharmacy Joe.
In this episode, I ll discuss giving alteplase for acute ischemic stroke during pregnancy.
Show notes at pharmacyjoe.com/episode404.
The post 404: Can alteplase be given for acute ischemic stroke during pregnancy? appeared first on Pharmacy Joe.
In this episode, I ll discuss the effect of beta-blocker therapy on dobutamine.
Show notes at pharmacyjoe.com/episode403.
The post 403: What is the effect of beta-blocker therapy on dobutamine? appeared first on Pharmacy Joe.
In this episode, I ll discuss an article about when to draw a free phenytoin level.
Show notes at pharmacyjoe.com/episode402.
The post 402: When do you need to draw a free phenytoin level? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode401.
In this episode, I ll discuss predictors of oversedation in hospitalized patients.
The post 401: Predictors of oversedation in hospitalized patients appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode400.
IIn this episode, I ll discuss acetazolamide s use as a respiratory stimulant in ICU patients.
The post 400: Acetazolamide as a respiratory stimulant appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode399.
In this episode, I ll discuss the biggest risk to using phenobarbital monotherapy for severe alcohol withdrawal.
The post 399: The biggest risk to using phenobarbital monotherapy for severe alcohol withdrawal appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode398.
In this episode I ll:
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Discuss an article about the safety and efficacy of apixaban in patients at extremes of body weight.
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Answer a drug information question about the diagnosis of adrenocortical insufficiency without using Cortosyn.
The post 398: Apixaban in patients at extremes of body weight and the Cortosyn shortage appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode397.
In this episode, I’ll discuss the state of research for hydrocortisone, ascorbic acid, and thiamine (HAT Rx) for sepsis.
Episode 397: An update on research for hydrocortisone, ascorbic acid, and thiamine (HAT Rx) for sepsis The post 397: An update on research for hydrocortisone, ascorbic acid, and thiamine (HAT Rx) for sepsis appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode396
In this episode, I’ll discuss the use of methylene blue for the treatment of refractory anaphylaxis without hypotension.
Episode 396: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension The post 396: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode395.
In this episode I ll: discuss PGY-1 Learning Activities and the 6 levels of Bloom s Learning Taxonomy
The post 395: PGY-1 Learning Activities and the 6 levels of Bloom s Learning Taxonomy appeared first on Pharmacy Joe.
Show notes at http://pharmacyjoe.com/episode394
In this episode I ll:
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Discuss an article about the use of ketamine for agitation in patients with schizophrenia
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Answer the drug information question “Can oral and IV vancomycin be given at the same time to the same patient?”
The post 394: The use of ketamine for agitation in patients with schizophrenia and simultaneous use of oral and IV vancomycin appeared first on Pharmacy Joe.
Show notes at http://pharmacyjoe.com/episode393
In this episode, I’ll discuss why IV dextrose is given to patients with DKA.
The post 393: Why is IV dextrose given to patients with DKA? appeared first on Pharmacy Joe.
Show notes at http://pharmacyjoe.com/episode392
In this episode, I’ll discuss how to remember antibiotic spectrum of activity.
The post 392: How to remember antibiotic spectrum of activity appeared first on Pharmacy Joe.
Show notes at http://pharmacyjoe.com/episode391
In this episode, I’ll discuss whether 100 mg of micafungin is enough for critically ill obese patients.
Episode 391: Is 100 mg of micafungin enough for critically ill obese patients? The post 391: Is 100 mg of micafungin enough for critically ill obese patients? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode390.
In this episode, I ll discuss the role for tranexamic acid in the treatment of epistaxis.
The post 390: What is the role for tranexamic acid in the treatment of epistaxis? appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode389.
In this episode, I ll discuss whether to use phentolamine to treat dobutamine extravasation.
The post 389: Phentolamine to treat dobutamine extravasation appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode388.
In this episode, I ll discuss an article about enhanced renal clearance in patients with hemorrhagic stroke.
The post 388: Enhanced Renal Clearance in Patients With Hemorrhagic Stroke appeared first on Pharmacy Joe.
Show notes at pharmacyjoe.com/episode387.
In this episode, I ll discuss using the 1 minute preceptor method for pharmacy residents.
The post 387: Using the 1 minute preceptor method for pharmacy residents appeared first on Pharmacy Joe.